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Which of the following is a key component of a successful quality improvement (QI) project?
- A. Standardized care protocols
- B. Employee satisfaction
- C. Ongoing training and education
- D. Financial incentives
Correct Answer: C
Rationale: The correct answer is C: Ongoing training and education. This is crucial in a QI project as it ensures staff are equipped with necessary skills and knowledge to implement and sustain improvements. Ongoing training fosters a culture of continuous learning and improvement, leading to better outcomes.
A: Standardized care protocols are important but not the key component. They provide guidelines for care delivery but without ongoing training, staff may struggle to adhere to these protocols effectively.
B: Employee satisfaction is important for motivation but does not directly guarantee successful QI projects. Training and education are more crucial for achieving sustainable improvement.
D: Financial incentives can be a motivator, but they do not address the root cause of quality issues. Ongoing training is essential for building capacity and expertise within the team.
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A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to
- A. use only the lispro insulin until the symptoms are resolved
- B. limit calorie intake until the glucose is less than 120 mg/dL
- C. monitor blood glucose every 4 hours and notify the clinic if it continues to rise
- D. decrease carbohydrate intake until glycosylated hemoglobin is less than 7%
Correct Answer: C
Rationale: The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise.
Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness. Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation. Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.
Which theory emphasizes the long-range plan rather than rewards?
- A. Equity theory.
- B. Development.
- C. Goal setting.
- D. Extinction.
Correct Answer: C
Rationale: The correct answer is C: Goal setting theory. This theory emphasizes setting specific, challenging goals to improve performance, focusing on long-range planning rather than immediate rewards. Goals provide direction and motivation, leading to increased effort and persistence. Equity theory (A) focuses on fairness in outcomes and inputs. Development (B) refers to personal growth and learning. Extinction (D) is a behaviorist concept related to the disappearance of a previously learned behavior due to lack of reinforcement.
The nurse manager can use several strategies to improve communication when giving directions. Asking the subordinate to repeat the instructions would be which of the following strategies?
- A. Verifying through feedback
- B. Follow-up communication
- C. Getting positive attention
- D. Knowing the context of the instruction
Correct Answer: A
Rationale: The correct answer is A: Verifying through feedback. This strategy involves ensuring that the message was accurately received and understood by asking the subordinate to repeat the instructions. This helps confirm clarity and reduces the chances of miscommunication or errors. It promotes active listening and engagement, enhancing communication effectiveness.
Summary:
B: Follow-up communication is about checking in after the initial communication, not verifying understanding in the moment.
C: Getting positive attention is unrelated to verifying understanding of directions.
D: Knowing the context of the instruction is important but not the same as verifying understanding through feedback.
An environment that rewards good __________ is the goal in a work environment.
- A. Performance
- B. Turnover
- C. Strategies
- D. Stress
Correct Answer: A
Rationale: The correct answer is A: Performance. In a work environment, rewarding good performance encourages employees to excel and achieve organizational goals. Performance-based rewards motivate employees to work efficiently and effectively. Turnover (B) refers to the rate at which employees leave a company, which is not an ideal goal for a work environment. Strategies (C) are plans or approaches used to achieve objectives, but they are not the direct target of rewards. Stress (D) is a negative factor that should be minimized in a work environment, not rewarded.
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.