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The staff in the emergency department has presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need to implement the suggestion?
- A. Courage
- B. Integrity
- C. Energy
- D. Initiative
Correct Answer: D
Rationale: The correct answer is D: Initiative. In this scenario, the nurse leader needs to take the initiative to implement the suggested changes for streamlining the triage process. By showing initiative, the leader demonstrates the willingness to take action and drive the necessary changes forward. Courage (A) may be needed to face challenges, but it doesn't directly address the need for proactive action. Integrity (B) is important but doesn't specifically relate to implementing changes. Energy (C) is beneficial for motivation but doesn't focus on taking the first step to make changes happen. Therefore, the key quality required in this situation is initiative to drive process improvements efficiently.
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In our culturally diverse society, barriers to health care result from:
- A. Prejudice
- B. Different socioeconomic status
- C. Differences in language
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Prejudice can lead to discrimination in healthcare access. Different socioeconomic status can limit affordability of healthcare services. Differences in language can hinder effective communication and understanding of healthcare information. All three factors contribute to barriers in healthcare access, affecting individuals from diverse backgrounds. By selecting D, we acknowledge the multifaceted nature of barriers to healthcare in a culturally diverse society.
The problem of overrating staff performance is called ___________ .
- A. Recency error
- B. Absolute judgment
- C. Halo error
- D. Leniency error
Correct Answer: D
Rationale: The correct answer is D: Leniency error. This occurs when a rater consistently rates employees higher than deserved. This leads to inflated performance evaluations, hindering accurate assessment and feedback. Recency error (A) is when recent performance influences ratings. Absolute judgment (B) is when a rater uses the same rating scale for all employees. Halo error (C) is when one positive trait influences overall rating. In this case, leniency error best describes the problem of overrating staff performance.
A 28-year-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?
- A. The patient always carries hard candies when engaging in exercise.
- B. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
- C. The patient has a peanut butter sandwich before going for a bicycle ride.
- D. The patient increases daily exercise when ketones are present in the urine.
Correct Answer: D
Rationale: The correct answer is D. Increasing exercise when ketones are present can worsen diabetic ketoacidosis. A patient should not exercise with ketones in urine. Carrying candies for exercise (A) helps manage low blood sugar. Going for a walk with a glucose of 200 mg/dL (B) can help lower blood sugar. Eating a sandwich before exercise (C) provides fuel.
What is the primary purpose of a patient-centered medical home (PCMH)?
- A. To coordinate all aspects of patient care
- B. To reduce healthcare costs
- C. To implement the latest clinical guidelines
- D. To provide financial incentives for providers
Correct Answer: A
Rationale: The primary purpose of a patient-centered medical home (PCMH) is to coordinate all aspects of patient care (Choice A). This model aims to improve patient outcomes by ensuring comprehensive and coordinated care that meets the individual's needs. PCMH focuses on enhancing patient-provider communication, care coordination, and patient engagement to deliver high-quality care. Choices B, C, and D are incorrect because while PCMH may indirectly contribute to reducing healthcare costs and implementing clinical guidelines, the main focus is on improving patient care coordination and quality outcomes. Providing financial incentives for providers is not the primary purpose of PCMH, but rather a potential outcome of improved care coordination.
A nurse manager needs to resolve a conflict between the staff nurses and the physical therapy department. What type of power might the manager utilize? (EXCEPT)
- A. Connection and referent power
- B. Reward and punishment power
- C. Legitimate power
- D. Information power
Correct Answer: C
Rationale: The correct answer is C: Legitimate power. In this scenario, the nurse manager can utilize legitimate power, which comes from their position of authority within the organization. They can use their formal authority to resolve the conflict between the staff nurses and the physical therapy department by making decisions and enforcing policies.
A: Connection and referent power are based on relationships and personal connections, which may not be as effective in this situation where formal authority is needed.
B: Reward and punishment power may not be the most appropriate in resolving conflicts as it can lead to resentment and may not address the underlying issues.
D: Information power is about having access to valuable information, which may be helpful but may not be the most effective in resolving conflicts that require formal authority.