The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:
- A. nurse manager.
- B. case manager.
- C. coordinator of patient-centered care delivery.
- D. team leader in team nursing care delivery.
Correct Answer: B
Rationale: The correct answer is B: case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves managing the patient's overall care plan, ensuring continuity and efficiency. The other choices are incorrect because:
A: Nurse manager focuses on managing nursing staff and unit operations, not individual patient care.
C: Coordinator of patient-centered care delivery may oversee care coordination but does not necessarily follow the patient throughout the entire care journey.
D: Team leader in team nursing care delivery is focused on leading a specific nursing team, not managing the patient's entire care process.
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A nonprofit organization that distributes to governmental agencies, the public, business, and health care professionals knowledge related to health care for the purpose of improving health is the:
- A. Institute for Safe Medication Practices.
- B. Institute of Medicine.
- C. National Committee for Quality Assurance.
- D. The Joint Commission.
Correct Answer: B
Rationale: The correct answer is B: Institute of Medicine. The Institute of Medicine is known for disseminating knowledge related to health care through government agencies, the public, business, and health care professionals to improve health outcomes. The organization conducts research and provides evidence-based recommendations to address health care challenges.
A: Institute for Safe Medication Practices focuses specifically on promoting safe medication practices, not a broad range of health care knowledge dissemination.
C: National Committee for Quality Assurance primarily focuses on accrediting and certifying health care organizations based on quality standards, rather than broadly distributing health care knowledge.
D: The Joint Commission is responsible for accrediting health care organizations and institutions, ensuring they meet quality and safety standards, but not specifically for distributing health care knowledge to various stakeholders.
Which nursing theory might a nurse use as a conceptual framework to determine how to meet the needs of immigrants while ensuring provision of high-quality and culturally sensitive care?
- A. Martha Rogers' nursing theory
- B. Dorothea Orem's nursing theory
- C. Hildegard Peplau's nursing theory
- D. Madeleine Leininger's nursing theory
Correct Answer: D
Rationale: The correct answer is D, Madeleine Leininger's nursing theory. Leininger's Cultural Care Theory emphasizes the importance of providing culturally congruent care to individuals, taking into account their cultural beliefs, values, and practices. This theory is particularly relevant when caring for immigrants as it helps nurses understand and address their unique cultural needs.
A: Martha Rogers' nursing theory focuses on the science of unitary human beings and energy fields, not specifically on cultural care.
B: Dorothea Orem's nursing theory, the Self-Care Deficit Theory, emphasizes the individual's ability to perform self-care activities, not specifically cultural care.
C: Hildegard Peplau's nursing theory, the Theory of Interpersonal Relations, focuses on the nurse-patient relationship and therapeutic communication, not specifically on cultural care for immigrants.
A nurse preparing a resume for the first position is anxious to demonstrate all achievements, which included completing a rigorous accelerated program and maintaining a high GPA while also serving in many community projects and leadership positions. The applicant finds it impossible to include all the accolades on one page and researches tips for professional cover letters and resumes and learns:
- A. margins should be at least 0.5 inch on all four sides, making conciseness important.
- B. paper should be bright colored to catch the attention of the recruiter.
- C. legal size paper may be used when applicants have many accolades or extensive work history.
- D. standardized cover letters present a professional image as opposed to those that stress the applicant's perspective too heavily.
Correct Answer: A
Rationale: The correct answer is A because having margins of at least 0.5 inch on all four sides allows for a clear and organized presentation of information. By adhering to this guideline, the resume will appear neat and professional, making it easier for the recruiter to read and comprehend the content. This promotes conciseness by forcing the applicant to prioritize the most relevant achievements and information.
The other choices are incorrect because using bright colored paper (B) may come across as unprofessional and distracting. Legal size paper (C) is not recommended as it deviates from the standard letter size and can make it difficult for the recruiter to handle and file the resume. Standardized cover letters (D) may appear generic and fail to highlight the unique qualifications and achievements of the applicant.
Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?
- A. Including in the labor budget costs for overtime and benefits
- B. Managing variances in nursing overtime costs and supply usage
- C. Accurately predicting revenues on the basis of unit-of-service
- D. Providing qualitative analysis for variances in the capital budget
Correct Answer: B
Rationale: Step 1: Managing variances in nursing overtime costs and supply usage is crucial for a nurse manager's performance evaluation as it demonstrates their ability to control expenses effectively.
Step 2: This component directly relates to the nurse manager's responsibility in budgeting and financial management.
Step 3: Analyzing and managing variances show the nurse manager's skill in monitoring and adjusting budgetary allocations to meet targets.
Step 4: Other choices are not directly related to the nurse manager's core responsibilities in budgeting or evaluating performance.
Step 5: Labor budget costs for overtime and benefits (Choice A) and predicting revenues (Choice C) are important but not as directly tied to performance evaluation as managing variances in costs.
Step 6: Providing qualitative analysis for variances in the capital budget (Choice D) is not typically a key aspect of a nurse manager's evaluation, as it focuses more on long-term investments rather than day-to-day operational budgeting.
A group of RNs wish to seek union representation that would protect all workers in the agency including nonlicensed assistive personnel and non-nursing employees such as nutritionists and dietary workers. The type of union being sought is the strongest collective group and is known as a(n):
- A. occupational union.
- B. industrial union.
- C. union shop.
- D. right-to-work bargaining organization.
Correct Answer: B
Rationale: The correct answer is B: industrial union. Industrial unions represent all workers in a particular industry regardless of their specific job roles, providing collective bargaining power for a broader group. In this scenario, the RNs seeking union representation aim to include nonlicensed personnel and non-nursing employees, making an industrial union the most appropriate choice.
A: Occupational union focuses on specific occupational groups, not as inclusive as industrial unions.
C: Union shop refers to a workplace where all employees must join the union after being hired, not related to the scope of representation.
D: Right-to-work bargaining organization allows employees to choose whether or not to join the union, not the strongest type of union for collective representation.
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