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What is the primary goal of the Affordable Care Act (ACA)?
- A. To reduce healthcare costs
- B. To expand access to healthcare
- C. To improve healthcare quality
- D. To increase healthcare funding
Correct Answer: B
Rationale: The correct answer is B: To expand access to healthcare. The primary goal of the ACA is to increase the number of Americans with access to affordable healthcare coverage. This is achieved through measures such as expanding Medicaid, creating health insurance marketplaces, and providing subsidies for low-income individuals. By increasing access to healthcare, the ACA aims to improve health outcomes and reduce disparities.
Choice A (To reduce healthcare costs) is not the primary goal of the ACA, although cost containment is an important aspect. Choice C (To improve healthcare quality) is also a key goal, but not the primary focus. Choice D (To increase healthcare funding) is not the primary goal either, as the ACA aims to improve access and quality of care rather than simply increasing funding.
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Many patient classification systems have some type of shortcoming. Among these are:
- A. The client's condition changes before the next shift.
- B. The staffing needs are predicted on a short-term basis.
- C. The potential admissions cannot be accounted for.
- D. The staffing mix changes because of illness.
Correct Answer: C
Rationale: The correct answer is C because patient classification systems often struggle to accurately predict potential admissions, leading to challenges in allocating appropriate staffing levels and resources. This is a crucial shortcoming as it can result in understaffing or overstaffing, impacting patient care quality and staff workload. Options A, B, and D are incorrect as they address different issues such as changes in patient conditions between shifts, short-term staffing needs prediction, and staffing mix changes due to illness, which are not directly related to the specific shortcoming of accounting for potential admissions.
What is the main focus of the Six Sigma methodology in healthcare?
- A. Reducing healthcare costs
- B. Improving patient satisfaction
- C. Enhancing clinical decision making
- D. Increasing healthcare access
Correct Answer: C
Rationale: The main focus of Six Sigma methodology in healthcare is enhancing clinical decision making. This is because Six Sigma aims to reduce variations and defects in processes, leading to improved quality and efficiency. By enhancing clinical decision making, healthcare providers can make more accurate and timely decisions, resulting in better patient outcomes.
Incorrect choices:
A: Reducing healthcare costs is a common goal in healthcare improvement initiatives but not the main focus of Six Sigma.
B: Improving patient satisfaction is important but not the primary focus of Six Sigma, which aims at process improvement.
D: Increasing healthcare access is crucial, but it is not the main focus of Six Sigma, which is more about quality improvement within existing processes.
Which of the following is an example of an effective conflict resolution strategy?
- A. Ignoring the conflict
- B. Assigning blame to one party
- C. Encouraging open communication
- D. Enforcing strict rules
Correct Answer: C
Rationale: The correct answer is C: Encouraging open communication. This strategy promotes understanding, empathy, and collaboration among conflicting parties. It allows individuals to express their thoughts and feelings, leading to mutual respect and potential solutions. Ignoring the conflict (A) can escalate tensions, while assigning blame (B) can create hostility. Enforcing strict rules (D) may suppress conflict temporarily but does not address underlying issues. In summary, open communication fosters constructive dialogue and facilitates resolving conflicts effectively.
If a staff member does not respond to discipline, the manager must ______ employment.
- A. Terminate
- B. Confront
- C. Describe the staff nurse's behavior that violated the policy
- D. Determine the employee's awareness of the policy
Correct Answer: A
Rationale: The correct answer is A: Terminate. If a staff member is not responding to discipline, it indicates a serious issue with their behavior or performance. Terminating their employment may be necessary to maintain discipline and uphold organizational standards. Confronting (B) and describing behavior (C) are initial steps in addressing the issue but may not be effective if the staff member continues to be non-responsive. Determining awareness (D) of the policy is important but does not directly address the lack of response to discipline. Terminating employment may be a last resort to maintain the integrity of the organization.
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.