Which of the following best describes the role of a nurse case manager?

Correct Answer: D

Rationale: The correct answer is D: To coordinate long-term care services. Nurse case managers focus on coordinating and managing the long-term care needs of patients, ensuring continuity and quality of care. They work with healthcare providers, patients, and families to develop and implement care plans. Explanation: A: Providing direct patient care is typically the role of nurses, not specifically nurse case managers. B: Managing healthcare facilities is the responsibility of healthcare administrators, not nurse case managers. C: Advocating for patient rights is important but not the primary role of a nurse case manager; their focus is on coordinating care services.

Correct Answer: B

Rationale: The correct answer is B: Schedule the patient for a fasting blood glucose level. At the first prenatal visit, it is important to assess the patient's risk factors for developing gestational diabetes, especially with a family history of diabetes. A fasting blood glucose level will provide an initial screening to determine if the patient is at risk for gestational diabetes. This test is non-invasive, cost-effective, and provides valuable information early in the pregnancy. Teaching about administering regular insulin (A) is premature without confirming a diagnosis. An oral glucose tolerance test at the twenty-fourth week (C) is typically done later in pregnancy to diagnose gestational diabetes. Providing teaching about fetal problems with gestational diabetes (D) is important but should come after confirming the diagnosis.

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: A

Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.

Correct Answer: A

Rationale: The correct answer is A, "Measure the ankle-brachial index." This task involves using a blood pressure cuff and Doppler ultrasound to assess blood flow in the lower extremities, which is within the scope of practice for UAPs. It is a non-invasive procedure that does not require specialized training. Choice B, "Check for changes in skin pigmentation," involves assessing for potential skin changes related to circulation issues, which requires more in-depth knowledge and interpretation than what UAPs are trained for. Choice C, "Assess for unilateral or bilateral foot drop," involves evaluating muscle strength and nerve function, which requires clinical judgment and knowledge beyond the scope of UAP practice. Choice D, "Ask the patient about symptoms of depression," involves assessing mental health and requires communication skills and training that UAPs do not typically have.

Correct Answer: C

Rationale: The correct answer is C. The unit director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety when dealing with an incompetent employee. 1. Firstly, it is important to prioritize patient safety above all else. 2. By following the institution's formal process, the director ensures that the proper steps are taken to address the incompetence effectively. 3. This approach also promotes transparency and accountability within the organization. 4. It aligns with ethical principles of duty to care and responsibility for patient well-being. The other choices are incorrect: A: Tolerating incompetence is not an acceptable approach as it can compromise patient safety. B: Incompetence can have broader impacts beyond the individual nurse, such as affecting patient outcomes and overall team performance. D: While nurse practice acts may provide guidance, the institution's specific procedures should be followed to address incompetence effectively.

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Careful assessment helps in understanding the client's condition and needs. 2. Documenting client status provides evidence of the care provided. 3. It ensures that necessary actions are taken promptly to prevent negligence. 4. Documentation serves as legal protection against false imprisonment accusations. Summary: - Choice B is about data security, not directly related to preventing negligence and false imprisonment. - Choice C focuses on accurate documentation but lacks the emphasis on assessment. - Choice D is vague and does not specifically address the legal aspects of negligence and false imprisonment.

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: B

Rationale: The correct answer is B: Generate a pool of qualified applicants. The main purpose of recruitment activities is to attract and identify a diverse pool of qualified candidates for a job vacancy. By generating a pool of qualified applicants, the organization increases the chances of finding the best fit for the position. Option A, assessing motivation, is not the main purpose but can be a part of the recruitment process. Option C, assessing skills, and option D, assessing ability, are more related to the selection process rather than recruitment.