Nokea
Which of the following types of HMOs (Health Maintenance Organizations) contracts with two or more IPAs (Independent Practice Associations)?
- A. Staff model
- B. Point of service model
- C. Network model
- D. Group model
Correct Answer: C
Rationale: The correct answer is C: Network model. In a network model HMO, the organization contracts with two or more IPAs. IPAs are groups of independent doctors who work together to provide care. This model allows members to choose from a network of providers.
A: Staff model HMOs directly employ physicians.
B: Point of service model HMOs allow members to go out of network for care.
D: Group model HMOs contract with a single medical group, not multiple IPAs.
Therefore, the network model is the correct choice as it specifically involves contracting with multiple IPAs, distinguishing it from the other options.
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The length of a coaching session should be no longer than:
- A. 15 minutes.
- B. 60 minutes.
- C. 10 minutes.
- D. 30 minutes.
Correct Answer: C
Rationale: The correct answer is C: 10 minutes. The rationale is that coaching sessions are most effective when kept concise and focused. A shorter duration helps maintain the participant's attention and ensures key points are covered without overwhelming them. Longer sessions can lead to decreased engagement and retention. Choice A (15 minutes) is slightly longer and may still risk losing focus. Choices B (60 minutes) and D (30 minutes) are too lengthy for a coaching session, increasing the likelihood of information overload and decreased effectiveness.
An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?
- A. The RN tells the client he is not allowed to leave until the physician has released him.
- B. The RN asks the client why he wishes to leave.
- C. The RN asks the client to explain what he understands about his medical diagnosis.
- D. The RN asks the client to sign an against medical advice discharge form.
Correct Answer: A
Rationale: Step 1: The client is alert and oriented, indicating capacity to make decisions.
Step 2: The client expresses the desire to leave the hospital, exercising autonomy.
Step 3: False imprisonment occurs when a person is unlawfully restrained.
Step 4: Choice A is incorrect as it restricts the client's freedom without legal justification.
Step 5: Choices B, C, and D respect the client's autonomy and do not involve restraining.
Which of the following best describes the concept of cultural humility in nursing?
- A. A fixed set of cultural competencies
- B. Recognizing and addressing power imbalances
- C. Adapting care to fit different cultural contexts
- D. Learning from patients and adapting to their needs
Correct Answer: D
Rationale: The correct answer is D because cultural humility in nursing emphasizes continuous learning from patients and adapting care based on their individual needs. This approach values patient input and focuses on building mutual respect and trust. Choice A is incorrect because cultural humility is not about a fixed set of competencies but rather an ongoing process. Choice B is incorrect as it only addresses one aspect of cultural humility related to power dynamics. Choice C is incorrect as it focuses on adapting care to fit different cultural contexts rather than individual patient needs. In summary, cultural humility in nursing involves actively listening, learning, and adapting to meet the unique needs of each patient.
As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)
- A. In a communication to all staff nurses to inspire them.
- B. At a conference within the health care facility.
- C. In an email to a friend.
- D. In a presentation with select individuals.
Correct Answer: A
Rationale: The correct answer is A. By communicating your participation to all staff nurses, you can inspire them to engage in evidence-based practice. This fosters a culture of learning and innovation. Choice B is incorrect because the conference is external and not held within the health care facility. Choice C is irrelevant as it involves informing a friend rather than the professional environment. Choice D is also incorrect as it limits the audience to select individuals, missing the opportunity to spread awareness and inspire a broader group within the facility.
What is the primary role of the nurse manager in risk management?
- A. Ensure compliance with regulations
- B. Report incidents to higher authorities
- C. Minimize risks to patients and staff
- D. Educate staff about safe practices
Correct Answer: C
Rationale: The primary role of the nurse manager in risk management is to minimize risks to patients and staff. This involves identifying potential risks, implementing strategies to prevent harm, and ensuring a safe environment. By minimizing risks, the nurse manager promotes patient safety and staff well-being.
A: Ensuring compliance with regulations is important but not the primary role of the nurse manager in risk management.
B: Reporting incidents to higher authorities is a part of risk management, but not the primary role of the nurse manager.
D: Educating staff about safe practices is crucial in risk management, but the primary role of the nurse manager is to minimize risks directly.