A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?

Correct Answer: A

Rationale: Rationale: Choice A is correct because the pneumococcal vaccine is recommended for adults aged 65 and older to prevent pneumonia and other pneumococcal diseases. This recommendation aligns with the age group of the older adults at the senior living center. A shingles vaccine is actually recommended at age 50, not 70 (B). Tetanus boosters are recommended every 10 years, not 5 (C). Eye examinations are typically recommended annually, not every 2 years (D). Therefore, choice A is the most appropriate recommendation for the nurse to include in the educational program.

Correct Answer: A

Rationale: The correct answer is A: Alcohol or drug withdrawal. This is because individuals experiencing withdrawal from alcohol or drugs may exhibit aggressive behavior due to physical and psychological effects of withdrawal. This can lead to volatile and potentially violent situations. Choice B: Anxiety, and choice C: Depression, are less likely to be directly associated with violent behavior compared to withdrawal symptoms. Choice D: Confusion, while it can lead to misunderstandings or agitation, is not as consistently linked to violent behavior as alcohol or drug withdrawal. Therefore, staff should be more prepared to manage and diffuse potentially violent situations when dealing with individuals experiencing alcohol or drug withdrawal.

Correct Answer: B

Rationale: The correct answer is B because cultural competence in nursing involves adapting care to meet the cultural needs and preferences of each individual patient. This includes understanding and respecting their beliefs, values, and practices to provide effective and respectful care. Ignoring cultural differences (A) goes against the core principle of cultural competence. Simply learning about different cultures (C) is not enough; it is essential to apply that knowledge in practice. Teaching cultural awareness (D) is important but does not fully capture the holistic approach of adapting care to meet cultural needs.

Correct Answer: D

Rationale: The correct answer is D: Laissez-faire. This style of leadership involves minimal interference from the manager, allowing staff to make decisions independently. In this scenario, the unit manager empowers staff nurses to self-govern, indicating a hands-off approach. This promotes autonomy, creativity, and accountability among the staff. A: Autocratic leadership involves centralized decision-making by the manager without input from staff, which does not align with the scenario. B: Democratic leadership involves collaboration and input from team members in decision-making, which is not fully demonstrated in the scenario. C: Bureaucratic leadership focuses on following established procedures and rules, which is not the case in the scenario where staff nurses have autonomy in decision-making. In summary, the manager's approach of allowing staff nurses to govern themselves aligns with a laissez-faire leadership style, promoting independence and responsibility among the team.

Correct Answer: B

Rationale: The correct answer is B: Identify the project team. This is the first step in implementing a new EHR system as it involves selecting individuals with the necessary skills and expertise to oversee the project. Once the project team is in place, they can then move on to conducting a needs assessment (D) to identify requirements, developing a training program (C) based on the assessment, and finally training all staff on the new system (A) with the guidance of the project team. Identifying the project team first ensures there is leadership and direction in place to effectively carry out the implementation process.

Correct Answer: B

Rationale: The correct answer is B: Take control of the situation by being assertive. Being assertive allows nurses to address the conflict directly, set boundaries, and communicate effectively. This approach can help reduce stress by resolving issues instead of letting them escalate. A: Encouraging venting may temporarily alleviate feelings but does not address the root cause of the conflict, potentially perpetuating it. C: Ignoring volatile staff can lead to unresolved tensions and may exacerbate the situation over time. D: Avoiding interactions with angry staff does not address the issue and may create a culture of avoidance rather than addressing conflicts directly.

Correct Answer: A

Rationale: The correct answer is A because self-actualization and assessing your values and lifestyle are essential for aligning your career goals with personal values, leading to long-term satisfaction and fulfillment. By understanding your core values and lifestyle preferences, you can prioritize job opportunities that align with your aspirations. Choice B is incorrect because while professional growth is important, it may not necessarily align with your personal values and lifestyle. Choice C is incorrect as teamwork skills are important, but they do not directly relate to prioritizing career opportunities based on personal values. Choice D is incorrect as reflecting on long-term career aspirations alone may not provide a holistic view of how to prioritize opportunities in alignment with personal values and lifestyle.

Correct Answer: A

Rationale: The correct answer is A because the primary goal of nursing is to provide holistic care, which includes helping patients achieve a peaceful death. This involves promoting comfort, dignity, and emotional support for patients and their families at the end of life. Choice B focuses on personal development, not the primary goal of nursing. Choice C emphasizes quality of life, which is important but not the primary goal. Choice D prioritizes cost control, which is not the central focus of nursing care. Overall, assisting patients to achieve a peaceful death reflects the essence of nursing care and the importance of compassion and support in end-of-life situations.

Correct Answer: B

Rationale: The correct answer is B because suggesting that the practice partnership model is more expensive to implement than other models would not be a significant benefit to an organization. A: Clients' greater satisfaction would be a benefit as it could lead to improved outcomes. C: Facilitated continuity of care would also be a benefit by improving coordination and patient experience. D: Leadership being well accepted is also a benefit as it can enhance organizational effectiveness.