When lifting a bedside cabinet to move it closer to a client, what action should the nurse take to prevent self-injury?

Correct Answer: A

Rationale: The correct answer is A: Keep the feet close together. This helps maintain a stable base of support, improving balance and reducing the risk of injury. The wider the base of support, the more stable the body is during lifting. Keeping the feet close together also helps distribute the weight evenly and allows for better control over the movement. Summary of why other choices are incorrect: B: Using the back muscles for lifting can lead to strain and injury. It is important to use the legs and core muscles instead. C: Standing close to the cabinet when lifting may cause strain due to limited range of motion. It is better to maintain a comfortable distance. D: Bending at the waist increases the risk of back injury. Instead, it is recommended to bend at the knees and hips while keeping the back straight.

Correct Answer: D

Rationale: The correct answer is D because all the choices (A, B, C) are examples of environmental factors that can influence decision-making in nursing. Personal preferences can affect how a nurse chooses a treatment plan. Ethical considerations impact decisions regarding patient care. The availability of resources, such as staffing or medical supplies, can constrain decision-making. Therefore, considering all these factors collectively (personal preferences, ethical considerations, and availability of resources) is crucial in making informed nursing decisions.

Correct Answer: A

Rationale: The correct answer is A. Picketing the employer is not an effective way to apply power and politics in nursing because it can create conflict and strain relationships. 1. Networking with other professionals (B) is effective for building alliances and influencing decisions. 2. Writing letters to legislators (C) can help advocate for policy changes and influence healthcare laws. 3. Joining professional organizations (D) provides a platform to collaborate with others and have a collective voice in shaping the nursing profession. In summary, options B, C, and D are effective ways to apply power and politics in nursing, while option A can be counterproductive.

Correct Answer: D

Rationale: The correct answer is D because it shows the client is willing to involve their partner in the learning process, indicating readiness for education. Involving a partner can enhance support and understanding, leading to better adherence. A: Time preference does not directly relate to readiness to learn about insulin. B: Difficulty reading instructions due to glasses is a practical issue, not an indicator of readiness. C: Expressing doubt or questioning the necessity of learning indicates potential resistance or lack of motivation.

Correct Answer: A

Rationale: The correct answer is A: Performance. In a work environment, rewarding good performance encourages employees to excel and achieve organizational goals. Performance-based rewards motivate employees to work efficiently and effectively. Turnover (B) refers to the rate at which employees leave a company, which is not an ideal goal for a work environment. Strategies (C) are plans or approaches used to achieve objectives, but they are not the direct target of rewards. Stress (D) is a negative factor that should be minimized in a work environment, not rewarded.

Correct Answer: A

Rationale: The correct answer is A: Create tension among nurses. Collective bargaining involves negotiation between labor unions and employers, which can lead to disagreements and conflicts among nurses over issues such as wages, working conditions, and benefits. This tension is a common concern as it can impact unity and collaboration within the nursing workforce. Summary: B: Reform health care - This is incorrect as collective bargaining focuses on labor relations, not healthcare reform. C: Secure economic security - This is incorrect as securing economic security is one of the goals of collective bargaining, not a concern. D: Unite the nurses - This is incorrect as collective bargaining can sometimes lead to division and tension among nurses rather than uniting them.

Correct Answer: A

Rationale: The correct answer is A: Verifying through feedback. This strategy involves ensuring that the message was accurately received and understood by asking the subordinate to repeat the instructions. This helps confirm clarity and reduces the chances of miscommunication or errors. It promotes active listening and engagement, enhancing communication effectiveness. Summary: B: Follow-up communication is about checking in after the initial communication, not verifying understanding in the moment. C: Getting positive attention is unrelated to verifying understanding of directions. D: Knowing the context of the instruction is important but not the same as verifying understanding through feedback.

Correct Answer: B

Rationale: The correct answer is B because cleaning the skin with soap and water before insulin administration helps prevent infection. Proper skin preparation is essential for safe injection practices. Choice A is incorrect because the abdominal area is a recommended site for insulin injection. Choice C is incorrect because insulin should not be stored in the freezer. Choice D is incorrect because pushing the plunger down while removing the syringe could result in incomplete dosing.

Correct Answer: A

Rationale: The correct answer is A: Expertise. Professionalism is often associated with possessing a high level of expertise or specialized knowledge in a particular field. This expertise allows professionals to perform their duties effectively and competently. Early definitions of professionalism emphasized the importance of possessing the necessary skills and knowledge to excel in one's profession. Choices B, C, and D are incorrect because while empathy, ethical and moral values, and honesty are important characteristics of professionalism, they are not the defining factors. Empathy, ethics, and honesty are crucial components of professional behavior, but without expertise, a professional may not be able to effectively fulfill their responsibilities in their chosen field.