Nursing Elites

1. A __________ is often helpful to use when a problem is not easily identified.

• A. trial and error
• B. Delphi method
• C. political decision-making model
• D. affinity map

Correct answer: D

Rationale: An affinity map is a tool commonly used when a problem is not easily identified. It helps in organizing and grouping ideas, data, or information based on relationships or themes. Choice A, 'trial and error,' involves repeatedly trying different solutions until the problem is solved, which may not be efficient when the problem is not clearly defined. Choice B, the 'Delphi method,' is a structured communication technique for experts to reach a consensus, not specifically for unidentified problems. Choice C, 'political decision-making model,' refers to a process for making decisions in political contexts and is not directly related to identifying unknown problems.

2. The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?

• A. Intragroup conflict
• B. Intergroup conflict
• C. Interpersonal conflict
• D. Intrapersonal conflict

Correct answer: A

Rationale: The correct answer is A: Intragroup conflict. Intragroup conflict occurs within one group, in this case, the staff of the medical-surgical unit. Intergroup conflict, on the other hand, happens between two or more groups. Interpersonal conflict involves conflicts between two or more individuals, and intrapersonal conflict is conflict within one individual. Since the disagreement about holiday scheduling involves members within the same group (staff of the medical-surgical unit), it is an example of intragroup conflict. Therefore, the nurse manager would recognize this as an intragroup conflict rather than any of the other types mentioned.

3. After a violent incident, staff needs to discuss what occurred. Several actions need to be taken following the incident:

• A. Debrief the staff and complete incident reports and verify that all staff are safe
• B. Reassure the violent patient that hurting staff when ill is not cause for concern
• C. Avoid any interactions
• D. Standing close to the patient while talking

Correct answer: A

Rationale: Corrected Rationale: After a violent incident, it is crucial to debrief the staff and complete incident reports to document what occurred and ensure proper follow-up actions. Verifying that all staff are safe is essential for their well-being and security. This process allows professionals to assess the situation, learn from it, and be better prepared to handle similar incidents in the future. Choice B is incorrect because reassuring a violent patient that hurting staff is not a cause for concern may diminish the seriousness of the incident. Choice C is incorrect as avoiding interactions does not address the need for proper communication and resolution. Choice D is incorrect as standing close to a patient who has been violent may escalate the situation and compromise safety.

4. How has advanced technology in health care, such as integrated health records, benefited nurses?

• A. Skip the assessment step of the nursing process
• B. Order medications
• C. Take blood samples
• D. Track patients' vital signs

Correct answer: D

Rationale: Advanced technology in health care, like integrated health records, has enabled nurses to efficiently track patients' vital signs. This capability helps nurses monitor patients' health status closely and make informed decisions regarding their care. Choices A, B, and C are incorrect because technology does not replace the vital role of nurses in conducting assessments, ordering medications (typically done by prescribers), or collecting blood samples.

5. What is the main purpose of a utilization review?

• A. Evaluate patient outcomes
• B. Ensure compliance with regulations
• C. Reduce hospital readmissions
• D. Assess financial impact

Correct answer: A

Rationale: The main purpose of a utilization review is to evaluate patient outcomes and ensure that patients receive appropriate care based on medical necessity and quality standards. While ensuring compliance with regulations, reducing hospital readmissions, and assessing financial impact are important aspects of healthcare management, the primary goal of utilization review is to focus on the quality and effectiveness of patient care.

Similar Questions