Nursing Elites

1. What is customer satisfaction primarily based on?

• A. Personal interactions with employees
• B. Access to modern, up-to-date facilities
• C. Availability of a wide menu selection
• D. Having to undergo fewer invasive procedures

Correct answer: A

Rationale: Customer satisfaction is primarily based on the quality of personal interactions with staff. Positive personal interactions, including empathy, communication, and responsiveness, greatly impact a customer's overall experience and perception of the service provided, leading to increased satisfaction and loyalty. Choices B, C, and D are incorrect because while modern facilities, menu selection, and ease of procedures can contribute to customer satisfaction, they are secondary factors compared to the quality of personal interactions.

2. What is a major source of stress on the current U.S. healthcare system?

• A. Rising cost of providing healthcare to all citizens
• B. Lack of adequate education for healthcare professionals
• C. Inadequate number of hospital beds across the country
• D. Increasing cost of malpractice insurance

Correct answer: A

Rationale: The increasing cost of providing healthcare to all citizens is a major source of stress on the current U.S. healthcare system. This rise in costs impacts various aspects of the system, including accessibility, quality of care, and financial sustainability. It affects healthcare providers, patients, insurance companies, and the government, making it a critical issue that needs to be addressed to ensure a more efficient and effective healthcare system. Choices B, C, and D are incorrect because although lack of education for healthcare professionals, inadequate number of hospital beds, and increasing malpractice insurance costs can be challenges within the healthcare system, they are not the primary source of stress that affects the system as a whole.

3. When the domain .edu is noted during the search for the term informatics, what should the individual determine about the site's affiliation?

• A. It's an internet service provider
• B. It's a commercial site
• C. It's a government agency
• D. It's an educational institution

Correct answer: D

Rationale: When a domain ends in .edu, it indicates that the site belongs to an educational institution. Therefore, if a user searching for the term informatics comes across a domain with .edu, it is likely an academic resource related to the field of informatics. Choice A, an internet service provider, is incorrect because the .edu domain is specifically reserved for educational institutions. Choice B, a commercial site, is incorrect as commercial sites typically use domains like .com. Choice C, a government agency, is incorrect as government agencies usually have domains ending in .gov.

4. If a nurse accepts the role of charge nurse on the evening shift, what effect will unionization have on the nurse's new position?

• A. The nurse can file a grievance that will be arbitrated automatically by the Union
• B. Charge nurse is part of the management team, so Union participation would be a conflict of interest
• C. The nurse is not eligible for collective bargaining activities dealing with unfair labor practices
• D. The nurse can be represented by the union because charge nurses are not considered part of the management team

Correct answer: B

Rationale: Choosing answer B is correct because charge nurses are typically considered part of the management team. As part of the management team, the charge nurse has decision-making responsibilities that align with the interests of the organization. Therefore, participating in a union would create a conflict of interest. Options A, C, and D are incorrect. Option A is incorrect because union arbitration is not typically applicable to management positions. Option C is incorrect because charge nurses, as part of the management team, would not be eligible for collective bargaining activities like frontline staff. Option D is incorrect because charge nurses, due to their managerial responsibilities, are generally not represented by unions for collective bargaining purposes.

5. A healthcare professional is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist in evaluating the cost-effectiveness of the care?

• A. the age of the client
• B. the availability of community support groups
• C. the length of the client's stay
• D. the type of insurance the client carries

Correct answer: C

Rationale: The correct answer is C: 'the length of the client's stay.' The length of the client's stay is a critical factor in determining the cost-effectiveness of care after hip arthroplasty. Shorter stays typically result in lower costs as they reduce resource utilization and associated expenses. Choices A, B, and D are not directly related to evaluating cost-effectiveness in this scenario. The age of the client, availability of community support groups, and the type of insurance carried may impact other aspects of care but do not directly assess the cost-effectiveness of the care provided.

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