Nokea
Which of the following best describes the purpose of a root cause analysis (RCA)?
- A. Identify the person responsible for an error
- B. Determine who should be disciplined
- C. Discover the underlying causes of an error
- D. Evaluate the effectiveness of a new policy
Correct Answer: C
Rationale: The correct answer is C: Discover the underlying causes of an error. Root cause analysis aims to identify the fundamental reason(s) contributing to an issue, allowing for effective solutions. It focuses on understanding the core factors leading to an error rather than blaming individuals (A, B) or assessing policy effectiveness (D). By conducting RCA, organizations can prevent recurrence and improve processes.
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What is the primary focus of the Triple Aim in healthcare?
- A. Improving patient experience
- B. Reducing healthcare costs
- C. Improving population health
- D. Ensuring regulatory compliance
Correct Answer: A
Rationale: The primary focus of the Triple Aim in healthcare is to improve patient experience, which encompasses quality, safety, and satisfaction. This approach aims to enhance care delivery, promote patient-centeredness, and optimize outcomes. Reducing healthcare costs and improving population health are important aspects but are secondary to enhancing the patient experience. Ensuring regulatory compliance is crucial but not the primary objective of the Triple Aim framework. Thus, choice A is correct as it aligns with the core principle of prioritizing the needs and preferences of patients for better overall healthcare outcomes.
A nurse manager needs to resolve a conflict between the staff nurses and the physical therapy department. What type of power might the manager utilize? (EXCEPT)
- A. Connection and referent power
- B. Reward and punishment power
- C. Legitimate power
- D. Information power
Correct Answer: C
Rationale: The correct answer is C: Legitimate power. In this scenario, the nurse manager can utilize legitimate power, which comes from their position of authority within the organization. They can use their formal authority to resolve the conflict between the staff nurses and the physical therapy department by making decisions and enforcing policies.
A: Connection and referent power are based on relationships and personal connections, which may not be as effective in this situation where formal authority is needed.
B: Reward and punishment power may not be the most appropriate in resolving conflicts as it can lead to resentment and may not address the underlying issues.
D: Information power is about having access to valuable information, which may be helpful but may not be the most effective in resolving conflicts that require formal authority.
The staff in the emergency department has presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need to implement the suggestion?
- A. Courage
- B. Integrity
- C. Energy
- D. Initiative
Correct Answer: D
Rationale: The correct answer is D: Initiative. In this scenario, the nurse leader needs to take the initiative to implement the suggested changes for streamlining the triage process. By showing initiative, the leader demonstrates the willingness to take action and drive the necessary changes forward. Courage (A) may be needed to face challenges, but it doesn't directly address the need for proactive action. Integrity (B) is important but doesn't specifically relate to implementing changes. Energy (C) is beneficial for motivation but doesn't focus on taking the first step to make changes happen. Therefore, the key quality required in this situation is initiative to drive process improvements efficiently.
Which of the following can cause negative effects on decision making among groups?
- A. Rationalization
- B. Groupthink
- C. Risky shift
- D. Dialectical inquiry
Correct Answer: B
Rationale: Groupthink can cause negative effects on decision making among groups as it involves prioritizing harmony and conformity over critical evaluation of alternatives. This can lead to group members suppressing dissenting opinions and making hasty decisions without considering all perspectives. Rationalization, risky shift, and dialectical inquiry do not specifically focus on the negative impact of group dynamics on decision making like groupthink does.
Achieving Magnet Hospital designation offers hospitals the following advantages: (Select all that apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct Answer: C
Rationale: The correct answer is C: Greater client workload. Magnet Hospitals are known for their commitment to nursing excellence, which leads to improved patient outcomes and increased demand for their services. This higher demand can result in a greater client workload for the hospital. The other choices are incorrect because A (Greater client satisfaction) and B (Improved nursing recruitment) are potential benefits of Magnet Hospital designation, but they are not guaranteed advantages. Choice D (Nurses who are independent decision makers) is not directly related to the advantages of achieving Magnet Hospital designation. Therefore, the correct answer is C as it aligns with the core principles of Magnet Hospitals.