Which of the following leaders would be considered a transformational leader?
- A. The supervisor of a unit who requests staff to work overtime.
- B. The unit secretary who encourages staff to use the proper forms.
- C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
- D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.
Correct Answer: D
Rationale: The correct answer is D because a transformational leader inspires and motivates followers to achieve their full potential. In this scenario, the Advanced Practice Nurse is encouraging the staff nurse to pursue additional education, showing a commitment to individual growth and development. This aligns with the characteristics of a transformational leader.
Choice A is incorrect because simply requesting staff to work overtime does not demonstrate transformational leadership qualities. Choice B is incorrect as encouraging staff to use proper forms is more aligned with transactional leadership. Choice C is incorrect as reminding a CNA to work on time management skills is more about task-oriented leadership rather than transformational leadership.
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What is the main goal of a nursing quality improvement (QI) program?
- A. To enhance patient safety
- B. To reduce healthcare costs
- C. To ensure regulatory compliance
- D. To maintain high patient satisfaction
Correct Answer: A
Rationale: The correct answer is A: To enhance patient safety. The main goal of a nursing quality improvement program is to improve the quality of care provided to patients, ultimately leading to better patient outcomes and safety. By implementing strategies to enhance patient safety, such as reducing medical errors and improving communication among healthcare team members, the overall quality of care is improved.
Choice B (To reduce healthcare costs) is incorrect because while cost-efficiency may be a secondary benefit of a QI program, it is not the primary goal. Choice C (To ensure regulatory compliance) is also incorrect as regulatory compliance is important but not the main focus of a QI program. Choice D (To maintain high patient satisfaction) is not the main goal of a QI program as patient satisfaction alone does not guarantee improved patient safety or outcomes.
Which of the following is a common characteristic of a Magnet-designated hospital?
- A. High nurse turnover rates
- B. Strong emphasis on interdisciplinary teamwork
- C. Limited opportunities for professional development
- D. Focus on advanced technology for patient care
Correct Answer: B
Rationale: The correct answer is B: Strong emphasis on interdisciplinary teamwork. Magnet-designated hospitals are recognized for their commitment to nursing excellence and quality patient care. Interdisciplinary teamwork is crucial for enhancing patient outcomes and promoting a holistic approach to healthcare. Collaboration among healthcare professionals ensures comprehensive patient care. Other choices are incorrect because high nurse turnover rates, limited professional development opportunities, and a focus on advanced technology do not necessarily define a Magnet-designated hospital.
Which of the following best describes intrinsic values?
- A. Intrinsic values are often abstract ideas.
- B. Intrinsic values are basic needs for sustaining life.
- C. Intrinsic values are qualities patients consider to be important in their private lives.
- D. Intrinsic values are qualities patients consider important for nurses to have.
Correct Answer: B
Rationale: Correct Answer: B - Intrinsic values are basic needs for sustaining life.
Rationale:
1. Intrinsic values refer to inherent qualities that are fundamental and essential.
2. Basic needs for sustaining life, such as food, water, shelter, and safety, are considered intrinsic values.
3. These needs are universal and essential for human survival.
4. Choices A, C, and D describe different aspects of values but do not capture the core concept of intrinsic values as essential for survival.
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
- A. Determine what type of activities the patient enjoys.
- B. Remind the patient that exercise will improve self-esteem.
- C. Teach the patient about the effects of exercise on glucose levels.
- D. Give the patient a list of activities that are moderate in intensity.
Correct Answer: A
Rationale: Correct answer: A. Determine what type of activities the patient enjoys.
Rationale:
1. By determining the patient's preferred activities, the nurse can tailor an exercise plan that is more likely to be enjoyable and sustainable for the patient.
2. Enjoyable activities increase motivation and adherence to exercise regimen, leading to better outcomes for the patient.
3. Personalized approach considers the patient's interests and abilities, promoting a positive experience with exercise.
Summary:
B: Reminding the patient about self-esteem doesn't address individual preferences for exercise.
C: Teaching about glucose levels is important but not as crucial as personalizing the exercise plan.
D: Providing a list of activities may not consider the patient's preferences and may not lead to sustained engagement.
What is the term for working on a schedule within the unit, involving only those who are working within that unit?
- A. Flexible staffing
- B. Self-staffing
- C. Internal pools
- D. Management scheduling
Correct Answer: B
Rationale: The correct answer is B: Self-staffing. Self-staffing refers to employees within a unit scheduling themselves to work according to the unit's needs. This approach empowers employees to manage their own schedules, ensuring coverage within the unit.
A: Flexible staffing typically involves adjusting staffing levels based on fluctuating demand, not limited to a specific unit.
C: Internal pools usually refer to a group of employees who can be assigned to various units based on need, not limited to a specific unit.
D: Management scheduling involves supervisors or managers creating schedules for employees, not necessarily limited to a specific unit.
In summary, the term for working on a schedule within the unit involving only those who are working within that unit is self-staffing because it allows employees to self-schedule within their own unit's context.