Nursing Elites

1. A client requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?

• A. ''I had a bowel movement, but I was able to save the urine.''
• B. ''I have a specimen in the bathroom from about 30 minutes ago.''
• C. ''I drink a lot, so I will fill up the bottle and complete the test quickly.''
• D. ''I flushed what I urinated at 7:00 a.m. and have saved all urine since.''

Correct answer: C

Rationale: Option C demonstrates an understanding of the need to collect urine over 24 hours. The client's statement shows awareness that increased fluid intake will help in filling up the collection bottle quickly, which is essential for an accurate test result. This choice reflects the correct understanding of the teaching. Options A, B, and D do not reflect the necessary comprehension for a 24-hr urine collection process. Option A involves a bowel movement, which is not relevant to a urine collection. Option B only mentions a specimen from 30 minutes ago, not over a 24-hour period. Option D indicates flushing urine, which contradicts the idea of saving all urine for the test.

2. Which of the following are effective ways to apply power and politics in nursing? (EXCEPT)

• A. Picketing the employer
• B. Networking with other professionals
• C. Writing letters to legislators
• D. Joining professional organizations

Correct answer: A

Rationale: The correct answer is A - 'Picketing the employer.' Networking with other professionals, writing letters to legislators, and joining professional organizations are effective ways to apply power and politics in nursing. Picketing the employer is not an appropriate approach in a healthcare setting as it may lead to disruptions in patient care and conflict within the workplace.

3. Which of the following is a trait that was found to be common among leaders in trait theory?

• A. Communication of duties assigned
• B. Adaptability and changing priorities
• C. Order giving and decision making for a group
• D. Communication of goal direction

Correct answer: D

Rationale: The correct answer is D, 'Communication of goal direction.' Trait theory suggests that effective leaders possess certain traits, one of which is the ability to clearly communicate the direction and goals of the group. This trait helps in aligning the efforts of the team towards a common objective. Choices A, B, and C are incorrect because while communication, adaptability, decision-making, and order giving are important skills for leaders, the specific trait commonly associated with leaders in trait theory is the ability to communicate the direction and goals.

4. The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?

• A. �If I overeat at a meal, I will still take the usual dose of medication.�
• B. �Other medications besides the Glucotrol may affect my blood sugar.�
• C. �When I am ill, I may have to take insulin to control my blood sugar.�
• D. �My diabetes won�t cause complications because I don�t need insulin.�

Correct answer: D

Rationale:

5. What is the primary goal of discharge planning?

• A. Reducing readmission rates
• B. Improving patient outcomes
• C. Ensuring continuity of care
• D. Ensuring medication adherence

Correct answer: C

Rationale: The primary goal of discharge planning is to ensure continuity of care for patients transitioning from one level of care to another. While reducing readmission rates and improving patient outcomes are important aspects of discharge planning, the main focus is on coordinating care to prevent gaps and ensure a seamless transition for the patient. Ensuring medication adherence is also crucial but falls under the broader goal of continuity of care.

Similar Questions