Nokea
Which theory emphasizes the long-range plan rather than rewards?
- A. Equity theory.
- B. Development.
- C. Goal setting.
- D. Extinction.
Correct Answer: C
Rationale: The correct answer is C: Goal setting theory. This theory emphasizes setting specific, challenging goals to improve performance, focusing on long-range planning rather than immediate rewards. Goals provide direction and motivation, leading to increased effort and persistence. Equity theory (A) focuses on fairness in outcomes and inputs. Development (B) refers to personal growth and learning. Extinction (D) is a behaviorist concept related to the disappearance of a previously learned behavior due to lack of reinforcement.
You may also like to solve these questions
A nurse manager is considering the variances of the budget. Fewer monies were spent than expected. What type of variance is this?
- A. Unfavorable variance
- B. Favorable variance
- C. Dependent variance
- D. Independent variance
Correct Answer: B
Rationale: The correct answer is B: Favorable variance. This is because spending less money than expected is positive for the budget, indicating efficiency. A favorable variance means actual costs are lower than budgeted, leading to cost savings. In contrast, an unfavorable variance (option A) would occur if more money was spent than anticipated, indicating overspending. Choices C and D are incorrect as they do not directly address the concept of budget variances and are not commonly used terms in budgeting analysis.
A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to
- A. use only the lispro insulin until the symptoms are resolved
- B. limit calorie intake until the glucose is less than 120 mg/dL
- C. monitor blood glucose every 4 hours and notify the clinic if it continues to rise
- D. decrease carbohydrate intake until glycosylated hemoglobin is less than 7%
Correct Answer: C
Rationale: The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise.
Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness. Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation. Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.
What is the primary responsibility of a nurse manager in a healthcare setting?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To oversee administrative tasks
- D. To conduct clinical research
Correct Answer: C
Rationale: The primary responsibility of a nurse manager in a healthcare setting is to oversee administrative tasks (Choice C). This includes managing staff, scheduling, budgeting, ensuring regulatory compliance, and improving patient care quality. Providing direct patient care (Choice A) is typically the responsibility of bedside nurses. Managing healthcare facilities (Choice B) is usually handled by facility administrators. Conducting clinical research (Choice D) is more aligned with the role of a nurse researcher or clinical trials coordinator. Thus, the correct answer (Choice C) focuses on the core duties of a nurse manager in managing the operations and administrative aspects of a healthcare setting.
A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?
- A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
- B. Incompetence only impacts the individual nurse.
- C. The director should follow her institution’s formal process for reporting and handling practices that jeopardize patient safety.
- D. Most nurse practice acts direct how to handle incompetent nurses.
Correct Answer: C
Rationale: The correct answer is C. The unit director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety when dealing with an incompetent employee.
1. Firstly, it is important to prioritize patient safety above all else.
2. By following the institution's formal process, the director ensures that the proper steps are taken to address the incompetence effectively.
3. This approach also promotes transparency and accountability within the organization.
4. It aligns with ethical principles of duty to care and responsibility for patient well-being.
The other choices are incorrect:
A: Tolerating incompetence is not an acceptable approach as it can compromise patient safety.
B: Incompetence can have broader impacts beyond the individual nurse, such as affecting patient outcomes and overall team performance.
D: While nurse practice acts may provide guidance, the institution's specific procedures should be followed to address incompetence effectively.
A postoperative nurse is caring for a client after knee replacement. She discovers the consent was not signed before the surgery. Which of the following charges could be filed?
- A. False imprisonment
- B. Libel
- C. Battery
- D. Malpractice
Correct Answer: C
Rationale: The correct answer is C: Battery. Battery refers to the intentional harmful or offensive touching of another person without consent. In this case, performing the surgery without obtaining informed consent from the client constitutes battery. The lack of signed consent implies the client did not agree to the procedure, making it an unauthorized touching. This is a clear violation of the client's rights and can lead to a charge of battery.
False imprisonment (A) involves restricting someone's freedom of movement unlawfully, which is not applicable here. Libel (B) refers to written defamation, which is not relevant to the situation. Malpractice (D) involves professional negligence in providing healthcare, not obtaining consent before surgery would fall under battery rather than malpractice.