Nursing Elites

1. In dealing with conflict, the manager knows that feelings or perceptions about the situation will have an effect. According to Filey, what is this effect known as?

• A. Conflict suppression
• B. Resolution aftermath
• C. Antecedent conditions
• D. Manifest behavior

Correct answer: D

Rationale: Feelings or perceptions about the situation initiate behavior, known as manifest behavior. Antecedent conditions refer to preexisting conditions that may have led to the conflict but are not the immediate effect of feelings or perceptions. Resolution aftermath pertains to the consequences or outcomes following conflict resolution. Conflict suppression refers to the action of suppressing conflict without addressing its root causes, which is a subsequent step after the manifestation of behavior.

2. Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?

• A. “Do you feel bloated after eating?”
• B. “Have you seen any skin changes?”
• C. “Do you need to increase your insulin dosage when you are stressed?”
• D. “Have you noticed any painful new ulcerations or sores on your feet?”

Correct answer: A

Rationale:

3. What is the primary focus of health promotion activities?

• A. To manage chronic diseases
• B. To educate patients about their health
• C. To prevent the onset of disease
• D. To identify and treat diseases early

Correct answer: C

Rationale: The correct answer is C: 'To prevent the onset of disease.' Health promotion activities aim to prevent diseases before they occur by promoting healthy behaviors, lifestyles, and environments. Choice A, 'To manage chronic diseases,' is incorrect as health promotion focuses on prevention rather than management. Choice B, 'To educate patients about their health,' is important but not the primary focus of health promotion. Choice D, 'To identify and treat diseases early,' is related to early detection and treatment, which is different from the primary goal of health promotion.

4. 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.

5. A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to

• A. use only the lispro insulin until the symptoms are resolved
• B. limit calorie intake until the glucose is less than 120 mg/dL
• C. monitor blood glucose every 4 hours and notify the clinic if it continues to rise
• D. decrease carbohydrate intake until glycosylated hemoglobin is less than 7%

Correct answer: C

Rationale: In this scenario, the nurse should advise the patient to monitor her blood glucose every 4 hours and notify the clinic if it continues to rise. This is important because the patient is experiencing symptoms of an illness (sore throat and runny nose) that can lead to fluctuations in blood glucose levels. By monitoring frequently, any significant rise in blood glucose can be detected early, enabling prompt intervention. Choice A is incorrect because abruptly stopping glargine (Lantus) insulin can lead to uncontrolled blood glucose levels. Choice B is incorrect as limiting calorie intake is not the appropriate immediate action for managing high blood glucose levels. Choice D is also incorrect as adjusting carbohydrate intake based on glycosylated hemoglobin levels is not the immediate action needed in this acute situation.

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