Nokea
What are the key elements essential to the implementation of case management? (Select all that apply.)
- A. Collaborative practice teams
- B. Established critical pathways
- C. Quality management system
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the elements mentioned - collaborative practice teams, established critical pathways, and quality management system - are essential for effective case management. Collaborative practice teams ensure comprehensive care, critical pathways provide a structured approach to care delivery, and a quality management system ensures high standards of care. Each element plays a crucial role in the successful implementation of case management by promoting coordination, efficiency, and quality assurance. Therefore, selecting all of the above options is necessary to cover all key aspects of effective case management.
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A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
- A. Activate the emergency fire alarm.
- B. Extinguish the fire.
- C. Evacuate the client.
- D. Confine the fire.
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.
Which of the following best describes the concept of cultural humility in nursing?
- A. A fixed set of cultural competencies
- B. Recognizing and addressing power imbalances
- C. Adapting care to fit different cultural contexts
- D. Learning from patients and adapting to their needs
Correct Answer: D
Rationale: The correct answer is D because cultural humility in nursing emphasizes continuous learning from patients and adapting care based on their individual needs. This approach values patient input and focuses on building mutual respect and trust. Choice A is incorrect because cultural humility is not about a fixed set of competencies but rather an ongoing process. Choice B is incorrect as it only addresses one aspect of cultural humility related to power dynamics. Choice C is incorrect as it focuses on adapting care to fit different cultural contexts rather than individual patient needs. In summary, cultural humility in nursing involves actively listening, learning, and adapting to meet the unique needs of each patient.
What is the primary focus of health promotion activities?
- A. To manage chronic diseases
- B. To educate patients about their health
- C. To prevent the onset of disease
- D. To identify and treat diseases early
Correct Answer: C
Rationale: The correct answer is C: To prevent the onset of disease. Health promotion activities aim to prevent illnesses before they occur by promoting healthy behaviors and lifestyles. This is a proactive approach that focuses on preventing diseases rather than managing or treating them after they have developed. Choice A focuses on managing existing conditions, choice B emphasizes educating patients after the fact, and choice D focuses on early detection and treatment rather than prevention. Preventing disease through health promotion is the most effective and cost-efficient approach to improving overall health outcomes.
What is the primary objective of healthcare accreditation programs?
- A. To increase financial profitability
- B. To ensure patient safety and quality care
- C. To streamline healthcare operations
- D. To reduce hospital readmissions
Correct Answer: B
Rationale: The correct answer is B: To ensure patient safety and quality care. Healthcare accreditation programs aim to establish and maintain standards for healthcare facilities to ensure that patients receive safe and high-quality care. This objective prioritizes patient well-being and satisfaction over financial gain (A), operational efficiency (C), or reducing readmissions (D). Patient safety and quality care are fundamental principles in healthcare accreditation to enhance overall healthcare outcomes and patient experience.
A group of physicians comes into conflict with the nursing staff of a unit over when AM vital signs are recorded. What type of technique might be used that respects the professionalism of both parties?
- A. Accommodating
- B. Collaboration
- C. Avoiding
- D. Competing
Correct Answer: B
Rationale: The correct answer is B: Collaboration. Collaboration involves both parties working together to find a mutually beneficial solution. In this scenario, collaborating with the physicians and nursing staff allows for open communication, respect for each other's expertise, and finding a compromise on when to record vital signs. Accommodating (A) involves giving in to one party's preferences, while avoiding (C) involves ignoring the conflict altogether. Competing (D) focuses on one party winning at the expense of the other, which does not respect the professionalism of both parties. Collaboration is the most effective technique as it values input from all parties and fosters a positive working relationship.