Nursing Elites

1. A 34-year-old has a new diagnosis of type 2 diabetes. The nurse will discuss the need to schedule a dilated eye exam

• A. every 2 years
• B. as soon as possible
• C. when the patient is 39 years old
• D. within the first year after diagnosis

Correct answer: B

Rationale: The correct answer is 'B' - as soon as possible. Patients with type 2 diabetes should have a dilated eye exam shortly after diagnosis to check for any signs of diabetic retinopathy, a common complication of diabetes. Waiting for 2 years (choice A) may lead to missing early signs of eye damage. Choice C is incorrect as there is no specific age requirement mentioned for the eye exam. Choice D is also incorrect because early detection and intervention are crucial in diabetic eye disease.

2. What is the primary focus of Lean methodology in healthcare?

• A. Reduce healthcare costs
• B. Enhance patient satisfaction
• C. Increase patient throughput
• D. Standardize care processes

Correct answer: D

Rationale: The correct answer is D: Standardize care processes. Lean methodology in healthcare focuses on standardizing care processes to improve efficiency and reduce waste. While reducing healthcare costs and enhancing patient satisfaction are important goals in healthcare, the primary focus of Lean methodology is to standardize care processes to ensure consistent, high-quality care delivery. Increasing patient throughput may be a byproduct of implementing Lean principles but is not the primary focus.

3. When a client experiences a major incident, what is the time frame for reporting the incident?

• A. 24 hours.
• B. 36 hours.
• C. 48 hours.
• D. 72 hours.

Correct answer: A

Rationale: The correct answer is A: '24 hours.' It is crucial to report a major incident within 24 hours of its occurrence to ensure timely and accurate documentation. Reporting incidents promptly allows for a swift response and investigation to prevent future occurrences. Choices B, C, and D are incorrect as they exceed the recommended time frame for reporting a major incident, which is 24 hours.

4. What is the main purpose of a clinical audit?

• A. To measure patient satisfaction
• B. To evaluate the effectiveness of clinical practices
• C. To identify areas for improvement
• D. To standardize patient care protocols

Correct answer: C

Rationale: The main purpose of a clinical audit is to identify areas for improvement in clinical practices. While patient satisfaction might be a component evaluated during an audit, the primary goal is to ensure that care is safe, effective, and patient-centered, rather than solely focusing on satisfaction. Evaluating the effectiveness of clinical practices is a related but more specific goal compared to the broader aim of identifying areas for improvement. Standardizing patient care protocols can be a result of a clinical audit, but it is not the main purpose, which is to pinpoint areas needing enhancement.

5. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?

• A. No expenses are involved in frivolous lawsuits.
• B. If a nurse is found guilty of malpractice, the institution can sue the nurse.
• C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
• D. Only doctors are sued for malpractice.

Correct answer: C

Rationale: Professional liability insurance is essential for nurses to have as it may cover charges of libel, slander, assault, and HIPAA violations. Option A is incorrect as there are expenses involved in frivolous lawsuits. Option B is incorrect because if a nurse is found guilty of malpractice, the institution can sue the nurse. Option D is incorrect as nurses can also be sued for malpractice, not just doctors.

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