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A ___________ manager supervises a number of first-level managers, usually within related specialties.
- A. self-directed
- B. first-level
- C. middle-level
- D. self-motivated
Correct Answer: C
Rationale: The correct answer is C: middle-level manager. Middle-level managers oversee first-level managers and coordinate activities within related specialties. They bridge the gap between top-level executives and front-line employees, ensuring organizational goals are met.
A: Self-directed managers work autonomously, not supervising other managers.
B: First-level managers supervise front-line employees, not other managers.
D: Self-motivated is a personal trait and not a managerial level.
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A client is admitted to a medical-surgical unit after six hours in the emergency room. He requests that his AM care be delayed to allow him to rest. The nurse complies with his request. This is an example of which type of management philosophy?
- A. Continuous quality improvement
- B. Total quality management
- C. Six Sigma
- D. Quality management
Correct Answer: B
Rationale: The correct answer is B: Total quality management. This approach focuses on meeting customer needs and continuous improvement. By allowing the client to rest, the nurse is prioritizing the client's comfort and well-being, which aligns with the principles of total quality management. Continuous quality improvement (A) focuses on incremental improvements, Six Sigma (C) aims to reduce defects, and Quality management (D) is a broader term that encompasses various quality approaches.
Which of the following is an example of a macro-level health policy?
- A. Local health ordinances
- B. State licensing regulations
- C. National healthcare legislation
- D. Institutional policies
Correct Answer: C
Rationale: The correct answer is C: National healthcare legislation. Macro-level health policies are those that are implemented at the national level and have a broad impact on a large population. National healthcare legislation falls under this category as it sets guidelines and regulations for the entire country's healthcare system. Local health ordinances (A) are specific regulations for a particular locality, state licensing regulations (B) are at the state level, and institutional policies (D) are specific to individual healthcare institutions. Therefore, the correct choice is C as it aligns with the definition of macro-level health policy.
When a client with a terminal diagnosis asks about advance directives, what should the nurse do?
- A. Engage the client and ask why they want to discuss this without their partner present.
- B. Provide information on advance directives and offer brochures.
- C. Advise the client to schedule a discussion with their provider.
- D. Focus on the client's current feelings and postpone planning for a later time.
Correct Answer: A
Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. By engaging the client and asking why they want to discuss advance directives without their partner present, the nurse acknowledges the client's right to make decisions about their own healthcare. This approach promotes open communication and allows the client to express their concerns and preferences freely.
Choice B is incorrect as it assumes the client only needs information and brochures without addressing their specific needs or concerns. Choice C is incorrect as it delays addressing the client's immediate questions and concerns about advance directives. Choice D is incorrect as it disregards the client's request to discuss advance directives and focuses solely on their current feelings.
Which of the following best describes the concept of interprofessional collaboration in healthcare?
- A. The process by which multiple healthcare professionals work together to improve patient outcomes
- B. A method for healthcare professionals to work independently within their scope of practice
- C. The use of standardized protocols to ensure consistent care
- D. A way for healthcare professionals to share patient information electronically
Correct Answer: A
Rationale: The correct answer is A because interprofessional collaboration in healthcare involves different healthcare professionals working together as a team to provide comprehensive care and improve patient outcomes. This teamwork allows for a holistic approach to patient care, utilizing the expertise of each team member. Choice B is incorrect as it refers to working independently, which goes against the collaborative nature of interprofessional collaboration. Choice C is incorrect as it focuses on standardized protocols rather than the collaboration between professionals. Choice D is also incorrect as it pertains to sharing patient information electronically, which is just one aspect of collaboration and not the main focus.
What is the main focus of health literacy initiatives?
- A. To promote the use of medical jargon
- B. To improve patient communication skills
- C. To ensure that patients understand their health information
- D. To reduce the use of electronic health records
Correct Answer: C
Rationale: The main focus of health literacy initiatives is to ensure that patients understand their health information. This is important for empowering individuals to make informed decisions about their health. Promoting the use of medical jargon (Option A) would actually hinder comprehension. Improving patient communication skills (Option B) is beneficial but not the main focus. Reducing the use of electronic health records (Option D) is not related to enhancing patient understanding.