A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?

Correct Answer: B

Rationale: The correct answer is B: Protective environment. Rubella is transmitted through droplets and requires the use of protective environment precautions due to its high infectivity. This includes a private room with controlled airflow and specialized ventilation. Airborne precautions (A) are for diseases spread through small particles in the air, like tuberculosis. Contact precautions (C) are for diseases spread by direct or indirect contact with the patient or their environment. Droplet precautions (D) are for diseases transmitted through respiratory droplets, like influenza. In the case of rubella, protective environment precautions are necessary to prevent the spread of the virus to other vulnerable individuals.

Correct Answer: C

Rationale: The correct answer is C because when an ethical dilemma involves two or more equally unpleasant choices, it can be challenging for decision-makers to come to a consensus. This is known as a moral dilemma, where there is no clear right or wrong option, making it difficult to reach an agreement. In such cases, individuals may have strong convictions about different courses of action, leading to a deadlock in decision-making. Incorrect choices: A: One or more of the parties may be able to reconcile their values - This choice suggests that parties can find common ground by adjusting their values, which is not always possible in complex ethical dilemmas. B: The patient’s point of view is recognized as valuable - While recognizing the patient's perspective is important, it may not directly address the core reason why an agreement cannot be reached. D: The institution is unable to honor the patient’s request - This choice focuses on institutional constraints rather than the fundamental nature of ethical dilemmas and decision-making processes.

Correct Answer: B

Rationale: The correct answer is B: Protective environment. Rubella is transmitted through droplets and requires the use of protective environment precautions due to its high infectivity. This includes a private room with controlled airflow and specialized ventilation. Airborne precautions (A) are for diseases spread through small particles in the air, like tuberculosis. Contact precautions (C) are for diseases spread by direct or indirect contact with the patient or their environment. Droplet precautions (D) are for diseases transmitted through respiratory droplets, like influenza. In the case of rubella, protective environment precautions are necessary to prevent the spread of the virus to other vulnerable individuals.

Correct Answer: B

Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately. A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients. C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients. D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.

Correct Answer: B

Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas. 1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin. 2. This action helps to lower blood glucose levels in patients with type 2 diabetes. 3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body. Incorrect choices: A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production. C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia. D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.

Correct Answer: B

Rationale: The correct answer is B: Unfreezing the system. In Lewin's Force-Field Model, unfreezing refers to the process of preparing individuals and systems for change by breaking down existing mindsets and behaviors. Building trust and recognizing the need for change are essential steps in unfreezing. Moving the system to a new level (A) is not specific to the initial stage of change. Refreezing the system (C) occurs after change has been implemented, not before. Institutionalization (D) involves integrating the change into the organization's culture, which is a later stage in the change process.

Correct Answer: A

Rationale: The correct answer is A: Patient outcomes. Nurse managers are responsible for overseeing the quality of care provided by their staff. Patient outcomes directly reflect the effectiveness of care delivery. Monitoring patient outcomes helps nurse managers identify areas for improvement, implement changes, and ensure high-quality care. Rapport with staff (B) is important for team cohesion but may not directly impact performance model evaluation. Daily job performance (C) reflects individual staff performance, not the overall performance model. Flexibility (D) is a valuable trait but is not a specific indicator in relation to a performance model.

Correct Answer: B

Rationale: The correct answer is B because a nurse working for two competing healthcare organizations creates a conflict of interest as they may prioritize one organization over the other. This could compromise patient care and violate ethical standards. A: Accepting gifts from a patient may be inappropriate but does not necessarily create a conflict of interest. C: Disclosing patient information without consent is a breach of confidentiality but not specifically a conflict of interest. D: Delegating tasks improperly is a violation of professional standards but does not directly relate to a conflict of interest.

Correct Answer: B

Rationale: The correct answer is B because the nurse manager is showing genuine concern for the new nurse's well-being and professional development. By asking about the nurse's ability to provide care, familiarity with the EHR, and support from the preceptor, the manager is seeking to understand and support the nurse's adjustment to the new role. This approach fosters open communication and a supportive environment. Incorrect Choices: A: An intrusive style implies invading personal boundaries, which is not evident in the scenario. C: Intimidation involves creating fear or anxiety, which is not reflected in the manager's behavior. D: An authoritarian style is characterized by strict control and limited feedback, which contradicts the manager's supportive and open approach.