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An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?
- A. The RN tells the client he is not allowed to leave until the physician has released him.
- B. The RN asks the client why he wishes to leave.
- C. The RN asks the client to explain what he understands about his medical diagnosis.
- D. The RN asks the client to sign an against medical advice discharge form.
Correct Answer: A
Rationale: The correct answer is A because the RN is restricting the patient's freedom to leave the hospital against his will, which constitutes false imprisonment. The patient has the right to refuse treatment and leave the facility. Choice B is incorrect because asking the client why he wishes to leave shows respect for his autonomy. Choice C is incorrect as it pertains to educating the patient about his medical condition, not restricting his freedom. Choice D is incorrect as asking the client to sign an against medical advice form is a way to document his decision and protect the healthcare provider legally.
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What is the primary focus of Lean methodology in healthcare?
- A. Reduce healthcare costs
- B. Enhance patient satisfaction
- C. Increase patient throughput
- D. Standardize care processes
Correct Answer: D
Rationale: The correct answer is D: Standardize care processes. Lean methodology in healthcare aims to streamline and standardize processes to eliminate waste and improve efficiency. By standardizing care processes, healthcare organizations can ensure consistent quality of care, reduce errors, and enhance patient safety. This focus on standardization is essential for achieving continuous improvement and delivering better outcomes.
Explanation of other choices:
A: Reduce healthcare costs - While reducing costs is a potential benefit of Lean methodology, it is not the primary focus. Cost reduction is a byproduct of improving processes and eliminating waste.
B: Enhance patient satisfaction - While patient satisfaction is important in healthcare, it is not the primary focus of Lean methodology. Improving patient satisfaction may be a result of implementing Lean principles, but it is not the main goal.
C: Increase patient throughput - While increasing patient throughput is a common goal in healthcare, it is not the primary focus of Lean methodology. Lean focuses on improving processes to deliver better quality care, rather than simply increasing the
Upon noticing a visitor who is loud and active and carrying a gun on the unit where you are in charge, what should you do immediately?
- A. Ask the visitor to leave.
- B. Talk quietly to calm the visitor.
- C. Ask the visitor for the gun.
- D. Notify security with the details of the situation.
Correct Answer: D
Rationale: The correct answer is D: Notify security with the details of the situation. This is the best course of action to ensure the safety of everyone involved. By immediately notifying security, who are trained to handle such situations, you are taking proactive steps to de-escalate the potential threat and protect the well-being of the staff and other visitors. Asking the visitor to leave (choice A) may escalate the situation further. Talking quietly to calm the visitor (choice B) is not appropriate when a gun is involved as it could agitate the individual. Asking the visitor for the gun (choice C) is extremely risky and could lead to a dangerous confrontation.
What is the term for working on a schedule within the unit, involving only those who are working within that unit?
- A. Flexible staffing
- B. Self-staffing
- C. Internal pools
- D. Management scheduling
Correct Answer: B
Rationale: The correct answer is B: Self-staffing. Self-staffing refers to employees within a unit scheduling themselves to work according to the unit's needs. This approach empowers employees to manage their own schedules, ensuring coverage within the unit.
A: Flexible staffing typically involves adjusting staffing levels based on fluctuating demand, not limited to a specific unit.
C: Internal pools usually refer to a group of employees who can be assigned to various units based on need, not limited to a specific unit.
D: Management scheduling involves supervisors or managers creating schedules for employees, not necessarily limited to a specific unit.
In summary, the term for working on a schedule within the unit involving only those who are working within that unit is self-staffing because it allows employees to self-schedule within their own unit's context.
Which of the following presents an important emerging challenge to changes in health care?
- A. Decreased immigration
- B. Nursing staff shortages
- C. Bioterrorism
- D. Increased surgical procedures
Correct Answer: C
Rationale: The correct answer is C: Bioterrorism. This is because bioterrorism poses a serious threat to public health and healthcare systems worldwide, requiring preparedness and response strategies.
- A: Decreased immigration is not a significant emerging challenge to changes in healthcare.
- B: Nursing staff shortages are an ongoing issue but not necessarily a new emerging challenge.
- D: Increased surgical procedures may strain resources but are not a specific emerging challenge like bioterrorism.
Which of the following best describes the concept of shared decision-making in healthcare?
- A. The process by which patients make healthcare decisions on their own
- B. A collaborative process that allows patients and providers to make healthcare decisions together
- C. A method for providers to dictate treatment plans to patients
- D. The use of evidence-based guidelines to make healthcare decisions
Correct Answer: B
Rationale: The correct answer is B because shared decision-making in healthcare involves both patients and providers actively participating in the decision-making process together. This collaborative approach allows for a discussion of treatment options, considering patient preferences, values, and medical evidence. It promotes patient autonomy and enhances the quality of care by incorporating both the patient's perspective and the provider's expertise.
Choice A is incorrect because shared decision-making is not solely about patients making healthcare decisions independently. Choice C is incorrect as it describes a paternalistic approach where providers dictate treatment plans to patients, which is not in line with the principles of shared decision-making. Choice D is incorrect as it refers to evidence-based guidelines, which are important but not the sole focus of shared decision-making.