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Regardless of the term used to describe high-quality health care, the focus of quality is:
- A. what the consumer needs and wants.
- B. economical care.
- C. having the greatest technologic advancement.
- D. services equally distributed among populations.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Quality in healthcare should be consumer-centric, meeting their needs and preferences.
2. Consumer needs and wants drive patient satisfaction and outcomes.
3. Patient-centered care leads to better health outcomes and overall quality of care.
4. Focusing on consumer needs promotes individualized and effective care delivery.
Summary of why other choices are incorrect:
- Choice B (economical care) does not necessarily ensure high-quality care.
- Choice C (technologic advancement) is important but not the sole focus of quality healthcare.
- Choice D (equally distributed services) is important for equity but does not define quality in healthcare.
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A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementiThe nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:
- A. informatics specialist.
- B. educator.
- C. case manager.
- D. quality manager.
Correct Answer: C
Rationale: Step-by-step rationale for why choice C (case manager) is correct:
1. A case manager coordinates referrals and services for patients with complex needs, such as this patient with diabetes and dementia.
2. In this scenario, the nurse is coordinating referrals to an endocrinologist and organizing physical therapy, which aligns with the role of a case manager.
3. Case managers ensure continuity of care and facilitate communication between different healthcare providers.
4. The nurse's role in organizing follow-up care and services for the patient falls under the responsibilities of a case manager.
Summary of why other choices are incorrect:
A: Informatics specialist - This role focuses on managing health information systems, not coordinating referrals and services for patients.
B: Educator - While education may be a component of the nurse's role, the primary focus in this scenario is on coordinating referrals and services, which is more in line with a case manager's responsibilities.
D: Quality manager - Quality managers focus on ensuring healthcare services meet quality standards
A nurse asks, "What is meant by 'internal' customers?" The correct response is: (select all that apply)
- A. insurance companies
- B. accreditors such as The Joint Commission
- C. X-ray technicians
- D. clinical pharmacist
Correct Answer: C
Rationale: The correct answer is C: X-ray technicians. Internal customers refer to individuals or departments within the same organization who rely on each other's services to fulfill their roles effectively. X-ray technicians work within the healthcare facility and depend on other staff like nurses for patient care coordination. Insurance companies (A) and accreditors (B) are external entities. Clinical pharmacists (D) are also internal, but X-ray technicians have a direct service-dependency relationship with nurses in healthcare settings, making them the most relevant internal customers in this context.
The primary focus of the care provider role for the nurse involves:
- A. using the nursing process to provide guidance to the patient in recovery.
- B. encouraging consumer self-responsibility and emphasizing health promotion/maintenance.
- C. focusing on increasing satisfaction among professional nurses.
- D. advancing nursing practice through research.
Correct Answer: B
Rationale: The correct answer is B because the primary focus of the care provider role for a nurse is to encourage consumer self-responsibility and emphasize health promotion/maintenance. This involves empowering patients to take control of their own health, promoting wellness, and preventing illness. The other choices are incorrect because: A) using the nursing process is essential but not the primary focus, C) increasing satisfaction among professional nurses is important but not the primary role of a care provider, and D) advancing nursing practice through research is valuable but not the primary responsibility of a care provider.
When using the ABC system of managing time, those items coded A include:
- A. calling the pharmacy to see whether a drug insert is available for a patient.
- B. checking to see why a ventilator is alarming.
- C. organizing the medication cart.
- D. writing memos to remind everyone to contribute to the boss's birthday gift.
Correct Answer: A
Rationale: The correct answer is A because in the ABC system, tasks coded as A are considered the most important and urgent. Calling the pharmacy to check drug availability for a patient directly impacts patient care and safety, making it a priority. B, checking a ventilator alarm, is important but not as urgent as ensuring medication availability. C, organizing the medication cart, is important but not necessarily urgent like patient-related tasks. D, writing memos for a birthday gift, is neither urgent nor directly related to patient care. Therefore, A is the correct choice for being the most critical task in the ABC system.
A valuable tool for determining whether a potential employer is suitable for your career goals is to:
- A. call The Joint Commission (TJC) to ask whether the organization meets required standards.
- B. assess the work climate by walking through the facility.
- C. review financial statements of the institution.
- D. ask what they can do for you rather than what you can do for them.
Correct Answer: B
Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision.
Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.