Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?

Correct Answer: A

Rationale: Rationale: Autonomic neuropathy affects digestion, leading to bloating after eating. This symptom is related to the dysfunction of the autonomic nervous system. Skin changes, insulin dosage changes due to stress, and new ulcerations are not specific to autonomic neuropathy. Bloated feeling after eating is a classic symptom of autonomic neuropathy due to impaired gastrointestinal motility.

Correct Answer: A

Rationale: The correct answer is A: The patient uses oral contraceptives. This information is important because oral contraceptives can affect glucose tolerance test results. The hormones in oral contraceptives can impact insulin sensitivity, potentially leading to inaccurate test results. It is crucial for the healthcare provider to be aware of this as it may influence the interpretation of the test. Other choices are incorrect: B: The patient runs several days a week - This information is not directly relevant to the oral glucose tolerance test and does not impact the test results. C: The patient has been pregnant three times - While pregnancy can affect glucose tolerance, the current pregnancy status of the patient is not as pertinent as the use of oral contraceptives in this specific context. D: The patient has a family history of diabetes - Although family history is a risk factor for diabetes, it is not as immediately relevant to the oral glucose tolerance test as the use of oral contraceptives.

Correct Answer: D

Rationale: The correct answer is D: Shared responsibility. In team nursing, all team members share responsibility for patient care, promoting collaboration and teamwork. This principle ensures that each team member contributes to decision-making and patient outcomes. A: Decentralized decision making is not a key principle of team nursing as it involves individual team members making decisions independently, which can lead to lack of coordination. B: Centralized decision making is also not a key principle of team nursing as it involves decision-making being controlled by a single authority, undermining the collaborative nature of team nursing. C: Individual accountability is important in team nursing, but it is not the key principle. Shared responsibility emphasizes collective accountability and collaboration among team members.

Correct Answer: D

Rationale: Step 1: The client is verbalizing pain as a 2 indicating mild pain. Step 2: The client understands the preoperative teaching if they prioritize mobility despite mild pain. Step 3: Choice D reflects this understanding, as the client is aware of the importance of walking postoperatively. Step 4: Choices A, B, and C do not demonstrate understanding of preoperative teaching as they focus on increasing medication, distracting from pain, and using music for comfort rather than prioritizing mobility. Summary: Choice D is correct as it aligns with the goal of postoperative pain management, while choices A, B, and C do not address the importance of mobility in pain management.

Correct Answer: C

Rationale: The correct answer is C because virtue ethics focuses on developing moral character rather than following strict rules. Virtue ethics emphasizes cultivating good habits and virtues to guide behavior. This approach values the inherent qualities of a person rather than relying on external rules or consequences. Option A is incorrect as virtue ethics does not rely on fixed moral rules. Option B is incorrect as virtue ethics does not base behavior solely on knowledge of consequences. Option D is incorrect as virtue ethics does not provide a formal statement of rules but rather encourages individuals to embody virtuous traits.

Correct Answer: C

Rationale: The correct answer is C: Greater client workload. Magnet Hospitals are known for their commitment to nursing excellence, which leads to improved patient outcomes and increased demand for their services. This higher demand can result in a greater client workload for the hospital. The other choices are incorrect because A (Greater client satisfaction) and B (Improved nursing recruitment) are potential benefits of Magnet Hospital designation, but they are not guaranteed advantages. Choice D (Nurses who are independent decision makers) is not directly related to the advantages of achieving Magnet Hospital designation. Therefore, the correct answer is C as it aligns with the core principles of Magnet Hospitals.

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 main focus of a risk management program in healthcare is to improve clinical outcomes. This involves identifying, assessing, and mitigating risks that may impact patient safety and care quality. By focusing on clinical outcomes, healthcare organizations can enhance patient satisfaction, reduce medical errors, and optimize treatment effectiveness. Hospital readmissions, financial management, and regulatory compliance are important aspects of healthcare management but are not the primary focus of a risk management program, which is centered on patient care and safety.

Correct Answer: C

Rationale: The correct answer is C: Discover the underlying causes of an error. Root cause analysis aims to identify the fundamental reason(s) contributing to an issue, allowing for effective solutions. It focuses on understanding the core factors leading to an error rather than blaming individuals (A, B) or assessing policy effectiveness (D). By conducting RCA, organizations can prevent recurrence and improve processes.