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Which agency reviews whether an organization meets its own criteria for staffing?
- A. American Nurses Association (ANA)
- B. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- C. Patient Classification Systems (PCSs)
- D. Nursing Care Hours (NCHs)
Correct Answer: B
Rationale: The correct answer is B: Joint Commission on Accreditation of Healthcare Organizations (JCAHO). JCAHO is responsible for accrediting healthcare organizations and ensuring they meet specific standards, including staffing requirements. They review whether an organization meets its own criteria for staffing to ensure quality care. The other choices (ANA, PCSs, NCHs) are not specifically focused on accrediting organizations or evaluating staffing criteria, making them incorrect options.
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The nurse determines a need for additional instruction when the patient with newly diagnosed
type 1 diabetes says which of the following?
- A. “I can have an occasional alcoholic drink if I include it in my meal plan.”
- B. “I will need a bedtime snack because I take an evening dose of NPH insulin.”
- C. “I can choose any foods, as long as I use enough insulin to cover the calories.”
- D. “I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.”
Correct Answer: C
Rationale: The correct answer is C because stating "I can choose any foods, as long as I use enough insulin to cover the calories" shows a lack of understanding of diabetes management. In type 1 diabetes, it's crucial to follow a balanced diet to regulate blood sugar levels. Choosing any foods without considering their impact on blood sugar control can lead to unstable glucose levels.
Explanation for why the other choices are incorrect:
A: Choosing to have an occasional alcoholic drink if included in the meal plan is acceptable as long as it's done in moderation and accounted for in the overall diabetes management plan.
B: Needing a bedtime snack with NPH insulin is appropriate to prevent hypoglycemia overnight.
D: Eating something at meal times to prevent hypoglycemia, even if not hungry, is a good practice to maintain stable blood sugar levels.
Healthcare systems primarily have functional structures. Which of the following would be an example of this?
- A. Open communication exists between Physical Therapy and Nursing.
- B. Medicine has authority over nursing.
- C. Laboratory services have little authority.
- D. All nursing tasks fall under nursing service.
Correct Answer: D
Rationale: The correct answer is D because in a functional structure, tasks are grouped by function. All nursing tasks falling under nursing service exemplifies this as it centralizes nursing responsibilities within the nursing department. A is incorrect as it describes communication, not structure. B is incorrect as it implies a hierarchy, not a functional structure. C is incorrect as it suggests a lack of authority, not the grouping of tasks.
Which of the following is a common characteristic of a high-performing healthcare team?
- A. Effective communication
- B. Shared leadership
- C. Collaborative decision making
- D. Hierarchical structure
Correct Answer: C
Rationale: The correct answer is C: Collaborative decision making. This is a common characteristic of a high-performing healthcare team because it promotes teamwork, respect for diverse perspectives, and ensures that decisions are made collectively with input from all team members. Collaborative decision making allows for better problem-solving, increases team morale, and fosters a sense of ownership and accountability among team members.
A: Effective communication is important in a healthcare team, but it alone does not guarantee high performance.
B: Shared leadership is valuable, but it is not as essential as collaborative decision making in ensuring team success.
D: Hierarchical structure can hinder collaboration and innovation within a team, making it less likely to be high-performing.
In summary, collaborative decision making is the best choice as it promotes teamwork, inclusivity, and better decision outcomes within a healthcare team.
Which of the following strategies is most effective for improving staff morale?
- A. Increasing workload
- B. Increasing salaries
- C. Providing feedback
- D. Offering incentives
Correct Answer: C
Rationale: The correct answer is C: Providing feedback. Feedback is essential for staff morale as it communicates appreciation, areas for improvement, and fosters a sense of engagement. It allows employees to understand their performance, feel valued, and motivated to improve. Increasing workload (A) can lead to burnout and decreased morale. While increasing salaries (B) can boost morale, it may not address underlying issues. Offering incentives (D) can be effective, but they are short-term solutions and may not address intrinsic motivation or long-term morale. Feedback, on the other hand, provides ongoing support and guidance to employees, making it the most effective strategy for improving staff morale.
Monitoring the number of times a medication is given utilizing the 'five rights' is an example of which phase of the Six Sigma program?
- A. Measure
- B. Management
- C. Quantitative
- D. Goal
Correct Answer: A
Rationale: The correct answer is A: Measure. In the Six Sigma program, the Measure phase involves collecting data to understand the current process performance. Monitoring the number of times a medication is given using the 'five rights' aligns with this phase as it focuses on measuring the accuracy and effectiveness of medication administration. This data helps identify any deviations from the desired standards and provides insights for improvement.
Summary of why other choices are incorrect:
B: Management - This choice does not specifically address the phase related to data collection and measurement.
C: Quantitative - While data collection is quantitative in nature, this choice does not capture the specific phase of Six Sigma that focuses on measurement.
D: Goal - This choice does not directly relate to the phase involving data collection and measurement; it is more focused on setting objectives and targets.