select a myth or falsehood relating to pain pain management and addiction

HESI LPN

HESI Leadership and Management Quizlet

1. Select a myth or falsehood relating to pain, pain management, and addiction.

A. Addiction can be accurately predicted.
B. Withdrawal, drug tolerance, and physical dependence do not indicate addiction.
C. Pain medications should be avoided in patients with a substance abuse history.
D. Addiction is signaled by deception and stockpiling by the client.

Correct answer: A

Rationale: The correct answer is A because addiction cannot be accurately predicted. Choices B and C are incorrect. Withdrawal, drug tolerance, and physical dependence are not definitive signs of addiction, and pain medications can be used with patients who have a substance abuse history under careful monitoring. Choice D is incorrect because addiction is not solely signaled by deception and stockpiling; it is a complex condition with various behavioral, physical, and psychological aspects.

2. A nurse working on a med-surg unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL
B. A client with type 1 DM who uses an insulin pump
C. A client who is receiving heparin and has an aPTT of 34 seconds
D. A client with orthostatic hypotension receiving IV fluids

Correct answer: C

Rationale: The nurse should schedule an interdisciplinary conference for a client who is receiving heparin and has an aPTT of 34 seconds to ensure comprehensive care coordination. In this case, the need for a conference may be to discuss potential adjustments in heparin therapy, monitor for adverse effects, or ensure proper anticoagulation levels. Choices A, B, and D do not specifically indicate the need for interdisciplinary collaboration related to the client's condition or treatment. Therefore, they are not the priority for scheduling an interdisciplinary conference.

3. What is idiopathic thrombocytopenia purpura?

A. Highly similar to disseminated intravascular coagulation (DIC).
B. Caused by the overproduction of platelets.
C. A bleeding disorder that is characterized by too few platelets.
D. Treated with immune system-boosting medications.

Correct answer: C

Rationale: Idiopathic thrombocytopenic purpura is a bleeding disorder characterized by a low number of platelets in the blood. This condition is not highly similar to disseminated intravascular coagulation (DIC), which involves abnormal clotting throughout the body (coagulation), leading to depletion of platelets. Choice B is incorrect because idiopathic thrombocytopenic purpura is actually characterized by a decrease in platelet count, not an overproduction. While immune system-boosting medications may be used in some cases, the primary treatment for idiopathic thrombocytopenic purpura focuses on increasing platelet counts or managing symptoms.

4. What are the six levels of consciousness from the most to the least responsive level of consciousness? Number all six using 1 as the most conscious and 6 as the least conscious.

A. Obtunded, Confused, Lethargic, Comatose, Stuporous, Alert
B. Confused, Lethargic, Obtunded, Stuporous, Comatose, Alert
C. Lethargic, Obtunded, Confused, Stuporous, Comatose, Alert
D. Alert, Confused, Lethargic, Obtunded, Stuporous, Comatose

Correct answer: D

Rationale: The correct order of the six levels of consciousness from most to least responsive is Alert, Confused, Lethargic, Obtunded, Stuporous, Comatose. Choice A is incorrect because it starts with Obtunded, which is less responsive than Alert. Choice B is incorrect as it doesn't follow the correct order. Choice C is incorrect as Lethargic is more responsive than Obtunded. Therefore, the correct answer is D.

5. What is a primary responsibility of a healthcare manager?

A. Direct patient care
B. Financial oversight
C. Ignoring staff concerns
D. Minimizing staff training

Correct answer: B

Rationale: Financial oversight is a primary responsibility of a healthcare manager. Healthcare managers are responsible for managing the financial aspects of healthcare facilities, including budgeting, financial planning, and ensuring financial sustainability. Direct patient care (choice A) is typically the responsibility of healthcare providers such as doctors and nurses, not managers. Ignoring staff concerns (choice C) is counterproductive and goes against effective management practices. Minimizing staff training (choice D) is also not a responsibility of a healthcare manager; on the contrary, they should ensure adequate training and development opportunities for their staff to improve patient care and overall performance.