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An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What characteristic influences staff to act in a certain way?
- A. Instinct
- B. Appreciation
- C. Control
- D. Esteem
Correct Answer: A
Rationale: The correct answer is A: Instinct. Instinct theory suggests that behaviors are influenced by inherited or innate tendencies, guiding individuals to act in specific ways without conscious reasoning. In the context of staff behavior, instinct can play a significant role in shaping their actions and responses. Choices B, C, and D are incorrect. Appreciation, control, and esteem are factors that may influence staff behavior, but in this context, the question specifically asks for a characteristic that influences staff to act in a certain way, which aligns more closely with instinctive tendencies rather than external factors like appreciation, control, or esteem.
When should a critical pathway be revised?
- A. When it becomes too long.
- B. When the variances show a new trend.
- C. When a member of the team retires.
- D. When the client leaves the hospital.
Correct Answer: B
Rationale: A critical pathway should be revised when variances in the patient's progress indicate a new trend or deviation from the expected course of treatment. This allows healthcare providers to adjust the pathway to ensure optimal patient care and outcomes. Changes in the critical pathway are not typically driven by its length or external factors like team member retirements or client discharges. Therefore, the correct answer is B. Choice A is incorrect because the length of the critical pathway alone does not determine the need for revision. Choices C and D are irrelevant to the patient's progress and treatment plan, making them incorrect.
What is the primary focus of the Institute for Healthcare Improvement (IHI)?
- A. Patient safety
- B. Cost reduction
- C. Healthcare innovation
- D. Research funding
Correct Answer: A
Rationale: The primary focus of the Institute for Healthcare Improvement (IHI) is patient safety. IHI is renowned for its efforts in developing and implementing evidence-based practices to enhance patient safety and improve the quality of care in healthcare settings. While cost reduction, healthcare innovation, and research funding are important aspects of healthcare, the core mission of the IHI revolves around prioritizing patient safety by reducing medical errors, enhancing care processes, and creating a safer environment for patients.
As a new nurse at a healthcare organization offering a nurse residency program, what would benefit you the most?
- A. Avoiding challenging patient assignments to minimize the risk of errors.
- B. Relying on your clinical preceptor, similar to your relationship with your nurse faculty.
- C. Establishing professional goals based on your clinical knowledge.
- D. Engaging in evidence-based practice projects immediately.
Correct Answer: C
Rationale: As a new nurse joining a nurse residency program, the most beneficial action would be to establish professional goals based on your clinical knowledge. Setting clear goals allows you to focus on your learning needs, competency development, and guidance from your clinical preceptor. This proactive approach helps you maximize your learning opportunities, shape your professional growth, and enhance your skills as a novice nurse. Choice A is incorrect because avoiding challenging patient assignments may hinder your learning and skill development. Choice B is incorrect as while the clinical preceptor is essential, solely relying on them without personal professional goals may limit your growth. Choice D is incorrect because engaging in evidence-based practice projects immediately may be overwhelming for a new nurse without first establishing foundational goals.
Why is increasing the use of advanced practice nurses encouraged?
- A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
- B. Advanced practice nurses act as an extension of physicians.
- C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
- D. Advanced practice nurses lack the skills to diagnose.
Correct Answer: A
Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services. Choice B is incorrect as it focuses on the relationship between advanced practice nurses and physicians rather than a reason for increasing their use. Choice C is not a direct reason for increasing the use of advanced practice nurses but rather a statement about the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care.