Nursing Elites

1. Which of the following is an example of voluntary absenteeism?

• A. Staying home for a sick child
• B. Staying home for a funeral
• C. Staying home to run errands or finish housework
• D. Staying home for sickness

Correct answer: C

Rationale: The correct answer is C, 'Staying home to run errands or finish housework.' Voluntary absenteeism refers to absences that are within the employee's control. Running errands or completing housework are choices an employee makes, unlike being absent due to sickness or a funeral, which are events beyond the employee's control. Choices A, B, and D involve reasons for absence that are not voluntary as they are influenced by external circumstances, such as illness or family emergencies.

2. A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?

• A. Infuse dextrose 50% by slow IV push.
• B. Administer 1 mg glucagon subcutaneously.
• C. Obtain a glucose reading using a finger stick.
• D. Have the patient drink 4 ounces of orange juice.

Correct answer: C

Rationale: The correct action for the nurse to take first when a patient reports feeling lightheaded and sweaty after being weaned off an insulin drip is to obtain a glucose reading using a finger stick. This will provide crucial information on the patient's current blood glucose level, helping the nurse assess if the symptoms are due to hypoglycemia. Based on the glucose reading, appropriate interventions can be initiated, such as administering dextrose, glucagon, or oral sugars like orange juice if hypoglycemia is confirmed. However, verifying the blood glucose level is the initial step to guide subsequent actions and ensure patient safety.

3. A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?

• A. Satisficing
• B. Routine
• C. Adaptive
• D. Rationalizing

Correct answer: A

Rationale: Satisficing is the correct decision-making strategy in this scenario. The nurse manager is not aiming for the best solution but rather choosing an alternative that is good enough given the circumstances of staff shortage. Choice B, Routine, does not apply here as the situation is not part of the manager's regular tasks. Choice C, Adaptive, involves adjusting to new conditions, which is not the primary focus in this scenario. Choice D, Rationalizing, does not fit as the decision made is more about finding an acceptable solution rather than justifying it.

4. Which of the following best describes the concept of patient autonomy?

• A. The right of patients to make their own healthcare decisions
• B. The duty to do no harm
• C. The obligation to tell the truth
• D. The responsibility to provide equitable care

Correct answer: A

Rationale: Patient autonomy refers to the right of patients to make their own healthcare decisions based on their values and preferences. It emphasizes the importance of respecting patients' rights to choose their treatment options, even if their decisions may not align with healthcare providers' recommendations. Choice B, the duty to do no harm, refers to the ethical principle of nonmaleficence, which is separate from patient autonomy. Choice C, the obligation to tell the truth, is related to the principle of veracity and does not directly encompass patient autonomy. Choice D, the responsibility to provide equitable care, pertains to the concept of justice in healthcare and is not synonymous with patient autonomy.

5. A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?

• A. Role ambiguity
• B. Role overload
• C. Role conflict
• D. Sick role

Correct answer: C

Rationale: In this scenario, the partner is struggling to balance caring for their loved one with dementia and managing household responsibilities. This situation represents role conflict, where conflicting demands from different roles (caregiver and homemaker) create stress. Role ambiguity (choice A) refers to uncertainty about what is expected in a role, not conflicting demands. Role overload (choice B) occurs when there are too many responsibilities within a single role, not conflicting roles. The sick role (choice D) is a sociological concept related to the rights and responsibilities of individuals who are ill.

Similar Questions