Nokea
A client is admitted to a medical-surgical unit after six hours in the emergency room. He requests that his AM care be delayed to allow him to rest. The nurse complies with his request. This is an example of which type of management philosophy?
- A. Continuous quality improvement
- B. Total quality management
- C. Six Sigma
- D. Quality management
Correct Answer: B
Rationale: The correct answer is B: Total quality management. This approach focuses on meeting customer needs and continuous improvement. By allowing the client to rest, the nurse is prioritizing the client's comfort and well-being, which aligns with the principles of total quality management. Continuous quality improvement (A) focuses on incremental improvements, Six Sigma (C) aims to reduce defects, and Quality management (D) is a broader term that encompasses various quality approaches.
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The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?
- A. Intragroup conflict
- B. Intergroup conflict
- C. Interpersonal conflict
- D. Intrapersonal conflict
Correct Answer: A
Rationale: The correct answer is A: Intragroup conflict. In this scenario, the conflict is happening within the staff of the medical-surgical unit, making it an intragroup conflict. The staff members belong to the same group or team, and the conflict arises within this specific group. This type of conflict typically involves disagreements, tension, or differences of opinion among members of the same group.
Summary:
B: Intergroup conflict involves conflicts between different groups or teams, not within the same group.
C: Interpersonal conflict refers to conflicts between individuals, not within a group.
D: Intrapersonal conflict involves internal conflicts within an individual, not within a group.
What is the main focus of health literacy initiatives?
- A. To promote the use of medical jargon
- B. To improve patient communication skills
- C. To ensure that patients understand their health information
- D. To reduce the use of electronic health records
Correct Answer: C
Rationale: The main focus of health literacy initiatives is to ensure that patients understand their health information. This is important for empowering individuals to make informed decisions about their health. Promoting the use of medical jargon (Option A) would actually hinder comprehension. Improving patient communication skills (Option B) is beneficial but not the main focus. Reducing the use of electronic health records (Option D) is not related to enhancing patient understanding.
A manager is working on the personnel budget for the year. The manager anticipates needing to replace 832 benefit hours. How many FTEs (Full-Time Equivalents) will be needed for replacement?
- A. 0.40 FTEs
- B. 17.0 FTEs
- C. 0.05 FTEs
- D. 1.0 FTEs
Correct Answer: A
Rationale: To determine the FTEs needed, divide the total benefit hours by the standard annual benefit hours for a full-time employee. In this case, 832 benefit hours / 2080 standard annual benefit hours = 0.4 FTEs (Choice A). This is because an FTE represents the hours worked by one full-time employee in a year.
Choice B (17.0 FTEs) is incorrect as it is significantly higher than the calculated 0.4 FTEs. Choice C (0.05 FTEs) is too low and does not accurately reflect the number of FTEs needed for 832 benefit hours. Choice D (1.0 FTEs) is incorrect as it assumes that 832 benefit hours equal the standard annual benefit hours for one full-time employee, which is not the case here.
If a staff member does not respond to discipline, the manager must ______ employment.
- A. Terminate
- B. Confront
- C. Describe the staff nurse's behavior that violated the policy
- D. Determine the employee's awareness of the policy
Correct Answer: A
Rationale: The correct answer is A: Terminate. If a staff member is not responding to discipline, it indicates a serious issue with their behavior or performance. Terminating their employment may be necessary to maintain discipline and uphold organizational standards. Confronting (B) and describing behavior (C) are initial steps in addressing the issue but may not be effective if the staff member continues to be non-responsive. Determining awareness (D) of the policy is important but does not directly address the lack of response to discipline. Terminating employment may be a last resort to maintain the integrity of the organization.
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.