During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?

Correct Answer: A

Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.

Correct Answer: B

Rationale: The correct answer is B: Mediation. Mediation is a voluntary process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a mutually acceptable agreement. In this scenario, the trend member listened to both parties and made non-legally binding recommendations, which aligns with the definition of mediation. Collective bargaining (A) involves negotiations between labor unions and management to reach a legally binding collective agreement. Grievance (C) is a formal complaint resolution process within the organization. Binding arbitration (D) is a process where a neutral third party makes a final and binding decision to resolve a dispute. In this case, the involvement of a trend member making non-legally binding recommendations indicates the use of mediation as the type of settlement.

Correct Answer: A

Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. Engaging the client directly allows for open communication and addresses their concerns. Asking why they want to discuss advance directives without their partner present respects their privacy and individual decision-making. B is incorrect because it assumes providing information is the immediate need. C is incorrect because it does not address the client's immediate concerns. D is incorrect because it delays addressing the client's request.

Correct Answer: A

Rationale: The correct answer is A because the priority in treating diabetic ketoacidosis is to address dehydration and electrolyte imbalances. Infusing 1 liter of normal saline per hour helps to rehydrate the patient and correct electrolyte abnormalities. This initial fluid resuscitation stabilizes the patient's condition before addressing hyperglycemia with insulin therapy. Choice B is incorrect because giving sodium bicarbonate can worsen acidosis in some cases and is not the first-line treatment for diabetic ketoacidosis. Choice C is incorrect because administering regular insulin by IV push can cause a rapid drop in blood glucose levels, which can be dangerous. Choice D is incorrect because starting a regular insulin infusion should come after fluid resuscitation to avoid hypoglycemia.

Correct Answer: D

Rationale: The correct answer is D: Determine whether the employee is aware of the policy. This step is crucial as it helps establish if the violation was intentional or due to lack of knowledge. By assessing the employee's awareness, you can tailor the appropriate response, which may include providing training or counseling. A: Terminate the employee is incorrect as it is an extreme measure usually taken as a last resort. B: Confront the employee is incorrect as it may lead to a defensive reaction without understanding the root cause. C: Discipline the employee immediately is incorrect as it assumes guilt before investigating the situation. In summary, option D is the correct initial step as it promotes fairness, understanding, and a constructive approach to addressing policy violations.

Correct Answer: C

Rationale: The primary goal of a nursing informatics specialist is to improve healthcare delivery (Choice C). This involves utilizing technology and data to enhance patient outcomes, efficiency, and quality of care. By optimizing information systems and workflows, healthcare processes can be streamlined, leading to better patient care overall. Managing patient care (Choice A) is more aligned with healthcare providers, while implementing new technology (Choice B) and supporting clinical decisions (Choice D) are important aspects but not the primary goal of a nursing informatics specialist.

Correct Answer: B

Rationale: The correct answer is B because promoting good health and treating those who are ill in a holistic manner aligns with Florence Nightingale's theory of nursing. Nightingale emphasized the importance of considering the physical, emotional, and social aspects of patients' well-being. This approach focuses on addressing the whole person rather than just the illness. Respecting the patient's culture and incorporating cultural needs (A) is important in providing patient-centered care, but it does not directly align with Nightingale's theory. Understanding how to motivate people to practice a healthy lifestyle and reduce risks (C) is relevant to health promotion but does not fully capture the holistic approach of Nightingale. Teaching other nurses how to deliver the highest quality of care (D) is essential for professional development but does not specifically reflect Nightingale's holistic nursing philosophy.

Correct Answer: C

Rationale: The correct answer is C: Florence Nightingale. Florence Nightingale is known for her emphasis on evidence-based practice and data-driven decision-making in healthcare. In this scenario, the healthcare provider is using critical thinking skills to assess the patient's overall clinical presentation, which includes normal vital signs and signs of adequate oxygenation despite the pulse oximeter reading of 38%. This aligns with Nightingale's principles of prioritizing direct observation and clinical judgment over technology. Incorrect answers: A: Annie Goodrich - Goodrich was a nursing educator and leader in nursing education, but not specifically known for emphasizing clinical assessment over technology. B: Lillian D. Wald - Wald was a public health nurse and social reformer, not specifically associated with direct patient care assessment. D: Linda Richards - Richards was the first professionally trained American nurse, but not specifically known for her approach to clinical assessment in this context.

Correct Answer: D

Rationale: The correct answer is D: Motivation. Individuals who strive to find the best way to do their job are driven by a strong internal motivation to excel and improve. This motivation fuels their desire to seek out innovative and efficient methods to perform their tasks. Punctuality (A) refers to being on time and is not necessarily linked to seeking improvement. Strictness (B) implies rigid adherence to rules rather than innovation. Honesty (C) pertains to truthfulness and integrity, but it is not directly related to actively seeking the best way to do a job.