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.
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Which of the following is an example of voluntary absenteeism?
- A. Staying home for a sick child
- B. Staying home for a funeral
- C. Staying home to run errands or finish housework
- D. Staying home for sickness
Correct Answer: C
Rationale: The correct answer is C. Voluntary absenteeism refers to missing work by choice rather than due to circumstances like illness or emergencies. Staying home to run errands or finish housework falls under this category as it is a personal choice unrelated to external factors.
A, B, and D are incorrect because staying home for a sick child, a funeral, or due to sickness are examples of involuntary absenteeism, where circumstances beyond the individual's control necessitate their absence from work.
What are the advantages of using internal pools of nurses for staffing purposes?
- A. Familiarity with the hospital & Lower cost
- B. Centralization
- C. Staffing mix
- D. Staff satisfaction
Correct Answer: A
Rationale: The correct answer is A: Familiarity with the hospital & Lower cost. Internal pools of nurses are advantageous because they are already familiar with the hospital's policies, procedures, and workflow, reducing the need for extensive training. This familiarity can lead to increased efficiency and improved patient care. Additionally, utilizing internal nurses can be cost-effective as they are already on the hospital's payroll, reducing the need for external agency staff, which can be more expensive. Centralization (option B) and staffing mix (option C) are not directly related to the advantages of using internal pools of nurses. Staff satisfaction (option D) can be a potential benefit of internal pools, but it is not as directly linked to the advantages of familiarity and cost savings as option A.
A nurse is considering employment at a long-term care facility that has a functional nursing delivery system. Knowing this, the nurse could expect that:
- A. Each RN would coordinate care for a group of clients.
- B. One RN would pass meds for all clients on a unit.
- C. Each RN would deliver total care to an assigned group of clients.
- D. One RN, one LPN, and one unlicensed assistive personnel would share responsibility for a group of clients.
Correct Answer: B
Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately.
A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients.
C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients.
D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.
The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1
diabetes. Which question is most appropriate for the nurse to ask?
- A. "Are you anorexic?"
- B. "Is your urine dark colored?"
- C. "Have you lost weight lately?"
- D. "Do you crave sugary drinks?"
Correct Answer: C
Rationale: The correct answer is C. This question is most appropriate as unintentional weight loss is a common symptom of type 1 diabetes due to the body's inability to properly use glucose for energy. The nurse should ask about weight loss to assess the patient's overall health status.
Explanation:
A: Asking about anorexia assumes a specific eating disorder, which may not be relevant to the patient's symptoms of diabetes.
B: Dark colored urine may indicate dehydration, but it is not specific to type 1 diabetes symptoms.
D: Craving sugary drinks may suggest a preference for sweet beverages but does not directly relate to the onset of type 1 diabetes symptoms.
Which of the following is true of malpractice?
- A. Malpractice occurs when a professional shares information about a patient that could damage that patient’s reputation.
- B. Malpractice is a serious criminal offense.
- C. Malpractice is a minor criminal offense.
- D. Malpractice is a negligent act by an individual whose duties require specialized education.
Correct Answer: D
Rationale: The correct answer is D because malpractice is defined as a negligent act by an individual with specialized education. This involves a breach of duty owed to a patient, resulting in harm or injury. Choice A is incorrect as it refers to breach of confidentiality, not malpractice. Choice B and C are incorrect as malpractice is a civil offense, not a criminal offense. Malpractice is a serious issue as it can have significant consequences for patients and professionals.