HESI RN
Leadership HESI
1. A nurse manager is focusing on improving communication on the unit. Which of the following best describes the importance of this focus?
- A. The nurse manager's focus on communication is essential to ensure that all staff members are informed, understand their roles, and can work together effectively to provide quality care.
- B. The nurse manager's focus on communication is important to ensure that information is shared effectively and that there is a clear understanding of roles and responsibilities on the unit.
- C. The nurse manager's focus on communication is crucial to ensuring that all staff members are working together effectively and that there is a shared understanding of the unit's goals and priorities.
- D. The nurse manager's focus on communication is vital to creating an open and transparent environment where staff members feel comfortable sharing information and concerns.
Correct answer: A
Rationale: The correct answer is A. Effective communication is essential for ensuring that all staff members are informed, understand their roles, and can collaborate effectively to provide quality care. Choice B focuses more on information sharing and understanding roles but lacks emphasis on effective teamwork and quality care provision. Choice C mentions staff working together effectively and understanding unit goals, but it does not explicitly highlight the importance of staff being informed and understanding their roles. Choice D emphasizes creating an open environment for sharing information and concerns, which is important but does not encompass the broader aspects of effective communication as described in choice A.
2. Which of the following actions could be considered a breach of patient confidentiality?
- A. Discussing patient information with other healthcare providers in a private setting.
- B. Sharing patient information with family members without the patient's consent.
- C. Discussing patient information in public areas where others may overhear.
- D. Sharing patient information in a private, secure setting with other healthcare providers involved in the patient's care.
Correct answer: C
Rationale: Discussing patient information in public areas where others may overhear is considered a breach of patient confidentiality because it compromises the privacy and confidentiality of the patient's health information. Choices A and D are not breaches of confidentiality as discussing patient information with other healthcare providers in a private setting or in a private, secure setting with those involved in the patient's care is appropriate. Choice B is also incorrect as sharing patient information with family members without the patient's consent could potentially be a breach of privacy but is not the best answer in this context.
3. The client with type 2 DM is receiving dietary instructions from the nurse regarding the prescribed diabetic diet. The nurse determines that the client understands the instructions if the client states that:
- A. I need to skip meals if my blood glucose level is elevated.
- B. I need to eat a small meal or snack every 2 to 3 hours.
- C. I need to avoid using concentrated sweets in my diet.
- D. I need to eat a high-protein, low-carbohydrate diet.
Correct answer: C
Rationale: The correct answer is C: 'I need to avoid using concentrated sweets in my diet.' Clients with type 2 diabetes should avoid concentrated sweets as they can cause rapid spikes in blood glucose levels, which can be detrimental to their health. Option A is incorrect because skipping meals can lead to fluctuations in blood glucose levels. Option B is incorrect as it does not address the specific issue of avoiding concentrated sweets. Option D is incorrect because a high-protein, low-carbohydrate diet is not typically recommended as the primary approach for managing type 2 diabetes.
4. The nurse is caring for a client with hyperaldosteronism. Which of the following laboratory results would the nurse expect?
- A. Hypokalemia
- B. Hypernatremia
- C. Hyperkalemia
- D. Hypocalcemia
Correct answer: A
Rationale: In hyperaldosteronism, there is an excess of aldosterone production, leading to increased sodium retention and potassium excretion by the kidneys. This results in hypokalemia (low potassium levels). Therefore, the correct answer is hypokalemia (Choice A). Hypernatremia (Choice B) is an incorrect choice as hyperaldosteronism primarily affects potassium and not sodium levels. Hyperkalemia (Choice C) is also incorrect because hyperaldosteronism causes potassium excretion, leading to low levels. Hypocalcemia (Choice D) is not typically associated with hyperaldosteronism; instead, it is more related to conditions affecting calcium regulation.
5. A client with DM asks a nurse why it is necessary to rotate injection sites when using an insulin pen. The nurse's best response would be:
- A. To prevent scar tissue from forming under the skin.
- B. To make the injections less painful.
- C. To help the insulin absorb better.
- D. To keep the skin looking healthy.
Correct answer: C
Rationale: The correct answer is C: "To help the insulin absorb better." Rotating injection sites is important as it helps to ensure better insulin absorption and reduces the risk of developing lipodystrophy. Option A is incorrect as rotating sites primarily aims to optimize insulin absorption, not prevent scar tissue. Option B is inaccurate because rotating injection sites does not necessarily make the injections less painful. Option D is incorrect as the primary reason for rotating injection sites is not related to the aesthetics of the skin but rather to enhance insulin absorption and prevent complications.
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