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1. A female patient is scheduled for an oral glucose tolerance test. Which information from the patient�s health history is most important for the nurse to communicate to the health care provider?
- A. The patient uses oral contraceptives.
- B. The patient runs several days a week.
- C. The patient has been pregnant three times
- D. The patient has a family history of diabetes
Correct answer: A
Rationale:
2. Which of the following is true of malpractice?
- A. Malpractice occurs when a professional shares information about a patient that could damage that patient�s reputation.
- B. Malpractice is a serious criminal offense.
- C. Malpractice is a minor criminal offense.
- D. Malpractice is a negligent act by an individual whose duties require specialized education.
Correct answer: D
Rationale: Malpractice is a negligent act by an individual whose duties require specialized education.
3. What is the primary focus of a performance appraisal for nursing staff?
- A. To identify areas for salary increases
- B. To evaluate overall job performance
- C. To provide feedback on clinical skills
- D. To determine eligibility for promotions
Correct answer: C
Rationale: The primary focus of a performance appraisal for nursing staff is to provide feedback on clinical skills, identify areas for improvement, and support professional development. While salary increases, overall job performance evaluation, and promotions may be factors considered during a performance appraisal, the primary goal is to assess and enhance clinical skills to ensure high-quality patient care.
4. A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?
- A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
- B. Incompetence only impacts the individual nurse.
- C. The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.
- D. Most nurse practice acts direct how to handle incompetent nurses.
Correct answer: C
Rationale: The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.
5. There are many ways to ensure that your appraisal system is nondiscriminatory. Which of the following is one way to ensure this?
- A. Giving the appraisal once per year
- B. Having no appeal process
- C. Withholding information from the employee
- D. Not allowing any input from the employee
Correct answer: A
Rationale: To ensure that an appraisal system is nondiscriminatory, one important step is to provide the appraisal once per year. This allows for ongoing evaluation and helps prevent bias. Choice B is incorrect because having no appeal process can lead to unfair treatment without a chance for review. Choice C is incorrect as withholding information from the employee can hinder transparency and objectivity. Choice D is incorrect as not allowing any input from the employee can overlook valuable insights and perspectives that could contribute to a fair evaluation process.
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