Nokea
The time period to give as notice for an appraisal is:
- A. One day.
- B. None.
- C. One week.
- D. Two days.
Correct Answer: D
Rationale: The correct answer is D: Two days. The Uniform Standards of Professional Appraisal Practice (USPAP) requires a minimum of two days' notice for an appraisal. This time frame allows the appraiser to adequately prepare for the appraisal assignment, gather necessary information, and schedule the inspection. Choice A is incorrect as one day is not sufficient time for proper preparation. Choice B is incorrect as no notice is not in compliance with USPAP standards. Choice C is incorrect as one week exceeds the minimum requirement of two days.
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A resident on night call refuses to answer pages from the staff nurse on the night shift and complains that she calls too often with minor problems. The nurse feels offended and reacts with frequent, middle-of-the-night phone calls to 'get back' at him. The behavior displayed by the resident and the nurse is an example of what kind of conflict?
- A. Perceived conflict
- B. Disruptive conflict
- C. Competitive conflict
- D. Felt conflict
Correct Answer: B
Rationale: The correct answer is B: Disruptive conflict. This type of conflict occurs when there is a lack of cooperation and communication between parties, leading to negative interactions. In this scenario, the resident and nurse are engaging in retaliatory behavior, causing disruption in their professional relationship. The resident's refusal to answer pages and the nurse's excessive phone calls are escalating the conflict, impacting their ability to work effectively as a team.
A: Perceived conflict refers to misunderstandings or misinterpretations of others' actions. In this case, the conflict is real and evident.
C: Competitive conflict involves a desire to win or outperform others. While there may be some competitiveness in their actions, the main issue is the disruptive nature of their conflict.
D: Felt conflict describes emotional responses to conflict situations. While emotions are likely present in this scenario, the key aspect is the disruptive nature of their behavior.
Monitoring the number of times a medication is given utilizing the 'five rights' is an example of which phase of the Six Sigma program?
- A. Measure
- B. Management
- C. Quantitative
- D. Goal
Correct Answer: A
Rationale: The correct answer is A: Measure. In the Six Sigma program, the Measure phase involves collecting data to understand the current process performance. Monitoring the number of times a medication is given using the 'five rights' aligns with this phase as it focuses on measuring the accuracy and effectiveness of medication administration. This data helps identify any deviations from the desired standards and provides insights for improvement.
Summary of why other choices are incorrect:
B: Management - This choice does not specifically address the phase related to data collection and measurement.
C: Quantitative - While data collection is quantitative in nature, this choice does not capture the specific phase of Six Sigma that focuses on measurement.
D: Goal - This choice does not directly relate to the phase involving data collection and measurement; it is more focused on setting objectives and targets.
When in opposition to an immediate superior, a nurse manager should use which important strategy in a confrontation?
- A. Using 'I' language
- B. Using absolutes
- C. Using 'why' questions
- D. Using negative assertions
Correct Answer: A
Rationale: The correct answer is A: Using 'I' language. This strategy is effective in confrontation as it focuses on expressing one's own thoughts and feelings without blaming the other person. By using "I" language, the nurse manager can communicate assertively and take ownership of their perspective, which can lead to a more constructive dialogue.
Summary:
B: Using absolutes can come across as rigid and may escalate the confrontation.
C: Using 'why' questions can be perceived as accusatory and defensive, potentially leading to further conflict.
D: Using negative assertions can create a hostile environment and hinder effective communication.
A nurse needs to know how to increase her power base. Which of the following are ways nurses can generate power as described by Umiker?
- A. Using body language, standing when talking
- B. Listening for feelings
- C. Using words, avoiding clich©s
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the options mentioned contribute to increasing a nurse's power base.
A: Using body language and standing when talking can convey confidence and assertiveness, enhancing power.
B: Listening for feelings builds rapport and empathy, leading to influence and power.
C: Using words effectively and avoiding clichés demonstrates communication skills, influencing power dynamics.
Therefore, by combining these strategies, nurses can maximize their power base effectively.
What is the primary focus of strategic planning in healthcare organizations?
- A. Financial performance
- B. Staff satisfaction
- C. Patient care quality
- D. Regulatory compliance
Correct Answer: C
Rationale: The correct answer is C: Patient care quality. Strategic planning in healthcare organizations primarily focuses on improving patient outcomes, safety, and overall quality of care. This ensures that the organization aligns its resources and goals towards enhancing patient well-being. Financial performance (A) is important but not the primary focus. Staff satisfaction (B) is crucial for employee engagement but not the main goal of strategic planning. Regulatory compliance (D) is essential but not the primary focus, as it is a requirement to ensure quality care rather than the main goal itself.