Nokea
What is the primary goal of a nursing informatics specialist?
- A. Manage patient care
- B. Implement new technology
- C. Improve healthcare delivery
- D. Support clinical decisions
Correct Answer: C
Rationale: The primary goal of a nursing informatics specialist is to improve healthcare delivery. This involves utilizing technology and data to enhance patient outcomes, streamline processes, and increase efficiency in healthcare settings. Nursing informatics specialists focus on integrating information systems to provide better decision-making tools for healthcare providers, ultimately leading to improved patient care. Managing patient care (choice A) is typically the responsibility of healthcare providers, while implementing new technology (choice B) and supporting clinical decisions (choice D) are important aspects but not the primary goal of a nursing informatics specialist, whose main focus is on enhancing healthcare delivery through the effective use of technology and data.
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What term refers to the situation where the pay of newer employees is similar to or higher than that of more experienced employees?
- A. Salary compression
- B. Salary expectations
- C. Salary range
- D. Salary inflation
Correct Answer: A
Rationale: The correct answer is A: Salary compression. Salary compression occurs when the pay of newer employees is comparable to or higher than that of more experienced employees due to various factors such as market trends, limited salary budgets, or lack of adjustments for inflation. This can lead to decreased morale and motivation among the experienced employees.
Choice B, salary expectations, does not specifically refer to the situation described in the question. Choice C, salary range, is a term used to define the minimum and maximum pay levels for a particular job position and does not address the relationship between newer and more experienced employees' pay. Choice D, salary inflation, refers to the general increase in wages over time due to factors such as rising costs of living and economic growth, but it does not specifically address the scenario of newer employees earning more than experienced employees.
Which of the following are essential components of strategic planning?
- A. Values
- B. Vision & Mission statements
- C. Reengineering
- D. A & B
Correct Answer: D
Rationale: The correct answer is D (Values and Vision & Mission statements) because they are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & Mission statements define the organization's purpose, goals, and direction, providing a roadmap for strategic decisions. Reengineering (choice C) is not a typical component of strategic planning as it focuses on process improvement rather than guiding the overall strategy. Choice A (Values) alone is not sufficient for strategic planning without a clear direction provided by Vision & Mission statements (B), making D the most comprehensive and accurate choice.
A 54-year-old patient is admitted with diabetic ketoacidosis. Which admission order should the nurse implement first?
- A. Infuse 1 liter of normal saline per hour.
- B. Give sodium bicarbonate 50 mEq IV push.
- C. Administer regular insulin 10 U by IV push.
- D. Start a regular insulin infusion at 0.1 units/kg/hr.
Correct Answer: A
Rationale: The correct answer is A because the priority in treating diabetic ketoacidosis is fluid resuscitation to address dehydration and electrolyte imbalances. Infusing 1 liter of normal saline per hour helps to restore intravascular volume and corrects electrolyte abnormalities. Choice B (sodium bicarbonate) is not recommended routinely in DKA treatment as it may worsen metabolic acidosis. Choice C (IV push insulin) can lead to hypoglycemia and should not be the initial intervention. Choice D (insulin infusion) is important but should be started after fluid resuscitation to avoid rapid drops in blood glucose levels.
A registered nurse (RN) is caring for a patient who is one of Jehovah’s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?
- A. Autonomy
- B. Nonmaleficence
- C. Beneficence
- D. Distributive justice
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy is the ethical principle that emphasizes respecting the patient's right to make their own decisions about their healthcare. In this scenario, the RN respects the patient's autonomy by providing all necessary information and allowing the patient to choose whether or not to accept a blood transfusion, despite the potential risks. This decision-making process aligns with the patient's right to self-determination.
Summary of other choices:
B: Nonmaleficence - Focuses on avoiding harm to the patient, but in this case, the patient's autonomy takes precedence over nonmaleficence.
C: Beneficence - Involves acting in the patient's best interest, but in this scenario, the patient's autonomy to make decisions is the primary focus.
D: Distributive justice - Concerns fair distribution of resources, which is not directly relevant to the patient's right to autonomy in decision-making.
Politics is defined as the art of influencing the allocation of scarce resources. An example of a scarce resource allocated by the manager of a patient care unit is:
- A. Raises for the staff.
- B. Patient supplies in the utility room.
- C. Staffing that minimizes overtime.
- D. Paper for the printer.
Correct Answer: C
Rationale: The correct answer is C: Staffing that minimizes overtime. Politics involves influencing resource allocation, and staffing decisions directly impact the allocation of human resources, a scarce resource in healthcare settings. Minimizing overtime through effective staffing management is crucial for efficient resource utilization. Raises for the staff (A) are more related to compensation rather than resource allocation. Patient supplies (B) and paper for the printer (D) are important resources but not directly tied to influencing resource allocation in the same way as staffing decisions. In summary, the correct answer, C, directly aligns with the definition of politics and resource allocation in a healthcare setting.