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According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?
- A. Authoritative
- B. Closed systems
- C. Open systems
- D. Trait
Correct Answer: C
Rationale: The correct answer is C: Open systems. In an open system theory, organizations interact with their environment, adapting to changes and feedback. In this case, the nurse's repeated excessive call-ins affecting shift change demonstrate a lack of consideration for the team and patient care, disrupting the system's functioning. This theory emphasizes the interconnectedness and impact of individual actions on the entire system, refuting the nurse's claim of unfair treatment.
Summary:
A: Authoritative - Focuses on centralized decision-making authority, not relevant to addressing the nurse's behavior.
B: Closed systems - Operate independently without external influences, not applicable as the nurse's actions impact the system.
D: Trait - Focuses on individual characteristics, not addressing the systemic impact of the nurse's behavior.
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Which factors would be considered in the first steps in developing an effective patient classification system? (select all that apply)
- A. Planned procedures
- B. Ethnic diversity of patients
- C. Clinical competency of staff
- D. Educational level of nurses
Correct Answer: A
Rationale: In developing a patient classification system, planned procedures are crucial as they determine resource allocation, staffing needs, and patient acuity. Understanding the procedures aids in categorizing patients accurately based on care requirements. Ethnic diversity, clinical competency, and educational level are not primary factors in this initial step as they do not directly impact patient classification. Ethnicity does not determine care needs, staff competency should already be ensured, and nurse education level is not the sole determinant of patient classification. Hence, A is the correct choice for developing an effective patient classification system.
A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:
- A. change agent.
- B. educator.
- C. manager.
- D. coordinator.
Correct Answer: B
Rationale: The correct answer is B: educator. The nurse is providing information and teaching patients about preventing diabetic neuropathies, which aligns with the role of an educator. Educators focus on imparting knowledge and empowering individuals to make informed decisions about their health. The other choices are incorrect because:
A: Change agents initiate and lead changes within an organization, not directly related to patient education.
C: Managers oversee daily operations and resources within a healthcare setting, not specifically focused on patient education.
D: Coordinators facilitate communication and collaboration among healthcare team members, but not primarily responsible for patient education.
Which of the following statements concerning the Institute of Medicine (IOM) competencies is correct?
- A. Each competency is mutually exclusive.
- B. The competencies focus on individual efforts to reduce errors.
- C. Physicians lead the team to achieve each competency.
- D. The competencies address both individual and system approaches to transform care.
Correct Answer: D
Rationale: The correct answer is D because the IOM competencies aim to improve healthcare by addressing both individual and system-based approaches. This is crucial as it recognizes that improving healthcare requires a comprehensive approach that involves changing both individual behaviors and systemic structures. A: Each competency is mutually exclusive - This is incorrect as the competencies are designed to work together, not in isolation. B: The competencies focus on individual efforts to reduce errors - This is incorrect as the competencies also emphasize the importance of systemic changes to prevent errors. C: Physicians lead the team to achieve each competency - This is incorrect as the competencies are meant to be achieved collaboratively by a multidisciplinary team, not solely led by physicians.
A nurse is very interested in learning more about health care economics and how she can use that knowledge to become a better patient advocate. She comments, "Nurses should not only deliver care one day at a time in one facility but should coordinate patient care as they move from acute care to rehabilitation to home care." This nurse would be a candidate for which nursing role?
- A. Disease management program (DMP) for chronic illnesses
- B. A hospital-based utilization management nurse who reviews medical records to determine the most appropriate DRG for patients
- C. Case management
- D. Reviewer for Managed Care Organization
Correct Answer: C
Rationale: Rationale:
1. The nurse's interest in coordinating patient care across different settings aligns with the role of a case manager.
2. Case managers focus on ensuring continuity of care and coordinating services for patients transitioning between different healthcare settings.
3. This role involves advocating for patients' needs and optimizing their health outcomes through seamless care transitions.
Summary:
A: DMP focuses on managing chronic illnesses, not coordinating care across settings.
B: Utilization management nurses focus on determining appropriate reimbursement levels, not on care coordination.
D: Reviewers for Managed Care Organizations focus on assessing medical necessity and cost-effectiveness, not on care coordination.
On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of:
- A. assessment.
- B. planning.
- C. analysis.
- D. implementation.
Correct Answer: B
Rationale: The correct answer is B: planning. Setting goals in collaboration with other healthcare team members falls under the planning phase of the nursing process. During this phase, nurses work with the healthcare team to establish specific, measurable, achievable, relevant, and time-bound (SMART) goals for patient care. This involves identifying priorities, outlining interventions, and determining the expected outcomes. Collaboration with the healthcare team ensures that goals are comprehensive and align with the overall care plan.
Incorrect Choices:
A: Assessment - Assessment involves collecting and analyzing data to identify the patient's needs and problems. Setting goals is not part of the assessment phase.
C: Analysis - Analysis involves interpreting data and identifying patterns or relationships. Setting goals is more focused on planning and identifying interventions.
D: Implementation - Implementation involves carrying out the planned interventions to achieve the established goals. Setting goals precedes the implementation phase.