Nokea
In determining a way to make shift change more effective for the nurse and the client, a hospital implemented a course of action. After a week of implementation, the decision was deemed inappropriate. What step of Roger's diffusion of innovations is this?
- A. Confirmation
- B. Implementation
- C. Knowledge
- D. Persuasion
Correct Answer: A
Rationale: The correct answer is A: Confirmation. In Roger's diffusion of innovations theory, Confirmation is the stage where individuals evaluate the decision to adopt or reject an innovation after trying it out. In this scenario, the hospital implemented a course of action for shift change, and after a week, it was deemed inappropriate, indicating that the decision reached the Confirmation stage.
Summary:
- B: Implementation is incorrect as the hospital had already implemented the course of action.
- C: Knowledge is incorrect as this stage involves acquiring information about the innovation.
- D: Persuasion is incorrect as it focuses on influencing individuals to adopt the innovation, which is not the case in this scenario.
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How does decision making differ from problem solving?
- A. Decision making always involves selecting from a set of alternatives.
- B. Problem solving always involves selecting one of several alternatives.
- C. Problem solving never involves decision making.
- D. Decision making always involves solving a problem.
Correct Answer: A
Rationale: The correct answer is A because decision making involves evaluating different options and choosing the best one among them, while problem solving focuses on finding a solution to a specific issue or challenge. Therefore, decision making requires selecting from a set of alternatives, which is not always the case in problem solving.
Choice B is incorrect because problem solving may not always involve selecting one of several alternatives; it can also involve finding a creative or innovative solution.
Choice C is incorrect because decision making can be part of problem solving when determining the best course of action.
Choice D is incorrect because decision making does not always involve solving a problem; it can also involve making choices in various situations.
What is the primary focus of a performance appraisal for nursing staff?
- A. To identify areas for salary increases
- B. To evaluate overall job performance
- C. To provide feedback on clinical skills
- D. To determine eligibility for promotions
Correct Answer: C
Rationale: The primary focus of a performance appraisal for nursing staff is to provide feedback on their clinical skills. This is crucial for ensuring quality patient care and professional development. Salary increases (A) are typically based on performance, but not the primary focus. Evaluating overall job performance (B) is important but not as specific as assessing clinical skills. Determining eligibility for promotions (D) may be a part of the appraisal process, but not the primary focus.
Which of the following describes the ability to enter into a contract with an employer?
- A. Certification to contract
- B. Certification to represent
- C. Bargaining agreement
- D. Contract agreement
Correct Answer: A
Rationale: The correct answer is A: Certification to contract. Certification to contract refers to having the legal capacity and authority to enter into a contract with an employer. This means the individual meets the necessary requirements and is legally allowed to engage in contractual agreements.
Rationale:
1. Certification implies that the individual has met specific qualifications or criteria, ensuring they have the necessary skills and knowledge to engage in contract negotiations.
2. To contract indicates the ability to enter into a legally binding agreement, which is essential when establishing an employer-employee relationship.
3. The term "certification to contract" specifically addresses the ability to form contracts, distinguishing it from the other choices which do not directly relate to contractual agreements.
Summary of Incorrect Choices:
B: Certification to represent - While representation may be involved in contract negotiations, this choice does not directly address the ability to enter into a contract with an employer.
C: Bargaining agreement - This refers to an agreement between labor and management, not the individual's ability to enter into
A registered nurse (RN) administered a patient’s morning insulin as the breakfast tray arrived at 0800. The RN performed a complete assessment at the same time. Then, the RN got busy with her other patients and did not check on the patient until 1400. At that time, she found the patient unresponsive with a blood glucose of 23. Both the breakfast and lunch tray were at the bedside untouched. Which of the following could the RN be charged with?
- A. Quasi-intentional tort
- B. Misdemeanor
- C. Negligence
- D. Juvenile offense
Correct Answer: C
Rationale: The correct answer is C: Negligence. Negligence involves a breach of duty of care that results in harm or injury to another person. In this scenario, the RN failed to check on the patient for several hours despite administering insulin and knowing the patient's condition. This failure to provide proper monitoring and care directly led to the patient becoming unresponsive with critically low blood glucose levels.
Choice A, quasi-intentional tort, involves intentional actions that result in harm, which is not applicable in this scenario. Choice B, misdemeanor, refers to a criminal offense of a lesser degree, not a charge that would typically apply to this situation. Choice D, juvenile offense, is not relevant as the RN's actions are not related to the age of the individual involved.
What is the primary focus of transitional care?
- A. To improve clinical outcomes
- B. To manage chronic diseases
- C. To facilitate smooth transitions between care settings
- D. To support family caregivers
Correct Answer: C
Rationale: The primary focus of transitional care is to facilitate smooth transitions between care settings. This involves ensuring continuity of care, coordination between healthcare providers, and patient education during transitions. This helps prevent medical errors, improve patient safety, and reduce hospital readmissions. Managing chronic diseases (B) and improving clinical outcomes (A) are important aspects but not the primary focus. While supporting family caregivers (D) is crucial, it is not the main goal of transitional care.