Nokea
A Staff Nurse submits a six-week notice of resignation. The Nurse Manager prepares a request to immediately post the position and begin interviews. This action is best described as which of the following?
- A. Delegation
- B. A time-waster
- C. Reactive management
- D. Proactive management
Correct Answer: D
Rationale: The correct answer is D: Proactive management. This is because the Nurse Manager is taking preemptive action by posting the position and starting interviews immediately upon receiving the resignation notice. This proactive approach ensures a smooth transition and minimizes disruptions in patient care.
Choice A, Delegation, is incorrect because the Nurse Manager is not assigning tasks to others but taking direct action. Choice B, A time-waster, is incorrect as the Manager's actions are aimed at being efficient and timely. Choice C, Reactive management, is incorrect as the Manager is not waiting for an issue to arise but is being proactive in planning for the future.
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Which finding indicates a need to contact the health care provider before the nurse
administers metformin (Glucophage)?
- A. The patient’s blood glucose level is 174 mg/dL.
- B. The patient has gained 2 lb (0.9 kg) since yesterday.
- C. The patient is scheduled for a chest x-ray in an hour
- D. The patient’s blood urea nitrogen (BUN) level is 52 mg/dL.
Correct Answer: D
Rationale: The correct answer is D because an elevated BUN level of 52 mg/dL indicates potential kidney dysfunction, which is a contraindication for metformin due to the risk of lactic acidosis.
A: Blood glucose level of 174 mg/dL is slightly high but not a contraindication for metformin.
B: Weight gain is unrelated to metformin administration.
C: Chest x-ray does not directly impact metformin administration.
Integrated health care systems function in a variety of models. Which of the following is a common characteristic of all systems?
- A. Deliver selective care only
- B. Deliver a whole continuum of care
- C. Treat patients only in the hospital
- D. Provide care only in the primary care setting
Correct Answer: B
Rationale: The correct answer is B: Deliver a whole continuum of care. Integrated health care systems are designed to provide comprehensive and coordinated care across various settings to meet the diverse needs of patients. This model emphasizes preventive care, primary care, specialty care, and even mental health services to ensure holistic healthcare delivery.
A: Deliver selective care only - This is incorrect as integrated health care systems aim to offer a wide range of services beyond selective care.
C: Treat patients only in the hospital - This is incorrect as integrated systems provide care across different settings, not just in hospitals.
D: Provide care only in the primary care setting - This is incorrect as integrated systems offer care in multiple settings, not limited to primary care.
A __________ is often helpful to use when a problem is not easily identified.
- A. trial and error
- B. Delphi method
- C. political decision-making model
- D. affinity map
Correct Answer: D
Rationale: The correct answer is D: affinity map. When a problem is not easily identified, using an affinity map can help organize and visually represent different ideas or information related to the issue. This method allows for clustering similar themes or concepts, leading to a clearer understanding of the problem.
A: Trial and error involves randomly trying different solutions without a systematic approach.
B: The Delphi method is a structured communication technique for gathering opinions from experts, which may not directly help in identifying the problem.
C: Political decision-making model focuses on power dynamics and interests, which may not be relevant for problem identification.
In summary, using an affinity map promotes structured organization of information, making it the most suitable choice for identifying unclear problems.
Which of the following are significant benefits to an organization that is considering adoption of a practice partnership model? (Select all that apply.)
- A. Clients express reduced satisfaction.
- B. It is less expensive to implement than other models.
- C. Continuity of care is facilitated.
- D. Leadership is well accepted.
Correct Answer: C
Rationale: Rationale:
C is correct because a practice partnership model enhances continuity of care, leading to improved patient outcomes and satisfaction. It promotes collaboration among healthcare providers, ensuring seamless transitions between different levels of care. This model also fosters better communication and coordination among team members.
Summary:
A: Incorrect. Clients actually benefit from increased satisfaction due to improved care coordination.
B: Incorrect. Practice partnership models may require initial investment but yield long-term benefits.
D: Incorrect. Leadership acceptance may vary, but the primary benefit lies in improved care continuity.
The staff on a medical-surgical unit is in conflict with the occupational therapy department. What type of communication will be used to discuss the problems?
- A. Downward communication
- B. Lateral communication
- C. Distorted communication
- D. Upward communication
Correct Answer: B
Rationale: The correct answer is B: Lateral communication. In this scenario, the conflict between the staff and the occupational therapy department requires communication between individuals at the same hierarchical level. Lateral communication enables direct discussion and collaboration among peers to address issues and find solutions.
A: Downward communication involves communication from higher to lower levels in the hierarchy, which would not be suitable for resolving conflicts between different departments.
C: Distorted communication implies a breakdown in the communication process, leading to misunderstandings and misinterpretations, which would not be effective in addressing the conflict.
D: Upward communication involves communication from lower to higher levels in the hierarchy, which may not be the most appropriate method for resolving conflicts between departments.