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What is the primary advantage of utilizing a modular nursing model?
- A. Improved patient satisfaction
- B. Enhanced teamwork
- C. Cost reduction
- D. Improved communication
Correct Answer: B
Rationale: The primary advantage of utilizing a modular nursing model is enhanced teamwork. This is because modular nursing promotes collaboration among healthcare professionals, leading to better coordination of care and improved patient outcomes. It allows for flexibility and efficiency in assigning roles and responsibilities based on individual strengths and expertise. Improved teamwork fosters effective communication, enhances job satisfaction, and ultimately benefits patient care. Patient satisfaction, cost reduction, and communication are important aspects but not the primary advantage of a modular nursing model.
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A client experiences an air emboli, resulting in a stroke, during an IV start. This can be classified as which type of risk?
- A. Patient dissatisfaction
- B. Medical-legal incident
- C. Medication error
- D. Diagnostic procedure
Correct Answer: D
Rationale: The correct answer is D: Diagnostic procedure. Air emboli during an IV start can lead to a stroke, making it a risk associated with a diagnostic procedure. The air emboli occurred during the IV start, which is a diagnostic procedure aimed at obtaining information about the patient's health status. Patient dissatisfaction (A) is not the main concern here, as the focus is on the medical outcome. While a medical-legal incident (B) may result from this situation, the primary classification is related to the diagnostic nature of the procedure. This incident is not primarily a medication error (C) as the main issue is the introduction of air into the bloodstream during the IV start, rather than a mistake in medication administration.
Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
- A. Glyburide decreases glucagon secretion from the pancreas.
- B. Glyburide stimulates insulin production and release from the pancreas.
- C. Glyburide should be taken even if the morning blood glucose level is low.
- D. Glyburide should not be used for 48 hours after receiving IV contrast media.
Correct Answer: B
Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas.
1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin.
2. This action helps to lower blood glucose levels in patients with type 2 diabetes.
3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body.
Incorrect choices:
A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production.
C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia.
D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.
What is the primary goal of a root cause analysis (RCA) in healthcare?
- A. To assign blame for errors
- B. To prevent future errors by identifying underlying causes
- C. To improve patient satisfaction
- D. To analyze the financial impact of errors
Correct Answer: B
Rationale: The primary goal of a root cause analysis (RCA) in healthcare is to prevent future errors by identifying underlying causes. This is because RCA focuses on understanding the fundamental reasons behind incidents to implement effective preventive measures. By identifying root causes, healthcare providers can implement strategies to mitigate risks and enhance patient safety. The other choices are incorrect because RCA is not about assigning blame (A), improving patient satisfaction (C), or analyzing financial impact (D), but rather about understanding and addressing the core issues to prevent recurrence.
What are the advantages of using internal pools of nurses for staffing purposes?
- A. Familiarity with the hospital & Lower cost
- B. Centralization
- C. Staffing mix
- D. Staff satisfaction
Correct Answer: A
Rationale: The correct answer is A: Familiarity with the hospital & Lower cost. Internal pools of nurses are advantageous because they are already familiar with the hospital's policies, procedures, and workflow, reducing the need for extensive training. This familiarity can lead to increased efficiency and improved patient care. Additionally, utilizing internal nurses can be cost-effective as they are already on the hospital's payroll, reducing the need for external agency staff, which can be more expensive. Centralization (option B) and staffing mix (option C) are not directly related to the advantages of using internal pools of nurses. Staff satisfaction (option D) can be a potential benefit of internal pools, but it is not as directly linked to the advantages of familiarity and cost savings as option A.
Which of the following best describes the concept of evidence-based management?
- A. Using personal experience to make managerial decisions
- B. Combining managerial expertise with the latest research evidence
- C. Using intuition and experience to guide management decisions
- D. Relying on peer-reviewed literature to inform management practices
Correct Answer: B
Rationale: The correct answer is B because evidence-based management involves integrating managerial expertise with research evidence to make informed decisions. This approach ensures decisions are grounded in data and proven strategies, leading to more effective outcomes. Choice A is incorrect as it relies solely on personal experience, neglecting valuable external evidence. Choice C is incorrect as intuition alone may not always lead to optimal decisions. Choice D is incorrect as it focuses only on peer-reviewed literature, excluding the importance of combining it with managerial expertise.