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A nurse is considering employment at a long-term care facility that has a functional nursing delivery system. Knowing this, the nurse could expect that:
- A. Each RN would coordinate care for a group of clients.
- B. One RN would pass meds for all clients on a unit.
- C. Each RN would deliver total care to an assigned group of clients.
- D. One RN, one LPN, and one unlicensed assistive personnel would share responsibility for a group of clients.
Correct Answer: B
Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately.
A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients.
C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients.
D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.
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A client is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should be taken?
- A. Ask the client to consider a direct donation
- B. Withhold the blood transfusion
- C. Ask the client to consider a direct donation
- D. Request a consultation with the ethics committee
Correct Answer: A
Rationale: The correct answer is A. Asking the client to consider a direct donation respects their religious beliefs while also addressing the partner's concerns. This option promotes patient autonomy and involves the client in decision-making.
B: Withholding the blood transfusion disregards the client's autonomy and may lead to ethical issues.
C: This is a repeated option and does not provide a different course of action.
D: Requesting a consultation with the ethics committee may delay necessary treatment and should be considered only when there is a significant ethical dilemma beyond this situation.
What is the primary focus of a patient safety program?
- A. To reduce healthcare costs
- B. To improve clinical outcomes
- C. To enhance patient satisfaction
- D. To comply with regulatory standards
Correct Answer: C
Rationale: The primary focus of a patient safety program is to enhance patient satisfaction. This is because the ultimate goal of patient safety initiatives is to ensure that patients receive safe and high-quality care, leading to improved patient experience and satisfaction. By prioritizing patient safety, healthcare providers can build trust with patients, reduce medical errors, and prevent harm.
Why other choices are incorrect:
A: While reducing healthcare costs may be a positive outcome of a patient safety program, it is not the primary focus.
B: Improving clinical outcomes is an important goal of patient safety programs, but it is not the primary focus as patient satisfaction encompasses a broader aspect of care.
D: Compliance with regulatory standards is essential, but it is a means to achieve patient safety rather than the primary focus.
An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?
- A. Commitment to others means I should be honest and accountable for my actions.
- B. I should encourage my fellow nurses to talk when they are having a bad day.
- C. I should be flexible with myself and my fellow nurses when it comes to the dress code.
- D. If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Commitment to others implies putting patients' needs first, being honest, and taking responsibility for one's actions.
2. Being honest and accountable are key components of professionalism in nursing.
3. Accountability ensures that patients receive safe and quality care.
4. Encouraging honesty and accountability among colleagues promotes a culture of safety and trust.
Summary:
- Choice A is correct as it aligns with the principles of professionalism in nursing.
- Choices B, C, and D do not directly address the core aspects of professionalism, such as honesty, accountability, and prioritizing patient care.
Characteristics that an interviewer will be most interested in when selecting a new staff will be: (EXCEPT)
- A. Your confidence in your clinical skills.
- B. How many hours of overtime you will work.
- C. Your ability to work as a team member.
- D. Your clinical competence.
Correct Answer: B
Rationale: The correct answer is B: How many hours of overtime you will work. Interviewers are primarily interested in your clinical competence, ability to work as a team member, and confidence in your skills. Overtime hours are not typically a deciding factor in selecting a new staff member as it relates more to scheduling and workload management, which can be negotiated after hiring. It is important to focus on demonstrating your skills, teamwork, and confidence during the interview to showcase your suitability for the position.
Which of the following is an example of voluntary absenteeism?
- A. Staying home for a sick child
- B. Staying home for a funeral
- C. Staying home to run errands or finish housework
- D. Staying home for sickness
Correct Answer: C
Rationale: The correct answer is C. Voluntary absenteeism refers to missing work by choice rather than due to circumstances like illness or emergencies. Staying home to run errands or finish housework falls under this category as it is a personal choice unrelated to external factors.
A, B, and D are incorrect because staying home for a sick child, a funeral, or due to sickness are examples of involuntary absenteeism, where circumstances beyond the individual's control necessitate their absence from work.