As part of her performance appraisal, Jenna, an RN with 5 years of experience, indicates that she would like opportunities to mentor new staff. Mentoring opportunities would enable Jenna to:

Correct Answer: A

Rationale: Mentoring lets Jenna develop leadership guiding novices hones skills like communication and decision-making, key for growth. It's less about clinical expertise (already solid at 5 years), quick promotion (indirect), or peer authority (not the focus). In appraisals, this goal signals ambition to lead, as mentoring builds confidence and influence, preparing her for bigger roles while supporting staff, a win-win for her and the unit.

Correct Answer: B

Rationale: For glipizide in type 2, take 30 minutes before meals, not hypo, fridge, or sugar. Pre-meal boosts insulin release hypo's possible, storage is room temp, sugar's counter. Leadership teaches this imagine control; it ensures efficacy, aligning with diabetes care effectively.

Correct Answer: B

Rationale: Clostridium difficile, a spore-forming bacterium, demands strict contact precautions due to its resilience and fecal-oral transmission risk. Wearing a protective gown and gloves when providing care is essential, as it creates a barrier against spores on surfaces or skin, preventing spread to the nurse, other clients, or the environment. Alcohol-based sanitizers don't kill C. difficile spores soap and water are required making that option ineffective. Limiting gloves increases contamination risk, contradicting infection control principles, while a semi-private room exposes roommates, violating isolation protocols for this pathogen. Gown and gloves align with CDC guidelines, ensuring safety by minimizing cross-contamination, critical in a hospital where vulnerable clients abound, and reinforcing the nurse's role in breaking the transmission chain effectively.

Correct Answer: C

Rationale: Clostridium difficile, a spore-forming bacterium, requires specific precautions due to its resistance to alcohol-based sanitizers. Performing hand hygiene with nonantimicrobial soap and water after client care is essential, as mechanical friction removes spores that alcohol cannot kill, preventing transmission. Alcohol-based sanitizers are ineffective against C. difficile, making them inadequate. A surgical mask alone doesn't address hand contamination, the primary transmission route, though contact precautions (gown, gloves) are also needed but not listed. Limiting contact to phone communication is impractical for direct care and doesn't replace hygiene needs. Soap and water handwashing aligns with infection control guidelines, ensuring the nurse protects themselves, other clients, and the environment from this hardy pathogen's spread.

Correct Answer: D

Rationale: With an Alzheimer's client refusing an enema, the nurse explains the procedure and its need, not restraining, forcing, or delaying. Dementia clients may resist from confusion; explanation calmly stating it relieves discomfort respects autonomy and may gain trust. Restraints require orders and escalate agitation, forcing violates ethics, and leaving delays care without addressing refusal. Leadership prioritizes communication imagine a distressed patient; gentle explanation de-escalates, ensuring dignity. This aligns nursing with patient-centered care, balancing safety and consent in cognitive impairment effectively.

Correct Answer: B

Rationale: Head nurses link levels, represent units, but don't reproduce services a misphrased option unlike none'. They plan, not execute all care, contrasting with staff roles. This ensures strategic oversight, critical in pediatric healthcare for aligning resources with patient needs, reflecting leadership's coordination focus.

Correct Answer: A

Rationale: In suspected hypokalemia, muscle weakness supports it, not peaked waves, hyperactive bowels, or pulses. Low potassium impairs strength waves are hyper, bowels vary, pulses unrelated. Leadership notes this imagine fatigue; it guides replacement, aligning with electrolyte care effectively.

Correct Answer: B

Rationale: For confused, wandering clients, alternative restraints minimize restriction while addressing safety. Providing a rocking chair is an effective strategy, as rocking expends energy, reduces restlessness, and offers a safe, engaging activity, decreasing wandering impulses without physical or chemical restraint. Vest restraints are invasive, reserved for extreme risk, contradicting least-restrictive principles. Sedation alters mental status, risking oversedation or falls, and isn't an alternative but a chemical restraint. Locking the door isolates the client, violating dignity and access, potentially escalating agitation. The rocking chair aligns with ethical care, promoting autonomy and comfort, and is a practical, evidence-based intervention to manage confusion-related wandering, making it ideal for teaching nurses about safer alternatives.

Correct Answer: B

Rationale: Staff orientation is a process, unlike safety, environment, or quality. Nurse managers onboard like training RNs contrasting with outcomes. It's key in healthcare for competence, aligning leadership with development.