Which of the following clients would most likely be selected for case management?

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: Rationale for Correct Answer C (require administration of insulin while taking prednisone): 1. Prednisone can increase blood glucose levels by reducing insulin sensitivity. 2. Metformin alone may not control blood glucose levels adequately in the presence of prednisone. 3. Therefore, the patient may require insulin to manage blood glucose levels while on prednisone. Summary of Incorrect Choices: A: This is incorrect because insulin administration is not necessary due to the rash or the interaction between metformin and prednisone. B: This is incorrect because prednisone can actually increase blood glucose levels, leading to hyperglycemia rather than hypoglycemia. D: This is incorrect because the rash is not likely caused by an interaction between metformin and prednisone, but rather an allergic reaction to an unknown cause.

Correct Answer: B

Rationale: The correct answer is B: Capital budget. A capital budget is used for long-term investments in assets like equipment and facilities, such as hospital beds. This type of budget is for significant expenditures that have a lasting impact on the organization. Operating budget (A) covers day-to-day expenses, not major purchases. Salary budget (C) is for staffing costs, not equipment purchases. Revenue budget (D) focuses on projected income, not capital expenditures. Therefore, the capital budget is the appropriate choice for buying new hospital beds.

Correct Answer: D

Rationale: The correct answer is D: Patient-focused. Developing a patient-focused atmosphere is crucial to reduce potential risks in healthcare. Patients should be at the center of care, with their needs, preferences, and safety prioritized. In a patient-focused atmosphere, communication is enhanced, leading to better understanding and adherence to treatment plans, reducing errors and adverse events. Nurses, physicians, and families play important roles in patient care, but ultimately, the patient should be the primary focus. Incorrect choices: A: Nurse-focused - Focusing solely on nurses may neglect the holistic approach to patient care and fail to address the patient's needs directly. B: Physician-focused - Similarly, focusing only on physicians may lead to a lack of patient involvement in decision-making and may not address the emotional and psychological aspects of care. C: Family-focused - While involving families in care is important, solely focusing on them may not always align with the patient's best interests and may not address the patient's autonomy and individual needs.

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: 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: C

Rationale: The correct answer is C: Continual monitoring. Quality improvement programs require ongoing monitoring to assess progress, identify areas for improvement, and make data-driven decisions. Continual monitoring allows for timely adjustments to processes and interventions to ensure sustained quality improvement. Blame and punishment (A) are counterproductive in a QI program as they can create a culture of fear and hinder open communication. Employee satisfaction (B) is important but not necessarily an essential element of a QI program. Strict adherence to policies (D) is important but alone may not lead to continuous improvement without the feedback loop provided by continual monitoring.

Correct Answer: A

Rationale: Selye's stress theory, also known as the General Adaptation Syndrome, consists of 3 stages: alarm, resistance, and exhaustion. Long-term stress leads to exhaustion as the body's resources are depleted, making a person more susceptible to illnesses. Option A is correct as it aligns with this theory. Option B is incorrect as prolonged stress weakens the body, not makes it stronger. Option C is incorrect because stress does not necessarily lead to increased assertiveness. Option D is unrelated to Selye's stress theory.

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.