Nokea
Which question during the assessment of a diabetic patient will help the nurse identify
autonomic neuropathy?
- A. “Do you feel bloated after eating?”
- B. “Have you seen any skin changes?”
- C. “Do you need to increase your insulin dosage when you are stressed?”
- D. “Have you noticed any painful new ulcerations or sores on your feet?”
Correct Answer: A
Rationale: Rationale: Autonomic neuropathy affects digestion, leading to bloating after eating. This symptom is related to the dysfunction of the autonomic nervous system. Skin changes, insulin dosage changes due to stress, and new ulcerations are not specific to autonomic neuropathy. Bloated feeling after eating is a classic symptom of autonomic neuropathy due to impaired gastrointestinal motility.
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According to Maslow's theory, which level of needs must be met first?
- A. Self-actualization needs
- B. Esteem needs
- C. Safety needs
- D. Physiological needs
Correct Answer: D
Rationale: The correct answer is D: Physiological needs. According to Maslow's hierarchy of needs, physiological needs such as food, water, shelter, and sleep must be met first as they are the most basic and essential for survival. Without satisfying physiological needs, an individual cannot move on to fulfilling higher-level needs. Esteem needs, self-actualization needs, and safety needs come after physiological needs are met. It is crucial to prioritize physiological needs before addressing other levels of needs to ensure overall well-being and self-actualization.
What is the major difference between managers and leaders?
- A. Leaders usually have legitimate power.
- B. Leaders do not necessarily make good managers.
- C. Managers are not always leaders.
- D. Managers always have legitimate power.
Correct Answer: D
Rationale: The correct answer is D because managers always have legitimate power. This is due to their formal position within an organization, giving them the authority to make decisions, allocate resources, and direct the work of subordinates. This power is typically designated by the organization's hierarchy and structure.
Choice A is incorrect because leaders can possess different types of power, such as referent or expert power, not just legitimate power.
Choice B is incorrect because while leaders and managers have distinct roles, some individuals can excel in both capacities.
Choice C is incorrect because managers are expected to exhibit leadership qualities in addition to their managerial responsibilities.
What is the primary focus of the Triple Aim in healthcare?
- A. Improving patient experience
- B. Reducing healthcare costs
- C. Improving population health
- D. Ensuring regulatory compliance
Correct Answer: A
Rationale: The primary focus of the Triple Aim in healthcare is to improve patient experience, which encompasses quality, safety, and satisfaction. This approach aims to enhance care delivery, promote patient-centeredness, and optimize outcomes. Reducing healthcare costs and improving population health are important aspects but are secondary to enhancing the patient experience. Ensuring regulatory compliance is crucial but not the primary objective of the Triple Aim framework. Thus, choice A is correct as it aligns with the core principle of prioritizing the needs and preferences of patients for better overall healthcare outcomes.
A supervisor is restricting the flow of communication between staff. This has resulted in the staff having two very opposite directions. The supervisor's actions are known as which type of force?
- A. Opposing force
- B. Driving force
- C. Restraining force
- D. Restrictive force
Correct Answer: C
Rationale: The correct answer is C: Restraining force. In this scenario, the supervisor's actions of restricting communication act as a restraining force, hindering the flow of information and causing conflicting directions among the staff. A restraining force limits the ability of individuals or groups to achieve their goals by imposing obstacles or constraints. Opposing force (A) implies a force in direct opposition, which is not the case here. Driving force (B) typically motivates action rather than restricts it. Restrictive force (D) is similar to restraining force but lacks the specific connotation of limiting communication in this context.
Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?
- A. No expenses are involved in frivolous lawsuits.
- B. If a nurse is found guilty of malpractice, the institution can sue the nurse.
- C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
- D. Only doctors are sued for malpractice.
Correct Answer: C
Rationale: The correct answer is C because liability policies can indeed cover charges beyond malpractice, such as libel, slander, assault, and HIPAA violations. This is important as nurses can face legal actions related to various aspects of their practice beyond just malpractice. Option A is incorrect as expenses can still be involved in defending against frivolous lawsuits. Option B is incorrect because it states that the institution can sue the nurse, which is not the primary reason for having liability insurance. Option D is incorrect as nurses can also be sued for malpractice, not just doctors. Therefore, option C is the most comprehensive and relevant reason for an RN to have a professional liability insurance policy.