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In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?
- A. Avoidance
- B. Withdrawal
- C. Suppression
- D. Competition
Correct Answer: C
Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.
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Which of the following is likely to facilitate union activity?
- A. Managers communicating effectively with employees
- B. Managers listening to concerns of employees
- C. Belief that low wages cause job dissatisfaction
- D. Belief that supervisors are not understanding of unionizing
Correct Answer: C
Rationale: Step 1: Low wages may lead to job dissatisfaction, prompting employees to seek unionization for better pay.
Step 2: A direct correlation exists between low wages and union activity due to dissatisfaction.
Step 3: This belief can motivate employees to band together for collective bargaining.
Step 4: Effective communication or listening by managers does not directly facilitate union activity.
Step 5: The perception of supervisors' understanding is secondary to the root cause of dissatisfaction.
What is the primary focus of a patient safety program?
- A. To reduce healthcare costs
- B. To improve clinical outcomes
- C. To enhance patient satisfaction
- D. To comply with regulatory standards
Correct Answer: C
Rationale: The primary focus of a patient safety program is to enhance patient satisfaction. This is because the ultimate goal of patient safety initiatives is to ensure that patients receive safe and high-quality care, leading to improved patient experience and satisfaction. By prioritizing patient safety, healthcare providers can build trust with patients, reduce medical errors, and prevent harm.
Why other choices are incorrect:
A: While reducing healthcare costs may be a positive outcome of a patient safety program, it is not the primary focus.
B: Improving clinical outcomes is an important goal of patient safety programs, but it is not the primary focus as patient satisfaction encompasses a broader aspect of care.
D: Compliance with regulatory standards is essential, but it is a means to achieve patient safety rather than the primary focus.
What is the primary goal of a root cause analysis (RCA) in healthcare?
- A. To assign blame for errors
- B. To prevent future errors by identifying underlying causes
- C. To improve patient satisfaction
- D. To analyze the financial impact of errors
Correct Answer: B
Rationale: The primary goal of a root cause analysis (RCA) in healthcare is to prevent future errors by identifying underlying causes. This is because RCA focuses on understanding the fundamental reasons behind incidents to implement effective preventive measures. By identifying root causes, healthcare providers can implement strategies to mitigate risks and enhance patient safety. The other choices are incorrect because RCA is not about assigning blame (A), improving patient satisfaction (C), or analyzing financial impact (D), but rather about understanding and addressing the core issues to prevent recurrence.
What is the primary role of a nurse in a patient-centered medical home (PCMH)?
- A. Coordinate patient care
- B. Administer treatments
- C. Provide health education
- D. Conduct research
Correct Answer: A
Rationale: The primary role of a nurse in a PCMH is to coordinate patient care. This involves ensuring all aspects of a patient's care are well-managed, communicating with various healthcare providers, and advocating for the patient's needs. This role aligns with the core principles of a PCMH, which emphasize comprehensive, coordinated, and patient-centered care. Administering treatments (B) is typically the role of physicians or other healthcare providers. Providing health education (C) is important but not the primary role of a nurse in a PCMH. Conducting research (D) is not a direct responsibility of nurses in a clinical setting like a PCMH.
A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?
- A. Airborne
- B. Protective environment
- C. Contact
- D. Droplet
Correct Answer: B
Rationale: The correct answer is B: Protective environment. Rubella is transmitted through droplets and requires the use of protective environment precautions due to its high infectivity. This includes a private room with controlled airflow and specialized ventilation. Airborne precautions (A) are for diseases spread through small particles in the air, like tuberculosis. Contact precautions (C) are for diseases spread by direct or indirect contact with the patient or their environment. Droplet precautions (D) are for diseases transmitted through respiratory droplets, like influenza. In the case of rubella, protective environment precautions are necessary to prevent the spread of the virus to other vulnerable individuals.