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A nurse is concerned because novice nurses are having their orientation period shortened and are being placed in charge nurse positions. The nurse has documented unsafe care and decisions by these novice nurses. To be protected from retaliation by the employer, this nurse must "blow the whistle" by:
- A. holding a public forum in the agency cafeteria to discuss concerns.
- B. reporting concerns to state and/or national agencies regulating the agency.
- C. calling coworkers outside the workplace to informally discuss wrongdoing.
- D. contacting The Joint Commission to report unsafe conditions.
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Reporting concerns to state and/or national agencies is a formal and official way to blow the whistle.
2. State and national agencies have the authority to investigate and take action on reported concerns.
3. Whistleblower protection laws often cover individuals who report to regulatory agencies.
4. This action ensures the concerns are addressed at a higher level and can protect the nurse from retaliation.
Summary of why the other choices are incorrect:
A. Holding a public forum may not provide the necessary confidentiality or protection for the nurse.
C. Informally discussing wrongdoing with coworkers may not result in formal actions to address the concerns.
D. Contacting The Joint Commission is a good option, but reporting concerns to state and/or national agencies is more direct and appropriate in this scenario.
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A patient is admitted with pneumoniThe case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
- A. patient classification system.
- B. clinical pathway.
- C. patient-centered plan of care.
- D. diagnosis-related group (DRG).
Correct Answer: B
Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics.
A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans.
C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway.
D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.
A nurse is very interested in learning more about health care economics and how she can use that knowledge to become a better patient advocate. She comments, "Nurses should not only deliver care one day at a time in one facility but should coordinate patient care as they move from acute care to rehabilitation to home care." This nurse would be a candidate for which nursing role?
- A. Disease management program (DMP) for chronic illnesses
- B. A hospital-based utilization management nurse who reviews medical records to determine the most appropriate DRG for patients
- C. Case management
- D. Reviewer for Managed Care Organization
Correct Answer: C
Rationale: Rationale:
1. The nurse's interest in coordinating patient care across different settings aligns with the role of a case manager.
2. Case managers focus on ensuring continuity of care and coordinating services for patients transitioning between different healthcare settings.
3. This role involves advocating for patients' needs and optimizing their health outcomes through seamless care transitions.
Summary:
A: DMP focuses on managing chronic illnesses, not coordinating care across settings.
B: Utilization management nurses focus on determining appropriate reimbursement levels, not on care coordination.
D: Reviewers for Managed Care Organizations focus on assessing medical necessity and cost-effectiveness, not on care coordination.
Customer satisfaction is primarily based on:
- A. access to modern, up-to-date facilities.
- B. availability of an extensive menu selection.
- C. personal interactions with employees.
- D. having to undergo fewer invasive procedures.
Correct Answer: C
Rationale: The correct answer is C: personal interactions with employees. Customer satisfaction is primarily influenced by the quality of interactions with employees as it shapes the overall experience. Positive interactions build trust, rapport, and a sense of care which directly impact satisfaction levels. This human element creates a more personalized and engaging experience for customers, leading to higher satisfaction rates. Access to modern facilities (A) and an extensive menu selection (B) may enhance the overall customer experience but do not directly address the core factor of personal interactions. Having to undergo fewer invasive procedures (D) is not relevant to customer satisfaction in this context.
Studies conducted to determine enrollment trends in nursing schools have found that in the last years:
- A. a greater number of individuals chose nursing as a career but could not meet entrance requirements.
- B. more young people chose to enter the profession of nursing.
- C. fewer career opportunities exist in the profession of nursing and fewer opportunities are projected to exist for women.
- D. men have dominated the profession, and women feel that they have experienced discrimination.
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the enrollment trends in nursing schools. The statement indicates that a greater number of individuals have chosen nursing as a career but could not meet entrance requirements, implying an increase in interest but a barrier to entry.
Explanation:
- Choice A directly relates to enrollment trends by highlighting an increase in interest but a challenge in meeting requirements.
- Choice B is incorrect as the question focuses on enrollment trends, not the age of individuals entering nursing.
- Choice C is incorrect as it suggests a decrease in career opportunities and projects a negative outlook for women, which is not supported by the question.
- Choice D is incorrect as it introduces a gender dynamic not mentioned in the question and does not address enrollment trends.
Which experience is best designed to support a nursing student's preparation for interprofessional team participation?
- A. Attending a seminar on interprofessional team cooperation
- B. Completing a preceptorship with an advanced practice nurse
- C. Carrying for three patients with varying medical diagnoses
- D. Presenting patient information at the daily care planning meeting on a mental health unit
Correct Answer: B
Rationale: The correct answer is B, completing a preceptorship with an advanced practice nurse. This experience allows the nursing student to directly work with and learn from a more experienced healthcare professional, gaining firsthand knowledge of interprofessional collaboration, communication, and teamwork. The preceptorship provides practical, real-world exposure to interprofessional team dynamics and allows for mentorship and guidance.
A: Attending a seminar may provide theoretical knowledge but lacks the practical application and direct experience of working within a team.
C: Caring for patients with varying medical diagnoses is important for developing clinical skills but may not specifically focus on interprofessional team participation.
D: Presenting patient information at a meeting involves communication skills but does not offer the same level of hands-on experience in interprofessional teamwork as a preceptorship.