A nurse is caring for a client with a diagnosis of terminal cancer. Which of the following statements by the client should indicate to the nurse that the client is ready to hear information regarding palliative care?

Correct Answer: C

Rationale: The correct answer is C because the client's statement demonstrates a desire for comfort-focused care, which is the essence of palliative care for terminal cancer patients. The client is expressing a clear preference for measures that prioritize comfort and quality of life over aggressive treatment. This indicates readiness to receive information about palliative care. Choice A is incorrect because the client mentions chemotherapy for a cure, indicating a focus on curative treatment rather than comfort care. Choice B is incorrect as the client seems to be expressing a desire for a quick end to their suffering, which may not align with palliative care goals. Choice D is incorrect because the client is expressing unrealistic optimism about recovery, which may hinder acceptance of palliative care.

Correct Answer: D

Rationale: The correct answer is D: Abdominal cramping. A sodium level of 125 mEq/L indicates hyponatremia, which can lead to abdominal cramping due to electrolyte imbalance affecting muscle function. Chvostek's sign (choice A) is associated with hypocalcemia, not hyponatremia. Bradycardia (choice B) is more commonly seen in hyperkalemia. Numbness of the extremities (choice C) is a symptom of hypocalcemia or peripheral neuropathy, not specifically related to hyponatremia. In summary, the healthcare professional should expect abdominal cramping as a result of the low sodium level in this client.

Correct Answer: D

Rationale: The correct answer is D: Directive. In managing newly trained CNAs, directive leadership is most useful as it provides clear instructions and guidance for the inexperienced staff. This helps ensure they understand expectations and tasks. Achievement-oriented leadership (A) may be overwhelming for new staff, supportive leadership (B) may not provide enough structure, and participative leadership (C) may be confusing for staff who require clear direction and guidance. Ultimately, directive leadership is the most appropriate for managing newly trained CNAs due to the need for clear instructions and structure.

Correct Answer: B

Rationale: The correct answer is B because it addresses the root of the issue by requesting a schedule change that allows for a better work-life balance. This solution promotes your well-being and maintains professionalism. A: Expressing negative comments is unprofessional and can create a toxic work environment. It does not address the underlying problem. C: Calling off sick frequently is unethical and can compromise patient care. It does not address the issue at hand. D: Minimizing communication with patients and parents is not appropriate as it goes against the principles of patient-centered care and can harm the therapeutic relationship.

Correct Answer: B

Rationale: The correct answer is B: Nominal group technique. The nurse manager used this technique by asking staff to submit written suggestions, which are then voted on collectively. In nominal group technique, group members generate ideas individually, then share and discuss them as a group to reach a decision. This technique encourages equal participation, prevents domination by vocal members, and ensures all ideas are considered fairly. A: Statistical aggregation involves combining data or opinions to reach a numerical result, not individual suggestions. C: Brainstorming is a technique where a group generates ideas freely without immediate evaluation or criticism. D: Delphi method involves gathering input from experts anonymously to reach a consensus, which is different from voting on written suggestions.

Correct Answer: A

Rationale: The correct answer is A: Patient satisfaction scores. In healthcare, outcome measures are indicators of the impact of care on patients' health. Patient satisfaction scores directly reflect patients' experiences and perceptions of their care, making it a relevant outcome measure. This measure assesses the quality of care provided and the effectiveness of healthcare services in meeting patients' needs and expectations. In contrast, options B and D are process measures that do not directly reflect patient outcomes. Option C, healthcare provider performance reviews, are more related to evaluating individual provider performance rather than overall healthcare outcomes.

Correct Answer: D

Rationale: The correct answer is D because complaining about a nurse preceptor on social media and discussing their unprofessional characteristics can be considered libel if it damages the preceptor's reputation. This action violates professional and ethical standards by publicly criticizing a colleague. A: Snapping a selfie with a patient is a breach of patient privacy but not necessarily libel. B: Posting a positive review of the hospital is not libelous. C: Creating a closed forum to discuss clinical experiences without client information is not libelous as long as confidentiality is maintained.

Correct Answer: C

Rationale: Step 1: The correct answer is C because the nurse can practice in other compact states if her home state participates in the compact agreement. Step 2: The Nurse Licensure Compact (NLC) allows nurses to practice in other compact states with one multistate license. Step 3: Nurses must maintain an active license in their home state and follow the regulations of the compact agreement. Step 4: Answer A is incorrect as graduates can use the title RN upon passing the NCLEX. Step 5: Answer B is incorrect as the nurse must meet each state's requirements to practice there with the compact license. Step 6: Answer D is incorrect as the RN license is not mandatory if the nurse does not intend to practice.

Correct Answer: D

Rationale: The correct answer is D because all the options mentioned contribute to increasing a nurse's power base. A: Using body language and standing when talking can convey confidence and assertiveness, enhancing power. B: Listening for feelings builds rapport and empathy, leading to influence and power. C: Using words effectively and avoiding clichés demonstrates communication skills, influencing power dynamics. Therefore, by combining these strategies, nurses can maximize their power base effectively.