Nursing Elites

1. 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.

2. A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?

• A. 9-12 months
• B. 3-6 months
• C. 1-2 months
• D. Over two years

Correct answer: B

Rationale: The correct answer is B: 3-6 months. The process of preparing a typical budget usually takes around 3-6 months. This allows enough time for gathering financial data, analyzing expenses, projecting revenues, and finalizing the budget. Choice A (9-12 months) is too long for a typical budgeting process in most settings. Choice C (1-2 months) is too short to adequately complete all the necessary steps in the budgeting process. Choice D (Over two years) is excessive and not practical for the timeline of a standard budget preparation.

3. One of the most useful tools to determine reasons for turnover is:

• A. Questioning.
• B. Surveys.
• C. Employee forums.
• D. Telephone calls.

Correct answer: B

Rationale: Surveys are one of the most effective tools to determine reasons for turnover because they allow employees to provide feedback anonymously, leading to more truthful responses. While questioning can be part of the process, surveys provide a structured and standardized way to collect data. Employee forums may not always elicit honest responses due to peer pressure or fear of repercussions. Telephone calls may not reach all employees and do not guarantee anonymity, potentially leading to biased or incomplete information.

4. Under which category does a violation of the nurse practice act fall?

• A. Juvenile
• B. Felony
• C. Misdemeanor
• D. Tort

Correct answer: B

Rationale: A violation of the nurse practice act falls under the category of a felony. Felony offenses are the most serious and can include acts like homicide and violations of professional practice regulations. Choices A, C, and D are incorrect because violations of the nurse practice act are considered more severe than misdemeanors, torts, or related to juvenile cases.

5. In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?

• A. Determine what type of activities the patient enjoys.
• B. Remind the patient that exercise will improve self-esteem.
• C. Teach the patient about the effects of exercise on glucose levels.
• D. Give the patient a list of activities that are moderate in intensity.

Correct answer: A

Rationale: The correct answer is to determine what type of activities the patient enjoys. This approach is crucial as it helps in personalizing the exercise plan to the patient's preferences, making it more likely for them to adhere to it. Choice B is incorrect because focusing on self-esteem may not directly motivate the patient to engage in exercise. Choice C, although important, may not be the initial step as understanding the patient's preferences comes first. Choice D limits the patient's autonomy by not involving them in the decision-making process.

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