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Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct Answer: C
Rationale: The correct answer is C: Greater client workload. Achieving Magnet Hospital designation typically does not lead to an increase in client workload. The other choices (A, B, D) are advantages of Magnet Hospital designation as they are commonly associated with it. A: Greater client satisfaction is a common outcome due to improved quality of care. B: Improved nursing recruitment is a benefit as it attracts high-quality nurses. D: Nurses who are independent decision makers is a characteristic of Magnet Hospitals, promoting autonomy and professional growth.
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A 28-year-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?
- A. The patient always carries hard candies when engaging in exercise.
- B. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
- C. The patient has a peanut butter sandwich before going for a bicycle ride.
- D. The patient increases daily exercise when ketones are present in the urine.
Correct Answer: D
Rationale: The correct answer is D. Increasing exercise when ketones are present can worsen diabetic ketoacidosis. A patient should not exercise with ketones in urine. Carrying candies for exercise (A) helps manage low blood sugar. Going for a walk with a glucose of 200 mg/dL (B) can help lower blood sugar. Eating a sandwich before exercise (C) provides fuel.
A supervisor is restricting the flow of communication between staff. This has resulted in the staff having two very opposite directions. The supervisor's actions are known as which type of force?
- A. Opposing force
- B. Driving force
- C. Restraining force
- D. Restrictive force
Correct Answer: C
Rationale: The correct answer is C: Restraining force. In this scenario, the supervisor's actions of restricting communication act as a restraining force, hindering the flow of information and causing conflicting directions among the staff. A restraining force limits the ability of individuals or groups to achieve their goals by imposing obstacles or constraints. Opposing force (A) implies a force in direct opposition, which is not the case here. Driving force (B) typically motivates action rather than restricts it. Restrictive force (D) is similar to restraining force but lacks the specific connotation of limiting communication in this context.
After correcting the IVF infusion rate, what should be the next step in the client's care?
- A. Notify family
- B. Discipline the previous nurse
- C. Complete an incident report
- D. Obtain legal consultation
Correct Answer: C
Rationale: The correct answer is C: Complete an incident report. This is the next step to document the error and ensure proper follow-up. It helps in analyzing the root cause, implementing preventive measures, and ensures transparency in patient care. Notifying the family (A) can wait until the situation is under control. Disciplining the previous nurse (B) should not be the immediate focus and may come after a thorough investigation. Obtaining legal consultation (D) is premature and should only be considered if the incident escalates to a legal issue.
Which of the following can cause negative effects on decision making among groups?
- A. Rationalization
- B. Groupthink
- C. Risky shift
- D. Dialectical inquiry
Correct Answer: B
Rationale: Groupthink can cause negative effects on decision making among groups as it involves prioritizing harmony and conformity over critical evaluation of alternatives. This can lead to group members suppressing dissenting opinions and making hasty decisions without considering all perspectives. Rationalization, risky shift, and dialectical inquiry do not specifically focus on the negative impact of group dynamics on decision making like groupthink does.
Which of the following best describes the purpose of a root cause analysis (RCA)?
- A. Identify the person responsible for an error
- B. Determine who should be disciplined
- C. Discover the underlying causes of an error
- D. Evaluate the effectiveness of a new policy
Correct Answer: C
Rationale: The correct answer is C: Discover the underlying causes of an error. Root cause analysis aims to identify the fundamental reason(s) contributing to an issue, allowing for effective solutions. It focuses on understanding the core factors leading to an error rather than blaming individuals (A, B) or assessing policy effectiveness (D). By conducting RCA, organizations can prevent recurrence and improve processes.