A female patient is scheduled for an oral glucose tolerance test. Which information from the patient’s health history is most important for the nurse to communicate to the health care provider?

Correct Answer: A

Rationale: The correct answer is A: The patient uses oral contraceptives. This information is important because oral contraceptives can affect glucose tolerance test results. The hormones in oral contraceptives can impact insulin sensitivity, potentially leading to inaccurate test results. It is crucial for the healthcare provider to be aware of this as it may influence the interpretation of the test. Other choices are incorrect: B: The patient runs several days a week - This information is not directly relevant to the oral glucose tolerance test and does not impact the test results. C: The patient has been pregnant three times - While pregnancy can affect glucose tolerance, the current pregnancy status of the patient is not as pertinent as the use of oral contraceptives in this specific context. D: The patient has a family history of diabetes - Although family history is a risk factor for diabetes, it is not as immediately relevant to the oral glucose tolerance test as the use of oral contraceptives.

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: C

Rationale: The correct answer is C: Restraining force. In this scenario, the supervisor's actions of restricting communication act as a restraining force, hindering the flow of information and causing conflicting directions among the staff. A restraining force limits the ability of individuals or groups to achieve their goals by imposing obstacles or constraints. Opposing force (A) implies a force in direct opposition, which is not the case here. Driving force (B) typically motivates action rather than restricts it. Restrictive force (D) is similar to restraining force but lacks the specific connotation of limiting communication in this context.

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Nurses are held to high professional standards, and unprofessional actions can lead to license revocation. 2. Maintaining professionalism is crucial to ensuring patient safety and trust in the healthcare system. 3. Highlighting consequences reinforces the importance of adhering to ethical standards. Summary: A: Irrelevant to professional behavior expectations. B: While encouraged, passion must be expressed appropriately. C: True, but does not emphasize the serious consequences of unprofessional behavior.

Correct Answer: D

Rationale: The correct answer is D: Shared responsibility. In team nursing, all team members share responsibility for patient care, promoting collaboration and teamwork. This principle ensures that each team member contributes to decision-making and patient outcomes. A: Decentralized decision making is not a key principle of team nursing as it involves individual team members making decisions independently, which can lead to lack of coordination. B: Centralized decision making is also not a key principle of team nursing as it involves decision-making being controlled by a single authority, undermining the collaborative nature of team nursing. C: Individual accountability is important in team nursing, but it is not the key principle. Shared responsibility emphasizes collective accountability and collaboration among team members.

Correct Answer: C

Rationale: The correct answer is C: Role conflict. Role conflict occurs when there are conflicting demands from different roles a person holds. In this scenario, the staff nurse faces a conflict between her roles as a nurse and as a committee member due to the babysitter canceling. The nurse must now balance attending the meeting and finding alternative childcare. Intergroup conflict (A) involves conflicts between different groups, not roles. Perceived conflict (B) refers to the perception of conflict, not conflicting roles. Structural conflict (D) involves conflicts within an organization's structure, not conflicting roles.

Correct Answer: C

Rationale: The correct answer is C: Planning. In an ethical dilemma, once the decision-makers are identified, the next step is to plan the course of action to address the issue. Planning involves considering the ethical principles, potential outcomes, and identifying the best course of action to resolve the dilemma. Assessment (A) involves gathering information, Diagnosis (B) involves analyzing the information, and Implementation (D) involves executing the chosen plan. Therefore, the RN is currently in the planning stage as he is strategizing on how to address the ethical dilemma effectively.

Correct Answer: D

Rationale: The correct answer is D: Leniency error. This occurs when a rater consistently rates employees higher than deserved. This leads to inflated performance evaluations, hindering accurate assessment and feedback. Recency error (A) is when recent performance influences ratings. Absolute judgment (B) is when a rater uses the same rating scale for all employees. Halo error (C) is when one positive trait influences overall rating. In this case, leniency error best describes the problem of overrating staff performance.