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1. 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.
2. A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
- A. Is your pain constant or intermittent?
- B. What would you rate your pain on a scale of 0 to 10?
- C. Does the pain radiate?
- D. Is your pain sharp or dull?
Correct answer: D
Rationale: When assessing the quality of pain, asking if the pain is sharp or dull helps the nurse understand the nature of the pain. Sharp pain is often associated with acute conditions like nerve irritation or injury, while dull pain may indicate a more chronic issue like inflammation or tissue damage. Choices A, B, and C focus on different aspects of pain assessment but do not specifically address the quality of pain, making them less relevant in this context.
3. Which of the following is likely to facilitate union activity?
- A. Managers communicating effectively with employees
- B. Managers listening to concerns of employees
- C. Belief that low wages cause job dissatisfaction
- D. Belief that supervisors are not understanding of unionizing
Correct answer: C
Rationale: The correct answer is C because according to a study by Bilchik (2000), organizations are more likely to unionize if there is a belief that low wages cause job dissatisfaction. Choices A and B focus on effective communication and listening, which may actually prevent union activity by addressing employee concerns directly. Choice D, the belief that supervisors are not understanding of unionizing, may lead to dissatisfaction but doesn't directly facilitate union activity as the belief that low wages cause job dissatisfaction does.
4. Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?
- A.
- B.
- C.
- D.
Correct answer: A
Rationale:
5. What is a potential benefit of social media?
- A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty
- B. Connecting with clients to keep up with their health status
- C. Connecting with the public to encourage healthy behaviors
- D. Sharing pictures of interesting clinical experiences with friends
Correct answer: C
Rationale: The correct answer is C. Connecting with the public to encourage healthy behaviors is a significant benefit of social media. While sharing the fun side of nursing (choice A) and sharing pictures of clinical experiences (choice D) can showcase the profession, they do not directly promote healthy behaviors. Connecting with clients (choice B) is important for healthcare but is more specific to individual patient care rather than a broad public health impact.
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