Nokea
What is the primary focus of case management in nursing?
- A. Direct patient care
- B. Resource management
- C. Financial planning
- D. Quality assurance
Correct Answer: A
Rationale: The correct answer is A: Direct patient care. Case management in nursing focuses primarily on coordinating care, advocating for patients, and ensuring their needs are met. This involves direct patient interaction, collaborating with healthcare providers, and addressing the patient's physical, emotional, and social well-being. Resource management (B) involves allocating resources efficiently, financial planning (C) focuses on budgeting and financial aspects, and quality assurance (D) pertains to monitoring and improving healthcare standards. These options are important in healthcare but are not the primary focus of case management in nursing.
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Which of the following is a common characteristic of a Magnet-designated hospital?
- A. High nurse turnover rates
- B. Strong emphasis on interdisciplinary teamwork
- C. Limited opportunities for professional development
- D. Focus on advanced technology for patient care
Correct Answer: B
Rationale: The correct answer is B: Strong emphasis on interdisciplinary teamwork. Magnet-designated hospitals are recognized for their commitment to nursing excellence and quality patient care. Interdisciplinary teamwork is crucial for enhancing patient outcomes and promoting a holistic approach to healthcare. Collaboration among healthcare professionals ensures comprehensive patient care. Other choices are incorrect because high nurse turnover rates, limited professional development opportunities, and a focus on advanced technology do not necessarily define a Magnet-designated hospital.
The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2
diabetes about home management of the disease. Which action should the nurse take first?
- A. Ask the patient’s family to participate in the diabetes education program.
- B. Assess the patient’s perception of what it means to have diabetes mellitus.
- C. Demonstrate how to check glucose using capillary blood glucose monitoring.
- D. Discuss the need for the patient to actively participate in diabetes management.
Correct Answer: B
Rationale: The correct answer is B: Assess the patient’s perception of what it means to have diabetes mellitus. This is the first step because understanding the patient's perception allows the nurse to tailor education to address any misconceptions or concerns. It helps establish a baseline of the patient's knowledge and beliefs about diabetes, enabling the nurse to provide accurate and relevant information.
Option A is incorrect as involving the family should come after assessing the patient's individual understanding and needs. Option C is incorrect as demonstrating blood glucose monitoring should follow assessing the patient's perception to ensure relevance. Option D is incorrect as discussing active participation should also come after assessing the patient's perception to ensure the information is personalized and effective.
An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?
- A. Limiting overtime for highly paid workers
- B. Reducing the number of beds
- C. Using per diem workers
- D. Refusing to pay overtime
Correct Answer: C
Rationale: The correct answer is C: Using per diem workers. This option is viable because per diem workers can be brought in to cover shifts without incurring overtime costs. By utilizing per diem workers, the organization can reduce the need for regular staff to work overtime hours, hence decreasing overall overtime expenses.
A: Limiting overtime for highly paid workers is not a practical solution as all workers, regardless of pay, may contribute to the need for overtime.
B: Reducing the number of beds may lead to reduced capacity and impact patient care, not directly addressing the issue of reducing overtime.
D: Refusing to pay overtime is not a sustainable solution as it may lead to legal issues and impact employee morale and productivity.
When matching a job with an experienced RN, what is the first step in the selection process?
- A. Job analysis
- B. Selection techniques
- C. Methods of recruiting
- D. Assurance of legal requirements
Correct Answer: A
Rationale: The correct answer is A: Job analysis. This is the first step in the selection process as it involves identifying the specific duties, responsibilities, and requirements of the job. By conducting a job analysis, an organization can ensure that they have a clear understanding of what the job entails, which is crucial for effectively matching it with an experienced RN.
Choice B, selection techniques, comes after job analysis and involves determining the most appropriate methods for evaluating candidates. Choice C, methods of recruiting, focuses on attracting candidates and is not the first step in the selection process. Choice D, assurance of legal requirements, is important but typically occurs later in the process after job analysis has been completed.
By using ___________ in the workplace, nurses increase their professional influence.
- A. political skills
- B. reward power
- C. expert power
- D. power and politics
Correct Answer: C
Rationale: The correct answer is C: expert power. Nurses increase their professional influence by demonstrating expertise, knowledge, and skills in their field. This expertise allows them to gain credibility and influence others based on their competence. Expert power is based on respect and trust earned through proficiency in their profession. Choice A (political skills) focuses on manipulation and may not lead to genuine influence. Choice B (reward power) involves using rewards to influence behavior, which is different from professional influence. Choice D (power and politics) is a broad concept that encompasses various types of power dynamics, but expert power specifically highlights the importance of knowledge and skills in increasing influence in the workplace.