A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

Correct Answer: D

Rationale: The correct answer is D because it shows the client is willing to involve their partner in the learning process, indicating readiness for education. Involving a partner can enhance support and understanding, leading to better adherence. A: Time preference does not directly relate to readiness to learn about insulin. B: Difficulty reading instructions due to glasses is a practical issue, not an indicator of readiness. C: Expressing doubt or questioning the necessity of learning indicates potential resistance or lack of motivation.

Correct Answer: C

Rationale: The correct answer is C: Ambiguity. Successful change agents must be comfortable with uncertainty and ambiguity inherent in the change process. They need to navigate through unknown situations and adapt to unforeseen challenges. Energy and confidence (choices A and B) are valuable traits but not specifically tied to managing change. Trustworthiness (choice D) is important for building relationships but not a defining characteristic of successful change agents.

Correct Answer: A

Rationale: The correct answer is A: Professional. The shift from a technical model to a professional model aligns with the ANA's emphasis on advancing nursing practice. Professionals have specialized knowledge, adhere to ethical standards, and engage in ongoing education. Industrial (B) focuses on efficiency in production, not applicable to nursing. Random (C) lacks structure and purpose. Organized (D) implies structure but doesn't capture the essence of professionalism in nursing practice.

Correct Answer: D

Rationale: The correct answer is D: Essential to nursing care. Attending a continuing education class on advanced technology in health care is essential for nurses to stay updated with the latest advancements, improve patient care, and enhance their clinical skills. It helps nurses deliver high-quality care, adapt to changes in healthcare practices, and improve patient outcomes. The other choices are incorrect because continuing education benefits all healthcare professionals, not just nurse managers. It is not unimportant or a waste of time, as it directly impacts the quality of nursing care provided.

Correct Answer: D

Rationale: The correct answer is D: Report the error to the supervisor immediately. This action prioritizes patient safety and prevents harm. It follows ethical guidelines by promoting transparency and accountability. Reporting the error also upholds professional standards and fosters a culture of continuous learning and improvement. Ignoring the error (A) risks patient harm. Administering the medication anyway (B) compromises patient safety. Correcting the error without informing the nurse (C) overlooks the importance of addressing the root cause and preventing future mistakes.

Correct Answer: C

Rationale: The correct answer is C: Battery. Battery refers to the intentional harmful or offensive touching of another person without consent. In this case, performing the surgery without obtaining informed consent from the client constitutes battery. The lack of signed consent implies the client did not agree to the procedure, making it an unauthorized touching. This is a clear violation of the client's rights and can lead to a charge of battery. False imprisonment (A) involves restricting someone's freedom of movement unlawfully, which is not applicable here. Libel (B) refers to written defamation, which is not relevant to the situation. Malpractice (D) involves professional negligence in providing healthcare, not obtaining consent before surgery would fall under battery rather than malpractice.

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Careful assessment helps in understanding the client's condition and needs. 2. Documenting client status provides evidence of the care provided. 3. It ensures that necessary actions are taken promptly to prevent negligence. 4. Documentation serves as legal protection against false imprisonment accusations. Summary: - Choice B is about data security, not directly related to preventing negligence and false imprisonment. - Choice C focuses on accurate documentation but lacks the emphasis on assessment. - Choice D is vague and does not specifically address the legal aspects of negligence and false imprisonment.

Correct Answer: A

Rationale: The correct answer is A: Create tension among nurses. Collective bargaining involves negotiation between labor unions and employers, which can lead to disagreements and conflicts among nurses over issues such as wages, working conditions, and benefits. This tension is a common concern as it can impact unity and collaboration within the nursing workforce. Summary: B: Reform health care - This is incorrect as collective bargaining focuses on labor relations, not healthcare reform. C: Secure economic security - This is incorrect as securing economic security is one of the goals of collective bargaining, not a concern. D: Unite the nurses - This is incorrect as collective bargaining can sometimes lead to division and tension among nurses rather than uniting them.

Correct Answer: B

Rationale: The correct answer is B because nurse practitioners (NPs) are advanced practice registered nurses who can diagnose and treat medical conditions independently, under the scope of their licensure. NPs have the authority to prescribe medications, order diagnostic tests, and provide primary care services. This role allows them to manage patient care autonomously, without direct supervision from a physician. Choice A is incorrect because NPs do not provide direct patient care under the supervision of a physician; they work independently. Choice C is incorrect because NPs focus on clinical care rather than administrative tasks. Choice D is incorrect because while NPs may specialize in specific areas of nursing practice, the defining characteristic of their role is the ability to diagnose and treat medical conditions independently.