Nursing Elites

1.

• A. The patient programs the pump for an insulin bolus after eating
• B. The patient changes the location of the insertion site every week
• C. The patient takes the pump off at bedtime and starts it again each morning.
• D. The patient plans for a diet that is less flexible when using the insulin pump.

Correct answer: A

Rationale:

2. Which of the following laws govern nursing practice?

• A. Statutory laws
• B. Common laws
• C. Administrative laws
• D. Constitutional laws

Correct answer: A

Rationale: Statutory laws govern nursing practice. These laws are enacted by legislative bodies and regulate various aspects of nursing practice, including licensure requirements, scope of practice, and patient care standards. Common laws, administrative laws, and constitutional laws may also impact nursing practice, but statutory laws specifically outline the legal framework for nursing professionals to follow. Common laws are based on court decisions and precedents, not specific to nursing practice. Administrative laws deal with regulations set by administrative agencies. Constitutional laws relate to the fundamental rights and principles outlined in the constitution, not specifically governing nursing practice.

3. Which of the following is a common characteristic of a high reliability organization (HRO)?

• A. Flexibility
• B. Reluctance to simplify
• C. Preoccupation with failure
• D. Deference to expertise

Correct answer: C

Rationale: A common characteristic of a high reliability organization (HRO) is a preoccupation with failure. HROs focus on identifying and addressing potential failure points to prevent errors and maintain high levels of safety and reliability. This mindset helps them anticipate and mitigate risks proactively, leading to better outcomes and performance. Choices A, B, and D are incorrect. While flexibility, reluctance to simplify, and deference to expertise may be important in various contexts, they are not the primary defining characteristics of a high reliability organization. The core focus of HROs is on continuously monitoring for potential failures and working to prevent them.

4. What is the main focus of a risk management program in healthcare?

• A. To reduce hospital readmissions
• B. To manage financial resources
• C. To ensure compliance with healthcare regulations
• D. To improve clinical outcomes

Correct answer: D

Rationale: The main focus of a risk management program in healthcare is to improve clinical outcomes. By identifying and mitigating risks, healthcare organizations aim to enhance patient safety, quality of care, and overall health outcomes. Option A is incorrect because reducing hospital readmissions is a specific goal within healthcare but not the primary focus of risk management. Option B is incorrect as managing financial resources, while important, is more aligned with financial management rather than risk management. Option C is incorrect as ensuring compliance with healthcare regulations is vital but falls under compliance management rather than the primary focus of risk management, which is to improve clinical outcomes.

5. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

• A. Select flat-soled leather shoes
• B. Apply heating pads on a low temperature.
• C. Avoid using callus remover for corns or calluses.
• D. Refrain from soaking feet in warm water for an hour each day.

Correct answer: A

Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.

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