Nursing Elites

1. Which of the following best describes the purpose of a root cause analysis (RCA)?

• A. Identify the person responsible for an error
• B. Determine who should be disciplined
• C. Discover the underlying causes of an error
• D. Evaluate the effectiveness of a new policy

Correct answer: C

Rationale: The correct answer is C: 'Discover the underlying causes of an error.' Root cause analysis (RCA) focuses on identifying the fundamental reason(s) that led to an error or problem rather than placing blame on individuals. Choice A and B are incorrect as RCA is not about pinpointing a specific person to blame or determining disciplinary actions. Choice D is also incorrect as the primary goal of RCA is not to evaluate policy effectiveness but to uncover the root causes of issues for effective problem-solving.

2. Construction is occurring in the Emergency Department, with equipment and sharp items being used by the contractors. As the charge nurse, you are concerned that agitated patients might use the equipment as weapons and you meet with staff to: (EXCEPT)

• A. Notify the nursing supervisor.
• B. Notify security.
• C. Have them check patients to verify safety.
• D. Ask construction workers to be responsible.

Correct answer: D

Rationale: When construction is ongoing in a healthcare setting, it is essential to address safety concerns promptly. While it is crucial to notify the nursing supervisor and security to manage potential risks, having staff check patients for safety is also a valid precautionary measure. However, asking construction workers to be responsible is not a proper action to address the safety concerns posed by the equipment. Construction workers are professionals responsible for their tasks; it is the healthcare facility's responsibility to ensure patient and staff safety in such situations.

3. A new manager is implementing an initiative with the desired outcome of having the unit run more smoothly. What quality is the manager demonstrating?

• A. Being unrealistic
• B. Being a change agent
• C. Being democratic
• D. Being authoritarian

Correct answer: B

Rationale: The correct answer is B: Being a change agent. The manager is demonstrating the quality of being a change agent by implementing an initiative aimed at improving the unit's operations. A change agent initiates and drives changes to enhance effectiveness and efficiency within the unit. Choice A is incorrect because the manager's actions are not described as unrealistic but rather proactive. Choice C, being democratic, is incorrect as it does not relate to the manager's initiative to improve unit operations. Choice D, being authoritarian, is also incorrect as the manager is not described as enforcing changes through strict control and power.

4. The nurse manager is responsible for implementing a new electronic health record (EHR) system. What is the first step in this process?

• A. Train all staff on the new system
• B. Identify the project team
• C. Develop a training program
• D. Conduct a needs assessment

Correct answer: B

Rationale: The correct first step in implementing a new electronic health record (EHR) system is to identify the project team. This team will be crucial in overseeing the entire implementation process, including tasks like developing a training program (Choice C) and conducting a needs assessment (Choice D). Training all staff on the new system (Choice A) is an important step but typically occurs after the project team has been identified to ensure a smooth and efficient implementation.

5. What is a potential benefit of social media?

• A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty
• B. Connecting with clients to keep up with their health status
• C. Connecting with the public to encourage healthy behaviors
• D. Sharing pictures of interesting clinical experiences with friends

Correct answer: C

Rationale: The correct answer is C. Connecting with the public to encourage healthy behaviors is a significant benefit of social media. While sharing the fun side of nursing (choice A) and sharing pictures of clinical experiences (choice D) can showcase the profession, they do not directly promote healthy behaviors. Connecting with clients (choice B) is important for healthcare but is more specific to individual patient care rather than a broad public health impact.

Similar Questions