A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?

Correct Answer: D

Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain. Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain. Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively. Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility. Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.

Correct Answer: A

Rationale: The primary purpose of a patient-centered medical home (PCMH) is to coordinate all aspects of patient care (Choice A). This model aims to improve patient outcomes by ensuring comprehensive and coordinated care that meets the individual's needs. PCMH focuses on enhancing patient-provider communication, care coordination, and patient engagement to deliver high-quality care. Choices B, C, and D are incorrect because while PCMH may indirectly contribute to reducing healthcare costs and implementing clinical guidelines, the main focus is on improving patient care coordination and quality outcomes. Providing financial incentives for providers is not the primary purpose of PCMH, but rather a potential outcome of improved care coordination.

Correct Answer: C

Rationale: The correct answer is C because virtue ethics focuses on developing moral character rather than following strict rules. Virtue ethics emphasizes cultivating good habits and virtues to guide behavior. This approach values the inherent qualities of a person rather than relying on external rules or consequences. Option A is incorrect as virtue ethics does not rely on fixed moral rules. Option B is incorrect as virtue ethics does not base behavior solely on knowledge of consequences. Option D is incorrect as virtue ethics does not provide a formal statement of rules but rather encourages individuals to embody virtuous traits.

Correct Answer: C

Rationale: The primary goal of a clinical nurse leader (CNL) is to improve patient outcomes. CNLs focus on enhancing the quality of care provided to patients by coordinating and overseeing healthcare processes. They work to ensure that patients receive the best possible care and achieve positive health outcomes. Managing nursing staff (A) is not the primary goal of a CNL, as their role is more patient-centered. While coordinating patient care (B) is an important aspect of a CNL's responsibilities, the ultimate goal is to improve patient outcomes. Implementing evidence-based practices (D) is essential for achieving better patient outcomes, but it is not the primary goal of a CNL, as their main focus is on the overall improvement of patient health and well-being.

Correct Answer: A

Rationale: Rationale: Autonomic neuropathy affects digestion, leading to bloating after eating. This symptom is related to the dysfunction of the autonomic nervous system. Skin changes, insulin dosage changes due to stress, and new ulcerations are not specific to autonomic neuropathy. Bloated feeling after eating is a classic symptom of autonomic neuropathy due to impaired gastrointestinal motility.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Secondary prevention aims to detect and treat diseases early to prevent complications. 2. Blood pressure screening helps identify individuals at risk for hypertension-related issues. 3. Early detection through screening allows for timely interventions to prevent further health problems. 4. Administering medications, developing a care plan, and providing rehabilitation are tertiary prevention activities focused on managing existing conditions rather than early detection. Summary: Blood pressure screening is the correct example of a secondary prevention activity as it focuses on early detection and intervention to prevent the progression of health issues. Administering medications, developing a care plan, and providing rehabilitation are not considered secondary prevention activities as they are more related to managing existing conditions.

Correct Answer: C

Rationale: The correct answer is C: Job description. Job description is NOT an outcome of a job analysis. Job analysis is the process of gathering information about a job to identify its duties, responsibilities, and requirements. Job specification, option A, is an outcome of job analysis as it outlines the qualifications and skills needed for a job. Job evaluation, option B, is also an outcome of job analysis as it involves assessing the relative worth of different jobs in an organization. Job performance, option D, is indirectly influenced by job analysis as it helps in setting performance expectations. Only job description, option C, is not directly derived from the process of job analysis, making it the correct answer.

Correct Answer: D

Rationale: The correct answer is D: Initiative. In this scenario, the nurse leader needs to take the initiative to implement the suggested changes for streamlining the triage process. By showing initiative, the leader demonstrates the willingness to take action and drive the necessary changes forward. Courage (A) may be needed to face challenges, but it doesn't directly address the need for proactive action. Integrity (B) is important but doesn't specifically relate to implementing changes. Energy (C) is beneficial for motivation but doesn't focus on taking the first step to make changes happen. Therefore, the key quality required in this situation is initiative to drive process improvements efficiently.

Correct Answer: C

Rationale: The correct answer is C: Suggestions. When faced with a violation and disciplinary action, offering suggestions demonstrates a proactive approach towards resolving the issue. Suggestions show a willingness to improve and prevent future violations. Excuses (A) are not productive and can come off as deflecting responsibility. Discipline (B) is typically enforced by the employer as a consequence of the violation, not offered by the employee. Rules (D) are guidelines to follow and should already be in place, but offering suggestions on how to adhere to them better is more beneficial.