Nokea
Which of the following are essential components of strategic planning?
- A. Values
- B. Vision & Mission statements
- C. Reengineering
- D. A & B
Correct Answer: D
Rationale: The correct answer is D (Values and Vision & Mission statements) because they are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & Mission statements define the organization's purpose, goals, and direction, providing a roadmap for strategic decisions. Reengineering (choice C) is not a typical component of strategic planning as it focuses on process improvement rather than guiding the overall strategy. Choice A (Values) alone is not sufficient for strategic planning without a clear direction provided by Vision & Mission statements (B), making D the most comprehensive and accurate choice.
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A nurse is discussing the responsibility of caring for clients with clostridium difficile infection. Which of the following information should the nurse include in the teaching?
- A. Have family members wear a gown and gloves when visiting.
- B. Clean contaminated surfaces in the client's room with a bleach solution.
- C. Use alcohol-based hand sanitizer when leaving the client's room.
- D. Assign the client to a room with a private bathroom.
Correct Answer: A
Rationale: The correct answer is A because having family members wear a gown and gloves when visiting a client with C. difficile infection helps prevent the spread of the bacteria to others. This infection is highly contagious and can be transmitted through contact with contaminated surfaces or feces. By wearing protective gear, family members can reduce the risk of spreading the infection to themselves or others.
Choice B is incorrect because while cleaning contaminated surfaces with a bleach solution is important, it is not directly related to family members' responsibilities. Choice C is incorrect because alcohol-based hand sanitizers are not effective against C. difficile spores, so proper handwashing with soap and water is recommended. Choice D is incorrect because assigning the client to a room with a private bathroom is not directly related to the responsibility of family members visiting the client.
Which of the following best describes the role of a nurse preceptor?
- A. Supervisor of all nursing staff
- B. Mentor and educator for new nurses
- C. Director of nursing services
- D. Coordinator of patient care
Correct Answer: B
Rationale: The correct answer is B: Mentor and educator for new nurses. A nurse preceptor guides and supports new nurses in their transition to the workplace, providing mentorship and educational resources. This role involves teaching clinical skills, sharing knowledge, and offering emotional support.
A: Supervisor of all nursing staff - Incorrect. A nurse preceptor focuses on mentoring new nurses, not supervising all nursing staff.
C: Director of nursing services - Incorrect. The director of nursing services is a higher-level administrative position responsible for overseeing the nursing department.
D: Coordinator of patient care - Incorrect. While a nurse preceptor may assist in coordinating patient care for their assigned nurse, their primary role is to mentor and educate new nurses.
What is the main focus of the Six Sigma methodology in healthcare?
- A. Reducing healthcare costs
- B. Improving patient satisfaction
- C. Enhancing clinical decision making
- D. Increasing healthcare access
Correct Answer: C
Rationale: The main focus of Six Sigma methodology in healthcare is enhancing clinical decision making. This is because Six Sigma aims to reduce variations and defects in processes, leading to improved quality and efficiency. By enhancing clinical decision making, healthcare providers can make more accurate and timely decisions, resulting in better patient outcomes.
Incorrect choices:
A: Reducing healthcare costs is a common goal in healthcare improvement initiatives but not the main focus of Six Sigma.
B: Improving patient satisfaction is important but not the primary focus of Six Sigma, which aims at process improvement.
D: Increasing healthcare access is crucial, but it is not the main focus of Six Sigma, which is more about quality improvement within existing processes.
12. A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
- A. 10:00 AM
- B. 12:00 PM
- C. 2:00 PM
- D. 4:00 PM
Correct Answer: A
Rationale: The correct answer is A (10:00 AM) because aspart insulin typically peaks in around 1-3 hours after administration. Given that the patient received the insulin at 8:00 AM, the peak effect would most likely occur around 10:00 AM, making it crucial for the nurse to monitor for hypoglycemia symptoms. Choice B (12:00 PM) is not the best time as the peak effect would have already passed. Choices C (2:00 PM) and D (4:00 PM) are even further away from the expected peak time, making them less critical for monitoring hypoglycemia symptoms.
The nurse manager is talking with the CNA about her time management. Which of the following is an example of a nurse manager as a coach?
- A. Your timely response to patients' call lights is exemplary.
- B. Your appearance is seldom professional.
- C. You must get the vital signs taken on time or you will be disciplined.
- D. You never report AM blood sugar levels on time.
Correct Answer: A
Rationale: The correct answer is A because it provides positive reinforcement for a behavior that the nurse manager wants to encourage. By praising the CNA for her timely response to patients' call lights, the nurse manager is acting as a coach by recognizing and reinforcing a positive behavior. This approach is motivational and helps the CNA understand the importance of time management in a positive manner.
Choice B is incorrect because it focuses on the CNA's appearance, which is not directly related to time management or coaching. Choice C is incorrect as it uses a threat of discipline rather than coaching to address the issue of vital signs being taken on time. Choice D is incorrect as it uses a negative statement without providing constructive feedback or coaching to address the issue of reporting blood sugar levels on time.