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A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:
- A. total patient care.
- B. functional nursing.
- C. team nursing.
- D. primary nursing.
Correct Answer: B
Rationale: The correct answer is B: functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their skills and qualifications. This system is task-oriented, with each staff member responsible for a specific function, such as medication administration or personal hygiene, for the entire unit. This allows for efficient and specialized care delivery.
A: Total patient care involves one nurse providing all aspects of care to a group of patients.
C: Team nursing involves a team of healthcare professionals working collaboratively to provide care to a group of patients.
D: Primary nursing assigns one nurse to oversee the care of a group of patients from admission to discharge.
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The novice nurse calls a supervisor and requests that a "float nurse" be assigned to help with all "assessments of new admissions and postoperative patients." The supervisor asks, "How many admissions and surgery patients have you received?" The novice nurse becomes flustered because she has not checked the census but simply bases the need on feeling overwhelmed. This situation best indicates a lack of skills.
- A. organizational
- B. communication
- C. interpersonal
- D. clinical
Correct Answer: A
Rationale: The correct answer is A: organizational skills. The novice nurse's inability to assess the number of admissions and postoperative patients before requesting assistance indicates a lack of organizational skills. Organizational skills involve prioritizing tasks, managing time efficiently, and planning ahead. In this scenario, the nurse failed to gather essential information before making a decision, leading to inefficiency and potential misallocation of resources.
Choice B: communication skills, is not the best answer because the issue is not primarily related to communication breakdown but rather a lack of organizational skills. Choice C: interpersonal skills, is not the best answer because the problem does not stem from the nurse's ability to interact with others but rather from her inability to organize her workload effectively. Choice D: clinical skills, is not the best answer because the situation is more about managing workload and resources rather than clinical knowledge or expertise.
A new graduate arrives for the first interview feeling prepared and excited about beginning a nursing career but quickly becomes concerned when the recruiter asks which illegal question?
- A. "Have you been convicted of a crime other than a minor traffic violation?"
- B. "We are very interested in hiring you but you do understand the position is contingent on the results of the preemployment physical and background check?"
- C. "What do you consider to be your major weaknesses for this particular position?"
- D. "Because you are applying for a position in the operating room, you must be able to be on call. How many children do you have responsibility for at home?"
Correct Answer: D
Rationale: The correct answer is D because asking about the number of children the candidate has could potentially lead to discrimination based on family responsibilities, which is illegal. This question is not related to the candidate's ability to perform the job duties in the operating room.
A: Asking about criminal convictions is legal for certain positions for safety reasons.
B: Mentioning pre-employment checks is standard practice and not illegal.
C: Inquiring about weaknesses is a common interview question and not discriminatory.
The key to organizational success for health care facilities is:
- A. hiring younger, more energetic nurses.
- B. offering incentives such as sign-on bonuses.
- C. hiring highly qualified advanced practice nurses.
- D. retaining professional nurses.
Correct Answer: D
Rationale: The correct answer is D: retaining professional nurses. Retaining professional nurses is crucial for organizational success in healthcare facilities as it ensures continuity of care, promotes staff morale, reduces turnover costs, and maintains high-quality patient outcomes. By retaining experienced and skilled nurses, organizations can benefit from their expertise, knowledge, and commitment to providing excellent patient care.
A: Hiring younger, more energetic nurses may bring new perspectives and energy but does not guarantee the same level of experience and expertise as professional nurses.
B: Offering incentives like sign-on bonuses may attract new hires, but it does not address the underlying issues that lead to nurse turnover.
C: Hiring highly qualified advanced practice nurses is beneficial, but it does not address the importance of retaining all professional nurses within the organization.
Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?
- A. Ethnography
- B. Pilot
- C. Secondary data analysis
- D. Phenomenology
Correct Answer: B
Rationale: The correct answer is B: Pilot. A pilot study involves testing a new intervention on a small scale to assess feasibility and potential outcomes before implementing it on a larger scale. In this case, the unit is planning to use an Electronic Medical Record for a limited time to evaluate its impact on documentation time and patient care. This approach allows for targeted feedback and adjustments based on the outcomes observed during the trial period.
A: Ethnography involves in-depth observation and analysis of a specific culture or group, which is not the focus of the scenario.
C: Secondary data analysis involves the use of existing data for research purposes, not the implementation of a new intervention.
D: Phenomenology focuses on understanding individuals' subjective experiences, which is not the primary goal of implementing an Electronic Medical Record in this case.
In deciding whether to say no to a request that involves a time commitment, the professional nurse must consider:
- A. the cost-benefit ratio.
- B. the time commitment of coworkers.
- C. ways to buffer saying no.
- D. personal preference.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Cost-benefit ratio involves weighing the benefits of saying yes against the costs of the time commitment.
2. Professional nurses must consider the impact on patient care, workload, and personal well-being.
3. By evaluating the cost-benefit ratio, nurses can make informed decisions aligned with professional responsibilities and ethical standards.
Summary:
Choice A is correct because it emphasizes a systematic approach to decision-making based on evaluating the overall impact of the time commitment. Choices B, C, and D are incorrect as they do not address the essential consideration of weighing costs and benefits in decision-making.