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A nurse explaining the above graph indicates the frequency of falls in 2011 to detect and possibly explain causes of variation. The peaks in June were attributed to regular staff vacations during which agency nurses were used. The nurse is employed in which role?
- A. Case Manager
- B. Quality Manager
- C. Forensic Nurse
- D. Occupational Health Nurse
Correct Answer: B
Rationale: Step 1: The nurse's role involves analyzing data to identify causes of variation in falls, indicating a focus on quality improvement.
Step 2: As a Quality Manager, the nurse is responsible for monitoring and improving the quality of care provided.
Step 3: Case Managers focus on coordinating patient care, Forensic Nurses deal with legal aspects, and Occupational Health Nurses focus on workplace health.
Step 4: Therefore, the nurse's role aligns most closely with a Quality Manager in this scenario, making choice B the correct answer.
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An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:
- A. diagnosis-related groups (DRGs).
- B. subjective symptom management.
- C. acuity classification system.
- D. organized managed care.
Correct Answer: A
Rationale: The correct answer is A: diagnosis-related groups (DRGs). This classification system assigns a fixed price to specific diagnoses or procedures, such as pneumonia, for reimbursement purposes. DRGs aim to standardize payment based on patient diagnosis and treatment, promoting efficiency and cost containment in healthcare.
B: Subjective symptom management is not a classification system for reimbursement but rather a method of addressing patient symptoms.
C: Acuity classification system refers to determining the level of care a patient needs based on severity, not reimbursement.
D: Organized managed care involves coordination of healthcare services and providers, not specific classification for reimbursement.
A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:
- A. energy management.
- B. priority setting.
- C. procrastination.
- D. introspection.
Correct Answer: C
Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.
When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?
- A. The experienced nurse is unaware that the novice nurse is observing him or her gathering supplies needed to start intravenous antibiotics.
- B. The novice nurse mimics conversations with his or her own patients that were unobtrusively overheard between the experienced nurse and his or her patients.
- C. The novice nurse receives feedback from the experienced nurse related to the use of a new occlusive dressing product and is told, "I couldn't have done it better myself."
- D. An experienced nurse is nominated for outstanding employee of the month by the novice nurse.
Correct Answer: C
Rationale: The correct answer is C because it exemplifies the role of mentoring where the experienced nurse provides feedback and guidance to the novice nurse. Mentoring involves a structured and purposeful relationship aimed at professional growth. In this situation, the experienced nurse is directly interacting with the novice nurse, giving specific feedback on a task and showing support and encouragement. This helps the novice nurse improve their skills and knowledge.
Option A is incorrect because it describes role modeling, where the novice nurse is observing without direct interaction. Option B is incorrect as it also describes role modeling through observation and mimicry. Option D is incorrect as it does not involve direct feedback or guidance from the experienced nurse to the novice nurse.
What is the best way for the individual nurse to maintain the most effective professional image?
- A. Change out of their work attire before running errands.
- B. Renew membership in a nursing organization.
- C. Earning an advanced nursing degree.
- D. Developing effective nurse-physician relationships.
Correct Answer: A
Rationale: The correct answer is A: Change out of their work attire before running errands. This is because maintaining a professional image involves setting clear boundaries between work and personal life. By changing out of work attire before running errands, the nurse avoids potential misconceptions or misunderstandings from the public.
Choice B (Renew membership in a nursing organization) is not directly related to maintaining a professional image, although it is important for professional development. Choice C (Earning an advanced nursing degree) may enhance professional qualifications but does not directly impact the nurse's image. Choice D (Developing effective nurse-physician relationships) is important for teamwork but does not specifically address individual professional image.
A nurse interested in life satisfaction among patients receiving hemodialysis reviews databases and identifies relevant studies which are then statistically analyzed providing generalization through multiple studies. The nurse researcher is using which type of research?
- A. Quasi-experimental
- B. Secondary analysis
- C. Meta-analysis
- D. Survey
Correct Answer: C
Rationale: The correct answer is C: Meta-analysis. In this scenario, the nurse researcher is combining and analyzing data from multiple studies on life satisfaction among hemodialysis patients to draw overall conclusions. Meta-analysis allows for generalization through synthesizing results from various studies, providing a more comprehensive understanding of the topic.
Incorrect choices:
A: Quasi-experimental - This involves manipulating variables to observe their effects, which is not the case in the given scenario.
B: Secondary analysis - This refers to re-analyzing existing data, not multiple studies as in meta-analysis.
D: Survey - Surveys involve collecting data directly from participants, whereas in this case, existing studies are being analyzed.