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While caring for a client with tuberculosis, which of the following actions should the nurse take?
- A. Use antimicrobial sanitizer for hand hygiene.
- B. Wear a surgical mask when providing client care.
- C. Limit each visitor to 2-hour increments.
- D. Wear gloves when assisting the client with oral care.
Correct Answer: A
Rationale: The correct answer is A: Use antimicrobial sanitizer for hand hygiene. Hand hygiene is crucial in preventing the spread of tuberculosis. TB is transmitted through respiratory droplets, not contact, so wearing a mask (choice B) is not effective. Limiting visitor time (choice C) may help reduce exposure, but hand hygiene is more critical. Wearing gloves for oral care (choice D) is important for standard precautions, but hand hygiene is the priority for TB prevention.
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Successful professional nurses benefit from working with mentors. What mutually rewarding outcomes are realized in mentoring relationships? (EXCEPT)
- A. Instilling a sense of accomplishing a meaningful effort
- B. Assuming each other's characteristics
- C. Fostering an interdependent relationship
- D. Promoting self-esteem
Correct Answer: B
Rationale: The correct answer is B: Assuming each other's characteristics. In mentoring relationships, the mentor provides guidance, support, and knowledge to the mentee. The mentee learns from the mentor's experience and expertise, but they should not aim to assume the mentor's characteristics. The mentee should develop their own skills and strengths, not mimic the mentor. This is important for the mentee's professional growth and individuality. Choices A, C, and D are all positive outcomes of mentoring relationships, as they focus on achieving goals, building interdependence, and enhancing self-esteem through support and learning.
Which of the following best describes the role of a clinical nurse specialist (CNS)?
- A. Direct patient care provider
- B. Administrator of healthcare facilities
- C. Consultant for nursing staff
- D. Policy maker in healthcare organizations
Correct Answer: C
Rationale: The correct answer is C because a clinical nurse specialist (CNS) primarily serves as a consultant for nursing staff. They provide expert guidance, education, and support to improve clinical practice and patient outcomes. This role involves collaborating with nurses to enhance their skills and knowledge.
A: Direct patient care provider - While CNS may provide direct patient care, their main focus is on educating and supporting nursing staff.
B: Administrator of healthcare facilities - This role is typically carried out by nurse administrators, not CNS.
D: Policy maker in healthcare organizations - Policy-making is usually the responsibility of healthcare executives or policymakers, not CNS.
An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: The correct answer is B: Assessment. The first step in resolving an ethical dilemma is to thoroughly assess the situation. This involves gathering all relevant information, understanding the perspectives of the patient and family, and identifying key ethical principles at stake. Assessment allows the RN to have a clear understanding of the dilemma and its implications before proceeding with any planning, implementation, or evaluation. Planning (A), Implementation (D), and Evaluation (C) are all important steps in the problem-solving process, but without a comprehensive assessment, the RN may not have a solid foundation to address the ethical dilemma effectively.
Recent polls have placed nursing as one of the most trusted professions because of which of the following?
- A. Nurses engage in lifelong learning.
- B. Nurses abide by a dress code.
- C. Nurses have the skills needed to care for diverse populations.
- D. Nurses must pass the NCLEX in order to obtain a license to practice.
Correct Answer: C
Rationale: The correct answer is C because nurses having the skills to care for diverse populations is a crucial factor in earning trust. Nursing involves providing care to individuals from various backgrounds, cultures, and beliefs. Nurses who possess the skills to understand and cater to the unique needs of diverse populations build trust by ensuring culturally sensitive and competent care. This answer aligns with the essence of nursing, which emphasizes holistic care for all individuals regardless of their differences.
A: While lifelong learning is important in nursing, it is not the primary reason why nursing is one of the most trusted professions.
B: Abiding by a dress code is a professional expectation but not a significant factor in establishing trust with patients.
D: Passing the NCLEX is a requirement for licensure but does not directly correlate with the trustworthiness of nurses in caring for diverse populations.
For a 55-year-old female patient with type 2 diabetes and a nursing diagnosis of imbalanced nutrition: more than body requirements, which goal is most important?
- A. The patient will reach a glycosylated hemoglobin level of less than 7%.
- B. The patient will follow a diet and exercise plan that results in weight loss.
- C. The patient will choose a diet that distributes calories throughout the day.
- D. The patient will state the reasons for eliminating simple sugars in the diet.
Correct Answer: A
Rationale: The correct answer is A: The patient will reach a glycosylated hemoglobin level of less than 7%. This goal is most important because it directly addresses the patient's diabetes management by aiming to achieve good glycemic control. Lowering the HbA1c level to less than 7% is a key indicator of reduced risk for diabetes-related complications. Options B, C, and D are not as critical in addressing the specific nursing diagnosis of imbalanced nutrition. Option B focuses on weight loss, which may not necessarily address the underlying issue of imbalanced nutrition. Option C addresses meal distribution but does not directly target improved glycemic control. Option D emphasizes eliminating simple sugars but does not encompass the comprehensive management of diabetes.