Nokea
Many patient classification systems have some type of shortcoming. Among these are:
- A. The client's condition changes before the next shift.
- B. The staffing needs are predicted on a short-term basis.
- C. The potential admissions cannot be accounted for.
- D. The staffing mix changes because of illness.
Correct Answer: C
Rationale: The correct answer is C because patient classification systems often struggle to accurately predict potential admissions, leading to challenges in allocating appropriate staffing levels and resources. This is a crucial shortcoming as it can result in understaffing or overstaffing, impacting patient care quality and staff workload. Options A, B, and D are incorrect as they address different issues such as changes in patient conditions between shifts, short-term staffing needs prediction, and staffing mix changes due to illness, which are not directly related to the specific shortcoming of accounting for potential admissions.
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What is the primary goal of the Affordable Care Act (ACA)?
- A. To reduce healthcare costs
- B. To expand access to healthcare
- C. To improve healthcare quality
- D. To increase healthcare funding
Correct Answer: B
Rationale: The correct answer is B: To expand access to healthcare. The primary goal of the ACA is to increase the number of Americans with access to affordable healthcare coverage. This is achieved through measures such as expanding Medicaid, creating health insurance marketplaces, and providing subsidies for low-income individuals. By increasing access to healthcare, the ACA aims to improve health outcomes and reduce disparities.
Choice A (To reduce healthcare costs) is not the primary goal of the ACA, although cost containment is an important aspect. Choice C (To improve healthcare quality) is also a key goal, but not the primary focus. Choice D (To increase healthcare funding) is not the primary goal either, as the ACA aims to improve access and quality of care rather than simply increasing funding.
When addressing a policy violation, what is one of the initial steps to take?
- A. Terminate the employee.
- B. Confront the employee.
- C. Discipline the employee immediately.
- D. Determine whether the employee is aware of the policy.
Correct Answer: D
Rationale: The correct answer is D: Determine whether the employee is aware of the policy. This is the initial step to ensure fairness and due process. By confirming the employee's knowledge of the policy, you can address any potential misunderstandings or gaps in communication. Terminating the employee (A) without first verifying their awareness would be hasty and unfair. Confronting the employee (B) may be necessary later, but not as an initial step. Disciplining the employee immediately (C) without understanding their knowledge of the policy could lead to unnecessary conflicts and legal implications. Thus, D is the most appropriate initial step in addressing a policy violation.
Which of the following is an example of an effective conflict resolution strategy?
- A. Ignoring the conflict
- B. Assigning blame to one party
- C. Encouraging open communication
- D. Enforcing strict rules
Correct Answer: C
Rationale: The correct answer is C: Encouraging open communication. This strategy promotes understanding, empathy, and collaboration among conflicting parties. It allows individuals to express their thoughts and feelings, leading to mutual respect and potential solutions. Ignoring the conflict (A) can escalate tensions, while assigning blame (B) can create hostility. Enforcing strict rules (D) may suppress conflict temporarily but does not address underlying issues. In summary, open communication fosters constructive dialogue and facilitates resolving conflicts effectively.
If a staff member does not respond to discipline, the manager must ______ employment.
- A. Terminate
- B. Confront
- C. Describe the staff nurse's behavior that violated the policy
- D. Determine the employee's awareness of the policy
Correct Answer: A
Rationale: The correct answer is A: Terminate. If a staff member is not responding to discipline, it indicates a serious issue with their behavior or performance. Terminating their employment may be necessary to maintain discipline and uphold organizational standards. Confronting (B) and describing behavior (C) are initial steps in addressing the issue but may not be effective if the staff member continues to be non-responsive. Determining awareness (D) of the policy is important but does not directly address the lack of response to discipline. Terminating employment may be a last resort to maintain the integrity of the organization.
The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?
- A. Intragroup conflict
- B. Intergroup conflict
- C. Interpersonal conflict
- D. Intrapersonal conflict
Correct Answer: A
Rationale: The correct answer is A: Intragroup conflict. In this scenario, the conflict is happening within the staff of the medical-surgical unit, making it an intragroup conflict. The staff members belong to the same group or team, and the conflict arises within this specific group. This type of conflict typically involves disagreements, tension, or differences of opinion among members of the same group.
Summary:
B: Intergroup conflict involves conflicts between different groups or teams, not within the same group.
C: Interpersonal conflict refers to conflicts between individuals, not within a group.
D: Intrapersonal conflict involves internal conflicts within an individual, not within a group.