The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1 diabetes. Which question is most appropriate for the nurse to ask?

Correct Answer: C

Rationale: The correct answer is C. This question is most appropriate as unintentional weight loss is a common symptom of type 1 diabetes due to the body's inability to properly use glucose for energy. The nurse should ask about weight loss to assess the patient's overall health status. Explanation: A: Asking about anorexia assumes a specific eating disorder, which may not be relevant to the patient's symptoms of diabetes. B: Dark colored urine may indicate dehydration, but it is not specific to type 1 diabetes symptoms. D: Craving sugary drinks may suggest a preference for sweet beverages but does not directly relate to the onset of type 1 diabetes symptoms.

Correct Answer: C

Rationale: The correct answer is C because a sentinel event is a serious, unexpected occurrence in a healthcare setting that results in death or serious physical or psychological harm to a patient. A patient suicide while in a healthcare facility meets this criteria. A is incorrect as a fall with no injury is not a sentinel event. B is incorrect as a medication error resulting in no harm is not a sentinel event. D is incorrect as a near miss incident, although serious, does not result in harm to the patient.

Correct Answer: D

Rationale: Step 1: Nursing ethics encompass principles guiding ethical decision-making. Step 2: Focusing on the experiences and needs of nurses ensures ethical care delivery. Step 3: Understanding nurse perspectives enhances patient-centered care. Step 4: Organizational level (A) is limited, duties and rules (B) are important but not the sole focus, and moral character (C) is crucial but not the main emphasis.

Correct Answer: B

Rationale: The correct answer is B because evidence-based management involves integrating managerial expertise with research evidence to make informed decisions. This approach ensures decisions are grounded in data and proven strategies, leading to more effective outcomes. Choice A is incorrect as it relies solely on personal experience, neglecting valuable external evidence. Choice C is incorrect as intuition alone may not always lead to optimal decisions. Choice D is incorrect as it focuses only on peer-reviewed literature, excluding the importance of combining it with managerial expertise.

Correct Answer: B

Rationale: The correct answer is B: Surveys. Surveys are structured tools that allow for systematic collection of feedback from employees, providing quantitative and qualitative data on reasons for turnover. They offer anonymity, encouraging honest responses. Questioning (choice A) may not provide a comprehensive view, as it relies on informal conversations. Employee forums (choice C) may not capture individual perspectives effectively. Telephone calls (choice D) are not scalable for large organizations and lack the anonymity of surveys. In summary, surveys are the most effective tool for gathering in-depth insights into reasons for turnover.

Correct Answer: C

Rationale: Step 1: Low wages may lead to job dissatisfaction, prompting employees to seek unionization for better pay. Step 2: A direct correlation exists between low wages and union activity due to dissatisfaction. Step 3: This belief can motivate employees to band together for collective bargaining. Step 4: Effective communication or listening by managers does not directly facilitate union activity. Step 5: The perception of supervisors' understanding is secondary to the root cause of dissatisfaction.

Correct Answer: D

Rationale: The correct answer is D because malpractice is defined as a negligent act by an individual with specialized education. This involves a breach of duty owed to a patient, resulting in harm or injury. Choice A is incorrect as it refers to breach of confidentiality, not malpractice. Choice B and C are incorrect as malpractice is a civil offense, not a criminal offense. Malpractice is a serious issue as it can have significant consequences for patients and professionals.

Correct Answer: B

Rationale: The correct answer is B: Balance. This unit manager is displaying the leadership trait of balance by recognizing the importance of taking time off after working hard to improve the unit's performance. This demonstrates an understanding of self-care and the need to maintain a healthy work-life balance. It shows that the manager values personal well-being and is able to prioritize both work responsibilities and personal needs. Choice A: Perseverance is not the best fit here as the situation does not involve overcoming obstacles or persisting through challenges. Choice C: Generosity is not relevant to the scenario as there is no indication of the manager being generous. Choice D: Ability to handle stress is also not the most appropriate choice as the scenario does not directly involve stress management.

Correct Answer: C

Rationale: The primary focus of a patient safety program is to enhance patient satisfaction. This is because the ultimate goal of patient safety initiatives is to ensure that patients receive safe and high-quality care, leading to improved patient experience and satisfaction. By prioritizing patient safety, healthcare providers can build trust with patients, reduce medical errors, and prevent harm. Why other choices are incorrect: A: While reducing healthcare costs may be a positive outcome of a patient safety program, it is not the primary focus. B: Improving clinical outcomes is an important goal of patient safety programs, but it is not the primary focus as patient satisfaction encompasses a broader aspect of care. D: Compliance with regulatory standards is essential, but it is a means to achieve patient safety rather than the primary focus.