Nursing Elites

1. Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)

• A. At least 1,250 hours during the previous 12 months.
• B. At least 12 months.
• C. At least six months.
• D. At a work site with 50 employees within a 75-mile radius.

Correct answer: C

Rationale: Employees are eligible to take a leave of absence if they have worked for the employer for at least 12 months, have worked at least 1,250 hours during the previous 12 months, and are at a work site with 50 or more employees, or at a site where 50 workers are employed within 75 miles of the work site. The statement 'At least six months' is incorrect as the requirement is for 12 months of work to be eligible for a leave of absence.

2. Which of the following is true regarding health care systems today?

• A. They are all managed care organizations.
• B. They are all privately owned.
• C. Only HMOs are profitable.
• D. There are multiple types of organizations.

Correct answer: D

Rationale: The correct answer is D: 'There are multiple types of organizations.' This statement is true as there are various health care delivery systems in today's world, including but not limited to managed care organizations, privately owned facilities, and other models. Choices A, B, and C are incorrect because not all health care systems are managed care organizations, privately owned, or only profitable if they are HMOs. Health care systems can vary in ownership, management, and profitability, making choice D the most accurate.

3. When facing problems that require immediate action, what organized method involving seven specific steps can nurses use for effective problem-solving?

• A. Nominal group technique
• B. Delphi method
• C. Problem-solving process
• D. Brainstorming

Correct answer: C

Rationale: The correct answer is C: Problem-solving process. The problem-solving process involving seven specific steps is a structured approach that nurses can utilize when immediate action is required. This method allows for a systematic and organized way of addressing urgent issues, ensuring a thorough and effective problem-solving approach. Choices A, B, and D are incorrect because they do not specifically refer to the structured method involving seven specific steps that nurses can follow for effective problem-solving.

4. What are the key elements essential to the implementation of case management? (Select all that apply.)

• A. Collaborative practice teams
• B. Established critical pathways
• C. Quality management system
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Established critical pathways, collaborative practice teams, and quality management systems are indeed key elements essential to the implementation of case management. Collaborative practice teams allow for multidisciplinary collaboration, established critical pathways help guide patient care, and a quality management system ensures that care provided meets established standards. Choice A, collaborative practice teams, is correct as they are fundamental for effective case management, involving various professionals working together. Choice B, established critical pathways, is also correct as they provide a structured approach to managing patient care. Choice C, quality management system, is correct as it ensures that care is delivered at high standards and continuously monitored for improvement. Therefore, all these elements are crucial for successful case management implementation.

5. A nurse manager needs to resolve a conflict between the staff nurses and the physical therapy department. What type of power might the manager utilize? (EXCEPT)

• A. Connection and referent power
• B. Reward and punishment power
• C. Legitimate power
• D. Information power

Correct answer: C

Rationale: In this scenario, the nurse manager may utilize various types of power to resolve the conflict between the staff nurses and the physical therapy department. Referent power and connection power are based on respect/admiration and influential links, respectively. Information power is about access to valuable data. Reward power involves offering inducements for cooperation, while punishment power is about imposing penalties for non-compliance. Legitimate power, however, is derived from the manager's authority associated with their job and rank. Since the question asks for the type of power the manager might utilize 'EXCEPT,' legitimate power, being a key type of power often used in managerial roles, is the correct answer. It's important for the nurse manager to understand the dynamics of power and utilize the appropriate types to effectively address interdepartmental conflicts.

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