Nokea
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.
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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.
A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?
- A. Satisficing
- B. Routine
- C. Adaptive
- D. Rationalizing
Correct Answer: A
Rationale: The correct answer is A: Satisficing. Satisficing is a decision-making strategy where one aims to meet the minimum requirements or standards to achieve a satisfactory outcome given the constraints. In this scenario, the nurse manager chooses to manage the unit with the three remaining nurses to maintain minimal staffing standards, despite not having the full staff complement. This decision is based on satisficing as the manager is making the best of the situation with the available resources.
Summary:
B: Routine decision-making involves following established procedures and protocols, which may not be applicable in this situation.
C: Adaptive decision-making involves adjusting to changing circumstances, but in this case, the manager is not adapting to the situation but rather making do with limited resources.
D: Rationalizing decision-making involves justifying or explaining decisions, which is not the focus in this scenario where quick action is needed to maintain minimal staffing standards.
After the nurse has finished teaching a patient who has a new prescription for exenatide
(Byetta), which patient statement indicates that the teaching has been effective?
- A. “I may feel hungrier than usual when I take this medicine.”
- B. “I will not need to worry about hypoglycemia with the Byetta.”
- C. “I should take my daily aspirin at least an hour before the Byetta.”
- D. “I will take the pill at the same time I eat breakfast in the morning.”
Correct Answer: C
Rationale: The correct answer is C. This statement indicates effective teaching because taking aspirin at least an hour before exenatide (Byetta) helps prevent any potential interactions between the two medications. By understanding the importance of timing, the patient shows comprehension of medication management and potential risks.
Incorrect choices:
A: This choice is incorrect because exenatide is known to reduce appetite, not increase hunger.
B: This choice is incorrect because hypoglycemia is still a risk with exenatide, especially if used with other medications that lower blood sugar.
D: This choice is incorrect because exenatide is injected, not taken as a pill, and should be taken before meals, not with breakfast.
Which of the following is one important factor in sustaining employee satisfaction?
- A. Organization culture
- B. Individual performance
- C. Performance evaluation
- D. Job satisfaction
Correct Answer: D
Rationale: The correct answer is D: Job satisfaction. Job satisfaction is crucial in sustaining employee satisfaction as it directly impacts how content and fulfilled employees feel in their roles. When employees are satisfied with their jobs, they are more likely to be engaged, motivated, and productive. This leads to higher retention rates and overall better performance. On the other hand, organization culture (A) is important but not the sole factor in sustaining employee satisfaction. Individual performance (B) and performance evaluation (C) are more related to assessing employee output rather than directly impacting their satisfaction levels.
When is the time to make people think about the routines that have been previously followed and to consider what might be a better plan of action?
- A. Collection of data
- B. Planning
- C. Analyzing data
- D. Identification
Correct Answer: B
Rationale: The correct answer is B: Planning. Planning is the stage where individuals evaluate existing routines, analyze data, and consider potential alternatives for better action. During planning, people reflect on past practices, identify strengths and weaknesses, and develop strategies for improvement. Collection of data (A) is essential for informed decision-making but doesn't necessarily involve critical reflection on routines. Analyzing data (C) focuses on interpreting and drawing conclusions from data rather than directly reevaluating routines. Identification (D) involves recognizing issues but doesn't inherently lead to considering better courses of action. Therefore, planning is the most appropriate choice for prompting people to think about improving their routines.