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In order to minimize or avoid negative outcomes as a result of the violation and disciplinary action, the employee should offer which of the following?
- A. Excuses
- B. Discipline
- C. Suggestions
- D. Rules
Correct Answer: C
Rationale: The correct answer is C: Suggestions. When faced with a violation and disciplinary action, offering suggestions demonstrates a proactive approach towards resolving the issue. Suggestions show a willingness to improve and prevent future violations. Excuses (A) are not productive and can come off as deflecting responsibility. Discipline (B) is typically enforced by the employer as a consequence of the violation, not offered by the employee. Rules (D) are guidelines to follow and should already be in place, but offering suggestions on how to adhere to them better is more beneficial.
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An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision-makers involved. Which step best describes the current stage the RN is working through?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: C
Rationale: The correct answer is C: Planning. In an ethical dilemma, once the decision-makers are identified, the next step is to plan the course of action to address the issue. Planning involves considering the ethical principles, potential outcomes, and identifying the best course of action to resolve the dilemma. Assessment (A) involves gathering information, Diagnosis (B) involves analyzing the information, and Implementation (D) involves executing the chosen plan. Therefore, the RN is currently in the planning stage as he is strategizing on how to address the ethical dilemma effectively.
A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess?
- A. Hypotension
- B. Distended neck veins
- C. Slow capillary refill
- D. Weak, thready pulse
Correct Answer: B
Rationale: The correct answer is B: Distended neck veins. When a client has fluid volume excess, there is an accumulation of fluid in the intravascular space, leading to increased venous pressure. Distended neck veins are a classic sign of fluid overload as they indicate increased central venous pressure. Hypotension (A) is more commonly associated with fluid volume deficit. Slow capillary refill (C) and weak, thready pulse (D) are indicative of poor tissue perfusion, which is more commonly seen in fluid volume deficit rather than excess.
The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following leadership styles would be most effective in this environment?
- A. Autocratic leadership
- B. Laissez-faire leadership
- C. Transactional leadership
- D. Transformational leadership
Correct Answer: D
Rationale: The correct answer is D: Transformational leadership. In the current health care environment, transformational leadership is most effective as it focuses on inspiring and motivating individuals to achieve a common goal through innovation and vision. This style encourages creativity, adaptability, and collaboration, which are essential in navigating the complexities of the health care delivery systems. Transformational leaders empower their team members, foster a culture of continuous improvement, and drive positive change. Autocratic leadership (A) is too controlling, Laissez-faire leadership (B) lacks direction and accountability, and Transactional leadership (C) focuses on rewards and punishments rather than inspiring and developing individuals.
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.
What is the primary focus of the Triple Aim in healthcare?
- A. Improving patient experience
- B. Reducing healthcare costs
- C. Improving population health
- D. Ensuring regulatory compliance
Correct Answer: A
Rationale: The primary focus of the Triple Aim in healthcare is to improve patient experience, which encompasses quality, safety, and satisfaction. This approach aims to enhance care delivery, promote patient-centeredness, and optimize outcomes. Reducing healthcare costs and improving population health are important aspects but are secondary to enhancing the patient experience. Ensuring regulatory compliance is crucial but not the primary objective of the Triple Aim framework. Thus, choice A is correct as it aligns with the core principle of prioritizing the needs and preferences of patients for better overall healthcare outcomes.