Nursing Elites

1. Which of the following is an example of a tertiary prevention activity?

• A. Administering immunizations
• B. Physical therapy for stroke patients
• C. Routine health screenings
• D. Health education campaigns

Correct answer: B

Rationale: The correct answer is B, physical therapy for stroke patients. Tertiary prevention aims to prevent complications and improve the quality of life for individuals who already have a disease or condition. Administering immunizations (choice A) is an example of primary prevention to prevent the onset of diseases. Routine health screenings (choice C) are part of secondary prevention to detect diseases early. Health education campaigns (choice D) typically fall under primary prevention by educating and promoting healthy behaviors to prevent diseases.

2. Which laboratory value reported to the nurse by the unlicensed assistive personnel (UAP) indicates the most urgent need for the nurse’s assessment of the patient?

• A. Bedtime glucose of 140 mg/dL
• B. Noon blood glucose of 52 mg/dL
• C. Fasting blood glucose of 130 mg/dL
• D. 2-hr postprandial glucose of 220 mg/dL

Correct answer: B

Rationale:

3. Factors that may contribute to workplace violence in a health care setting include:

• A. Lack of armed security
• B. Continuous loud noises and/or poorly monitored entrances
• C. Poor staff interactions
• D. Tense shoulders and clenched fists

Correct answer: B

Rationale: The correct answer is B. Continuous loud noises and poorly monitored entrances can contribute to workplace violence by creating a chaotic environment that can escalate tensions. Factors like lack of armed security (choice A) may not be as significant in triggering violence as environmental factors. Poor staff interactions (choice C) can contribute to a negative work culture but may not directly lead to violence. Tense shoulders and clenched fists (choice D) may indicate stress or anger in an individual but are not factors that contribute to workplace violence in general.

4. Which of the following is one of the sources used to determine the reason for voluntary turnover?

• A. Following-up phone calls
• B. Employee questioning
• C. Benchmarking
• D. Exit interviewing

Correct answer: D

Rationale: The correct answer is 'D: Exit interviewing.' Exit interviews are a crucial source used to determine the reasons for voluntary turnover. During exit interviews, departing employees provide valuable insights into their reasons for leaving, which can help organizations identify areas for improvement. Choices A, B, and C are incorrect. Following-up phone calls and benchmarking are not commonly used methods for determining the reasons behind voluntary turnover. While employee questioning can be a part of the exit interview process, the primary source mentioned in the context of voluntary turnover is exit interviewing.

5. How will working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims affect staff?

• A. Feelings of extreme overload.
• B. Fear of failure.
• C. A pessimistic sense about the world.
• D. Inability to separate intense work situations from personal situations.

Correct answer: B

Rationale: Working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims can lead to feelings of extreme overload, a pessimistic sense about the world, and an inability to separate intense work situations from personal situations. Fear of failure is not specifically mentioned in the context of the question, so it is the correct answer. The constant noises and intense emotional situations can create tension, stress, and negative reactions among staff. Managers can help by assessing the environment, labeling situations, and debriefing with staff to make them more aware of how stressors impact their behaviors.

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