Nokea
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
- A. The transfer of your family member is being done because the provider knows what's best.
- B. Would you like us to discuss the transfer with your family member?
- C. Why are you so concerned about this transfer?
- D. I know how you feel. My parent had to be transferred to a long-term care facility.
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative.
Step 2: Response A provides a clear and professional explanation for the transfer.
Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family.
Step 4: It shows respect for the provider's judgment and helps build trust with the family.
Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
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The process by which registered nurses assess and judge the performance of peers against some predetermined standard is called:
- A. Group evaluation.
- B. Peer review.
- C. Forced distribution evaluation.
- D. Essay evaluation.
Correct Answer: B
Rationale: The correct answer is B: Peer review. Peer review involves registered nurses evaluating and judging the performance of their peers against predetermined standards. This process allows for feedback, improvement, and accountability within the nursing profession.
A: Group evaluation involves assessing the performance of a group as a whole, not individual peers.
C: Forced distribution evaluation is a performance appraisal method where ratings are distributed in a predetermined pattern, not specific to peer assessment.
D: Essay evaluation is a method of assessment based on written responses and does not specifically involve peer assessment.
In summary, peer review is the appropriate term for nurses assessing and judging their peers' performance against predetermined standards.
One of the perceptions of turnover is:
- A. Poor management
- B. Rejection of the job
- C. Loss of poor performers
- D. Poor job atmosphere
Correct Answer: B
Rationale: The correct answer is B: Rejection of the job. Turnover can occur when employees feel dissatisfied with their job roles, responsibilities, or work environment, leading them to reject the job and seek opportunities elsewhere. This perception aligns with the concept of voluntary turnover, where employees choose to leave due to personal reasons rather than external factors like poor management (A), loss of poor performers (C), or poor job atmosphere (D). These other choices focus on external factors or outcomes of turnover, whereas choice B directly addresses the personal perspective of the employee as a key driver of turnover.
When utilizing an internal float pool, which of the following pools is most efficient?
- A. Centralized
- B. Flexible
- C. Mixed
- D. Decentralized
Correct Answer: A
Rationale: The correct answer is A: Centralized. A centralized internal float pool is the most efficient because it allows for better coordination and utilization of resources. With a centralized pool, there is a single point of control and oversight, ensuring optimal allocation of staff and resources. This centralized approach minimizes redundancies and streamlines processes, leading to increased efficiency.
Summary:
B: Flexible - While flexibility is important, it can lead to inefficiencies if not properly managed within a float pool system.
C: Mixed - A mixed pool may result in complexities and challenges in resource allocation and coordination.
D: Decentralized - Decentralization can lead to fragmentation and lack of standardization, reducing overall efficiency in resource utilization.
In a multiple-car accident with multiple trauma clients being sent to an Emergency Department, which type of leadership would be most effective in this situation?
- A. Democratic
- B. Bureaucratic
- C. Laissez-faire
- D. Autocratic
Correct Answer: D
Rationale: The correct answer is D: Autocratic leadership. In a high-stress, time-sensitive situation like a multiple-car accident with multiple trauma clients, autocratic leadership is most effective due to its clear chain of command and quick decision-making. The leader can provide swift direction, prioritize tasks, and ensure immediate action to save lives. Democratic leadership (A) may lead to delays in decision-making. Bureaucratic leadership (B) focuses on following procedures, which may not be suitable for urgent situations. Laissez-faire leadership (C) lacks direction and can result in chaos in a crisis.
The healthcare provider is developing a critical pathway for congestive heart failure (CHF). Which components are essential to include? (Select all that apply.)
- A. Expected length of stay
- B. Assigned healthcare team
- C. Patient outcomes
- D. Medical history
Correct Answer: C
Rationale: Rationale:
- Patient outcomes are essential in a critical pathway for CHF to track progress and effectiveness of interventions.
- Expected length of stay is not a core component but can be useful for resource planning.
- Assigned healthcare team is important but not a core component in the critical pathway.
- Medical history is relevant but not essential in the development of a critical pathway for CHF.