a nurse manager observes an assistive personnel ap incorrectly transferring a client to the bedside commode which of the following should the nurse ta

HESI LPN

HESI Leadership and Management Quizlet

1. A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following should the nurse take first?

A. Refer the AP to the facility procedure manual
B. Demonstrate the proper client transfer technique for the AP
C. Instruct the AP to request assistance when unsure about a task
D. Help the AP assist the client with the transfer

Correct answer: D

Rationale: The correct first action for the nurse is to ensure the safety of the client by immediately intervening to help the AP with the transfer. This hands-on assistance can prevent any potential harm to the client. Referring the AP to the facility procedure manual (Choice A) might take time and delay the necessary immediate action. Demonstrating the proper technique (Choice B) can be done after ensuring the client's safety. Instructing the AP to request assistance (Choice C) is not the most urgent step when a client's safety is at risk.

2. Select the tactile sensation that is accurately paired with its description or procedure for testing.

A. Fine motor coordination: The use of the fingers
B. Stereognosis: Equal hearing in both ears
C. Two-point discrimination: The nurse gently pricks the patient's skin
D. Gross motor function: The use of the lower limbs

Correct answer: C

Rationale: The correct answer is C: Two-point discrimination: The nurse gently pricks the patient's skin. Two-point discrimination assesses the ability to discern two points touched simultaneously on the skin. Fine motor coordination (Choice A) refers to the precise movements of small muscles, not related to tactile sensation. Stereognosis (Choice B) is the ability to recognize objects by touch, not equal hearing in both ears. Gross motor function (Choice D) involves the coordination of large muscle groups, not specifically related to tactile sensation testing.

3. Which nursing diagnosis is commonly used among patients affected by fibromyalgia?

A. Decreased self-care in activities of daily living related to fatigue
B. Impaired mental functioning related to electrolyte imbalances
C. Increased vigilance secondary to electrolyte imbalances
D. At risk for a swallowing disorder related to fibromyalgia

Correct answer: A

Rationale: The correct answer is A: 'Decreased self-care in activities of daily living related to fatigue.' Patients with fibromyalgia commonly experience fatigue, which can lead to decreased ability to perform self-care activities. This nursing diagnosis addresses a direct consequence of fibromyalgia. Choices B, C, and D are incorrect because they do not directly correlate with the common manifestations of fibromyalgia. Impaired mental functioning related to electrolyte imbalances and increased vigilance secondary to electrolyte imbalances are not typical presentations of fibromyalgia. 'At risk for a swallowing disorder related to fibromyalgia' is not a common nursing diagnosis associated with fibromyalgia; swallowing disorders are not a primary symptom of this condition.

4. What is the primary goal of public health?

A. To focus on individual patient care
B. To improve the health of populations
C. To reduce healthcare costs
D. To increase hospital admissions

Correct answer: B

Rationale: The primary goal of public health is to improve the health of populations by focusing on prevention, health promotion, and addressing the social determinants of health. Choice A is incorrect because public health looks at health from a population perspective rather than focusing on individual patient care. Choice C, while a potential benefit, is not the primary goal of public health. Choice D is incorrect as increasing hospital admissions is not a goal of public health; in fact, public health aims to prevent unnecessary hospitalizations through preventive measures.

5. Which of the following is true regarding the Affordable Care Act?

A. The Affordable Care Act addressed issues of interest to nursing without controversy.
B. The Affordable Care Act addressed issues of mandatory overtime, incivility, and high workloads for nurses.
C. The Affordable Care Act provided a new patient-centered model for health care.
D. The Affordable Care Act attempted to address many of the issues of interest to nursing, but came with much controversy.

Correct answer: D

Rationale: The correct answer is D. The Affordable Care Act attempted to address many issues relevant to nursing, such as mandatory overtime, incivility, and high workloads, but it faced significant controversy. Choice A is incorrect as the act did not address nursing issues without controversy. Choice B is incorrect as it inaccurately lists the issues the act addressed. Choice C is incorrect as it does not fully capture the controversy surrounding the Affordable Care Act.