RN exams management of care practice questions set 3

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The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise. Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness. Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation. Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.

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The correct answer is D: Laissez-faire. This style of leadership involves minimal interference from the manager, allowing staff to make decisions independently. In this scenario, the unit manager empowers staff nurses to self-govern, indicating a hands-off approach. This promotes autonomy, creativity, and accountability among the staff. A: Autocratic leadership involves centralized decision-making by the manager without input from staff, which does not align with the scenario. B: Democratic leadership involves collaboration and input from team members in decision-making, which is not fully demonstrated in the scenario. C: Bureaucratic leadership focuses on following established procedures and rules, which is not the case in the scenario where staff nurses have autonomy in decision-making. In summary, the manager's approach of allowing staff nurses to govern themselves aligns with a laissez-faire leadership style, promoting independence and responsibility among the team.

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The correct answer is B: Disruptive conflict. This type of conflict occurs when there is a lack of cooperation and communication between parties, leading to negative interactions. In this scenario, the resident and nurse are engaging in retaliatory behavior, causing disruption in their professional relationship. The resident's refusal to answer pages and the nurse's excessive phone calls are escalating the conflict, impacting their ability to work effectively as a team. A: Perceived conflict refers to misunderstandings or misinterpretations of others' actions. In this case, the conflict is real and evident. C: Competitive conflict involves a desire to win or outperform others. While there may be some competitiveness in their actions, the main issue is the disruptive nature of their conflict. D: Felt conflict describes emotional responses to conflict situations. While emotions are likely present in this scenario, the key aspect is the disruptive nature of their behavior.

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Step 1: Tying the problem to clients' care is crucial in coaching to ensure the client sees the relevance and importance of addressing the issue. Step 2: This step helps create motivation and engagement for the client to actively work towards solving the problem. Step 3: By connecting the problem to the client's values and well-being, it enhances the client's commitment to the coaching process. Step 4: This step also promotes a deeper understanding of the impact the problem has on the client's life, driving them towards meaningful change. Step 5: Overall, tying the problem to clients' care is essential for effective coaching by fostering a client-centered approach and facilitating meaningful progress. Summary: A: Stating the target is important but not as overlooked as tying the problem to clients' care. B: Jumping to conclusions is a common mistake to avoid in coaching. C: Asking for suggestions can be beneficial, but it is not the often overlooked step in coaching.

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The correct answer is C: Negligence. The RN failed to monitor the patient after administering insulin, leading to a critical situation. Negligence in nursing involves a breach of duty of care that results in harm to the patient. In this case, the RN's failure to check on the patient for several hours directly contributed to the patient becoming unresponsive with dangerously low blood glucose levels. This constitutes a clear case of nursing negligence. A: Quasi-intentional tort involves intentional actions that result in harm, such as defamation or invasion of privacy. This scenario does not involve intentional harm. B: Misdemeanor refers to a criminal offense less serious than a felony. Negligence in nursing is typically addressed through civil, not criminal, proceedings. D: Juvenile offense pertains to actions committed by minors. The RN is a healthcare professional, not a minor, and the offense here is related to professional negligence, not juvenile misconduct.

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The correct answer is A. Emotionally intelligent leaders must develop the skill of encouraging constructive criticism because it fosters open communication, builds trust, and promotes growth and learning within the team. By actively seeking feedback and input from others, leaders show humility, empathy, and a willingness to improve. This skill also helps in creating a positive work environment where team members feel valued and supported. Choice B is incorrect because emotionally intelligent leaders understand the importance of collaboration and delegating tasks effectively rather than working solely on their own. Choice C is incorrect because minimizing one's own emotions hinders effective communication and empathy, which are crucial aspects of emotional intelligence. Choice D is incorrect because while encouraging others to work efficiently is important, it does not specifically address the need for constructive criticism in developing emotional intelligence.

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The priority nursing diagnosis for a client with diabetes mellitus (DM) experiencing hyperglycemia would be 'High risk for deficient fluid volume.' Hyperglycemia can lead to osmotic diuresis, causing significant fluid loss and an increased risk of deficient fluid volume. This nursing diagnosis addresses the immediate physiological concern related to fluid balance.\n\nChoice B, 'Deficient knowledge: disease process and treatment,' focuses on the client's understanding of DM, which is important but not the priority when the client is at risk of fluid volume deficit.\n\nChoice C, 'Imbalanced nutrition: less than body requirements,' pertains to inadequate intake of nutrients, which is not the priority concern when fluid volume deficit poses a more immediate threat.\n\nChoice D, 'Disabled family coping: compromised,' addresses a psychosocial aspect and is not the priority over the critical physiological issue of fluid volume deficit in a client with hyperglycemia.

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The correct answer is A. Informed consent is a process where the healthcare provider, in this case, the nurse, ensures that the patient understands the procedure, risks, benefits, and alternatives before they agree to it. The nurse plays a crucial role in facilitating this understanding by explaining the information in a clear and understandable manner and providing the patient with the opportunity to ask questions. Choice B is incorrect because merely obtaining the patient's signature on the consent form does not ensure that the patient truly understands what they are consenting to. Choice C is not fully accurate as the nurse's role goes beyond just witnessing the signature; it involves actively ensuring the patient's comprehension. Choice D is incorrect as the responsibility of obtaining informed consent should not be delegated to another healthcare provider, as it is the nurse's duty to ensure proper communication and understanding with the patient.

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The correct answer is D: Contingency theory. Contingency theory suggests that there is no one best way to organize and manage a healthcare system. It emphasizes that the effectiveness of a healthcare delivery system depends on various factors such as the environment, technology, and organizational structure. This theory acknowledges the complexity of healthcare systems and the need for flexibility and adaptation to changing circumstances. A: Open system theory focuses on the system's interaction with its environment, but it does not specifically address the best way to organize and manage a healthcare system. B: Closed system theory suggests that a system is self-contained and not influenced by external factors, which is not suitable for describing healthcare delivery systems. C: Chaos theory emphasizes the unpredictability and complexity of systems, but it does not provide a framework for organizing and managing healthcare systems effectively.

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The correct answer is A: Select flat-soled leather shoes. This choice is important for a patient with peripheral arterial disease, type 2 diabetes, and sensory neuropathy as it helps prevent skin breakdown, reduce pressure on the feet, and minimize the risk of injury due to decreased sensation. Flat-soled leather shoes provide good support and protection. Explanation for why the other choices are incorrect: B: Apply heating pads on a low temperature - This can be dangerous for a patient with sensory neuropathy as they may not be able to feel if the heating pad is too hot, leading to burns. C: Avoid using callus remover for corns or calluses - While it is important to avoid injuring the skin, addressing foot care is not as critical as selecting appropriate footwear. D: Refrain from soaking feet in warm water for an hour each day - Prolonged soaking can increase the risk of skin breakdown and infections, so it is important to avoid this practice.