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An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?
- A. Commitment to others means I should be honest and accountable for my actions.
- B. I should encourage my fellow nurses to talk when they are having a bad day.
- C. I should be flexible with myself and my fellow nurses when it comes to the dress code.
- D. If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Commitment to others implies putting patients' needs first, being honest, and taking responsibility for one's actions.
2. Being honest and accountable are key components of professionalism in nursing.
3. Accountability ensures that patients receive safe and quality care.
4. Encouraging honesty and accountability among colleagues promotes a culture of safety and trust.
Summary:
- Choice A is correct as it aligns with the principles of professionalism in nursing.
- Choices B, C, and D do not directly address the core aspects of professionalism, such as honesty, accountability, and prioritizing patient care.
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Your nurse manager talks with you once per week to determine how you are adjusting to your role as a new nurse. She asks if you feel that you are able to provide good care to your patients, whether you are becoming familiar with the electronic health record, and whether your preceptor is encouraging your independence. This manager is demonstrating:
- A. An intrusive style.
- B. An effort to understand if you are coping with the demands.
- C. An attempt to intimidate.
- D. An authoritarian style.
Correct Answer: B
Rationale: The correct answer is B because the nurse manager is showing genuine concern for the new nurse's well-being and professional development. By asking about the nurse's ability to provide care, familiarity with the EHR, and support from the preceptor, the manager is seeking to understand and support the nurse's adjustment to the new role. This approach fosters open communication and a supportive environment.
Incorrect Choices:
A: An intrusive style implies invading personal boundaries, which is not evident in the scenario.
C: Intimidation involves creating fear or anxiety, which is not reflected in the manager's behavior.
D: An authoritarian style is characterized by strict control and limited feedback, which contradicts the manager's supportive and open approach.
What is the primary goal of a root cause analysis (RCA) in healthcare?
- A. To assign blame for errors
- B. To prevent future errors by identifying underlying causes
- C. To improve patient satisfaction
- D. To analyze the financial impact of errors
Correct Answer: B
Rationale: The primary goal of a root cause analysis (RCA) in healthcare is to prevent future errors by identifying underlying causes. This is because RCA focuses on understanding the fundamental reasons behind incidents to implement effective preventive measures. By identifying root causes, healthcare providers can implement strategies to mitigate risks and enhance patient safety. The other choices are incorrect because RCA is not about assigning blame (A), improving patient satisfaction (C), or analyzing financial impact (D), but rather about understanding and addressing the core issues to prevent recurrence.
Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?
- A. No expenses are involved in frivolous lawsuits.
- B. If a nurse is found guilty of malpractice, the institution cannot sue the nurse.
- C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
- D. Only doctors are sued for malpractice.
Correct Answer: C
Rationale: The correct answer is C because professional liability insurance for RNs can cover charges of libel, slander, assault, and HIPAA violations in addition to malpractice. This coverage protects the nurse's assets and provides legal defense in case of such claims. Option A is incorrect because there are expenses involved in defending against frivolous lawsuits. Option B is incorrect as institutions can still sue a nurse found guilty of malpractice. Option D is incorrect as nurses can also be sued for malpractice, not just doctors.
An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?
- A. One or more of the parties may be able to reconcile their values.
- B. The patient’s point of view is recognized as valuable.
- C. The dilemma involves two or more equally unpleasant choices.
- D. The institution is unable to honor the patient’s request.
Correct Answer: C
Rationale: The correct answer is C because when an ethical dilemma involves two or more equally unpleasant choices, it can be challenging for decision-makers to come to a consensus. This is known as a moral dilemma, where there is no clear right or wrong option, making it difficult to reach an agreement. In such cases, individuals may have strong convictions about different courses of action, leading to a deadlock in decision-making.
Incorrect choices:
A: One or more of the parties may be able to reconcile their values - This choice suggests that parties can find common ground by adjusting their values, which is not always possible in complex ethical dilemmas.
B: The patient’s point of view is recognized as valuable - While recognizing the patient's perspective is important, it may not directly address the core reason why an agreement cannot be reached.
D: The institution is unable to honor the patient’s request - This choice focuses on institutional constraints rather than the fundamental nature of ethical dilemmas and decision-making processes.
Which of the following is an example of a sentinel event?
- A. A patient fall with no injury
- B. A medication error that results in no harm
- C. A patient suicide while in a healthcare facility
- D. A near miss incident
Correct Answer: C
Rationale: The correct answer is C because a sentinel event is a serious, unexpected occurrence in a healthcare setting that results in death or serious physical or psychological harm to a patient. A patient suicide while in a healthcare facility meets this criteria. A is incorrect as a fall with no injury is not a sentinel event. B is incorrect as a medication error resulting in no harm is not a sentinel event. D is incorrect as a near miss incident, although serious, does not result in harm to the patient.