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Which of the following best describes the role of a nurse case manager?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To advocate for patient rights
- D. To coordinate long-term care services
Correct Answer: D
Rationale: The correct answer is D: To coordinate long-term care services. Nurse case managers focus on coordinating and managing the long-term care needs of patients, ensuring continuity and quality of care. They work with healthcare providers, patients, and families to develop and implement care plans.
Explanation:
A: Providing direct patient care is typically the role of nurses, not specifically nurse case managers.
B: Managing healthcare facilities is the responsibility of healthcare administrators, not nurse case managers.
C: Advocating for patient rights is important but not the primary role of a nurse case manager; their focus is on coordinating care services.
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A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?
- A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
- B. Incompetence only impacts the individual nurse.
- C. The director should follow her institution’s formal process for reporting and handling practices that jeopardize patient safety.
- D. Most nurse practice acts direct how to handle incompetent nurses.
Correct Answer: C
Rationale: The correct answer is C. The unit director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety when dealing with an incompetent employee.
1. Firstly, it is important to prioritize patient safety above all else.
2. By following the institution's formal process, the director ensures that the proper steps are taken to address the incompetence effectively.
3. This approach also promotes transparency and accountability within the organization.
4. It aligns with ethical principles of duty to care and responsibility for patient well-being.
The other choices are incorrect:
A: Tolerating incompetence is not an acceptable approach as it can compromise patient safety.
B: Incompetence can have broader impacts beyond the individual nurse, such as affecting patient outcomes and overall team performance.
D: While nurse practice acts may provide guidance, the institution's specific procedures should be followed to address incompetence effectively.
How can a staff nurse recognize they are experiencing burnout? (EXCEPT)
- A. They are spending more time talking to staff on other units.
- B. Staff is questioning their clinical judgment.
- C. They sleep longer hours, sometimes coming in late to work.
- D. They are drinking alcohol more frequently to relax.
Correct Answer: A
Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.
Which of the following are managerial functions, according to Mintzberg? (EXCEPT)
- A. Leading and linking at the people level
- B. Communicating and controlling at the information level
- C. Deciding pay structures
- D. Doing at the action level
Correct Answer: C
Rationale: The correct answer is C: Deciding pay structures. According to Mintzberg, managerial functions involve planning, organizing, leading, and controlling. Deciding pay structures falls under the domain of human resource management, not traditional managerial functions. A, B, and D align with Mintzberg's managerial functions as they involve aspects of leading, communicating, controlling, and taking actions within an organization.
The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?
- A. Teach the patient about administering regular insulin.
- B. Schedule the patient for a fasting blood glucose level.
- C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
- D. Provide teaching about an increased risk for fetal problems with gestational diabetes.
Correct Answer: B
Rationale: The correct answer is B: Schedule the patient for a fasting blood glucose level. At the first prenatal visit, it is important to assess the patient's risk factors for developing gestational diabetes, especially with a family history of diabetes. A fasting blood glucose level will provide an initial screening to determine if the patient is at risk for gestational diabetes. This test is non-invasive, cost-effective, and provides valuable information early in the pregnancy. Teaching about administering regular insulin (A) is premature without confirming a diagnosis. An oral glucose tolerance test at the twenty-fourth week (C) is typically done later in pregnancy to diagnose gestational diabetes. Providing teaching about fetal problems with gestational diabetes (D) is important but should come after confirming the diagnosis.
What is the primary responsibility of a nurse manager in a healthcare setting?
- A. To provide direct patient care
- B. To manage healthcare facilities
- C. To oversee administrative tasks
- D. To conduct clinical research
Correct Answer: C
Rationale: The primary responsibility of a nurse manager in a healthcare setting is to oversee administrative tasks (Choice C). This includes managing staff, scheduling, budgeting, ensuring regulatory compliance, and improving patient care quality. Providing direct patient care (Choice A) is typically the responsibility of bedside nurses. Managing healthcare facilities (Choice B) is usually handled by facility administrators. Conducting clinical research (Choice D) is more aligned with the role of a nurse researcher or clinical trials coordinator. Thus, the correct answer (Choice C) focuses on the core duties of a nurse manager in managing the operations and administrative aspects of a healthcare setting.