A nurse manager is training a group of staff nurses to become nurse preceptors. Which of the following statements by a staff nurse indicates an understanding of the training?

"Preceptorship offers an opportunity for socialization along with teaching."

"A preceptor program often raises the operating costs of a facility."

"A preceptor will set goals for a newly licensed nurse."

"Preceptorship will last for aperiod of 12 months."

Answer and Explanation

The Correct Answer is A

Rationale:

A. "Preceptorship offers an opportunity for socialization along with teaching." Preceptorship programs support both clinical skill development and professional socialization. New nurses benefit from guidance, role modeling, and integration into the workplace culture.

B. "A preceptor program often raises the operating costs of a facility." While there may be initial investments in training, preceptorship improves retention and competence, often reducing turnover and long-term costs. Cost increase is not a defining characteristic.

C. "A preceptor will set goals for a newly licensed nurse." Goal-setting in preceptorship is ideally collaborative. The preceptor supports the new nurse in identifying and reaching objectives, not unilaterally assigning them.

D. "Preceptorship will last for a period of 12 months." Preceptorship length varies based on facility policy, specialty, and individual needs, but it typically lasts weeks to a few months not a fixed 12-month duration.

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Correct Answer is A

Explanation

Rationale:

A. A community health clinic: This is an example of a primary care setting where individuals receive routine preventive care, health education, screenings, and management of common illnesses. It focuses on long-term health promotion and disease prevention.

B. Assisted living center: Assisted living is a residential care setting for older adults who need help with daily activities but not intensive medical care. It is not classified as a primary care setting, although residents may receive primary care services onsite.

C. Urgent care clinic: Urgent care centers provide immediate, short-term care for acute illnesses or minor injuries. While useful, they are considered a form of episodic or secondary care, not a primary care setting for ongoing health maintenance.

D. A mental health crisis center: This is a specialized, emergency-level facility that provides immediate psychiatric assessment and stabilization. It falls under tertiary or crisis intervention services, not routine primary care.

A. Potassium chloride B. Nitroprusside C. Hydrocortisone D. Spironolactone

Correct Answer is C

Explanation

Rationale:

A. Potassium chloride: Clients with acute adrenal insufficiency often present with hyperkalemia due to decreased aldosterone levels, which impair potassium excretion. Administering potassium chloride could worsen this imbalance and lead to dangerous cardiac arrhythmias.

B. Nitroprusside: This is a vasodilator used to manage hypertensive crises, not hypotension. In adrenal insufficiency, patients typically have low blood pressure, and nitroprusside would further reduce it, exacerbating their clinical condition.

C. Hydrocortisone: Hydrocortisone is a glucocorticoid used as the first-line treatment for acute adrenal insufficiency. It replaces deficient cortisol, stabilizes blood pressure, and helps correct electrolyte imbalances and hypoglycemia caused by adrenal crisis.

D. Spironolactone: As a potassium-sparing diuretic, spironolactone can increase serum potassium levels. In the setting of adrenal insufficiency, where hyperkalemia is already a concern, it is not appropriate and may worsen the condition.

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A nurse manager is training a group of staff nurses to become nurse preceptors. Which of the following statements by a staff nurse indicates an understanding of the training?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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