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Which of the following best describes the concept of value-based healthcare?
- A. Focusing on the volume of services provided
- B. Maximizing hospital revenue
- C. Improving clinical outcomes while controlling costs
- D. Emphasizing patient satisfaction
Correct Answer: C
Rationale: The correct answer is C. Value-based healthcare focuses on improving clinical outcomes while controlling costs. It emphasizes quality over quantity, aiming to provide efficient and effective care that enhances patient health outcomes while managing expenses. Choices A and B are incorrect because value-based healthcare is not about focusing on the volume of services provided or maximizing hospital revenue. Choice D, emphasizing patient satisfaction, is also not the primary focus of value-based healthcare, which prioritizes clinical outcomes and cost control.
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Which of the following is a positive benefit of conflict within an organization?
- A. Conflict leads to compromise of values and beliefs.
- B. Conflict leads to intergroup collaboration.
- C. Conflict helps people recognize differences and motivates them towards improved performance.
- D. Conflict always results in a win-win resolution.
Correct Answer: C
Rationale: The correct answer is C. Conflict within an organization can have positive outcomes as it helps individuals recognize legitimate differences, fostering diversity of thought and perspectives. This recognition can serve as a motivator for individuals to enhance their performance in order to address and adapt to these differences effectively, ultimately leading to improved organizational outcomes. Choice A is incorrect because conflict should not lead to compromising core values and beliefs. Choice B is incorrect as conflict typically leads to competition rather than collaboration. Choice D is incorrect because conflict does not always result in a win-win resolution; in reality, conflicts often involve compromise and trade-offs rather than everyone winning.
A client requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?
- A. "I had a bowel movement, but I was able to save the urine."
- B. "I have a specimen in the bathroom from about 30 minutes ago."
- C. "I drink a lot, so I will fill up the bottle and complete the test quickly."
- D. "I flushed what I urinated at 7:00 a.m. and have saved all urine since."
Correct Answer: C
Rationale: Option C demonstrates an understanding of the need to collect urine over 24 hours. The client's statement shows awareness that increased fluid intake will help in filling up the collection bottle quickly, which is essential for an accurate test result. This choice reflects the correct understanding of the teaching. Options A, B, and D do not reflect the necessary comprehension for a 24-hr urine collection process. Option A involves a bowel movement, which is not relevant to a urine collection. Option B only mentions a specimen from 30 minutes ago, not over a 24-hour period. Option D indicates flushing urine, which contradicts the idea of saving all urine for the test.
Several factors are considered in the calculation of the amount of FTEs. Which of the following is NOT considered when calculating the FTEs? (EXCEPT)
- A. Hours of care provided
- B. Ancillary staff
- C. Procedures to be done
- D. Types of patients
Correct Answer: A
Rationale: When calculating the Full-Time Equivalents (FTEs), factors such as the hours of work for the staff for two weeks, average daily census, and types of patients are considered. However, the hours of care provided are not typically included in the calculation of FTEs. Therefore, the correct answer is A. Choice B, ancillary staff, can impact FTE calculations as they contribute to the overall workload. Choice C, procedures to be done, can also influence FTE calculations, especially if they affect staffing requirements. Choice D, types of patients, play a role in determining the level of care needed and subsequently impact FTE calculations.
What is the main purpose of a patient satisfaction survey?
- A. To improve patient outcomes
- B. To evaluate nursing performance
- C. To measure patient satisfaction
- D. To assess healthcare facilities
Correct Answer: C
Rationale: The main purpose of a patient satisfaction survey is to measure patient satisfaction. These surveys aim to gather feedback directly from patients regarding their experiences and perceptions of the healthcare services they have received. Choice A is incorrect because while patient satisfaction may impact outcomes indirectly, the primary goal of the survey is not to directly improve patient outcomes. Choice B is incorrect as patient satisfaction surveys are not primarily focused on evaluating nursing performance specifically. Choice D is also incorrect as the main focus of the survey is on the satisfaction of patients rather than assessing healthcare facilities.
What should the nurse do after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?
- A. Assess the patient for symptoms of hyperglycemia.
- B. Give the patient a snack of peanut butter and crackers.
- C. Have the patient drink a glass of orange juice or nonfat milk.
- D. Administer a continuous infusion of 5% dextrose for 24 hours.
Correct Answer: B
Rationale: After a patient treated with intramuscular glucagon for hypoglycemia regains consciousness, providing a snack of peanut butter and crackers is essential to prevent another episode of hypoglycemia. Peanut butter and crackers contain a combination of protein and carbohydrates, which can help stabilize the patient's blood glucose levels. This choice is the most appropriate immediate action to prevent recurrence of hypoglycemia in this scenario. Assessing for symptoms of hyperglycemia (choice A) is not the immediate priority after treating hypoglycemia. While orange juice or nonfat milk (choice C) can help raise blood sugar, they lack the sustained effect of protein found in peanut butter. Administering continuous infusion of dextrose (choice D) is excessive and not indicated after the patient has already regained consciousness.