Nokea
Which of the following is the correct definition of 'chain of command'?
- A. The hierarchy of authority and responsibility
- B. Relationship without authority
- C. Activity directed through linear authority
- D. The tendency for people to perform as expected
Correct Answer: A
Rationale: The correct answer is A: The hierarchy of authority and responsibility.
1. 'Chain of command' refers to the structure where authority flows downwards and responsibility flows upwards.
2. It establishes the order in which decisions are made and instructions are passed down.
3. It ensures clear communication and accountability within an organization.
4. The other choices are incorrect because B talks about a relationship without authority, C refers to linear authority, and D mentions the tendency of people to perform as expected, which are not related to the concept of chain of command.
You may also like to solve these questions
When trying to facilitate change in the staff, it is necessary to build trust and recognize the need for change. This type of action is known as which of the following, according to Lewin's Force-Field Model?
- A. Moving the system to a new level
- B. Unfreezing the system
- C. Refreezing the system
- D. Institutionalization
Correct Answer: B
Rationale: The correct answer is B: Unfreezing the system. In Lewin's Force-Field Model, unfreezing refers to the process of preparing individuals and systems for change by breaking down existing mindsets and behaviors. Building trust and recognizing the need for change are essential steps in unfreezing. Moving the system to a new level (A) is not specific to the initial stage of change. Refreezing the system (C) occurs after change has been implemented, not before. Institutionalization (D) involves integrating the change into the organization's culture, which is a later stage in the change process.
In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?
- A. Avoidance
- B. Withdrawal
- C. Suppression
- D. Competition
Correct Answer: C
Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.
A resident on night call refuses to answer pages from the staff nurse on the night shift and complains that she calls too often with minor problems. The nurse feels offended and reacts with frequent, middle-of-the-night phone calls to 'get back' at him. The behavior displayed by the resident and the nurse is an example of what kind of conflict?
- A. Perceived conflict
- B. Disruptive conflict
- C. Competitive conflict
- D. Felt conflict
Correct Answer: B
Rationale: The correct answer is B: Disruptive conflict. This type of conflict occurs when individuals are unwilling to cooperate or communicate effectively, leading to negative consequences. In this scenario, the resident and nurse are engaging in disruptive conflict by refusing to answer calls and retaliating with more calls. This behavior disrupts the communication and collaboration necessary for effective patient care.
A: Perceived conflict is when individuals believe there is a conflict, even if it may not exist. In this case, the conflict is real and not just perceived.
C: Competitive conflict involves individuals trying to outdo each other or win at the expense of the other party. This is not evident in the scenario provided.
D: Felt conflict refers to the emotional response to a conflict situation. While there are emotions involved in the scenario, the main issue is the disruption in communication rather than just feelings.
An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?
- A. Commitment to others means I should be honest and accountable for my actions.
- B. I should encourage my fellow nurses to talk when they are having a bad day.
- C. I should be flexible with myself and my fellow nurses when it comes to the dress code.
- D. If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Commitment to others implies putting patients' needs first, being honest, and taking responsibility for one's actions.
2. Being honest and accountable are key components of professionalism in nursing.
3. Accountability ensures that patients receive safe and quality care.
4. Encouraging honesty and accountability among colleagues promotes a culture of safety and trust.
Summary:
- Choice A is correct as it aligns with the principles of professionalism in nursing.
- Choices B, C, and D do not directly address the core aspects of professionalism, such as honesty, accountability, and prioritizing patient care.
What is the primary focus of a patient safety program?
- A. To reduce healthcare costs
- B. To improve clinical outcomes
- C. To enhance patient satisfaction
- D. To comply with regulatory standards
Correct Answer: C
Rationale: The primary focus of a patient safety program is to enhance patient satisfaction. This is because the ultimate goal of patient safety initiatives is to ensure that patients receive safe and high-quality care, leading to improved patient experience and satisfaction. By prioritizing patient safety, healthcare providers can build trust with patients, reduce medical errors, and prevent harm.
Why other choices are incorrect:
A: While reducing healthcare costs may be a positive outcome of a patient safety program, it is not the primary focus.
B: Improving clinical outcomes is an important goal of patient safety programs, but it is not the primary focus as patient satisfaction encompasses a broader aspect of care.
D: Compliance with regulatory standards is essential, but it is a means to achieve patient safety rather than the primary focus.