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1. A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?
- A. Airborne
- B. Protective environment
- C. Contact
- D. Droplet
Correct answer: B
Rationale: The correct answer is 'B: Protective environment.' Rubella requires placing the client in a protective environment due to its airborne precautions. Airborne precautions are typically used for diseases that are spread through tiny droplets that remain in the air for an extended period, like tuberculosis. Contact precautions are used for diseases that are spread by direct or indirect contact, such as MRSA. Droplet precautions are implemented for diseases transmitted through respiratory droplets, like influenza. Therefore, in the case of rubella, airborne precautions in a protective environment are necessary.
2. Which of the following is one of the positive benefits of conflict within an organization?
- A. Conflict leads to compromise on values and beliefs.
- B. Conflict leads to intergroup competition.
- C. Conflict helps people recognize differences and motivates people towards improved performance.
- D. Conflict always leads to a win-win resolution.
Correct answer: C
Rationale: The correct answer is C. Conflict within an organization can help people recognize legitimate differences and motivate them towards improved performance. This recognition of differences can lead to constructive discussions and solutions. Choice A is incorrect because conflict does not necessarily always lead to compromising values and beliefs. Choice B is incorrect as conflict should not be about fostering intergroup competition but rather about addressing and resolving issues. Choice D is incorrect as conflicts do not always result in a win-win resolution; sometimes, compromises or trade-offs are necessary for resolution.
3. Staff refuse to report unsafe conditions, with unattended entrances throughout the health care facility noted. Unidentified individuals are wandering the unit at night, and you:
- A. Establish expectations.
- B. Demand that they leave immediately.
- C. Ask them to leave.
- D. Observe their behaviors.
Correct answer: A
Rationale: In this scenario, the correct course of action is to establish expectations. By setting clear guidelines and expectations, you can address the issue of unidentified individuals wandering the unit at night in a proactive manner. This approach helps communicate what behaviors are acceptable, ensuring the safety of both staff and patients. Demanding that they leave immediately may not address the root cause of the problem and could escalate the situation. Simply observing their behaviors may not effectively resolve the issue or prevent future incidents. Asking them to leave without first establishing expectations may not prevent similar occurrences in the future.
4. What is the best description of cultural competence in nursing?
- A. Ignoring cultural differences
- B. Adapting care to cultural needs
- C. Learning about different cultures
- D. Teaching cultural awareness
Correct answer: B
Rationale: Cultural competence in nursing means adapting care to meet the cultural needs of patients. This involves understanding and respecting the cultural differences of individuals to provide effective and appropriate healthcare. Choice A is incorrect because ignoring cultural differences goes against the essence of cultural competence. Choice C is not the best description as cultural competence is more than just learning about different cultures; it is about applying that knowledge in providing care. Choice D is not the best description as teaching cultural awareness is only a part of developing cultural competence, but it also requires practical application in care delivery.
5. Which of the following best describes the concept of shared governance?
- A. Top-down management
- B. Nurse-led committees
- C. Shared decision making
- D. Hierarchical structure
Correct answer: C
Rationale: The correct answer is C: 'Shared decision making.' Shared governance in healthcare involves empowering nurses to participate in decision-making processes that affect their practice. This model fosters collaboration, transparency, and accountability among healthcare providers. Choice A, 'Top-down management,' is incorrect because shared governance promotes a bottom-up approach. Choice B, 'Nurse-led committees,' is partially correct as it is a component of shared governance, but the core concept is broader and encompasses shared decision making beyond committee leadership. Choice D, 'Hierarchical structure,' is incorrect as shared governance aims to flatten hierarchies and distribute decision-making authority among healthcare team members.
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