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A client requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?
- A. "I had a bowel movement, but I was able to save the urine."
- B. "I have a specimen in the bathroom from about 30 minutes ago."
- C. "I drink a lot, so I will fill up the bottle and complete the test quickly."
- D. "I flushed what I urinated at 7:00 a.m. and have saved all urine since."
Correct Answer: C
Rationale: Option C demonstrates an understanding of the need to collect urine over 24 hours. The client's statement shows awareness that increased fluid intake will help in filling up the collection bottle quickly, which is essential for an accurate test result. This choice reflects the correct understanding of the teaching. Options A, B, and D do not reflect the necessary comprehension for a 24-hr urine collection process. Option A involves a bowel movement, which is not relevant to a urine collection. Option B only mentions a specimen from 30 minutes ago, not over a 24-hour period. Option D indicates flushing urine, which contradicts the idea of saving all urine for the test.
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If the nurse and nurse manager did not resolve the situation related to the physician's report about the nurse's performance, what is the length of time allowed for the nurse to submit an appeal?
- A. 10 days
- B. 15 days
- C. 20 days
- D. 30 days
Correct Answer: A
Rationale: If the informal discussion between the nurse and nurse manager does not resolve the issue regarding the physician's report on the nurse's performance, the nurse can submit a written appeal within 10 days, according to the health care facility policy. This 10-day timeframe ensures a prompt resolution of disputes and maintains clear communication channels within the healthcare setting. Choices B, C, and D are incorrect as they exceed the time limit allowed for the nurse to submit an appeal, which is specified to be 10 days.
An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While interviewing for a position at City Hospital, the nurse asks about the organizational structure of the institution. She is told that the hospital is organized into departments based on specialty (e.g., nursing, dietary, pharmacy, etc.). Based on what you know about organizational structure, select the structure in this example.
- A. Parallel
- B. Functional
- C. Service-integrated
- D. Matrix
Correct Answer: B
Rationale: The correct answer is 'Functional.' In a functional structure, organizations group employees into departments based on specialty, where similar tasks are performed by the same group. In this scenario, the hospital organizing its departments by specialty such as nursing, dietary, and pharmacy aligns with the characteristics of a functional structure.
Choice A, 'Parallel,' does not fit the scenario described; parallel structures involve separate, independent units operating in parallel with little interaction. Choice C, 'Service-integrated,' does not align with the scenario either as it involves integrating services across departments. Choice D, 'Matrix,' is not the correct answer as it involves a complex organizational structure where employees report to multiple managers simultaneously, which is not the case in the scenario provided.
In the scenario where a family member slips on the wet floor and hits her head, what hospital process requires completion of an incident report?
- A. Risk management
- B. Outcome management
- C. Quality management
- D. Peer review
Correct Answer: A
Rationale: In healthcare settings, completing an incident report is a crucial aspect of risk management. Risk management aims to identify, assess, and mitigate risks to prevent harm to patients, visitors, or staff. Incident reports provide valuable data for analyzing events, implementing corrective actions, and improving patient safety within the healthcare facility. Choices B, C, and D are incorrect because outcome management focuses on achieving desired results, quality management concentrates on maintaining high standards of care, and peer review involves evaluating the performance of healthcare providers, none of which directly relate to the completion of an incident report due to an accident.
Which of the following best describes the concept of value-based healthcare?
- A. Focusing on the volume of services provided
- B. Maximizing hospital revenue
- C. Improving clinical outcomes while controlling costs
- D. Emphasizing patient satisfaction
Correct Answer: C
Rationale: The correct answer is C. Value-based healthcare focuses on improving clinical outcomes while controlling costs. It emphasizes quality over quantity, aiming to provide efficient and effective care that enhances patient health outcomes while managing expenses. Choices A and B are incorrect because value-based healthcare is not about focusing on the volume of services provided or maximizing hospital revenue. Choice D, emphasizing patient satisfaction, is also not the primary focus of value-based healthcare, which prioritizes clinical outcomes and cost control.