which of the following best describes the nurses role in patient education

HESI RN

Leadership and Management HESI

1. Which of the following best describes the nurse's role in patient education?

A. The nurse is responsible for providing patients with information they need to make informed decisions about their care.
B. The nurse provides education to the patient and their family to help them understand the care plan and make informed decisions.
C. The nurse is responsible for providing patients with written materials to help them understand their condition and treatment options.
D. The nurse provides patients with verbal and written instructions on how to manage their care at home.

Correct answer: A

Rationale: The correct answer is A. The nurse's role in patient education involves providing patients with the necessary information to make informed decisions about their care. This includes explaining treatment options, potential risks and benefits, and answering any questions the patient may have. Choice B is incorrect because while nurses do educate patients and families, the primary focus is on empowering patients to make informed decisions. Choice C is incorrect as providing written materials is a part of patient education but not the sole responsibility of the nurse. Choice D is incorrect because while nurses do provide instructions on managing care at home, patient education goes beyond just the home care aspect to encompass a broader understanding of the patient's condition and treatment.

2. Which advice is most beneficial for a new nurse manager?

A. Strive to embody the manager your staff desires while also aligning with your administration's expectations.
B. Keep in mind that it may take 6 months to feel at ease in a new role.
C. Begin by mentoring other novice nurse managers.
D. Participate in substantial personal growth endeavors.

Correct answer: B

Rationale: The most helpful advice for a new nurse manager is to understand that it can take up to 6 months to feel comfortable in a new position. This allows the individual to manage their expectations and give themselves time to adapt to their new role. Choice A may be overwhelming and could cause conflicting priorities for the new nurse manager. Choice C, while valuable, might not be the immediate focus for someone new to the role. Choice D, although important, may not be as time-sensitive as the adjustment period in the new position.

3. A nurse caring for a client with hypocalcemia would expect to note which of the following changes on the electrocardiogram?

A. Widened T wave
B. Prominent U wave
C. Prolonged QT interval
D. Shortened ST segment

Correct answer: C

Rationale: In hypocalcemia, a decreased level of calcium can lead to a prolonged QT interval on the ECG due to its role in myocardial repolarization. A widened T wave (Choice A) is typically seen in hyperkalemia. A prominent U wave (Choice B) is associated with hypokalemia. A shortened ST segment (Choice D) is not a typical ECG finding in hypocalcemia.

4. A nurse is preparing to administer NPH insulin to a client with DM. The nurse notes that the NPH insulin vial is cloudy. The nurse should:

A. Obtain a new vial of NPH insulin.
B. Draw up the cloudy insulin as ordered.
C. Shake the vial vigorously before drawing up the insulin.
D. Warm the insulin to room temperature before administration.

Correct answer: B

Rationale: The correct answer is to draw up the cloudy insulin as ordered. NPH insulin is inherently cloudy due to its suspension of insulin crystals. Shaking the vial vigorously can lead to denaturation of the insulin molecules, altering its efficacy. Warming NPH insulin is not necessary as it can cause breakdown of insulin molecules. The nurse should gently roll the vial between hands to mix it before drawing it up to ensure an even distribution of insulin in the suspension.

5. Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To control hypoglycemic episodes, the nurse should recommend:

A. Increasing saturated fat intake and fasting in the afternoon
B. Increasing intake of vitamins B and D and taking iron supplements
C. Eating a candy bar if lightheadedness occurs
D. Consuming a low-carbohydrate, high-protein diet and avoiding fasting

Correct answer: D

Rationale: A low-carbohydrate, high-protein diet is beneficial for individuals with hypoglycemia as it helps in maintaining stable blood sugar levels. Choice A is incorrect as increasing saturated fat intake and fasting can worsen hypoglycemia. Choice B is incorrect as vitamins and iron supplements do not directly address hypoglycemia. Choice C is incorrect as consuming a candy bar may provide temporary relief but does not address the underlying cause of hypoglycemia.