Nursing Elites

1. A manager has been given a deadline to complete an assignment by the end of the day. It will take every minute left of the afternoon to complete. Which interventions illustrate assertiveness to minimize interruptions in order to meet the deadline? (Select all that apply.)

• A. Allowing voicemail to answer all incoming calls or turning off email notification
• B. Delegating a discharge planning issue for a patient to one of the staff nurses
• C. Placing a 'Do Not Disturb for the Afternoon' sign on the office door
• D. All of the above

Correct answer: D

Rationale: All the interventions listed are appropriate ways to minimize interruptions. By allowing voicemail to answer calls or turning off email notifications, the manager can focus solely on the assignment. Delegating tasks to staff nurses frees up the manager's time. Placing a 'Do Not Disturb for the Afternoon' sign on the office door sends a clear message to minimize interruptions and focus on the deadline. Therefore, all of the above interventions illustrate assertiveness to meet the deadline by minimizing interruptions.

2. What is the main focus of a clinical governance framework?

• A. Financial performance
• B. Regulatory compliance
• C. Patient care quality
• D. Staff satisfaction

Correct answer: C

Rationale: The main focus of a clinical governance framework is patient care quality. This framework is designed to ensure that patient care is safe, effective, and patient-centered. Choice A, financial performance, is not the main focus of a clinical governance framework, although financial aspects may be considered. Choice B, regulatory compliance, is important but not the primary focus of a clinical governance framework. Choice D, staff satisfaction, is also important but is not the main focus of a clinical governance framework, which primarily centers around patient care quality.

3. What are the final stages of the conflict process?

• A. Antecedent conditions
• B. Perceived and felt conflict
• C. Suppression and resolution
• D. Conflict behavior

Correct answer: C

Rationale: The final stages of the conflict process involve suppression and resolution. After conflicts have been perceived and felt, individuals and parties typically move towards suppressing the conflict (trying to avoid it) and ultimately resolving it. Antecedent conditions refer to factors that exist before conflict arises and do not represent the final stages. Conflict behavior relates to the actions taken during a conflict rather than its final stages.

4. Which of the following statements about ethical principles and laws is true?

• A. The government holds the power to enforce ethics.
• B. Laws provide standards that assist in decision making.
• C. Ethics are very specific.
• D. As a standard for measuring actions, ethical principles may be the basis for laws.

Correct answer: D

Rationale: The correct answer is D: 'As a standard for measuring actions, ethical principles may be the basis for laws.' This statement is true as ethical principles can influence the creation and implementation of laws. Ethical principles often serve as a foundation for laws by reflecting societal values and moral standards. Choice A is incorrect because while the government may enforce laws, ethics are typically guided by moral principles rather than government enforcement. Choice B is incorrect because laws provide legal standards, not ethical standards, for decision-making. Choice C is incorrect because ethics are not always very specific; they can be broad and encompass various moral values and principles.

5. Which of the following is an example of a conflict of interest in nursing?

• A. A nurse accepting gifts from a patient
• B. A nurse working for two competing healthcare organizations
• C. A nurse disclosing patient information without consent
• D. A nurse delegating tasks improperly

Correct answer: B

Rationale: The correct answer is B. A nurse working for two competing healthcare organizations represents a conflict of interest as it may affect impartiality. Choice A is incorrect as accepting gifts from a patient may be a violation of ethical standards, but it is not a conflict of interest. Choice C is incorrect as disclosing patient information without consent is a breach of confidentiality, not a conflict of interest. Choice D is incorrect as delegating tasks improperly relates to professional competence, not a conflict of interest.

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