Nokea
Healthcare systems primarily have functional structures. Which of the following would be an example of this?
- A. Open communication exists between Physical Therapy and Nursing.
- B. Medicine has authority over nursing.
- C. Laboratory services have little authority.
- D. All nursing tasks fall under nursing service.
Correct Answer: D
Rationale: The correct answer is D because in a functional structure, tasks are grouped by function. All nursing tasks falling under nursing service exemplifies this as it centralizes nursing responsibilities within the nursing department. A is incorrect as it describes communication, not structure. B is incorrect as it implies a hierarchy, not a functional structure. C is incorrect as it suggests a lack of authority, not the grouping of tasks.
You may also like to solve these questions
A nurse is caring for a client who reports difficulty falling asleep. Which of the following recommendations should the nurse make?
- A. Watch a television program in bed before going to sleep.
- B. Drink a cup of hot cocoa before bedtime.
- C. Maintain a consistent time to wake up each day.
- D. Exercise 1 hour before going to bed.
Correct Answer: C
Rationale: The correct answer is C: Maintain a consistent time to wake up each day. This recommendation helps regulate the body's internal clock, promoting a consistent sleep-wake cycle. By waking up at the same time every day, the client's body will naturally adjust and improve their ability to fall asleep at night. Watching TV in bed (A) can disrupt sleep due to the blue light emitted. Drinking hot cocoa (B) may not be ideal close to bedtime due to the caffeine content. Exercising before bed (D) can stimulate the body and make it harder to fall asleep.
Which of the following is one important factor in sustaining employee satisfaction?
- A. Organization culture
- B. Individual performance
- C. Performance evaluation
- D. Job satisfaction
Correct Answer: D
Rationale: The correct answer is D: Job satisfaction. Job satisfaction is crucial in sustaining employee satisfaction as it directly impacts how content and fulfilled employees feel in their roles. When employees are satisfied with their jobs, they are more likely to be engaged, motivated, and productive. This leads to higher retention rates and overall better performance. On the other hand, organization culture (A) is important but not the sole factor in sustaining employee satisfaction. Individual performance (B) and performance evaluation (C) are more related to assessing employee output rather than directly impacting their satisfaction levels.
Which action by a patient indicates that the home health nurse’s teaching about glargine and
regular insulin has been successful?
- A. The patient administers the glargine 30 minutes before each meal
- B. The patient’s family prefills the syringes with the mix of insulins weekly.
- C. The patient draws up the regular insulin and then the glargine in the same syringe.
- D. The patient disposes of the open vials of glargine and regular insulin after 4 weeks
Correct Answer: D
Rationale: Step 1: Glargine and regular insulin should not be mixed in the same syringe as they have different onset and duration of action.
Step 2: Administering glargine 30 minutes before each meal is incorrect as it is a long-acting insulin.
Step 3: Pre-filling syringes weekly with the mix of insulins can lead to incorrect dosing or contamination.
Step 4: Disposing of open vials after 4 weeks is the correct action to ensure potency and safety of the insulin.
Summary: Choice D is correct because it demonstrates proper insulin storage and disposal practices. Choices A, B, and C are incorrect as they involve incorrect administration techniques or storage practices.
When is the time to make people think about the routines that have been previously followed and to consider what might be a better plan of action?
- A. Collection of data
- B. Planning
- C. Analyzing data
- D. Identification
Correct Answer: B
Rationale: The correct answer is B: Planning. Planning is the stage where individuals evaluate existing routines, analyze data, and consider potential alternatives for better action. During planning, people reflect on past practices, identify strengths and weaknesses, and develop strategies for improvement. Collection of data (A) is essential for informed decision-making but doesn't necessarily involve critical reflection on routines. Analyzing data (C) focuses on interpreting and drawing conclusions from data rather than directly reevaluating routines. Identification (D) involves recognizing issues but doesn't inherently lead to considering better courses of action. Therefore, planning is the most appropriate choice for prompting people to think about improving their routines.
Your values do not coincide with your colleagues. When you report for your shift on nights and staff are not responding to patient requests for pain medication, you, as the nurse responsible for collecting data about patient quality of care, should:
- A. Explain to the nurse manager that quality problems are because of staff apathy.
- B. Issue a memo to staff to assess patients and document their response to the pain medication.
- C. Explain to staff that improving quality is one of your annual goals and you expect them to follow through.
- D. Schedule meetings to engage with staff to monitor pain management.
Correct Answer: D
Rationale: The correct answer is D because scheduling meetings to engage with staff to monitor pain management is the most effective approach to address the issue. This option promotes open communication, collaboration, and continuous monitoring to ensure patient needs are met. By engaging with staff, you can identify root causes of the problem, provide education or training if needed, and establish a plan for improvement.
Option A is incorrect as blaming staff apathy without further investigation is not constructive. Option B is also incorrect as issuing a memo may not address the underlying issues causing staff not to respond to patient requests. Option C is not as effective as scheduling meetings because simply expecting staff to follow through without addressing their concerns or providing support may not lead to sustainable improvements.