The nurse identifies a need for additional teaching when the patient who is self-monitoring blood glucose

Correct Answer: B

Rationale: The correct answer is B because choosing a puncture site in the center of the finger pad can lead to increased pain and potential nerve damage. Washing the puncture site with warm water and soap (A) is important for hygiene. Hanging the arm down before puncturing (C) can help with blood flow. Interpreting a blood sugar level of 120 mg as good control (D) is incorrect as it is above the normal range. By selecting the center of the finger pad, the patient risks causing unnecessary pain and nerve damage.

Correct Answer: D

Rationale: The correct answer is D because if the institution is unable to honor the patient's request, it can create a barrier to reaching an agreement in an ethical dilemma. If the institution cannot support the patient's wishes, it can lead to conflicting viewpoints and hinder consensus. In contrast, choices A, B, and C do not directly address the institutional aspect and are not as relevant to the primary reason for the inability to reach an agreement in this context. Choice A focuses on individual values, choice B emphasizes the patient's perspective, and choice C pertains to the nature of the dilemma itself rather than external factors like institutional limitations.

Correct Answer: C

Rationale: The correct answer is C because remaining calm and keeping an arm's distance is crucial when dealing with an agitated patient. This approach helps prevent escalating the situation and promotes a sense of safety. Holding and reassuring the patient (A) can be perceived as intrusive and may escalate the agitation. Encouraging other staff to distract the patient (B) can also be counterproductive as it may increase the patient's distress. Standing close to the patient while talking (D) can be perceived as threatening and may escalate the situation further. Thus, maintaining calm and keeping a safe distance is the most effective verbal intervention strategy.

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: C

Rationale: The correct answer is C: Patient care quality. Strategic planning in healthcare organizations primarily focuses on improving patient outcomes, safety, and overall quality of care. This ensures that the organization aligns its resources and goals towards enhancing patient well-being. Financial performance (A) is important but not the primary focus. Staff satisfaction (B) is crucial for employee engagement but not the main goal of strategic planning. Regulatory compliance (D) is essential but not the primary focus, as it is a requirement to ensure quality care rather than the main goal itself.

Correct Answer: A

Rationale: The correct answer is A: Wear an N95 respirator when giving direct care to the client. This is correct because allogeneic stem cell transplant recipients are at high risk for infection due to immunosuppression. An N95 respirator helps protect the nurse from inhaling airborne pathogens when in close contact with the client. Choice B is incorrect because negative-pressure airflow rooms are typically used for clients with airborne infections, not for those at risk due to immunosuppression. Choice C is incorrect because although adequate air exchanges are important for infection control, it is not the specific precaution needed for a client with an allogeneic stem cell transplant. Choice D is incorrect because wearing a mask outside the room is not as effective in preventing transmission of infections as wearing an N95 respirator during direct care.

Correct Answer: C

Rationale: The correct answer is C: Connecting with the public to encourage healthy behaviors. Social media can be used as a powerful tool to reach a large audience and promote positive health behaviors and choices. By engaging with the public through social media platforms, healthcare professionals can share valuable information, tips, and resources to encourage healthier lifestyles. This can lead to increased awareness, education, and motivation for individuals to make healthier choices. Choices A, B, and D are incorrect because while they may have some benefits, they do not directly address the potential benefit of using social media to encourage healthy behaviors in the general public.

Correct Answer: A

Rationale: The correct answer is A: Patient satisfaction scores. In healthcare, outcome measures are indicators of the impact of care on patients' health. Patient satisfaction scores directly reflect patients' experiences and perceptions of their care, making it a relevant outcome measure. This measure assesses the quality of care provided and the effectiveness of healthcare services in meeting patients' needs and expectations. In contrast, options B and D are process measures that do not directly reflect patient outcomes. Option C, healthcare provider performance reviews, are more related to evaluating individual provider performance rather than overall healthcare outcomes.

Correct Answer: D

Rationale: Rationale: D is the correct answer because successful managers indeed play a key role in encouraging collaboration and teamwork to achieve common goals. Managers are responsible for overseeing tasks, guiding employees, and fostering a positive work environment. By encouraging teamwork, managers can enhance productivity and efficiency within the organization. A: Leadership focuses on inspiring and guiding others towards achieving organizational goals, not just solely achieving goals themselves. B: The ability to adapt is important for effective leadership, but it is not the defining characteristic. C: Management involves influencing others, but it is not solely about attempting to influence others; it also involves planning, organizing, and controlling resources.