A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
- A. Wear an N95 respirator when giving direct care to the client.
- B. Place the client in a private room with negative-pressure airflow.
- C. Ensure the client's room has at least six air exchanges per hour.
- D. Ensure the client wears a mask when outside their room if there is construction in the area.
Correct Answer: A
Rationale: The correct answer is A: Wear an N95 respirator when giving direct care to the client. This is correct because allogeneic stem cell transplant recipients are at high risk for infection due to immunosuppression. An N95 respirator helps protect the nurse from inhaling airborne pathogens when in close contact with the client.
Choice B is incorrect because negative-pressure airflow rooms are typically used for clients with airborne infections, not for those at risk due to immunosuppression.
Choice C is incorrect because although adequate air exchanges are important for infection control, it is not the specific precaution needed for a client with an allogeneic stem cell transplant.
Choice D is incorrect because wearing a mask outside the room is not as effective in preventing transmission of infections as wearing an N95 respirator during direct care.
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Which of the following is a common characteristic of a high-performing healthcare team?
- A. Effective communication
- B. Shared leadership
- C. Collaborative decision making
- D. Hierarchical structure
Correct Answer: C
Rationale: The correct answer is C: Collaborative decision making. This is a common characteristic of a high-performing healthcare team because it promotes teamwork, respect for diverse perspectives, and ensures that decisions are made collectively with input from all team members. Collaborative decision making allows for better problem-solving, increases team morale, and fosters a sense of ownership and accountability among team members.
A: Effective communication is important in a healthcare team, but it alone does not guarantee high performance.
B: Shared leadership is valuable, but it is not as essential as collaborative decision making in ensuring team success.
D: Hierarchical structure can hinder collaboration and innovation within a team, making it less likely to be high-performing.
In summary, collaborative decision making is the best choice as it promotes teamwork, inclusivity, and better decision outcomes within a healthcare team.
Monitoring the number of times a medication is given utilizing the 'five rights' is an example of which phase of the Six Sigma program?
- A. Measure
- B. Management
- C. Quantitative
- D. Goal
Correct Answer: A
Rationale: The correct answer is A: Measure. In the Six Sigma program, the Measure phase involves collecting data to understand the current process performance. Monitoring the number of times a medication is given using the 'five rights' aligns with this phase as it focuses on measuring the accuracy and effectiveness of medication administration. This data helps identify any deviations from the desired standards and provides insights for improvement.
Summary of why other choices are incorrect:
B: Management - This choice does not specifically address the phase related to data collection and measurement.
C: Quantitative - While data collection is quantitative in nature, this choice does not capture the specific phase of Six Sigma that focuses on measurement.
D: Goal - This choice does not directly relate to the phase involving data collection and measurement; it is more focused on setting objectives and targets.
Which of the following best describes the ethical concept of values?
- A. Values are an individual’s feelings about situations.
- B. Values are learned through family systems.
- C. Values are organized ways of thinking about the meaning of life.
- D. Values determine the rightness or wrongness of behavior.
Correct Answer: A
Rationale: The correct answer is A because values are subjective and personal beliefs that influence one's feelings and attitudes towards situations. This aligns with the definition of values as individual's principles or standards of behavior.
B is incorrect because values are not solely learned through family systems, but can also be influenced by culture, education, and personal experiences.
C is incorrect because values are more about personal beliefs and principles rather than organized ways of thinking about the meaning of life.
D is incorrect because values are not the sole determinants of rightness or wrongness of behavior, as ethical principles and moral standards also play a role in making such judgments.
Which of the following statements regarding leadership and management is true?
- A. Leadership is focused on the achievement of organizational goals.
- B. One must develop the ability to adapt in order to lead.
- C. Management occurs when an individual attempts to influence another.
- D. Successful managers encourage others to work together toward a common goal.
Correct Answer: D
Rationale: Rationale:
D is the correct answer because successful managers indeed play a key role in encouraging collaboration and teamwork to achieve common goals. Managers are responsible for overseeing tasks, guiding employees, and fostering a positive work environment. By encouraging teamwork, managers can enhance productivity and efficiency within the organization.
A: Leadership focuses on inspiring and guiding others towards achieving organizational goals, not just solely achieving goals themselves.
B: The ability to adapt is important for effective leadership, but it is not the defining characteristic.
C: Management involves influencing others, but it is not solely about attempting to influence others; it also involves planning, organizing, and controlling resources.
The time period to give as notice for an appraisal is:
- A. One day.
- B. None.
- C. One week.
- D. Two days.
Correct Answer: D
Rationale: The correct answer is D: Two days. The Uniform Standards of Professional Appraisal Practice (USPAP) requires a minimum of two days' notice for an appraisal. This time frame allows the appraiser to adequately prepare for the appraisal assignment, gather necessary information, and schedule the inspection. Choice A is incorrect as one day is not sufficient time for proper preparation. Choice B is incorrect as no notice is not in compliance with USPAP standards. Choice C is incorrect as one week exceeds the minimum requirement of two days.