You need to terminate Gregory, who has had a long-standing history of conflict with you and the staff, and who recently was charged with theft of patient belongings. You consult Human Resources, and together, you develop a plan, which includes:

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Question 1 of 5

You need to terminate Gregory, who has had a long-standing history of conflict with you and the staff, and who recently was charged with theft of patient belongings. You consult Human Resources, and together, you develop a plan, which includes:

Correct Answer: A

Rationale: A private meeting with HR ensures safety, dignity, and complete documentation.

Question 2 of 5

As a nurse manager, you realize that your unit has become a toxic environment in which horizontal violence and incivility has become common. In addressing the problem, you decide to implement which of the following?

Correct Answer: C

Rationale: Conflict resolution and team-building address the root of incivility.

Question 3 of 5

Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?

Correct Answer: C

Rationale: Clients with GERD should avoid chocolate , per the document, as it reduces lower esophageal sphincter (LES) pressure, triggering reflux and heartburn. Lettuce and eggs are neutral, not affecting LES. Butterscotch isn't noted for LES impact. Chocolate's theobromine content relaxes the sphincter, worsening symptoms, making it the food to avoid for GERD management.

Question 4 of 5

The nurse is instructing a woman in a low-fat, high-fiber diet. Which of the following food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber diet?

Correct Answer: B

Rationale: Vegetable soup with stock, carrots, celery, legumes, and oat bread is low-fat (no meat stock) and high-fiber (vegetables, legumes, oats), per the document. Tuna salad has fatty mayo, chef's salad has egg fat, and chicken with walnuts is higher-fat. B best matches dietary goals, indicating understanding.

Question 5 of 5

When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula

Correct Answer: B

Rationale: Continuous administration is best for jejunostomy feeding. The jejunum lacks stomach capacity, so bolus or intermittent (A, D) feeding risks dumping syndrome or intolerance. Continuous delivery matches absorption, reducing diarrhea and ensuring nutrition. This standard method enhances tolerance post-pyloric, making B the optimal choice.

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