Nokea
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements do not indicate the need for you to provide an educational activity relating to confidentiality and information security?
- A. “A computer in the hallway was left unattended and a client's medical record was visible to me.â€
- B. “I j ust saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.â€
- C. “As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.â€
- D. “I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.â€
Correct Answer: D
Rationale: These scenarios highlight breaches in confidentiality and security.
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The theorist associated with zone of proximal development is
- A. Jean Piaget
- B. Erik Erikson
- C. Lev Vygotsky
- D. John Dewey
Correct Answer: C
Rationale: Vygotsky's zone of proximal development defines learning potential with guidance.
Are often a damage for themselves and each other
- A. Infants
- B. Toddlers
- C. Adolescents
- D. Adults
Correct Answer: B
Rationale: Toddlers' lack of coordination and exploration often leads to harm.
Name three common tricyclic antidepressants.
- A. Amitriptyline (Elavil)
- B. Imipramine (Tofranil)
- C. Nortriptyline (Pamelor)
- D. Palpitations
Correct Answer: A
Rationale: Step 1: Identify tricyclic antidepressants as a class of medications.
Step 2: Recognize Amitriptyline, Imipramine, and Nortriptyline as commonly prescribed tricyclic antidepressants.
Step 3: Eliminate "Palpitations" as it is not a tricyclic antidepressant.
Step 4: Choose Amitriptyline (Elavil) as the correct answer due to its classification as a tricyclic antidepressant and common use in clinical practice.
When communicating with a Muslim patient about end-of-life issues, which of the following statements best shows respect and mindfulness about Muslim beliefs?
- A. Death is expected soon
- B. We are fighting a losing battle
- C. We need to start considering options for hospice care
- D. No one knows when, where, or how someone will die
Correct Answer: D
Rationale: This reflects Islamic belief in divine will, showing cultural sensitivity.
An older adult client has been asked to participate in a randomized controlled trial (RCT) related to the development of a new psychotropic medication. The nurse responsibly acts as the client's advocate when:
- A. Reassuring the client that the process of RCTs is a perfectly safe one.
- B. Explaining to the client the possible risks involved in participating in this particular RCT.
- C. Educating the client's family concerning the details of participating in such a medication-focused RCT.
- D. Assessing the degree of understanding the client has about what a medication-focused RCT will involve.
Correct Answer: D
Rationale: The correct answer is D because assessing the client's understanding is crucial to ensure informed consent and autonomy. By assessing the client's comprehension, the nurse can verify if the client is aware of the potential risks, benefits, and procedures involved in the RCT. This step is essential to uphold the client's rights and ensure they make an informed decision.
Choice A is incorrect because it does not address the importance of assessing the client's understanding and may provide false reassurance. Choice B is incorrect as it only focuses on explaining risks without assessing the client's comprehension. Choice C is incorrect as educating the family does not ensure the client's understanding and involvement in decision-making.