Nokea
A client with frequent tonic-clonic seizures is being admitted. What action should the nurse add to the client's plan of care?
- A. Ensure blankets are placed on all four sides of the bed.
- B. Refrain from using restraints during seizure activity.
- C. Position the client laterally during seizure activity.
- D. Have a tongue depressor available at the client's bedside.
Correct Answer: D
Rationale: The correct answer is D: Have a tongue depressor available at the client's bedside. This is important to prevent the client from biting their tongue during a seizure, which can lead to injury or airway obstruction. Placing blankets around the bed (choice A) is not a priority during a seizure. Refraining from using restraints (choice B) is correct, as restraints can cause harm during a seizure. Positioning the client laterally (choice C) is recommended after the seizure has ended, not during the seizure itself.
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When preparing for a meeting to discuss the annual budget, what would be the best approach to ensure all relevant points are covered?
- A. Prepare an agenda
- B. Use visual aids
- C. Invite only key stakeholders
- D. Review previous budgets
Correct Answer: A
Rationale: The correct answer is A: Prepare an agenda. This approach ensures that all relevant points are covered by structuring the meeting topics in a logical sequence. Step 1: Identify key discussion points. Step 2: Organize them in a coherent order on the agenda. Step 3: Share the agenda with participants beforehand. This allows everyone to come prepared, promotes focus, and helps stay on track during the meeting. Visual aids (B) may enhance understanding but don't ensure all points are covered. Inviting only key stakeholders (C) limits perspectives. Reviewing previous budgets (D) is valuable but not sufficient for comprehensive coverage.
When communicating with a client who has a complaint, what principle is important to keep in mind?
- A. Supervisors should always be involved.
- B. The client's physician is often the cause of the problem.
- C. Avoid discussion of complaints.
- D. Clients and families should be treated with respect; communication should be open and honest.
Correct Answer: D
Rationale: The correct answer is D. It is important to treat clients and families with respect, practicing open and honest communication. This fosters trust, helps address concerns, and improves client satisfaction. Choice A is incorrect as involving supervisors may not always be necessary. Choice B is incorrect as the physician may not always be the cause of the problem. Choice C is incorrect as avoiding discussion can lead to unresolved issues. In summary, choice D promotes a positive and effective client-provider relationship, while the other choices do not address the core principles of effective communication and client-centered care.
Which of the following is an example of a macro-level health policy?
- A. Local health ordinances
- B. State licensing regulations
- C. National healthcare legislation
- D. Institutional policies
Correct Answer: C
Rationale: The correct answer is C: National healthcare legislation. Macro-level health policies are those that are implemented at the national level and have a broad impact on a large population. National healthcare legislation falls under this category as it sets guidelines and regulations for the entire country's healthcare system. Local health ordinances (A) are specific regulations for a particular locality, state licensing regulations (B) are at the state level, and institutional policies (D) are specific to individual healthcare institutions. Therefore, the correct choice is C as it aligns with the definition of macro-level health policy.
When addressing a policy violation, what is one of the initial steps to take?
- A. Terminate the employee.
- B. Confront the employee.
- C. Discipline the employee immediately.
- D. Determine whether the employee is aware of the policy.
Correct Answer: D
Rationale: The correct answer is D: Determine whether the employee is aware of the policy. This is the initial step to ensure fairness and due process. By confirming the employee's knowledge of the policy, you can address any potential misunderstandings or gaps in communication. Terminating the employee (A) without first verifying their awareness would be hasty and unfair. Confronting the employee (B) may be necessary later, but not as an initial step. Disciplining the employee immediately (C) without understanding their knowledge of the policy could lead to unnecessary conflicts and legal implications. Thus, D is the most appropriate initial step in addressing a policy violation.
What is the primary purpose of a nurse staffing committee?
- A. To oversee patient safety initiatives
- B. To develop staffing policies and procedures
- C. To coordinate patient care
- D. To manage nurse recruitment
Correct Answer: B
Rationale: The correct answer is B: To develop staffing policies and procedures. The primary purpose of a nurse staffing committee is to establish guidelines and protocols for nurse staffing levels to ensure safe and effective patient care. By developing staffing policies, the committee can address issues such as nurse-to-patient ratios, shift scheduling, and workload distribution. This helps maintain quality care and prevent burnout among nurses.
Incorrect options:
A: To oversee patient safety initiatives - While patient safety is a critical aspect of nursing care, the primary focus of the staffing committee is on developing policies related to nurse staffing, not overseeing patient safety initiatives.
C: To coordinate patient care - While coordinating patient care is essential, the primary role of the staffing committee is to focus on staffing policies rather than direct patient care coordination.
D: To manage nurse recruitment - Nurse recruitment is typically handled by human resources or a recruitment team, not the staffing committee. The staffing committee's main function is to determine appropriate staffing levels and guidelines.