Nokea
Which of the following is an essential element of a quality improvement (QI) program?
- A. Blame and punishment
- B. Employee satisfaction
- C. Continual monitoring
- D. Strict adherence to policies
Correct Answer: C
Rationale: The correct answer is C: Continual monitoring. Quality improvement programs require ongoing monitoring to assess progress, identify areas for improvement, and make data-driven decisions. Continual monitoring allows for timely adjustments to processes and interventions to ensure sustained quality improvement. Blame and punishment (A) are counterproductive in a QI program as they can create a culture of fear and hinder open communication. Employee satisfaction (B) is important but not necessarily an essential element of a QI program. Strict adherence to policies (D) is important but alone may not lead to continuous improvement without the feedback loop provided by continual monitoring.
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Which of the following is used as an indirect estimate of voluntary absenteeism?
- A. Involuntary absenteeism
- B. Voluntary absenteeism
- C. Total time lost
- D. Absence frequency
Correct Answer: D
Rationale: The correct answer is D, Absence frequency. This is because absence frequency provides a measure of how often employees are absent voluntarily, serving as an indirect estimate of voluntary absenteeism. In contrast, A (Involuntary absenteeism) refers to absences that are beyond the employee's control, while B (Voluntary absenteeism) is the direct measure of voluntary absences. C (Total time lost) is a measure of the overall time lost due to both voluntary and involuntary absences, not specifically focusing on voluntary absenteeism.
When utilizing an internal float pool, which of the following pools is most efficient?
- A. Centralized
- B. Flexible
- C. Mixed
- D. Decentralized
Correct Answer: A
Rationale: The correct answer is A: Centralized. A centralized internal float pool is the most efficient because it allows for better coordination and utilization of resources. With a centralized pool, there is a single point of control and oversight, ensuring optimal allocation of staff and resources. This centralized approach minimizes redundancies and streamlines processes, leading to increased efficiency.
Summary:
B: Flexible - While flexibility is important, it can lead to inefficiencies if not properly managed within a float pool system.
C: Mixed - A mixed pool may result in complexities and challenges in resource allocation and coordination.
D: Decentralized - Decentralization can lead to fragmentation and lack of standardization, reducing overall efficiency in resource utilization.
Which of the following best describes the role of an informatics nurse specialist?
- A. Managing electronic health records
- B. Providing technical support
- C. Educating nursing staff
- D. Improving patient care through technology
Correct Answer: D
Rationale: The correct answer is D: Improving patient care through technology. Informatics nurse specialists focus on utilizing technology to enhance patient outcomes and streamline healthcare processes. They analyze data, implement new technologies, and design systems to improve efficiency and quality of care. This role involves understanding both nursing practice and technology to bridge the gap between the two, ultimately benefiting patients.
A: Managing electronic health records - While informatics nurse specialists may oversee EHR systems, their primary focus is on using technology to enhance patient care, not just managing records.
B: Providing technical support - While they may provide some technical support, their main role is to leverage technology to improve patient outcomes, not solely to troubleshoot technical issues.
C: Educating nursing staff - While education is a part of their role, the primary objective of an informatics nurse specialist is to improve patient care through technology, not just educating staff.
After discussing alternatives to dressing change procedures to minimize discomfort, the nursing staff accepted a new procedure. This is an example of which stage of Havelock's model of change?
- A. Moving
- B. Self-renewal
- C. Refreezing
- D. Unfreezing
Correct Answer: A
Rationale: The correct answer is A: Moving. In Havelock's model of change, the Moving stage involves implementing the chosen change after considering alternatives. In this scenario, the nursing staff accepted a new procedure, indicating they are moving forward with the change. This stage focuses on putting the change into action.
Summary of other choices:
B: Self-renewal - This choice is not applicable as self-renewal refers to personal growth and development, not organizational change stages.
C: Refreezing - This choice is incorrect as refreezing involves stabilizing the change and ensuring it becomes the new norm, which comes after the Moving stage.
D: Unfreezing - This choice is incorrect as unfreezing refers to preparing for change by overcoming resistance and creating readiness, which precedes the Moving stage.
One of the perceptions of turnover is:
- A. Poor management
- B. Rejection of the job
- C. Loss of poor performers
- D. Poor job atmosphere
Correct Answer: B
Rationale: The correct answer is B: Rejection of the job. Turnover can occur when employees feel dissatisfied with their job roles, responsibilities, or work environment, leading them to reject the job and seek opportunities elsewhere. This perception aligns with the concept of voluntary turnover, where employees choose to leave due to personal reasons rather than external factors like poor management (A), loss of poor performers (C), or poor job atmosphere (D). These other choices focus on external factors or outcomes of turnover, whereas choice B directly addresses the personal perspective of the employee as a key driver of turnover.