a nurse is assessing a clients readiness to learn about insulin self administration which of the following statements should the nurse identify as an

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1. A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

A. "I can concentrate best in the morning."
B. "It is difficult to read the instructions because my glasses are at home."
C. "I'm wondering why I need to learn this."
D. "You will have to talk to my partner about this."

Correct answer: D

Rationale: The correct answer is D, "You will have to talk to my partner about this." This response indicates that the client is willing to involve their partner in the learning process, showing readiness to take responsibility and engage in the education. Choices A, B, and C demonstrate potential barriers to learning: A indicates a preference for learning time but does not show active involvement, B focuses on external factors hindering learning, and C reflects a lack of understanding or motivation for the learning.

2.

A. The patient programs the pump for an insulin bolus after eating
B. The patient changes the location of the insertion site every week
C. The patient takes the pump off at bedtime and starts it again each morning.
D. The patient plans for a diet that is less flexible when using the insulin pump.

Correct answer: A

Rationale:

3. After a violent incident, staff needs to discuss what occurred. Several actions need to be taken following the incident:

A. Debrief the staff and complete incident reports and verify that all staff are safe
B. Reassure the violent patient that hurting staff when ill is not cause for concern
C. Avoid any interactions
D. Standing close to the patient while talking

Correct answer: A

Rationale: Corrected Rationale: After a violent incident, it is crucial to debrief the staff and complete incident reports to document what occurred and ensure proper follow-up actions. Verifying that all staff are safe is essential for their well-being and security. This process allows professionals to assess the situation, learn from it, and be better prepared to handle similar incidents in the future. Choice B is incorrect because reassuring a violent patient that hurting staff is not a cause for concern may diminish the seriousness of the incident. Choice C is incorrect as avoiding interactions does not address the need for proper communication and resolution. Choice D is incorrect as standing close to a patient who has been violent may escalate the situation and compromise safety.

4. What is the main purpose of health informatics?

A. To manage patient care
B. To store patient records
C. To enhance clinical decision making
D. To improve healthcare policies

Correct answer: C

Rationale: The main purpose of health informatics is to enhance clinical decision making. While managing patient care (choice A) and storing patient records (choice B) are important functions within health informatics, the primary goal is to improve decision making processes by utilizing technology and data. Improving healthcare policies (choice D) is not the main purpose of health informatics, although it can be a byproduct of better-informed decision making.

5. The healthcare provider is developing a critical pathway for congestive heart failure (CHF). Which components are essential to include? (Select ONE that does not apply.)

A. Expected length of stay
B. Assigned staff healthcare provider
C. Patient outcomes
D. Medical diagnosis

Correct answer: B

Rationale: Critical pathways are designed to outline the expected sequence and timing of interventions to achieve optimal patient outcomes for a specific medical condition. Components such as the expected length of stay, patient outcomes, and medical diagnosis are crucial in developing a critical pathway for congestive heart failure. However, the assigned staff healthcare provider is not typically a fixed component of a critical pathway as it may vary based on staffing schedules and rotations. Therefore, the assigned staff healthcare provider is the component that does not apply.