The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?

Correct Answer: C

Rationale: The correct answer is C because stating "I can choose any foods, as long as I use enough insulin to cover the calories" shows a lack of understanding of diabetes management. In type 1 diabetes, it's crucial to follow a balanced diet to regulate blood sugar levels. Choosing any foods without considering their impact on blood sugar control can lead to unstable glucose levels. Explanation for why the other choices are incorrect: A: Choosing to have an occasional alcoholic drink if included in the meal plan is acceptable as long as it's done in moderation and accounted for in the overall diabetes management plan. B: Needing a bedtime snack with NPH insulin is appropriate to prevent hypoglycemia overnight. D: Eating something at meal times to prevent hypoglycemia, even if not hungry, is a good practice to maintain stable blood sugar levels.

Correct Answer: C

Rationale: The correct answer is C: Collaborative decision making. This is a common characteristic of a high-performing healthcare team because it promotes teamwork, respect for diverse perspectives, and ensures that decisions are made collectively with input from all team members. Collaborative decision making allows for better problem-solving, increases team morale, and fosters a sense of ownership and accountability among team members. A: Effective communication is important in a healthcare team, but it alone does not guarantee high performance. B: Shared leadership is valuable, but it is not as essential as collaborative decision making in ensuring team success. D: Hierarchical structure can hinder collaboration and innovation within a team, making it less likely to be high-performing. In summary, collaborative decision making is the best choice as it promotes teamwork, inclusivity, and better decision outcomes within a healthcare team.

Correct Answer: D

Rationale: The correct answer is D: Abdominal cramping. A sodium level of 125 mEq/L indicates hyponatremia, which can lead to abdominal cramping due to electrolyte imbalance affecting muscle function. Chvostek's sign (choice A) is associated with hypocalcemia, not hyponatremia. Bradycardia (choice B) is more commonly seen in hyperkalemia. Numbness of the extremities (choice C) is a symptom of hypocalcemia or peripheral neuropathy, not specifically related to hyponatremia. In summary, the healthcare professional should expect abdominal cramping as a result of the low sodium level in this client.

Correct Answer: B

Rationale: The correct answer is B: Nominal group technique. The nurse manager used this technique by asking staff to submit written suggestions, which are then voted on collectively. In nominal group technique, group members generate ideas individually, then share and discuss them as a group to reach a decision. This technique encourages equal participation, prevents domination by vocal members, and ensures all ideas are considered fairly. A: Statistical aggregation involves combining data or opinions to reach a numerical result, not individual suggestions. C: Brainstorming is a technique where a group generates ideas freely without immediate evaluation or criticism. D: Delphi method involves gathering input from experts anonymously to reach a consensus, which is different from voting on written suggestions.

Correct Answer: B

Rationale: The correct answer is B because it addresses the root of the issue by requesting a schedule change that allows for a better work-life balance. This solution promotes your well-being and maintains professionalism. A: Expressing negative comments is unprofessional and can create a toxic work environment. It does not address the underlying problem. C: Calling off sick frequently is unethical and can compromise patient care. It does not address the issue at hand. D: Minimizing communication with patients and parents is not appropriate as it goes against the principles of patient-centered care and can harm the therapeutic relationship.

Correct Answer: C

Rationale: The correct answer is C. This statement indicates effective teaching because taking aspirin at least an hour before exenatide (Byetta) helps prevent any potential interactions between the two medications. By understanding the importance of timing, the patient shows comprehension of medication management and potential risks. Incorrect choices: A: This choice is incorrect because exenatide is known to reduce appetite, not increase hunger. B: This choice is incorrect because hypoglycemia is still a risk with exenatide, especially if used with other medications that lower blood sugar. D: This choice is incorrect because exenatide is injected, not taken as a pill, and should be taken before meals, not with breakfast.

Correct Answer: B

Rationale: The correct answer is B because a nurse navigator's role is to coordinate complex care for patients by guiding them through the healthcare system, connecting them with resources, and ensuring continuity of care. Providing direct patient care (A) is typically the responsibility of nurses, not nurse navigators. Assisting with administrative tasks (C) is more aligned with roles such as medical assistants or administrative staff. Managing clinical trials (D) involves research and regulatory responsibilities that are distinct from the care coordination focus of a nurse navigator. Therefore, the best description of a nurse navigator's role is coordinating complex care.

Correct Answer: A

Rationale: The correct answer is A because values are subjective and personal beliefs that influence one's feelings and attitudes towards situations. This aligns with the definition of values as individual's principles or standards of behavior. B is incorrect because values are not solely learned through family systems, but can also be influenced by culture, education, and personal experiences. C is incorrect because values are more about personal beliefs and principles rather than organized ways of thinking about the meaning of life. D is incorrect because values are not the sole determinants of rightness or wrongness of behavior, as ethical principles and moral standards also play a role in making such judgments.

Correct Answer: D

Rationale: The correct answer is D: Job satisfaction. Job satisfaction is crucial in sustaining employee satisfaction as it directly impacts how content and fulfilled employees feel in their roles. When employees are satisfied with their jobs, they are more likely to be engaged, motivated, and productive. This leads to higher retention rates and overall better performance. On the other hand, organization culture (A) is important but not the sole factor in sustaining employee satisfaction. Individual performance (B) and performance evaluation (C) are more related to assessing employee output rather than directly impacting their satisfaction levels.