If Nurse Tarly and her core group decide to formulate a directional hypothesis it will be ________.

Correct Answer: D

Rationale: A directional hypothesis predicts the direction of the relationship between variables. In this case, the statement "A significant relationship exists between the caring behaviors of the staff-nurses and degree of satisfaction of ostomized patients" clearly indicates the direction of the expected relationship. This hypothesis suggests that there will be a positive or negative relationship between the caring behaviors of staff nurses and the satisfaction of ostomized patients. The terms "significant relationship" and "degree of satisfaction" indicate that the hypothesis is specific and measurable, making it suitable for testing through research methods.

Correct Answer: A

Rationale: In a patient with septic shock and refractory hypotension despite fluid resuscitation, the healthcare team should prioritize administering vasopressor medications to increase systemic vascular resistance. Vasopressors such as norepinephrine or vasopressin can be used to support blood pressure and perfusion to vital organs by constricting blood vessels and improving blood flow. By increasing systemic vascular resistance, vasopressors help to counteract the excessive vasodilation seen in septic shock and improve hemodynamic stability. It is crucial to address hypotension promptly in septic shock to prevent organ dysfunction and failure. Other interventions, such as fluid removal through continuous renal replacement therapy, assessing cardiac function with echocardiogram, or optimizing oxygen delivery through a transfusion of packed red blood cells, may be considered based on specific patient factors but do not address the primary issue of inadequate perf

Correct Answer: B

Rationale: Amlodipine is a medication commonly prescribed to control and maintain blood pressure at normal levels. It belongs to a class of drugs known as calcium channel blockers, which work by relaxing and widening blood vessels, making it easier for the heart to pump blood around the body. This ultimately helps to lower blood pressure and reduce the workload on the heart, decreasing the risk of cardiovascular events like heart attacks and strokes. Lidocaine, Epinephrine, and Furosemide are not typically used for controlling and maintaining blood pressure within normal limits.

Correct Answer: D

Rationale: Consistent limit setting is an effective nursing intervention for managing impulsive and aggressive behaviors in individuals with conduct disorder. By establishing clear and consistent boundaries, rules, and consequences, individuals with conduct disorder can learn self-control and appropriate behavior. Consistent limit setting provides structure and predictability, helping to reduce impulsive and aggressive reactions in these individuals. It also teaches them accountability for their actions and reinforces appropriate behavior. Additionally, setting limits helps to establish a sense of safety and security for both the individual and those around them. Therefore, consistent limit setting is a crucial intervention to help manage impulsive and aggressive behaviors associated with conduct disorder.

Correct Answer: A

Rationale: In this scenario, the nurse's failure to promptly prepare the patient for transfer to a tertiary hospital resulted in the patient's death. This situation falls under the category of malpractice, which refers to professional negligence or failure to provide a standard level of care that results in harm to a patient. The nurse had a duty to ensure the patient's timely transfer and by delaying the necessary actions, the nurse failed to uphold this duty, leading to a tragic outcome. Murder, assault, and battery are criminal offenses that do not fit the circumstances described in the scenario.

Correct Answer: B

Rationale: Helping the family recognize the problem is the most appropriate intervention to assist them in performing health tasks. By recognizing the problem, the family can better understand the need for action and be motivated to take steps to address it. This intervention enables the family to become more engaged in their healthcare decision-making process and enhances their ability to effectively manage their health tasks. It empowers them to seek appropriate health resources and make informed choices in promoting their health and well-being. Ultimately, by acknowledging the problem, the family is better equipped to initiate positive changes and improve their overall health outcomes.

Correct Answer: B

Rationale: The appropriate nursing action in this situation would be to distract the patient's attention. When a patient perceives that others are talking about them, it may indicate feelings of paranoia or anxiety. It's important to help the patient refocus on something else to alleviate their distress. Distracting the patient's attention can help calm them down and allow the blood pressure measurement to proceed smoothly. This approach respects the patient's feelings and helps manage the situation effectively.

Correct Answer: C

Rationale: An assumption is a belief or statement that is accepted as true without proof. In this case, the statement suggests a belief that the length of service does not affect the degree of patient safety practices among staff nurses, without providing evidence or data to support this claim. It is an assumption about the relationship between two variables without a proper basis or evidence to back it up, making it an example of an assumption.

Correct Answer: A

Rationale: Option A indicates an understanding of the normal psychosocial development of preschoolers. It reflects the fact that during this stage, children may demonstrate frustration and have temper tantrums as they strive for independence and attempt to do things by themselves. This behavior is a common part of their development as they learn self-control, autonomy, and decision-making skills. The other options do not directly relate to normal preschooler development but rather touch upon separate issues such as separation anxiety, possessiveness, and social behaviors that are not necessarily abnormal for preschoolers.