Nokea
A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?
- A. "You have the patients in rooms 1 to
- B. "I need your help; let me know your suggestions."
- C. "You’re experienced, so take over and decide."
- D. "I’m in charge, so do as I say."
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the experienced staff member's expertise by asking for their input and suggestions. This approach fosters open communication, encourages collaboration, and shows a willingness to learn from others. Choice A lacks clarity and assumes the staff member knows the patients in question. Choice C is presumptuous and dismissive of the staff member's autonomy. Choice D is authoritarian and does not promote a positive working relationship. Ultimately, choice B promotes teamwork and mutual respect, leading to a smoother delegation process.
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A nurse is concerned about safe staffing levels at a facility and observes that several units have no RN coverage but instead have RNs who float among several units. In determining whether this staffing concern should be reported to an outside agency, the nurse understands that, with whistle-blowing:
- A. reporting unsafe staffing levels to The Joint Commission provides protection from the employer.
- B. keeping copies of documented inappropriate staffing patterns in the nurse's personal file is illegal.
- C. when observing inappropriate staffing, the nurse should record her personal thoughts concerning the outcomes.
- D. one should seek guidance from a trusted individual who can provide an objective point of view.
Correct Answer: A
Rationale: The correct answer is A because reporting unsafe staffing levels to The Joint Commission is an appropriate course of action for addressing concerns about patient safety. The Joint Commission is an independent organization that accredits healthcare facilities and promotes high-quality care standards. Whistleblower protection laws safeguard employees who report violations of laws, regulations, or standards that threaten public health or safety. Reporting to The Joint Commission can lead to an investigation and potential improvement in staffing levels to ensure patient safety.
Incorrect answers:
B: Keeping copies of documented inappropriate staffing patterns in the nurse's personal file is not illegal, but it may not be the most effective way to address the issue.
C: Recording personal thoughts on outcomes is not as effective as taking action to report concerns to the appropriate regulatory body.
D: Seeking guidance is important, but in cases of unsafe staffing levels, it is crucial to report the issue to the appropriate regulatory agency for resolution.
A concern that nurses were being asked to perform tasks that went beyond the state's nurse practice act was brought to the union's attention. Nurses were informed that either mediation or binding arbitration will be used to resolve the issue. A novice nurse asks about the difference between these techniques and is informed that:
- A. mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor.
- B. binding arbitration is a formal discussion between labor and management in which the arbitrator's recommendations are compulsory.
- C. mediation uses a trained person to negotiate a legally binding plan.
- D. binding arbitration requires both labor and management to participate in discussions on the least destructive approach to allow self-governance by employees.
Correct Answer: B
Rationale: The correct answer is B because binding arbitration involves a formal discussion where the arbitrator's recommendations are compulsory, meaning both parties must abide by the decision. This ensures a resolution to the issue at hand.
A is incorrect because mediation is not necessarily sanctioned by the NLRB for formal discussions.
C is incorrect because mediation does not typically result in a legally binding plan; it is a negotiation process to reach a mutually acceptable agreement.
D is incorrect because binding arbitration does not specifically focus on the least destructive approach or self-governance by employees; it is about reaching a binding decision by a neutral third party arbitrator.
A physician bills the insurance company for a computed tomography (CT) scan, laboratory tests, chest x-ray, and an extended visit and receives revenue for each procedure billed. This type of payment system is a payment system.
- A. prospective
- B. retrospective
- C. diagnosis-related group
- D. capitated
Correct Answer: D
Rationale: The correct answer is D: capitated. In a capitated payment system, the physician receives a fixed amount per patient regardless of the services provided. This incentivizes cost-effective care and promotes preventive measures. In this scenario, the physician is receiving revenue for each procedure billed, which is not characteristic of capitated payment.
A: Prospective payment is when a fixed amount is determined in advance for specific services rendered. This is not the case in the scenario provided.
B: Retrospective payment involves reimbursement after the services are provided, which is not reflected in the scenario given.
C: Diagnosis-related group (DRG) is a payment system used in hospitals based on the diagnosis and procedures performed, not applicable to individual physician billing as presented in the question.
A nurse is interested in studying the rituals of a tribe living in remote areas of AfricThe researcher is accepted into the tribe and observes firsthand the rituals practiced. Themes were analyzed to arrive at a description of the culture including rituals. The nurse is practicing which type of research?
- A. Qualitative, Ethnography
- B. Qualitative, Phenomenology
- C. Quantitative, Quasi-experimental
- D. Quantitative, Secondary data analysis
Correct Answer: A
Rationale: The correct answer is A: Qualitative, Ethnography. Ethnography involves studying a culture through direct observation and interaction, which aligns with the nurse's approach of observing the tribe's rituals firsthand. This type of research focuses on understanding cultural practices and behaviors in their natural context, making it suitable for studying the tribe's rituals.
Choice B: Qualitative, Phenomenology focuses on exploring individuals' lived experiences and perceptions, not cultural practices like rituals. Choice C: Quantitative, Quasi-experimental involves manipulating variables in controlled settings, not ethnographic observation. Choice D: Quantitative, Secondary data analysis involves analyzing existing numerical data, not direct observation of cultural rituals.
Which statement regarding informed consent is correct? Informed consent:
- A. is mandated by federal but not state law.
- B. must reveal expected benefits.
- C. requires concealing any known risks.
- D. allows the RN to communicate information needed so that informed consent can be provided.
Correct Answer: D
Rationale: The correct answer is D because informed consent requires the registered nurse (RN) to communicate all necessary information to the patient so they can make an informed decision. This includes explaining the procedure, potential risks, benefits, alternatives, and any other pertinent information. The RN plays a crucial role in ensuring that the patient understands the information provided before giving consent. Choices A, B, and C are incorrect because informed consent is not solely mandated by federal law, must disclose risks as well as benefits, and should not involve concealing any known risks.