Nokea
Which of the following types of HMOs (Health Maintenance Organizations) contracts with two or more IPAs (Independent Practice Associations)?
- A. Staff model
- B. Point of service model
- C. Network model
- D. Group model
Correct Answer: C
Rationale: The correct answer is C: Network model. In a network model HMO, the organization contracts with two or more IPAs. IPAs are groups of independent doctors who work together to provide care. This model allows members to choose from a network of providers.
A: Staff model HMOs directly employ physicians.
B: Point of service model HMOs allow members to go out of network for care.
D: Group model HMOs contract with a single medical group, not multiple IPAs.
Therefore, the network model is the correct choice as it specifically involves contracting with multiple IPAs, distinguishing it from the other options.
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A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
- A. Activate the emergency fire alarm.
- B. Extinguish the fire.
- C. Evacuate the client.
- D. Confine the fire.
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.
Even though this is not easy, facilitating ____________ is a mandatory skill for all nurse managers and is crucial in the success of the manager.
- A. resistance
- B. change
- C. planning
- D. collection of data
Correct Answer: B
Rationale: The correct answer is B: change. Nurse managers often encounter resistance when implementing changes in healthcare settings. Facilitating change involves effectively managing resistance, promoting buy-in, and ensuring successful implementation. This skill is crucial for nurse managers to drive positive outcomes and improve patient care. Planning (choice C) and collection of data (choice D) are important skills but do not directly address the challenges of managing change. Resistance (choice A) is the opposite of what nurse managers aim to overcome when leading change initiatives.
You believe that you are working harder than other nurses and that you take care of patients that are more complex. You are angry that other staff nurses have less complex and lower acuity patients, but you __________ .
- A. Avoid discussing the situation because you do not want to be perceived as a complainer.
- B. Know that you need to discuss the inequity with the nurse manager because you are resenting the work and becoming more dissatisfied in your job
- C. A & B
- D. None of the above
Correct Answer: C
Rationale: The correct answer is C. This is because both options A and B are valid courses of action in this scenario. Option A suggests avoiding discussing the situation to prevent being seen as a complainer, which can be a mature approach to handle the situation diplomatically. Option B emphasizes the importance of addressing the inequity with the nurse manager to prevent increasing dissatisfaction with the job. By choosing option C, you can combine the benefits of both approaches, addressing the issue with the nurse manager while also maintaining professionalism and avoiding unnecessary conflict with colleagues.
A nurse enters a client's room and finds them on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?
- A. Incident report completed.
- B. Client climbed over the side rails.
- C. Client was trying to get out of bed.
- D. Client found lying on floor.
Correct Answer: C
Rationale: Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition.
Summary:
A: Incident report completed - Not relevant to documenting the client's actions during the fall.
B: Client climbed over the side rails - Assumes an action not reported by the roommate.
D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.
When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)
- A. Describing the staff nurse's behavior that violated the policy
- B. Terminating the staff immediately
- C. Confrontation
- D. Determining the employee's awareness of the policy
Correct Answer: B
Rationale: Correct Answer (B): Terminating the staff immediately
Rationale: Terminating the staff immediately is not the necessary step when a policy violation occurs. It is essential to follow due process, investigate the situation, provide the staff with the opportunity to explain themselves, and consider factors like intent, past behavior, and potential training needs. Rushing to terminate without proper investigation or understanding can lead to legal issues and unfair treatment.
Summary:
A: Describing the staff nurse's behavior - Important to clearly communicate the violation for transparency and understanding.
C: Confrontation - Addressing the issue directly and professionally is crucial for resolving conflicts.
D: Determining the employee's awareness - Assessing the employee's understanding of the policy helps identify training needs and prevent future violations.