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What is the primary purpose of a patient-centered medical home (PCMH)?
- A. To coordinate all aspects of patient care
- B. To reduce healthcare costs
- C. To implement the latest clinical guidelines
- D. To provide financial incentives for providers
Correct Answer: A
Rationale: The primary purpose of a patient-centered medical home (PCMH) is to coordinate all aspects of patient care (Choice A). This model aims to improve patient outcomes by ensuring comprehensive and coordinated care that meets the individual's needs. PCMH focuses on enhancing patient-provider communication, care coordination, and patient engagement to deliver high-quality care. Choices B, C, and D are incorrect because while PCMH may indirectly contribute to reducing healthcare costs and implementing clinical guidelines, the main focus is on improving patient care coordination and quality outcomes. Providing financial incentives for providers is not the primary purpose of PCMH, but rather a potential outcome of improved care coordination.
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After correcting the IVF infusion rate, what should be the next step in the client's care?
- A. Notify family
- B. Discipline the previous nurse
- C. Complete an incident report
- D. Obtain legal consultation
Correct Answer: C
Rationale: The correct answer is C: Complete an incident report. This is the next step to document the error and ensure proper follow-up. It helps in analyzing the root cause, implementing preventive measures, and ensures transparency in patient care. Notifying the family (A) can wait until the situation is under control. Disciplining the previous nurse (B) should not be the immediate focus and may come after a thorough investigation. Obtaining legal consultation (D) is premature and should only be considered if the incident escalates to a legal issue.
What are the final stages of the conflict process?
- A. Antecedent conditions
- B. Perceived and felt conflict
- C. Suppression and resolution
- D. Conflict behavior
Correct Answer: C
Rationale: The correct answer is C: Suppression and resolution. In the final stages of the conflict process, individuals may try to suppress their feelings or behaviors related to the conflict, and ultimately work towards resolving the conflict through communication, negotiation, or seeking a mutually agreeable solution. Antecedent conditions (A) refer to factors that lead to conflict, perceived and felt conflict (B) are early stages of conflict where individuals become aware of the disagreement, and conflict behavior (D) pertains to the actions taken during the active conflict phase. Therefore, C is the correct choice as it specifically addresses the final actions taken to manage and resolve the conflict.
Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?
- A. No expenses are involved in frivolous lawsuits.
- B. If a nurse is found guilty of malpractice, the institution can sue the nurse.
- C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
- D. Only doctors are sued for malpractice.
Correct Answer: C
Rationale: The correct answer is C because liability policies can indeed cover charges beyond malpractice, such as libel, slander, assault, and HIPAA violations. This is important as nurses can face legal actions related to various aspects of their practice beyond just malpractice. Option A is incorrect as expenses can still be involved in defending against frivolous lawsuits. Option B is incorrect because it states that the institution can sue the nurse, which is not the primary reason for having liability insurance. Option D is incorrect as nurses can also be sued for malpractice, not just doctors. Therefore, option C is the most comprehensive and relevant reason for an RN to have a professional liability insurance policy.
Constant reports of inadequate pain control in clients indicate which of the following?
- A. Improper administration of medications
- B. Potential substance abuse by the healthcare provider
- C. Poorly written prescriptions
- D. Inadequate scheduling by healthcare providers
Correct Answer: B
Rationale: The correct answer is B: Potential substance abuse by the healthcare provider. Constant reports of inadequate pain control could indicate potential substance abuse by the healthcare provider. This is because substance abuse can impair judgment and lead to inappropriate prescribing practices, resulting in inadequate pain management for clients. The other choices are incorrect because improper administration of medications (A), poorly written prescriptions (C), and inadequate scheduling by healthcare providers (D) are more likely to be isolated incidents rather than consistent patterns of inadequate pain control.
Which of the following best describes the role of a nurse leader?
- A. Managing patient care directly
- B. Enforcing healthcare policies
- C. Inspiring and motivating the healthcare team
- D. Ensuring regulatory compliance
Correct Answer: C
Rationale: The correct answer is C: Inspiring and motivating the healthcare team. A nurse leader's role involves guiding, supporting, and empowering their team to provide high-quality care. Inspiring and motivating the team helps improve morale, teamwork, and ultimately patient outcomes. Managing patient care directly (A) is typically the responsibility of staff nurses, not nurse leaders. Enforcing healthcare policies (B) is important, but it is not the primary role of a nurse leader. Ensuring regulatory compliance (D) is crucial, but it is a shared responsibility among healthcare professionals and not exclusive to nurse leaders.