LPN exams management of care practice questions set 16

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Crisis intervention therapy aims to restore patients to their pre-crisis level of functioning, helping them regain stability and cope with the event that disrupted their life. A higher level of functioning is an ideal but not guaranteed outcome, as the primary goal is to return to baseline, not necessarily improve beyond it. Functioning only marginally below pre-crisis suggests incomplete recovery, which contradicts the therapy's purpose of full restoration. Independence from support systems is unrealistic, as crises often highlight the need for ongoing support, not its elimination. The pre-crisis level is the standard benchmark in nursing practice, reflecting successful adaptation to the crisis without mandating exceptional growth, making it the most accurate expectation for therapeutic success and patient well-being post-intervention.

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Clostridium difficile, a spore-forming bacterium, requires specific precautions due to its resistance to alcohol-based sanitizers. Performing hand hygiene with nonantimicrobial soap and water after client care is essential, as mechanical friction removes spores that alcohol cannot kill, preventing transmission. Alcohol-based sanitizers are ineffective against C. difficile, making them inadequate. A surgical mask alone doesn't address hand contamination, the primary transmission route, though contact precautions (gown, gloves) are also needed but not listed. Limiting contact to phone communication is impractical for direct care and doesn't replace hygiene needs. Soap and water handwashing aligns with infection control guidelines, ensuring the nurse protects themselves, other clients, and the environment from this hardy pathogen's spread.

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The correct answer is A because it describes a nurse manager who focuses on overseeing everything to ensure good quantity and quality of output but restricts autonomy and self-motivation among team members. This approach can lead to micromanagement and hinder employee growth and creativity. Option B is incorrect as it describes a nurse manager who fosters independence, motivation, and creativity, which is the opposite of the scenario described in the question. Option C is incorrect as it suggests a passive approach where the nurse manager avoids decision-making responsibilities, which is not reflective of a manager overseeing everything. Option D is incorrect as it suggests providing autonomy but retaining decision-making authority, which is contradictory to the situation described where little autonomy is provided to team members.

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The correct answer is B because the client needs to arrange financial resources to purchase equipment. Following a lung resection, the client may require specialized equipment such as oxygen tanks or respiratory aids. A social worker can assist in identifying financial resources to cover the cost of these essential supplies, ensuring the client's well-being post-discharge. Incorrect Choices: A) The need for assistance with bathing can be addressed by home health aides or personal care attendants, not necessarily requiring a social worker. C) The provision of oxygen tanks and equipment can be coordinated by the healthcare team and does not specifically warrant a social worker's involvement. D) Range-of-motion exercises for ambulation are typically managed by physical therapists or nurses, not directly related to social work services.

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The correct answer is B because it provides essential information about the client's condition after being found on the floor. It includes the client's status (no complaints of pain, able to move all extremities), which is crucial for assessing any potential injuries. This information helps the healthcare team to determine the client's immediate needs and plan appropriate care. Choice A is incorrect as it lacks details on the client's current condition and focuses more on administrative actions. Choice C is incorrect as it only provides information on the client's attempt to get up without help, but does not give any details on their physical status after the fall. Choice D is incorrect as it implies a causal relationship between getting out of bed without assistance and falling, which may not be accurate without further assessment.

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The correct answer is A: Risk taker. This characteristic is beneficial in capturing the attention of a potential mentor because it shows the nurse's willingness to step out of their comfort zone, try new things, and take on challenges. Mentors are more likely to be drawn to individuals who demonstrate a proactive attitude and a willingness to learn and grow. Choice B: Externally motivated, does not show the nurse's internal drive or initiative, which are important qualities mentors look for. Choice C: Low motivation, is self-explanatory as it indicates a lack of drive and ambition. Choice D: Likes the status quo, does not demonstrate a willingness to innovate or improve, which is essential for mentorship. In summary, being a risk-taker shows potential for growth and development, making it an attractive characteristic for a mentor.

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In a potential acetaminophen overdose, the priority is to ensure expert intervention, as toxicity can lead to liver failure. Giving the mother instructions to call poison control is the nurse's best action, as it connects her to specialists who can assess the situation (dose, time, symptoms) and guide care, such as activated charcoal or hospital referral. Syrup of ipecac is outdated and not recommended, risking aspiration without benefit. Asking about CPR knowledge is irrelevant unless the child is unresponsive, which isn't indicated. Milk may delay absorption slightly but isn't a definitive treatment and could complicate care. Poison control provides immediate, tailored advice, ensuring the toddler receives appropriate management swiftly, aligning with the nurse's role in triage and resource connection during a poisoning emergency.

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The correct answer is B because the client diagnosed with an acute MI and elevated CPK-MB level is at immediate risk for cardiac complications. High CPK-MB levels indicate cardiac muscle damage, requiring urgent assessment and intervention to prevent further deterioration. This client needs prompt attention to prevent potential complications such as arrhythmias or heart failure. Choice A is incorrect as the client with CAD complaining about rudeness is not a priority over a client with an acute MI at risk for cardiac complications. Choice C is incorrect as a client with a mildly elevated INR of 2.8 on an oral anticoagulant for fib is stable and does not require immediate attention. Choice D is incorrect as the client 2 days post-op CABG being transferred to the cardiac unit is stable and can be seen after the client with acute MI.

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Discovering a double dose of antihypertensive medication requires prioritizing client safety using the nursing process assessment first. Checking the client's condition, including vital signs like blood pressure, is the initial action to determine the error's impact, as excessive antihypertensive can cause hypotension, risking organ perfusion. This data guides urgency and subsequent steps, like notifying the provider, who needs this information for orders. Completing an incident report is essential but secondary to assessing harm, and administering a reversal agent assumes effect without evidence, requiring a prescription anyway. Assessing first ensures the nurse responds proportionately escalating if critical or monitoring if stable aligning with ABC priorities and protecting the client from potential adverse outcomes of the error.

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The correct answer is D: Gradual shaping. This behavior change strategy involves setting small, achievable goals and gradually increasing the difficulty level. Initially, individuals are rewarded for achieving easy tasks and then encouraged to tackle more challenging ones. This approach helps build confidence and motivation, leading to sustained behavior change success. A: Stimulus control involves modifying the environment to promote desired behaviors, not necessarily focused on increasing task difficulty. B: Self-monitoring focuses on tracking behavior patterns and outcomes, but doesn't necessarily involve systematically increasing task difficulty. C: Social support involves seeking assistance and encouragement from others, but it doesn't inherently involve the systematic progression of task difficulty like gradual shaping does.