What is the primary role of a nurse in palliative care?

Correct Answer: B

Rationale: The correct answer is B because in palliative care, nurses play a crucial role in coordinating patient care and providing effective pain management. This involves working closely with patients, families, and other healthcare professionals to ensure holistic care and comfort for the patient. Nurses are responsible for assessing and addressing the physical, emotional, and psychological needs of patients in palliative care. Providing pain relief and symptom management is a key aspect of improving the quality of life for patients. Emotional support (choice A) is important but not the primary role. Administering medications (choice C) is a task within the role but not the primary focus. Conducting research (choice D) is valuable but not the primary responsibility of a nurse in palliative care.

Correct Answer: B

Rationale: The correct answer is B: Candidates. Candidates are individuals who are running for election and seeking to be elected to a specific position. They are the ones whose names appear on the voting ballot for voters to choose from. Representatives (A) are individuals who have already been elected to represent a group or constituency. Bargaining agents (C) are individuals who negotiate on behalf of others, typically in labor relations. The electorate (D) refers to all the eligible voters in a particular election, not the individuals who are running for election. Therefore, B is the correct answer as it specifically identifies the individuals seeking election on a voting ballot.

Correct Answer: B

Rationale: The correct answer is B: Benchmarking compares outcomes in a variety of settings and disciplines. Quality management focuses on establishing processes to ensure quality care within a specific setting, while benchmarking involves comparing performance metrics across different settings and disciplines to identify best practices and areas for improvement. Therefore, B is the correct answer as it highlights the key difference between quality management and benchmarking. Incorrect answers: A: Quality management can be useful in any healthcare setting, not limited to outpatient. C: Quality management is applicable across various healthcare settings, not just primary care. D: Benchmarking looks at outcomes in various areas, not just nursing.

Correct Answer: C

Rationale: The correct answer is C: Time wasters. The manager missed the deadline due to distractions such as answering phone calls, checking emails, and engaging with staff, which are all considered time-wasting activities. These distractions prevented him from focusing on the task at hand, leading to missing the deadline. Goal setting (choice A) is about defining objectives, not the immediate cause of missing the deadline. Organization (choice B) refers to structuring tasks efficiently, which the manager failed to do. Assertiveness (choice D) relates to standing up for oneself and making decisions, not the primary reason for missing the deadline in this scenario.

Correct Answer: C

Rationale: The correct answer is C because an elderly client awaiting a hip replacement typically requires ongoing support and coordination of services, making them a good candidate for case management. This client would benefit from assistance with navigating the healthcare system, coordinating appointments, and ensuring continuity of care post-surgery. Choice A is incorrect as the adolescent with a gunshot wound in the ER is likely to be in need of immediate medical intervention rather than case management. Choice B is incorrect as a young adult with a fractured pelvis may require medical treatment but may not necessarily need the level of ongoing support that case management provides. Choice D is incorrect as a 41-year-old client admitted for an outpatient tonsillectomy is a relatively straightforward procedure that may not require extensive case management services.

Correct Answer: C

Rationale: The correct answer is C: medical-legal incident. When a client discharges AMA, it poses medical-legal risks for healthcare providers. This includes potential liability if the client experiences adverse outcomes post-discharge. Other choices are incorrect because discharging AMA is not solely focused on nurses (A) or physicians (B), but involves legal implications. It is also not purely patient-focused (D) as it impacts the healthcare team's legal responsibilities.

Correct Answer: B

Rationale: The correct answer is B because delegating staff evaluations to the staff nurse with the most experience is not an appropriate solution to reduce repetitive paperwork for the manager. Delegating evaluations may not necessarily address the issue of spending too much time on paperwork. A: Combining data reports can help reduce duplication and streamline the paperwork process. C: Assigning the preliminary draft of the schedule to a subcommittee can distribute the workload and free up time for the manager. D: Saying no to inappropriate paperwork assignments is a valid approach to manage workload effectively. In summary, B is the correct answer as it does not directly address the issue of spending excessive time on paperwork compared to the other options provided.

Correct Answer: B

Rationale: The correct answer is B: Intuition. The nurse is using intuition because she is relying on her gut feeling or instinct based on her assessment findings, even though the client denies pain. Intuition involves making quick decisions or judgments based on past experiences and knowledge without conscious reasoning. In this scenario, the nurse's intuition prompts her to investigate further despite the client's denial of pain, indicating a deeper understanding of the situation beyond the obvious. Summary of other choices: A: Deductive reasoning involves drawing specific conclusions based on general principles or premises, which is not evident in this scenario. C: Trial and error is a problem-solving method that involves repeatedly trying different approaches until the desired outcome is achieved, which is not applicable here. D: Modified scientific method involves a structured approach of observation, hypothesis, experimentation, and conclusion, which does not align with the nurse's immediate decision based on intuition.

Correct Answer: B

Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA). Rationale: 1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent. 2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy. 3. Joining the conversation (choice A) would further violate the client's confidentiality. 4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach. 5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.