Nokea
She decides to illustrate the organizational structure. Which of the following elements is NOT included?
- A. Level of authority
- B. Lines of communication
- C. Span of control
- D. Unity of direction
Correct Answer: D
Rationale: The correct answer is D: Unity of direction. This concept refers to the need for all activities in an organization to be directed towards the same objectives. In illustrating the organizational structure, unity of direction does not directly relate to the arrangement of positions and responsibilities within the organization.
A: Level of authority is included to show the hierarchy of decision-making in the organization.
B: Lines of communication are shown to indicate how information flows within the organization.
C: Span of control is depicted to show the number of subordinates a manager can effectively supervise.
In summary, unity of direction is not typically illustrated in organizational structures, as it focuses on the coordination of activities rather than the formal layout of the organization.
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When a severely injured trauma victim enters the emergency department, the physicians and nursing staff generally tend to come together for the 'common good.' This describes which communication strategies?
- A. Less enthusiasm and frantic, quick statements of doom
- B. Somber tone with short, monosyllabic words
- C. Use of professional wording and less familiarity with team members
- D. More personal and group approach
Correct Answer: D
Rationale: The correct answer is D because in a high-stress situation like treating a severely injured trauma victim, a more personal and group approach fosters effective communication and collaboration among physicians and nursing staff. By coming together for the 'common good,' they can share information, make decisions collectively, and support each other emotionally. This approach promotes teamwork, empathy, and a sense of unity, which are crucial in providing optimal care for the patient.
Choices A, B, and C are incorrect because they do not align with the need for effective teamwork and collaboration in such critical situations. Choice A suggests a negative and pessimistic attitude, which can hinder communication and teamwork. Choice B implies a lack of engagement and emotional connection, which may lead to misunderstandings and inefficiencies. Choice C emphasizes formality over camaraderie, which may impede open and effective communication among team members.
Signing a check to approve a routine budget in the clinical area.
- A. Managing
- B. Doing
- C. Instructing
- D. avoiding
Correct Answer: A
Rationale: The correct answer is A: Managing. Signing a check to approve a routine budget in the clinical area involves overseeing financial resources and making decisions to ensure the budget is managed effectively. Managing implies taking responsibility, making informed decisions, and overseeing the budget process.
B: Doing is incorrect because signing a check is not simply carrying out a task, but rather involves decision-making and accountability.
C: Instructing is incorrect because signing a check involves taking action and making decisions, not just providing guidance to others.
D: Avoiding is incorrect because signing a check is a necessary step in managing the budget and cannot be avoided in a responsible budgeting process.
A nurse gives a wrong medication to the client. Another nurse employed by the same hospital as a risk manager will expect to receive which of the following communication.
- A. Incident Report
- B. Oral report
- C. Nursing kardex
- D. Complain report
Correct Answer: A
Rationale: The correct answer is A: Incident Report. The risk manager needs detailed documentation to investigate the medication error thoroughly. Incident reports provide crucial information about what happened, when, and why, helping identify root causes and prevent future occurrences. Oral reports (B) may lack critical details and can be easily misinterpreted. Nursing kardex (C) contains general patient information, not specific incident details. Complain reports (D) are for patient grievances and not appropriate for reporting errors internally.
What statement explains how the federal government administers the Affordable Care Act?
- A. The government charges participants a fee to enroll based on their income level.
- B. The government requires registration on the insurance exchange to declare coverage status.
- C. The government provides an online exchange where individuals may purchase insurance.
- D. The government deducts fees from income based on insurance coverage norms.
Correct Answer: C
Rationale: The correct answer is C because the federal government administers the Affordable Care Act by providing an online exchange where individuals can compare and purchase insurance plans. This exchange allows people to shop for coverage that fits their needs and budget. It does not charge a fee based on income level (A), require registration to declare coverage status (B), or deduct fees from income based on insurance coverage norms (D). The online exchange is a key component of the ACA, aiming to increase access to affordable health insurance options for individuals and small businesses.
Which major action will a nurse take when using Covey's (1991) Principle-Centered Leadership Model?
- A. Maintain a professional image.
- B. Keep promises.
- C. Be aggressive to achieve goals.
- D. Strive to be 'number one.'
Correct Answer: B
Rationale: The correct answer is B: Keep promises. In Covey's Principle-Centered Leadership Model, integrity and trustworthiness are key principles. Keeping promises demonstrates reliability, builds trust, and fosters strong relationships. It aligns with Covey's emphasis on honesty and responsibility. Maintaining a professional image (A) is important but not the central focus of the model. Being aggressive (C) goes against the collaborative and empathetic nature of the model. Striving to be 'number one' (D) is contrary to Covey's principle of shared success and synergy.