An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to

Correct Answer: B

Rationale: The correct answer is B: insert a large-bore IV catheter. In HHS, patients are severely dehydrated due to high blood sugar levels. Inserting a large-bore IV catheter allows for rapid rehydration with isotonic fluids. This helps to correct the hyperosmolarity and electrolyte imbalances. Giving dextrose (choice A) would worsen hyperglycemia, initiating oxygen (choice C) is not directly related to managing HHS, and administering long-acting insulin like glargine (choice D) is not the initial priority in managing acute HHS.

Correct Answer: B

Rationale: Correct Answer (B): Terminating the staff immediately Rationale: Terminating the staff immediately is not the necessary step when a policy violation occurs. It is essential to follow due process, investigate the situation, provide the staff with the opportunity to explain themselves, and consider factors like intent, past behavior, and potential training needs. Rushing to terminate without proper investigation or understanding can lead to legal issues and unfair treatment. Summary: A: Describing the staff nurse's behavior - Important to clearly communicate the violation for transparency and understanding. C: Confrontation - Addressing the issue directly and professionally is crucial for resolving conflicts. D: Determining the employee's awareness - Assessing the employee's understanding of the policy helps identify training needs and prevent future violations.

Correct Answer: C

Rationale: Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition. Summary: A: Incident report completed - Not relevant to documenting the client's actions during the fall. B: Client climbed over the side rails - Assumes an action not reported by the roommate. D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.

Correct Answer: B

Rationale: The correct answer is B: Expectancy. Expectancy theory posits that individuals believe that their effort will lead to a specific level of performance. This belief in the relationship between effort and performance is crucial in determining motivation. Rewards (A) refer to the outcomes of the performance, not the belief in effort-performance connection. Valence (C) is the value a person places on a specific reward, not the belief in effort-performance link. Instrumentality (D) is the belief that performance will lead to a certain outcome, not the belief in effort-performance relationship.

Correct Answer: C

Rationale: The correct answer is C: Continuous reinforcement. Values are typically learned through consistent reinforcement of behavior that aligns with those values. This reinforcement can come from various sources such as parents, teachers, peers, and societal norms. Continuous reinforcement ensures that the values are internalized and become part of one's belief system. A: Reading books may expose individuals to different perspectives and values, but values are primarily learned through experiential and interpersonal interactions rather than just reading. B: Formal degrees may provide education and knowledge but do not guarantee the internalization of values. Values are often shaped through personal experiences and interactions rather than academic qualifications. D: Meeting diverse individuals can broaden one's perspective and expose them to different values, but values are not solely learned through interaction with others. Continuous reinforcement plays a more crucial role in internalizing values.

Correct Answer: C

Rationale: The correct answer is C: To prevent the onset of disease. Health promotion activities aim to prevent illnesses before they occur by promoting healthy behaviors and lifestyles. This is a proactive approach that focuses on preventing diseases rather than managing or treating them after they have developed. Choice A focuses on managing existing conditions, choice B emphasizes educating patients after the fact, and choice D focuses on early detection and treatment rather than prevention. Preventing disease through health promotion is the most effective and cost-efficient approach to improving overall health outcomes.

Correct Answer: A

Rationale: The correct answer is A because it ensures the safety and well-being of staff by debriefing them, completing incident reports, and verifying their safety. This action promotes communication, support, and documentation after a violent incident. Reassuring the patient (B) is important but not the immediate priority. Avoiding interactions (C) is counterproductive as addressing the incident is necessary. Standing close to the patient (D) can potentially escalate the situation and compromise safety.

Correct Answer: A

Rationale: The correct answer is A. Carefully assessing and documenting client status is crucial to avoid charges of negligence and false imprisonment. By assessing and documenting client status, healthcare providers can ensure they are meeting the client's needs and providing appropriate care. This helps in demonstrating that the healthcare provider acted responsibly. Option B is incorrect because ensuring all patient information is logged out and the nurse has signed out of the computer before leaving the computer station relates more to patient privacy and data security, rather than avoiding charges of negligence and false imprisonment. Option C, keeping careful notes while providing care, is important for accurate documentation but does not directly address the risk of negligence or false imprisonment. Option D, discussing safety needs with clients, is important but does not specifically address the legal aspects of negligence and false imprisonment.

Correct Answer: B

Rationale: The correct answer is B: Development of specialty care disciplines. During the 1960s-1980s, nursing saw significant advancements as specialty care disciplines emerged, leading to improved patient care and enhanced skills among nurses. Specialty care disciplines expanded nursing knowledge and expertise, allowing for tailored and specialized care for specific patient populations. This shift towards specialization elevated the status of nursing and promoted better outcomes for patients. Summary: - A: Decreased demand for health care is incorrect as the period actually saw an increased demand due to population growth and advancements in medical treatments. - C: Gender discrimination, while a significant issue in nursing history, did not directly contribute to advances in nursing during this specific time period. - D: Advances in technology did impact nursing care, but it did not lead to more generalized care; instead, it often facilitated the development of specialized care disciplines.