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According to the Quality Chasm report:
- A. health care providers should be proactive rather than reactive to patient needs.
- B. common needs rather than individual preferences should be the priority.
- C. medical information should be confined to the primary care provider.
- D. specialized providers or case managers should control health care decisions.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Proactive care emphasizes prevention and early intervention.
2. The Quality Chasm report advocates for patient-centered care.
3. Being proactive ensures better health outcomes and lower costs.
4. Reactive care may lead to delayed diagnosis and treatment.
Summary:
B: Focusing on common needs ignores individual preferences, contradicting patient-centered care.
C: Limiting medical information to one provider is not patient-centered and hinders care coordination.
D: Allowing specialized providers to control decisions may not consider the holistic needs of the patient.
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An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
- A. "You are just too late for that. Where were you when he needed you?"
- B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
- C. "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
- D. "I lost my dad last year. He died alone. He was a policeman. I am just like you. Let me stay here and console you."
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs.
Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.
Nurses entering the workforce at a large urban hospital soon began volunteering for excessive overtime. A focus group found that upon graduation, many of these nurses purchased expensive cars and furniture. They lacked skills in managing their checkbook and were often unable to pay recurring bills; this finding would be relevant to which component of the Workforce Advocacy Ecosystem Model?
- A. Staffing
- B. Workflow design
- C. Organizational factors
- D. Personal and social factors
Correct Answer: D
Rationale: The correct answer is D: Personal and social factors. This finding is relevant to personal and social factors because it highlights the individual behaviors and financial decisions of the nurses entering the workforce. The nurses' lack of financial management skills and tendency to overspend on luxury items indicate personal factors influencing their ability to handle their finances effectively. Additionally, their social environment, such as peer influences or societal pressure to display wealth, could also contribute to their financial struggles.
Incorrect choices:
A: Staffing - This choice focuses on the recruitment and deployment of staff, which is not directly related to the nurses' personal financial management issues.
B: Workflow design - This choice pertains to how tasks are organized and coordinated within the workplace, which is not directly related to the nurses' personal financial challenges.
C: Organizational factors - This choice refers to the broader context of the hospital's policies, culture, and structures, which may indirectly influence the nurses' financial behaviors but are not as directly related as personal and social factors
The nurse manager is planning staffing levels and realizes that the first step is to:
- A. know the intensity of care needed by patients according to physical and psychosocial factors.
- B. examine the educational level of the staff.
- C. assess the skill level of caregivers.
- D. review the budget to determine the financial consequences of past staffing patterns.
Correct Answer: A
Rationale: The correct answer is A because knowing the intensity of care needed by patients based on physical and psychosocial factors is essential to determine appropriate staffing levels. Understanding patient needs ensures adequate staff allocation for quality care delivery. Examining staff education (B) and skill level (C) is important but comes after assessing patient needs. Reviewing the budget (D) is necessary but should not be the first step in staffing planning.
A nurse entering the job market wants to be certain that the first position is rewarding and allows for growth as a registered nurse. According to the Hallmarks of the Professional Nursing Environment, the nurse should ask:
- A. about the philosophy related to clinical care to determine the role of RNs in deciding outcomes related quality outcomes.
- B. if professional development opportunities are supported through paid leave and tuition reimbursement.
- C. how compensation packages compare to others in the same area and nationally.
- D. what the projected need for RNs is in the next 5 years and current turnover rate.
Correct Answer: B
Rationale: The correct answer is B because professional development opportunities supported through paid leave and tuition reimbursement are crucial for a nurse's growth. This allows for continuous learning, skill enhancement, and career advancement. It indicates that the organization values its nurses and invests in their development. The other choices, A, C, and D, while important in their own right, do not directly address the nurse's growth and professional development. Choice A focuses on the philosophy of care, not personal growth. Choice C is mainly about compensation, not professional development. Choice D pertains to workforce planning, not individual career advancement.
A nurse is assigned to a unit where 95% of all patients required total care. Most days the assistive personnel are able to complete their assignments and provide high-quality care. A patient returning from a procedure was somehow "skipped" when daily baths were performed and requests that her care now be provided. The nurse discovers the bed is rumpled and damp. The RN joins with some other staff to bathe the patient, change the bed, and help make the patient comfortable. These staff members are demonstrating:
- A. altruism.
- B. veracity.
- C. autonomy.
- D. whistle-blowing.
Correct Answer: A
Rationale: The correct answer is A: altruism. Altruism is the selfless concern for the wellbeing of others, which is demonstrated by the staff members helping the patient in need without hesitation. In this scenario, the staff members are putting the patient's needs above their own, showing compassion and empathy. This aligns with the principle of altruism in nursing, where caregivers prioritize the welfare of their patients.
Choices B, C, and D are incorrect:
B: Veracity refers to truthfulness and honesty. While these are important traits in nursing, they are not the focus of the staff members' actions in this scenario.
C: Autonomy is the right of individuals to make decisions about their own care. In this situation, the patient is not exercising autonomy, but rather relying on the staff for assistance.
D: Whistle-blowing involves reporting unethical or illegal behavior within an organization. There is no indication of any wrongdoing that would require whistle-blowing in this scenario.