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When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)
- A. Describing the staff nurse's behavior that violated the policy
- B. Terminating the staff immediately
- C. Confrontation
- D. Determining the employee's awareness of the policy
Correct Answer: B
Rationale: Correct Answer (B): Terminating the staff immediately
Rationale: Terminating the staff immediately is not the necessary step when a policy violation occurs. It is essential to follow due process, investigate the situation, provide the staff with the opportunity to explain themselves, and consider factors like intent, past behavior, and potential training needs. Rushing to terminate without proper investigation or understanding can lead to legal issues and unfair treatment.
Summary:
A: Describing the staff nurse's behavior - Important to clearly communicate the violation for transparency and understanding.
C: Confrontation - Addressing the issue directly and professionally is crucial for resolving conflicts.
D: Determining the employee's awareness - Assessing the employee's understanding of the policy helps identify training needs and prevent future violations.
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As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)
- A. In a communication to all staff nurses to inspire them.
- B. At a conference within the health care facility.
- C. In an email to a friend.
- D. In a presentation with select individuals.
Correct Answer: A
Rationale: The correct answer is A. By communicating your participation to all staff nurses, you can inspire them to engage in evidence-based practice. This fosters a culture of learning and innovation. Choice B is incorrect because the conference is external and not held within the health care facility. Choice C is irrelevant as it involves informing a friend rather than the professional environment. Choice D is also incorrect as it limits the audience to select individuals, missing the opportunity to spread awareness and inspire a broader group within the facility.
A nurse manager is using the nominal group technique to gather input from the staff on a new policy. What is the primary method of exchange in this technique?
- A. Oral presentations
- B. Email exchanges
- C. Written reports
- D. Group discussions
Correct Answer: C
Rationale: The correct answer is C: Written reports. In the nominal group technique, participants individually write down their ideas or suggestions on a given topic. These written reports are then collected and synthesized by the facilitator, ensuring each participant's input is considered equally. This method allows for unbiased aggregation of ideas and prevents dominant individuals from influencing the group. Oral presentations (A) may lead to groupthink, email exchanges (B) lack real-time interaction, and group discussions (D) may result in unequal participation. Written reports ensure all ideas are heard and valued, making it the primary method of exchange in this technique.
You believe that you are working harder than other nurses and that you take care of patients that are more complex. You are angry that other staff nurses have less complex and lower acuity patients, but you __________ .
- A. Avoid discussing the situation because you do not want to be perceived as a complainer.
- B. Know that you need to discuss the inequity with the nurse manager because you are resenting the work and becoming more dissatisfied in your job
- C. A & B
- D. None of the above
Correct Answer: C
Rationale: The correct answer is C. This is because both options A and B are valid courses of action in this scenario. Option A suggests avoiding discussing the situation to prevent being seen as a complainer, which can be a mature approach to handle the situation diplomatically. Option B emphasizes the importance of addressing the inequity with the nurse manager to prevent increasing dissatisfaction with the job. By choosing option C, you can combine the benefits of both approaches, addressing the issue with the nurse manager while also maintaining professionalism and avoiding unnecessary conflict with colleagues.
Which of the following types of HMOs (Health Maintenance Organizations) contracts with two or more IPAs (Independent Practice Associations)?
- A. Staff model
- B. Point of service model
- C. Network model
- D. Group model
Correct Answer: C
Rationale: The correct answer is C: Network model. In a network model HMO, the organization contracts with two or more IPAs. IPAs are groups of independent doctors who work together to provide care. This model allows members to choose from a network of providers.
A: Staff model HMOs directly employ physicians.
B: Point of service model HMOs allow members to go out of network for care.
D: Group model HMOs contract with a single medical group, not multiple IPAs.
Therefore, the network model is the correct choice as it specifically involves contracting with multiple IPAs, distinguishing it from the other options.
Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?
- A. Carefully assess and document client status.
- B. Ensure all patient information is logged out and the nurse has signed out of the computer before leaving the computer station.
- C. Keep careful notes while providing care to ensure accurate documentation later in the day.
- D. Discuss safety needs with clients.
Correct Answer: A
Rationale: The correct answer is A. Carefully assessing and documenting client status is crucial to avoid charges of negligence and false imprisonment. By assessing and documenting client status, healthcare providers can ensure they are meeting the client's needs and providing appropriate care. This helps in demonstrating that the healthcare provider acted responsibly.
Option B is incorrect because ensuring all patient information is logged out and the nurse has signed out of the computer before leaving the computer station relates more to patient privacy and data security, rather than avoiding charges of negligence and false imprisonment. Option C, keeping careful notes while providing care, is important for accurate documentation but does not directly address the risk of negligence or false imprisonment. Option D, discussing safety needs with clients, is important but does not specifically address the legal aspects of negligence and false imprisonment.