LPN exams management of care practice questions set 14

Correct answer:

Linda Richards, America's first trained nurse, developed a documentation system for patient care, evolving into today's medical records, making her direct legacy. Using antiseptics ties to Lister's work, not Richards. Exploring psychosocial needs and listening to patients reflect broader nursing evolution, not her specific contribution. Her system standardized recording observations and interventions, improving communication and continuity of care. Modern nurses rely on this practice to track patient progress, share data with teams, and ensure legal accountability. Richards' innovation shifted nursing from oral tradition to written precision, enhancing safety and quality. For example, documenting a medication error prevents recurrence, a practice rooted in her emphasis on detailed records, cementing her influence on professional nursing standards.

Correct answer:

Informed consent hinges on the client's full understanding of the procedure, risks, and reasons, which the provider must ensure. When a client expresses confusion, as here with questions about the surgery's necessity, the nurse's role is to facilitate clarity by notifying the provider, who is responsible for explaining and obtaining consent. This action ensures the client receives accurate, authoritative answers, upholding autonomy and legal standards. Explaining the procedure herself exceeds the nurse's scope in this context, risking misinformation. Reassuring without addressing confusion dismisses the client's need for understanding, while forcing a signature without comprehension invalidates consent. Notifying the provider ensures the client's questions are resolved, protecting their rights and ensuring the process remains ethical and informed.

Correct answer:

The correct answer is B: Theory of Planned Behaviour. This theory emphasizes social norms and perceived social pressure in influencing behavior. It states that behavior is determined by a person's intention, which is influenced by their attitude, subjective norms, and perceived behavioral control. Social norms and perceived social pressure play a crucial role in shaping an individual's intention to engage in a behavior. The Health Belief Model focuses on perceived susceptibility, severity, benefits, and barriers related to health behaviors. Social Cognitive Theory emphasizes observational learning and self-efficacy. The Transtheoretical Model focuses on stages of change in behavior. In summary, the Theory of Planned Behaviour specifically highlights the impact of social norms and perceived social pressure on behavior, making it the correct choice.

Correct answer:

The correct answer is C because being alert to signs and symptoms of the shock phase of role transition allows the supervisor to provide appropriate support and guidance to the new RN. This action acknowledges the challenges associated with transitioning from student to professional nurse. It helps identify any potential difficulties the new RN may be experiencing and enables the supervisor to address them effectively. Choice A is incorrect because avoiding confrontations with doctors may hinder the new RN's ability to advocate for patients and communicate effectively within the healthcare team. Choice B is incorrect as it does not offer practical support or guidance to help the new RN adjust to the new role. Choice D is incorrect because telling the new RN to let go of nursing school values may undermine their professional identity and values.

Correct answer:

The correct answer is D: Significant muscle hypertrophy (growth) is not a primary benefit of yoga. Yoga primarily focuses on improving flexibility, stress reduction, and cardiovascular health. Yoga involves low to moderate intensity exercises that may not lead to significant muscle hypertrophy compared to other forms of resistance training. Yoga emphasizes bodyweight movements, stretching, and relaxation techniques rather than muscle growth. Therefore, option D is the correct answer. Option A, increased flexibility, is a primary benefit of yoga as it involves various stretching poses. Option B, stress reduction, is another primary benefit of yoga through breathing exercises and mindfulness. Option C, improved cardiovascular health, is also a primary benefit as yoga can enhance heart health through increased circulation and reduced stress levels.

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The correct answer is D, "Develop short- and long-term planning." This aligns with scientific management principles by emphasizing the importance of planning to achieve efficiency and effectiveness. Short-term planning focuses on immediate goals, while long-term planning involves setting objectives for the future. This approach helps in organizing tasks, allocating resources effectively, and ensuring the achievement of desired outcomes. A: "Create while doing" lacks the systematic approach of scientific management, which emphasizes planning before execution. B: "Empower all" is a good leadership practice but does not specifically relate to scientific management principles. C: "Use integrated documentation" is important for communication and record-keeping but does not directly align with the planning aspect emphasized in scientific management.

Correct answer:

After a liver biopsy, the primary risk is internal bleeding due to the organ's vascularity, making monitoring vital signs the priority action. Frequent checks (e.g., every 15 minutes initially) detect hypotension or tachycardia, early signs of hemorrhage, enabling rapid intervention. Evaluating pain is important but secondary, as pain is expected and less immediately life-threatening than bleeding. Instructing about alcohol is educational and irrelevant to acute post-procedure care. Assessing body image addresses psychosocial needs, not physical stability. The nurse must focus on circulatory integrity first, aligning with the ABCs and post-biopsy protocols, which often include bed rest on the right side to compress the site. This ensures complications like bleeding or shock are identified and managed promptly, safeguarding the client's recovery.

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The correct answer is C because a licensed practical nurse is qualified to care for a client who is 1 day postoperative and has a continuous bladder irrigation. LPNs are trained to provide basic postoperative care and manage procedures like bladder irrigation. Explanation: A: Discharge instructions for type 1 diabetes require teaching and assessment skills usually performed by registered nurses. B: Administering blood transfusions involves critical assessment and monitoring skills typically performed by registered nurses or higher. D: Administering IV chemotherapy requires advanced knowledge and skills usually performed by registered nurses or specialized oncology nurses. In summary, option C is appropriate as it falls within the scope of practice for a licensed practical nurse, while the other options require higher-level nursing expertise.

Correct answer:

An effective care plan conference for a severe burns client requires interdisciplinary input due to the condition's complexity skin integrity, infection risk, mobility, nutrition, and psychological impact. Identifying that other healthcare professionals (e.g., physical therapists, dieticians, psychologists) attend ensures diverse expertise shapes a comprehensive plan, setting realistic, client-centered goals for recovery. The nurse leading all discussions limits collaboration, while excluding the client ignores their input and autonomy, reducing efficacy. Focusing only on nursing goals neglects broader needs like rehabilitation or dietary support. Multidisciplinary attendance fosters holistic planning, leverages specialized knowledge, and enhances outcomes, aligning with best practices for complex cases like burns, where teamwork drives success.

Correct answer:

Rationale: Choice A is correct because supporting employees' right to disagree with proposed changes fosters open communication and trust. This approach encourages nurses to express concerns and feedback openly, reducing the likelihood of them resorting to dishonesty. This proactive strategy promotes a culture of transparency and accountability within the team. Summary of other choices: B: While ensuring employees know the consequences of misleading the manager is important, it focuses more on consequences rather than addressing the root cause of dishonesty. C: Avoiding making decisions that displease employees may lead to ineffective leadership and compromise patient care. D: Relying on allies to report dishonest employees can create a culture of suspicion and lack of trust among team members, ultimately hindering teamwork and collaboration.