Which of the following is an example of a secondary prevention activity?

Correct Answer: A

Rationale: Step-by-step rationale: 1. Secondary prevention aims to detect and treat diseases early to prevent complications. 2. Blood pressure screening helps identify individuals at risk for hypertension-related issues. 3. Early detection through screening allows for timely interventions to prevent further health problems. 4. Administering medications, developing a care plan, and providing rehabilitation are tertiary prevention activities focused on managing existing conditions rather than early detection. Summary: Blood pressure screening is the correct example of a secondary prevention activity as it focuses on early detection and intervention to prevent the progression of health issues. Administering medications, developing a care plan, and providing rehabilitation are not considered secondary prevention activities as they are more related to managing existing conditions.

Correct Answer: C

Rationale: The correct answer is C: Complete an incident report. This is the next step to document the error and ensure proper follow-up. It helps in analyzing the root cause, implementing preventive measures, and ensures transparency in patient care. Notifying the family (A) can wait until the situation is under control. Disciplining the previous nurse (B) should not be the immediate focus and may come after a thorough investigation. Obtaining legal consultation (D) is premature and should only be considered if the incident escalates to a legal issue.

Correct Answer: B

Rationale: Groupthink can cause negative effects on decision making among groups as it involves prioritizing harmony and conformity over critical evaluation of alternatives. This can lead to group members suppressing dissenting opinions and making hasty decisions without considering all perspectives. Rationalization, risky shift, and dialectical inquiry do not specifically focus on the negative impact of group dynamics on decision making like groupthink does.

Correct Answer: D

Rationale: The correct answer is D: Multiple generations in the workforce. This factor contributes to conflicts in professional nursing today because different generations may have different communication styles, work preferences, and values, leading to misunderstandings and tension in the workplace. For example, older nurses may prefer traditional methods of communication, while younger nurses may be more tech-savvy and prefer digital communication. This generation gap can result in conflicts and challenges in collaboration and teamwork. A: Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation - While this may contribute to workforce dynamics, it is not a primary factor in conflicts among nurses. B: Balancing state practice acts, codes of ethics, and standards of practice - This is important for maintaining professionalism but does not directly contribute to conflicts among nurses. C: Advances in technology - While technology can impact nursing practice, it is not a primary factor in conflicts among nurses compared to the generational differences.

Correct Answer: C

Rationale: The correct answer is C: Inspiring and motivating the healthcare team. A nurse leader's role involves guiding, supporting, and empowering their team to provide high-quality care. Inspiring and motivating the team helps improve morale, teamwork, and ultimately patient outcomes. Managing patient care directly (A) is typically the responsibility of staff nurses, not nurse leaders. Enforcing healthcare policies (B) is important, but it is not the primary role of a nurse leader. Ensuring regulatory compliance (D) is crucial, but it is a shared responsibility among healthcare professionals and not exclusive to nurse leaders.

Correct Answer: D

Rationale: The correct answer is D. Increasing exercise when ketones are present can worsen diabetic ketoacidosis. A patient should not exercise with ketones in urine. Carrying candies for exercise (A) helps manage low blood sugar. Going for a walk with a glucose of 200 mg/dL (B) can help lower blood sugar. Eating a sandwich before exercise (C) provides fuel.

Correct Answer: C

Rationale: The primary role of a nurse mentor is to guide new nurses in their roles (Choice C). This involves providing support, advice, and knowledge to help new nurses navigate their responsibilities and develop their skills. Mentors help new nurses adapt to the clinical environment, build confidence, and improve their clinical practice. Supervising nursing staff (Choice A) is typically the responsibility of nurse managers. Providing emotional support (Choice B) is important but not the primary role of a mentor. Enforcing policy compliance (Choice D) is important but does not encompass the full scope of a nurse mentor's role.

Correct Answer: C

Rationale: The correct answer is C: Legitimate power. In this scenario, the nurse manager can utilize legitimate power, which comes from their position of authority within the organization. They can use their formal authority to resolve the conflict between the staff nurses and the physical therapy department by making decisions and enforcing policies. A: Connection and referent power are based on relationships and personal connections, which may not be as effective in this situation where formal authority is needed. B: Reward and punishment power may not be the most appropriate in resolving conflicts as it can lead to resentment and may not address the underlying issues. D: Information power is about having access to valuable information, which may be helpful but may not be the most effective in resolving conflicts that require formal authority.

Correct Answer: B

Rationale: The correct answer is B: Distended neck veins. When a client has fluid volume excess, there is an accumulation of fluid in the intravascular space, leading to increased venous pressure. Distended neck veins are a classic sign of fluid overload as they indicate increased central venous pressure. Hypotension (A) is more commonly associated with fluid volume deficit. Slow capillary refill (C) and weak, thready pulse (D) are indicative of poor tissue perfusion, which is more commonly seen in fluid volume deficit rather than excess.