A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?

Correct Answer: C

Rationale: The correct answer is C: Role conflict. Role conflict occurs when an individual experiences conflicting demands from different roles they hold, causing stress. In this scenario, the partner is struggling to balance the roles of caregiver and managing household responsibilities, leading to frustration. A: Role ambiguity refers to uncertainty or lack of clarity about one's responsibilities, which is not evident in the scenario. B: Role overload is when an individual has too many responsibilities to manage effectively, but in this case, the partner is specifically struggling with conflicting roles. D: Sick role is when an individual's illness affects their ability to fulfill their roles, which is not the primary issue in this scenario. In summary, the partner's frustration in balancing caregiving and household responsibilities indicates role conflict as the correct type of role-performance stress being experienced.

Correct Answer: A

Rationale: The correct answer is A: Performance. In a work environment, rewarding good performance encourages employees to excel and achieve organizational goals. Performance-based rewards motivate employees to work efficiently and effectively. Turnover (B) refers to the rate at which employees leave a company, which is not an ideal goal for a work environment. Strategies (C) are plans or approaches used to achieve objectives, but they are not the direct target of rewards. Stress (D) is a negative factor that should be minimized in a work environment, not rewarded.

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: C

Rationale: The correct answer is C: Role conflict. Role conflict occurs when an individual experiences conflicting demands from different roles they hold, causing stress. In this scenario, the partner is struggling to balance the roles of caregiver and managing household responsibilities, leading to frustration. A: Role ambiguity refers to uncertainty or lack of clarity about one's responsibilities, which is not evident in the scenario. B: Role overload is when an individual has too many responsibilities to manage effectively, but in this case, the partner is specifically struggling with conflicting roles. D: Sick role is when an individual's illness affects their ability to fulfill their roles, which is not the primary issue in this scenario. In summary, the partner's frustration in balancing caregiving and household responsibilities indicates role conflict as the correct type of role-performance stress being experienced.

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: C

Rationale: The correct answer is C: Patient autonomy. Patient-centered care emphasizes the importance of involving patients in their own healthcare decisions, respecting their preferences, values, and needs. This principle ensures that patients are active participants in their care, leading to improved health outcomes and patient satisfaction. Incorrect choices: A: Healthcare provider satisfaction - While important, patient-centered care focuses on the patient's experience and outcomes rather than the provider's satisfaction. B: Cost reduction - While costs are a consideration in healthcare delivery, patient-centered care prioritizes the patient's well-being over cost savings. D: Provider convenience - Patient-centered care does not prioritize provider convenience; instead, it prioritizes meeting the individual needs and preferences of the patient.

Correct Answer: C

Rationale: The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise. Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness. Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation. Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.

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 primary goal of evidence-based practice (EBP) is to enhance clinical decision-making. Evidence-based practice involves integrating the best available research evidence with clinical expertise and patient values to make informed decisions about patient care. By using evidence-based practice, healthcare providers can ensure that their decisions are based on the most current and relevant evidence, leading to improved patient outcomes. While reducing healthcare costs, improving patient outcomes, and ensuring patient safety are important aspects of healthcare, they are not the primary goal of evidence-based practice.