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1. What is the main concern with collective bargaining?
- A. Create tension among nurses.
- B. Reform health care.
- C. Secure economic security.
- D. Unite the nurses.
Correct answer: A
Rationale: The main concern with collective bargaining is that it can create tension among nurses. The bargaining process may lead to divisions between staff nurses and management, rather than uniting them. This tension can arise from differing priorities, goals, or interests between the two groups, potentially impacting the effectiveness of the bargaining process. Choices B, C, and D are incorrect because the primary focus of the concern is on the potential negative impact on nurse relationships, not on reforming healthcare, ensuring economic security, or uniting nurses.
2. What is the primary goal of evidence-based practice (EBP)?
- A. Reduce healthcare costs
- B. Improve patient outcomes
- C. Enhance clinical decision making
- D. Ensure patient safety
Correct answer: C
Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision making by integrating the best available evidence with clinical expertise and patient values. While improving patient outcomes is a significant result of EBP, the ultimate aim is to ensure that healthcare decisions are based on the most current, relevant, and reliable evidence. While reducing healthcare costs and ensuring patient safety are important in healthcare, they are not the primary goals of evidence-based practice.
3. What is the primary focus of a patient safety program?
- A. To reduce healthcare costs
- B. To improve clinical outcomes
- C. To enhance patient satisfaction
- D. To comply with regulatory standards
Correct answer: C
Rationale: The primary focus of a patient safety program is to enhance patient satisfaction by ensuring safe practices. While reducing healthcare costs and improving clinical outcomes are important aspects influenced by patient safety programs, the main goal is to prioritize patient well-being and satisfaction. Complying with regulatory standards is essential but not the primary focus; it is a means to achieve safe practices for the benefit of patients.
4. What are the advantages of using internal pools of nurses for staffing purposes?
- A. Familiarity with the hospital & Lower cost
- B. Centralization
- C. Staffing mix
- D. Staff satisfaction
Correct answer: A
Rationale: The correct answer is A: Familiarity with the hospital & Lower cost. Internal float pools of nurses offer advantages such as being familiar with the hospital environment and staff, which can enhance communication and collaboration. Additionally, utilizing internal nurses is more cost-effective compared to hiring agency nurses, contributing to financial savings for the healthcare facility. Choice B, Centralization, is not a direct advantage of using internal pools of nurses. Choice C, Staffing mix, is a broader concept that does not specifically address the advantages of internal nurse pools. Choice D, Staff satisfaction, is important but not directly related to the specific advantages of utilizing internal nurse pools for staffing purposes.
5. The healthcare provider is developing a critical pathway for congestive heart failure (CHF). Which components are essential to include? (Select all that apply.)
- A. Expected length of stay
- B. Assigned healthcare team
- C. Patient outcomes
- D. Medical history
Correct answer: C
Rationale: In developing a critical pathway for congestive heart failure (CHF), it is essential to include patient outcomes. Patient outcomes help guide the care plan and ensure that interventions are effective. The expected length of stay is crucial to plan for resources but is not directly related to the critical pathway components. While the assigned healthcare team is important for care delivery, it is not a standard component of a critical pathway. Medical history is valuable for understanding the patient's background but is not a core component of a critical pathway.
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