Nokea
Which of the following are significant benefits to an organization that is considering adoption of a practice partnership model? (Select all that apply.)
- A. Clients express reduced satisfaction.
- B. It is less expensive to implement than other models.
- C. Continuity of care is facilitated.
- D. Leadership is well accepted.
Correct Answer: C
Rationale: Rationale:
C is correct because a practice partnership model enhances continuity of care, leading to improved patient outcomes and satisfaction. It promotes collaboration among healthcare providers, ensuring seamless transitions between different levels of care. This model also fosters better communication and coordination among team members.
Summary:
A: Incorrect. Clients actually benefit from increased satisfaction due to improved care coordination.
B: Incorrect. Practice partnership models may require initial investment but yield long-term benefits.
D: Incorrect. Leadership acceptance may vary, but the primary benefit lies in improved care continuity.
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A client experiences difficulty breathing after the change of shift. The nurse on duty discovers that the IVFs were infusing at a rate 10 times the calculated normal. After notifying the physician and correcting the 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 in the client's care because documenting the incident is crucial for quality improvement and patient safety. It helps identify the root cause, prevent future errors, and ensure accountability. Notifying the family (A) may be necessary but not the immediate next step. Disciplining the previous nurse (B) is not appropriate without a thorough investigation. Obtaining legal consultation (D) may be needed later but is not the immediate priority.
Which of the following best describes the concept of just culture in a healthcare organization?
- A. A culture of blaming individuals for mistakes
- B. A culture of encouraging reporting and learning from errors
- C. A culture of punishing individuals for errors
- D. A culture of ignoring errors
Correct Answer: B
Rationale: The correct answer is B because a just culture in healthcare encourages reporting and learning from errors to improve patient safety and quality of care. This fosters a transparent environment where individuals feel safe to report errors without fear of punishment. By analyzing mistakes, healthcare organizations can implement preventive measures and enhance systems to prevent future errors. Choice A is incorrect as just culture avoids blaming individuals; Choice C is incorrect as it does not promote punishment but focuses on learning; and Choice D is incorrect as just culture acknowledges and addresses errors for continuous improvement.
Horizontal violence may be observed among staff interactions and causes stress among staff. To minimize stress associated with such interactions, nurses can: (Select all that apply.)
- A. Encourage venting as a way to express feelings.
- B. Take control of the situation by being assertive.
- C. Ignore staff who are volatile.
- D. Avoid interactions with angry staff.
Correct Answer: B
Rationale: The correct answer is B: Take control of the situation by being assertive. Being assertive allows nurses to address the conflict directly, set boundaries, and communicate effectively. This approach can help reduce stress by resolving issues instead of letting them escalate.
A: Encouraging venting may temporarily alleviate feelings but does not address the root cause of the conflict, potentially perpetuating it.
C: Ignoring volatile staff can lead to unresolved tensions and may exacerbate the situation over time.
D: Avoiding interactions with angry staff does not address the issue and may create a culture of avoidance rather than addressing conflicts directly.
Integrated health care systems function in a variety of models. Which of the following is a common characteristic of all systems?
- A. Deliver selective care only
- B. Deliver a whole continuum of care
- C. Treat patients only in the hospital
- D. Provide care only in the primary care setting
Correct Answer: B
Rationale: The correct answer is B: Deliver a whole continuum of care. Integrated health care systems are designed to provide comprehensive and coordinated care across various settings to meet the diverse needs of patients. This model emphasizes preventive care, primary care, specialty care, and even mental health services to ensure holistic healthcare delivery.
A: Deliver selective care only - This is incorrect as integrated health care systems aim to offer a wide range of services beyond selective care.
C: Treat patients only in the hospital - This is incorrect as integrated systems provide care across different settings, not just in hospitals.
D: Provide care only in the primary care setting - This is incorrect as integrated systems offer care in multiple settings, not limited to primary care.
What is the main purpose of a nursing code of ethics?
- A. To protect the rights and dignity of patients
- B. To ensure compliance with healthcare laws
- C. To set standards for clinical practice
- D. To provide a framework for ethical decision-making in nursing practice
Correct Answer: D
Rationale: The main purpose of a nursing code of ethics is to provide a framework for ethical decision-making in nursing practice. This is because ethical codes help guide nurses on moral principles and values when faced with ethical dilemmas. It is crucial for nurses to have a set of guidelines to navigate complex situations ethically.
Choice A is incorrect because while protecting the rights and dignity of patients is important, it is not the main purpose of a nursing code of ethics. Choice B is incorrect because compliance with healthcare laws is separate from ethical decision-making. Choice C is incorrect as setting standards for clinical practice is a different aspect of nursing practice compared to ethical decision-making.