Nokea
A client is discussing the use of herbal supplements for health promotion with a nurse. Which of the following client statements indicates an understanding of herbal supplement use?
- A. I can take echinacea to improve my immune system.
- B. I can take feverfew to reduce my level of anxiety.
- C. I can take ginger to improve my memory.
- D. I can take ginkgo biloba to relieve nausea.
Correct Answer: D
Rationale: The correct answer is D because ginkgo biloba is commonly used to improve memory and cognitive function, not to relieve nausea. Echinacea is known for immune support (A), feverfew for migraine prevention (B), and ginger for nausea relief (C). Understanding the intended use of each herb is crucial for safe and effective supplementation.
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What is the term for working on a schedule within the unit, involving only those who are working within that unit?
- A. Flexible staffing
- B. Self-staffing
- C. Internal pools
- D. Management scheduling
Correct Answer: B
Rationale: The correct answer is B: Self-staffing. Self-staffing refers to employees within a unit scheduling themselves to work according to the unit's needs. This approach empowers employees to manage their own schedules, ensuring coverage within the unit.
A: Flexible staffing typically involves adjusting staffing levels based on fluctuating demand, not limited to a specific unit.
C: Internal pools usually refer to a group of employees who can be assigned to various units based on need, not limited to a specific unit.
D: Management scheduling involves supervisors or managers creating schedules for employees, not necessarily limited to a specific unit.
In summary, the term for working on a schedule within the unit involving only those who are working within that unit is self-staffing because it allows employees to self-schedule within their own unit's context.
An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN’s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?
- A. Fidelity
- B. Confidentiality
- C. Veracity
- D. Accountability
Correct Answer: B
Rationale: The correct answer is B: Confidentiality. The RN should consider confidentiality when replying to his friends about the senator's condition. By maintaining confidentiality, the RN upholds the trust and privacy of the senator's medical information. Sharing such information breaches the ethical duty to protect patient privacy.
A: Fidelity pertains to being faithful and loyal to one's commitments, not directly related to this situation.
C: Veracity refers to truthfulness and honesty, but in this case, maintaining confidentiality takes precedence over disclosing the truth to friends.
D: Accountability involves taking responsibility for one's actions, which is not the primary ethical principle at play in this scenario.
A nurse is caring for a client who is postoperative. When the nurse prepares to change the client's dressing, they say, 'Every time you change my bandage, it hurts so much.' Which of the following interventions is the nurse's priority action?
- A. Encourage the client to relax and take deep breaths during the dressing change
- B. Educate the client about the importance of the dressing change to prevent infection
- C. Administer pain medication 45 minutes before changing the client's dressing
- D. Assist the client to a comfortable position for the dressing change
Correct Answer: C
Rationale: The correct answer is C: Administer pain medication 45 minutes before changing the client's dressing. This is the priority action because it directly addresses the client's pain during the dressing change, ensuring their comfort and adherence to the procedure. Administering pain medication in advance allows time for it to take effect, minimizing the discomfort experienced by the client. Encouraging relaxation techniques (A) and educating about the importance of dressing change (B) are important but secondary to addressing the immediate pain issue. Assisting the client to a comfortable position (D) is helpful but does not directly alleviate the pain like pain medication does.
Organizations are made up of intertwined links and diversified choices that generate unanticipated consequences. This defines which of the following theories?
- A. Contingency theory
- B. Closed system theory
- C. Open system theory
- D. Chaos theory
Correct Answer: D
Rationale: The correct answer is D: Chaos theory. Chaos theory explains how complex systems, like organizations, can exhibit unpredictable behavior due to small changes in initial conditions. In this context, the interconnectedness and diverse choices within organizations result in unanticipated consequences. Contingency theory (A) focuses on adapting to environmental factors, closed system theory (B) suggests organizations are isolated from the environment, and open system theory (C) emphasizes interactions with the external environment, but none directly address the unpredictable consequences arising from intertwined links and diverse choices within organizations like Chaos theory does.
When looking at the issue surrounding absenteeism, an innovative approach would be:
- A. Rewarding those who do not use days.
- B. Substituting personal days.
- C. Termination.
- D. Disciplinary actions.
Correct Answer: B
Rationale: The correct answer is B: Substituting personal days. This approach addresses absenteeism by allowing employees to use personal days instead of sick days, promoting honesty and reducing misuse. Rewarding non-absent employees (A) may not address underlying causes of absenteeism. Termination (C) is extreme and counterproductive. Disciplinary actions (D) may create a negative work environment. Substituting personal days encourages responsible time management and positive behavior.