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As an RN stands in line for the cafeteria cashier, he overhears the staff in front of him talking about a client the RN took care of earlier in the week. The client’s room number is mentioned along with the diagnosis and prognosis. Which of the following actions should the RN take?
- A. Join in the conversation in case the RN is assigned to care for the client in the future.
- B. Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
- C. Correct a statement made by one of the staff members.
- D. Ignore the conversation.
Correct Answer: B
Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
Rationale:
1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent.
2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy.
3. Joining the conversation (choice A) would further violate the client's confidentiality.
4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach.
5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.
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What is the main focus of the Magnet Recognition Program?
- A. Nurse satisfaction
- B. Patient outcomes
- C. Financial performance
- D. Nursing excellence
Correct Answer: D
Rationale: The correct answer is D: Nursing excellence. The main focus of the Magnet Recognition Program is to recognize healthcare organizations that demonstrate nursing excellence in practice. This includes promoting a positive work environment, professional development, and quality patient care outcomes. Choice A, nurse satisfaction, is important but not the primary focus of the program. Choice B, patient outcomes, is related to nursing excellence but not the main focus of the program. Choice C, financial performance, is not directly related to nursing excellence and is not a focus of the Magnet Recognition Program.
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
- A. The transfer of your family member is being done because the provider knows what's best.
- B. Would you like us to discuss the transfer with your family member?
- C. Why are you so concerned about this transfer?
- D. I know how you feel. My parent had to be transferred to a long-term care facility.
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative.
Step 2: Response A provides a clear and professional explanation for the transfer.
Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family.
Step 4: It shows respect for the provider's judgment and helps build trust with the family.
Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
While caring for a client with tuberculosis, which of the following actions should the nurse take?
- A. Use antimicrobial sanitizer for hand hygiene.
- B. Wear a surgical mask when providing client care.
- C. Limit each visitor to 2-hour increments.
- D. Wear gloves when assisting the client with oral care.
Correct Answer: A
Rationale: The correct answer is A: Use antimicrobial sanitizer for hand hygiene. Hand hygiene is crucial in preventing the spread of tuberculosis. TB is transmitted through respiratory droplets, not contact, so wearing a mask (choice B) is not effective. Limiting visitor time (choice C) may help reduce exposure, but hand hygiene is more critical. Wearing gloves for oral care (choice D) is important for standard precautions, but hand hygiene is the priority for TB prevention.
A manager has a budget request deadline today at 3:00. He stops his work to answer the phone, check emails as they arrive, and speak with staff who stop by his office. As a result, he misses the deadline. What best describes the cause of missing his deadline?
- A. Goal setting
- B. Organization
- C. Time wasters
- D. Assertiveness
Correct Answer: C
Rationale: The correct answer is C: Time wasters. The manager missed the deadline due to distractions such as answering phone calls, checking emails, and engaging with staff, which are all considered time-wasting activities. These distractions prevented him from focusing on the task at hand, leading to missing the deadline. Goal setting (choice A) is about defining objectives, not the immediate cause of missing the deadline. Organization (choice B) refers to structuring tasks efficiently, which the manager failed to do. Assertiveness (choice D) relates to standing up for oneself and making decisions, not the primary reason for missing the deadline in this scenario.
When utilizing an internal float pool, which of the following pools is most efficient?
- A. Centralized
- B. Flexible
- C. Mixed
- D. Decentralized
Correct Answer: A
Rationale: The correct answer is A: Centralized. A centralized internal float pool is the most efficient because it allows for better coordination and utilization of resources. With a centralized pool, there is a single point of control and oversight, ensuring optimal allocation of staff and resources. This centralized approach minimizes redundancies and streamlines processes, leading to increased efficiency.
Summary:
B: Flexible - While flexibility is important, it can lead to inefficiencies if not properly managed within a float pool system.
C: Mixed - A mixed pool may result in complexities and challenges in resource allocation and coordination.
D: Decentralized - Decentralization can lead to fragmentation and lack of standardization, reducing overall efficiency in resource utilization.