Nursing Elites

1. Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

• A. Store opened bottles of normal saline in a refrigerator for up to 48 hours.
• B. Return unused supplies from the bedside to the unit's supply stock.
• C. Wait to dispose of sharps containers until they are completely full.
• D. Use clean gloves rather than sterile gloves for colostomy care.

Correct answer: D

Rationale: Using clean gloves rather than sterile gloves for colostomy care is a cost-effective measure without compromising care quality. This choice helps in reducing costs without compromising patient safety. Storing opened bottles of normal saline in a refrigerator for up to 48 hours (Choice A) may lead to contamination risks. Returning unused supplies to the unit's supply stock (Choice B) can be inefficient and lead to potential waste. Waiting to dispose of sharps containers until they are completely full (Choice C) may pose safety hazards and not directly impact cost savings.

2. Which of the following is a common barrier to effective communication in healthcare?

• A. Active listening
• B. Cultural differences
• C. Clear language
• D. Empathy

Correct answer: B

Rationale: Cultural differences are a common barrier to effective communication in healthcare. When individuals from different cultures interact in healthcare settings, varying communication styles, beliefs, values, and language barriers can hinder effective communication. This can lead to misunderstandings, misinterpretations, and ultimately impact the quality of care provided. Active listening (choice A) is a communication skill that helps improve understanding and can actually enhance communication. Clear language (choice C) is essential for effective communication and can help overcome barriers, rather than being a barrier itself. Empathy (choice D) is important in healthcare to understand patients' emotions and perspectives, but it is not a common barrier to effective communication.

3. What is the role of a nurse in a multidisciplinary healthcare team?

• A. Working independently without consulting others
• B. Coordinating patient care with other team members
• C. Ignoring patient concerns
• D. Making all healthcare decisions alone

Correct answer: B

Rationale: The correct answer is B: 'Coordinating patient care with other team members.' In a multidisciplinary healthcare team, nurses collaborate with other healthcare professionals to ensure comprehensive care for patients. Working independently without consulting others (choice A) is not aligned with the collaborative nature of multidisciplinary teams. Ignoring patient concerns (choice C) goes against the core principles of patient-centered care. Making all healthcare decisions alone (choice D) contradicts the teamwork approach of a multidisciplinary team.

4. Which of the following is an example of a chronic disease?

• A. Common cold
• B. Influenza
• C. Diabetes
• D. Food poisoning

Correct answer: C

Rationale: Diabetes is classified as a chronic disease because it is a long-term condition that requires ongoing management. Choices A, B, and D, which are the common cold, influenza, and food poisoning, are acute illnesses that typically resolve on their own without long-lasting implications.

5. Which patient is at greatest risk for papilledema?

• A. An elderly patient with cataracts and macular degeneration
• B. A male patient with hypothyroidism
• C. A male patient with hyperthyroidism
• D. An adolescent with a closed head injury

Correct answer: D

Rationale: An adolescent with a closed head injury is at the highest risk for papilledema due to increased intracranial pressure. Papilledema is often a consequence of elevated intracranial pressure, which can occur in conditions like head trauma. Choices A, B, and C do not directly correlate with an increased risk of papilledema compared to a closed head injury, which is more likely to lead to elevated intracranial pressure and subsequent papilledema.

Similar Questions