Which statement to a patient newly diagnosed with type 2 diabetes is correct?
- A. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
- B. Insulin is not used to control blood glucose in patients with type 2 diabetes.
- C. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
- D. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.
Correct Answer: C
Rationale: Step 1: In type 2 diabetes, the body either becomes resistant to insulin or doesn't produce enough insulin.
Step 2: Diet and exercise can help improve insulin sensitivity and control blood glucose levels in type 2 diabetes.
Step 3: Medications may also be prescribed if diet and exercise alone are not effective.
Step 4: Insulin therapy may be necessary in some cases but is not the first-line treatment for type 2 diabetes.
Step 5: Complications of type 2 diabetes can be serious and include cardiovascular issues, neuropathy, and kidney disease.
Step 6: Type 2 diabetes is typically diagnosed through blood tests, not by admission with a hyperglycemic coma.
Summary:
Choice A is incorrect because complications can be severe in type 2 diabetes. Choice B is incorrect as insulin may be used in some cases. Choice D is incorrect as type 2 diabetes is usually diagnosed through blood tests. Choice C is correct as diet and exercise play a
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In the traditional rating scale, what is the time period typically used for evaluation?
- A. Twelve months
- B. Six months
- C. Three months
- D. One month
Correct Answer: A
Rationale: The correct answer is A: Twelve months. In traditional rating scales, evaluations are typically conducted over a period of twelve months to allow for a comprehensive assessment of an individual's performance over an extended period. This timeframe allows for a more accurate reflection of the individual's overall performance, taking into account various factors and performance trends throughout the year.
Explanation for why the other choices are incorrect:
- B: Six months: Six months is a relatively shorter timeframe compared to the traditional annual evaluation period. It may not provide a comprehensive view of the individual's performance over a longer period.
- C: Three months: Three months is too short of a timeframe to evaluate performance comprehensively. It may not capture long-term performance trends and variations.
- D: One month: One month is too brief to assess performance effectively. It may not account for fluctuations in performance or provide a holistic view of the individual's capabilities over time.
Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common laws
- C. Administrative laws
- D. Constitutional laws
Correct Answer: A
Rationale: The correct answer is A: Statutory laws. Statutory laws are specific laws enacted by a legislative body, such as state Nurse Practice Acts, that regulate nursing practice. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common laws (B) are based on court decisions and may not specifically govern nursing practice. Administrative laws (C) deal with regulations set by administrative agencies, not specific to nursing. Constitutional laws (D) are related to the constitution and its interpretation, not directly governing nursing practice.
In the grievance process, a nurse disagrees with statements made by a physician about performance and talks to the nurse manager. Which step in the process is this?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: A
Rationale: The correct answer is A, the first step in the grievance process. When a nurse disagrees with a physician's statements, consulting the nurse manager is an initial step to address the issue informally. This step allows for clarification, communication, and resolution at a lower level before escalating to formal grievance procedures. Choices B, C, and D are incorrect because they pertain to subsequent steps in the process after the issue has become more formalized and escalated beyond the initial stage.
As a new graduate employed in a high-volume maternity unit that uses differentiated practice as its staffing model, what can the nurse expect?
- A. Evidence-based practice guides risk management principles.
- B. Client teaching is the responsibility of the team leader.
- C. The initial level of practice responsibility will be limited.
- D. Seniority is the main determinant of client assignments.
Correct Answer: C
Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety.
Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used.
Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader.
Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.
Which of the following are essential components of strategic planning? (Select all that apply.)
- A. Values
- B. Vision & Mission statements
- C. Reengineering
- D. A & B
Correct Answer: D
Rationale: The correct answer is D because values and vision & mission statements are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & mission statements define the organization's purpose and goals, providing a roadmap for strategic direction. Reengineering, as mentioned in choice C, is a process improvement approach and not an inherent component of strategic planning. Therefore, choice D is the correct answer as it includes the key components necessary for effective strategic planning.