HESI RN
Leadership and Management HESI
1. Which of the following best describes the nurse's role in patient education?
- A. The nurse is responsible for providing patients with information they need to make informed decisions about their care.
- B. The nurse provides education to the patient and their family to help them understand the care plan and make informed decisions.
- C. The nurse is responsible for providing patients with written materials to help them understand their condition and treatment options.
- D. The nurse provides patients with verbal and written instructions on how to manage their care at home.
Correct answer: A
Rationale: The correct answer is A. The nurse's role in patient education involves providing patients with the necessary information to make informed decisions about their care. This includes explaining treatment options, potential risks and benefits, and answering any questions the patient may have. Choice B is incorrect because while nurses do educate patients and families, the primary focus is on empowering patients to make informed decisions. Choice C is incorrect as providing written materials is a part of patient education but not the sole responsibility of the nurse. Choice D is incorrect because while nurses do provide instructions on managing care at home, patient education goes beyond just the home care aspect to encompass a broader understanding of the patient's condition and treatment.
2. A client with DM demonstrates acute anxiety when first admitted for the treatment of hyperglycemia. The most appropriate intervention to decrease the client's anxiety would be to:
- A. Administer a sedative
- B. Make sure the client knows all the correct medical terms to understand what is happening.
- C. Ignore the signs and symptoms of anxiety so that they will soon disappear.
- D. Convey empathy, trust, and respect toward the client.
Correct answer: D
Rationale: Conveying empathy, trust, and respect can help reduce the client's anxiety and improve their overall experience during treatment. This approach creates a supportive environment and fosters a sense of safety and understanding for the client. Administering a sedative (Choice A) should not be the initial intervention for anxiety, as it does not address the underlying emotional needs of the client. Making sure the client knows all the correct medical terms (Choice B) may increase anxiety by overwhelming the client with technical information. Ignoring signs and symptoms of anxiety (Choice C) can lead to worsening distress and potential complications in the client's care.
3. Which of the following charges could be filed if consent was not obtained before the surgery?
- A. False imprisonment
- B. Libel
- C. Battery
- D. Malpractice
Correct answer: C
Rationale: The correct answer is C: Battery. Performing surgery without obtaining consent is considered battery, as it involves intentional harmful or offensive contact without consent. False imprisonment (choice A) involves unlawful restraint or restriction of a person's freedom of movement, which is not applicable in this scenario. Libel (choice B) refers to written defamation that damages a person's reputation, which is not related to lack of consent in surgery. Malpractice (choice D) pertains to professional negligence or failure to meet a standard of care, which is a separate issue from obtaining consent for surgery.
4. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that she has large hands and a hoarse voice. Which of the following would the nurse suspect as a possible cause of the client's hyperglycemia?
- A. Acromegaly
- B. Type 1 diabetes mellitus
- C. Hypothyroidism
- D. Deficient growth hormone
Correct answer: A
Rationale: The correct answer is Acromegaly. Jemma's symptoms of large hands, hoarse voice, and snoring are indicative of acromegaly, a disorder caused by excessive growth hormone production. Acromegaly can lead to insulin resistance, which can result in hyperglycemia. Choice B, Type 1 diabetes mellitus, is unlikely in this case as the symptoms and presentation are more suggestive of acromegaly. Choice C, Hypothyroidism, typically presents with different symptoms such as weight gain, fatigue, and cold intolerance, not consistent with Jemma's symptoms. Choice D, Deficient growth hormone, would not lead to the signs and symptoms observed in Jemma, as her condition is characterized by excessive growth hormone production.
5. The client has hyperparathyroidism. Which of the following lab findings is consistent with this condition?
- A. Hypocalcemia
- B. Hypercalcemia
- C. Hypokalemia
- D. Hyperphosphatemia
Correct answer: B
Rationale: Hyperparathyroidism leads to increased secretion of parathyroid hormone, which results in elevated calcium levels in the blood (hypercalcemia). Therefore, the correct lab finding consistent with hyperparathyroidism is hypercalcemia (Choice B). Hypocalcemia (Choice A) is not indicative of hyperparathyroidism as the condition is associated with high calcium levels. Hypokalemia (Choice C) is a low potassium level, which is not typically associated with hyperparathyroidism. Hyperphosphatemia (Choice D) refers to high phosphate levels and is not a characteristic finding in hyperparathyroidism.
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