Nokea
Which of the following theories best describes current health care delivery systems?
- A. Open system theory
- B. Closed system theory
- C. Chaos theory
- D. Contingency theory
Correct Answer: D
Rationale: The correct answer is D: Contingency theory. Contingency theory suggests that there is no one best way to organize and manage a healthcare system. It emphasizes that the effectiveness of a healthcare delivery system depends on various factors such as the environment, technology, and organizational structure. This theory acknowledges the complexity of healthcare systems and the need for flexibility and adaptation to changing circumstances.
A: Open system theory focuses on the system's interaction with its environment, but it does not specifically address the best way to organize and manage a healthcare system.
B: Closed system theory suggests that a system is self-contained and not influenced by external factors, which is not suitable for describing healthcare delivery systems.
C: Chaos theory emphasizes the unpredictability and complexity of systems, but it does not provide a framework for organizing and managing healthcare systems effectively.
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Which of the following best describes the role of a clinical nurse specialist (CNS)?
- A. Direct patient care provider
- B. Administrator of healthcare facilities
- C. Consultant for nursing staff
- D. Policy maker in healthcare organizations
Correct Answer: C
Rationale: The correct answer is C because a clinical nurse specialist (CNS) primarily serves as a consultant for nursing staff. They provide expert guidance, education, and support to improve clinical practice and patient outcomes. This role involves collaborating with nurses to enhance their skills and knowledge.
A: Direct patient care provider - While CNS may provide direct patient care, their main focus is on educating and supporting nursing staff.
B: Administrator of healthcare facilities - This role is typically carried out by nurse administrators, not CNS.
D: Policy maker in healthcare organizations - Policy-making is usually the responsibility of healthcare executives or policymakers, not CNS.
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.
There are several elements in recruiting strategies. Which of the following is one of those elements?
- A. Not selling
- B. How to sell
- C. When to sell
- D. What to sell
Correct Answer: B
Rationale: The correct answer is B: How to sell. In recruiting strategies, knowing how to sell refers to effectively communicating the value proposition of the job opportunity to potential candidates. This involves showcasing the benefits, career growth opportunities, company culture, and other enticing factors. By mastering the art of selling, recruiters can attract and engage top talent.
A: Not selling - This is incorrect because recruiting strategies involve actively selling and promoting job opportunities to candidates.
C: When to sell - This is incorrect as it focuses on timing rather than the actual selling process in recruiting.
D: What to sell - This is incorrect as it pertains to the actual job offering rather than the selling strategy itself.
An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
- A. Hemoglobin A1C level 6.2%
- B. Blood pressure 146/88 mmHg
- C. Heart rate at rest 58 beats/minute
- D. High-density lipoprotein (HDL) level 65 mg/dL
Correct Answer: B
Rationale: The correct answer is B because a blood pressure of 146/88 mmHg indicates hypertension, which is a common complication of diabetes. High blood pressure can lead to cardiovascular complications and may warrant a change in therapy. A: Hemoglobin A1C level 6.2% is within the target range for diabetes control. C: Resting heart rate of 58 beats/minute is within the normal range for an active individual. D: HDL level of 65 mg/dL is considered high and is actually beneficial for cardiovascular health.
To best reduce the potential for risk, what type of atmosphere is needed to be developed?
- A. Nurse-focused
- B. Physician-focused
- C. Family-focused
- D. Patient-focused
Correct Answer: D
Rationale: The correct answer is D: Patient-focused. Developing a patient-focused atmosphere is crucial to reduce potential risks in healthcare. Patients should be at the center of care, with their needs, preferences, and safety prioritized. In a patient-focused atmosphere, communication is enhanced, leading to better understanding and adherence to treatment plans, reducing errors and adverse events. Nurses, physicians, and families play important roles in patient care, but ultimately, the patient should be the primary focus.
Incorrect choices:
A: Nurse-focused - Focusing solely on nurses may neglect the holistic approach to patient care and fail to address the patient's needs directly.
B: Physician-focused - Similarly, focusing only on physicians may lead to a lack of patient involvement in decision-making and may not address the emotional and psychological aspects of care.
C: Family-focused - While involving families in care is important, solely focusing on them may not always align with the patient's best interests and may not address the patient's autonomy and individual needs.