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What is the primary advantage of utilizing a modular nursing model?
- A. Improved patient satisfaction
- B. Enhanced teamwork
- C. Cost reduction
- D. Improved communication
Correct Answer: B
Rationale: The primary advantage of utilizing a modular nursing model is enhanced teamwork. This is because modular nursing promotes collaboration among healthcare professionals, leading to better coordination of care and improved patient outcomes. It allows for flexibility and efficiency in assigning roles and responsibilities based on individual strengths and expertise. Improved teamwork fosters effective communication, enhances job satisfaction, and ultimately benefits patient care. Patient satisfaction, cost reduction, and communication are important aspects but not the primary advantage of a modular nursing model.
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One of the most useful tools to determine reasons for turnover is:
- A. Questioning.
- B. Surveys.
- C. Employee forums.
- D. Telephone calls.
Correct Answer: B
Rationale: The correct answer is B: Surveys. Surveys are structured tools that allow for systematic collection of feedback from employees, providing quantitative and qualitative data on reasons for turnover. They offer anonymity, encouraging honest responses. Questioning (choice A) may not provide a comprehensive view, as it relies on informal conversations. Employee forums (choice C) may not capture individual perspectives effectively. Telephone calls (choice D) are not scalable for large organizations and lack the anonymity of surveys. In summary, surveys are the most effective tool for gathering in-depth insights into reasons for turnover.
A nurse is considering employment at a long-term care facility that has a functional nursing delivery system. Knowing this, the nurse could expect that:
- A. Each RN would coordinate care for a group of clients.
- B. One RN would pass meds for all clients on a unit.
- C. Each RN would deliver total care to an assigned group of clients.
- D. One RN, one LPN, and one unlicensed assistive personnel would share responsibility for a group of clients.
Correct Answer: B
Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately.
A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients.
C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients.
D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.
What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?
- A. Select flat-soled leather shoes
- B. Apply heating pads on a low temperature.
- C. Avoid using callus remover for corns or calluses.
- D. Refrain from soaking feet in warm water for an hour each day.
Correct Answer: A
Rationale: The correct answer is A: Select flat-soled leather shoes. This choice is important for a patient with peripheral arterial disease, type 2 diabetes, and sensory neuropathy as it helps prevent skin breakdown, reduce pressure on the feet, and minimize the risk of injury due to decreased sensation. Flat-soled leather shoes provide good support and protection.
Explanation for why the other choices are incorrect:
B: Apply heating pads on a low temperature - This can be dangerous for a patient with sensory neuropathy as they may not be able to feel if the heating pad is too hot, leading to burns.
C: Avoid using callus remover for corns or calluses - While it is important to avoid injuring the skin, addressing foot care is not as critical as selecting appropriate footwear.
D: Refrain from soaking feet in warm water for an hour each day - Prolonged soaking can increase the risk of skin breakdown and infections, so it is important to avoid this practice.
An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?
- A. Use shortcuts in documentation.
- B. Only use approved abbreviations.
- C. Documentation should be subjective.
- D. Document after care is provided.
Correct Answer: B
Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations in nursing documentation helps ensure clarity, accuracy, and consistency, which are crucial for legal credibility. Abbreviations can lead to misunderstandings or errors if not standardized.
Explanation for other choices:
A: Using shortcuts in documentation can compromise accuracy and lead to incomplete or unclear information, which could result in legal issues.
C: Documentation should be objective, not subjective, to provide an accurate portrayal of the patient's condition and care. Subjective documentation can be challenged legally.
D: Documenting after care is provided is important, but documenting in a timely manner is crucial for legal credibility. Delayed documentation can raise questions about the accuracy and reliability of the information.
Which of the following best describes the concept of total quality management (TQM)?
- A. Top-down management
- B. Employee-centered approach
- C. Continuous improvement
- D. Quality control
Correct Answer: C
Rationale: The correct answer is C: Continuous improvement. Total Quality Management (TQM) focuses on constantly improving processes, products, and services to meet or exceed customer expectations. TQM involves all employees in identifying and solving problems, emphasizing continuous learning and innovation.
A: Top-down management is incorrect because TQM encourages involvement and empowerment of employees at all levels, not just top management.
B: Employee-centered approach is incorrect because while TQM values employees and their contributions, it is primarily focused on improving overall quality and processes, not solely centered on employees.
D: Quality control is incorrect because TQM goes beyond traditional quality control methods to encompass a holistic approach to quality management through continuous improvement efforts.