Nokea
A nurse supervisor is planning an educational session for her staff regarding improving teamwork among different generations. Which of the following recommendations will reduce potential generational conflicts?
- A. Involve only millennials in technology decisions.
- B. Focus on the team as a whole, rather than individual generations.
- C. Involve only the baby boomers in technology decisions.
- D. Practice active and assertive communication techniques.
Correct Answer: D
Rationale: The correct answer is D, practicing active and assertive communication techniques. This recommendation is effective in reducing potential generational conflicts because clear and direct communication helps bridge the gap between different generations by promoting understanding and mutual respect. By using active listening and assertively expressing thoughts and feelings, team members can communicate effectively and resolve conflicts efficiently.
Summary:
A: Involving only millennials in technology decisions can lead to exclusion of other generations, increasing conflicts.
B: Focusing on the team as a whole is important, but specific strategies for addressing generational differences are necessary.
C: Involving only baby boomers in technology decisions can create resentment and conflict among other generations.
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Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)
- A. At least 1,250 hours during the previous 12 months.
- B. At least 12 months.
- C. At least six months.
- D. At a work site with 50 employees within a 75-mile radius.
Correct Answer: C
Rationale: The correct answer is C: At least six months. This is because eligibility for a leave of absence is typically based on the duration of employment, with many employers requiring a minimum of six months of service before being eligible. Choices A and B are common criteria for FMLA eligibility, but not for general leave of absence policies. Choice D is related to the Family and Medical Leave Act (FMLA) provision on worksite eligibility, not individual employee eligibility. Therefore, choice C is the most relevant and appropriate requirement for employees to take a leave of absence.
Construction is occurring in the Emergency Department, with equipment and sharp items being used by the contractors. As the charge nurse, you are concerned that agitated patients might use the equipment as weapons and you meet with staff to: (EXCEPT)
- A. Notify the nursing supervisor.
- B. Notify security.
- C. Have them check patients to verify safety.
- D. Ask construction workers to be responsible.
Correct Answer: D
Rationale: The correct answer is D because asking construction workers to be responsible for the equipment and sharp items used is not within the charge nurse's role or authority. The responsibility for ensuring safety and security in the Emergency Department lies with the healthcare staff (including the charge nurse) and security personnel. Construction workers may not have the training or expertise to handle agitated patients or prevent potential incidents.
A: Notifying the nursing supervisor (A) can help escalate the issue and involve higher authority in addressing the safety concern.
B: Notifying security (B) is essential to ensure that trained professionals are present to handle security-related issues.
C: Having staff check patients (C) is important to verify their safety, but it does not address the primary concern of preventing patients from accessing construction equipment as weapons.
Which of the following is a common characteristic of a high reliability organization (HRO)?
- A. Flexibility
- B. Reluctance to simplify
- C. Preoccupation with failure
- D. Deference to expertise
Correct Answer: C
Rationale: The correct answer is C: Preoccupation with failure. High reliability organizations (HROs) prioritize identifying and addressing potential failures to prevent catastrophic events. This focus on failure helps them anticipate, detect, and respond to risks effectively. A: Flexibility may be important but not a defining characteristic of HROs. B: Reluctance to simplify is not a common characteristic as HROs value simplicity and clarity in communication. D: Deference to expertise is beneficial but not exclusive to HROs as many organizations value expertise. Therefore, the preoccupation with failure is the key characteristic of a high reliability organization.
What is the main focus of the Six Sigma methodology in healthcare?
- A. Reducing healthcare costs
- B. Improving patient satisfaction
- C. Enhancing clinical decision making
- D. Increasing healthcare access
Correct Answer: C
Rationale: The main focus of Six Sigma methodology in healthcare is enhancing clinical decision making. This is because Six Sigma aims to reduce variations and defects in processes, leading to improved quality and efficiency. By enhancing clinical decision making, healthcare providers can make more accurate and timely decisions, resulting in better patient outcomes.
Incorrect choices:
A: Reducing healthcare costs is a common goal in healthcare improvement initiatives but not the main focus of Six Sigma.
B: Improving patient satisfaction is important but not the primary focus of Six Sigma, which aims at process improvement.
D: Increasing healthcare access is crucial, but it is not the main focus of Six Sigma, which is more about quality improvement within existing processes.
One reason for conducting a comprehensive medical exam on an applicant is:
- A. It is needed to protect the organization from legal actions.
- B. It is required after a strenuous interview.
- C. It is mandated by law.
- D. It is necessary to screen for disabilities that may impact employment.
Correct Answer: A
Rationale: The correct answer is A because conducting a comprehensive medical exam helps protect the organization from potential legal actions related to discriminatory hiring practices. It ensures that the applicant meets the job's physical requirements and doesn't pose a health risk to themselves or others in the workplace. Choice B is incorrect as medical exams are not typically required after interviews. Choice C is incorrect as not all jurisdictions mandate comprehensive medical exams. Choice D is incorrect as screening for disabilities should be done through non-discriminatory means, not solely through medical exams.