Nursing Elites

1. Which of the following can cause negative effects on decision making among groups?

• A. Rationalization
• B. Groupthink
• C. Risky shift
• D. Dialectical inquiry

Correct answer: B

Rationale: The correct answer is B: Groupthink. Groupthink is a negative phenomenon occurring in highly cohesive, isolated groups where members tend to think alike, which hinders critical thinking and can lead to poor decision-making. Rationalization refers to justifying or explaining behaviors or decisions in a logical manner. Risky shift is a phenomenon in groups where decisions become riskier or more extreme than individual members would make on their own. Dialectical inquiry is a technique used to counteract groupthink by encouraging debate and presenting opposing viewpoints to arrive at more thoughtful decisions.

2. What is the primary role of a nurse manager in a healthcare setting?

• A. To enforce hospital policies
• B. To oversee patient care
• C. To manage the financial aspects of the unit
• D. To ensure efficient operation of the unit

Correct answer: D

Rationale: The primary role of a nurse manager in a healthcare setting is to ensure the efficient operation of the unit. While enforcing hospital policies and overseeing patient care are important aspects of their role, the main responsibility lies in ensuring the smooth and effective functioning of the unit. Managing the financial aspects of the unit is also crucial, but it is not the primary role of a nurse manager, as their focus is more on operational efficiency and quality of care.

3. One reason for conducting a comprehensive medical exam on an applicant is:

• A. It is needed to protect the organization from legal actions.
• B. It is required after a strenuous interview.
• C. It is mandated by law.
• D. It is necessary to screen for disabilities that may impact employment.

Correct answer: A

Rationale: Conducting a comprehensive medical exam on an applicant is crucial to protect the organization from legal actions. This examination helps ensure that the applicant meets the health standards required for the job, reducing the risk of potential liabilities for the organization related to health issues that may arise during employment. Choice B is incorrect because the exam is not a follow-up to a strenuous interview. Choice C is incorrect as not all comprehensive medical exams are mandated by law; they are often part of an organization's policy. Choice D is incorrect as the primary goal of the exam is to assess the applicant's health status in relation to the job requirements, not to screen for disabilities.

4. Which of the following leaders would be considered a transformational leader?

• A. The supervisor of a unit who requests staff to work overtime.
• B. The unit secretary who encourages staff to use the proper forms.
• C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
• D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.

Correct answer: D

Rationale: The correct answer is D because transformational leaders are known for inspiring and motivating their followers to reach their full potential. They focus on fostering a positive work environment, encouraging growth, and supporting career development. In this scenario, the Advanced Practice Nurse is displaying characteristics of a transformational leader by encouraging a staff nurse to pursue additional education for career advancement. Choices A, B, and C do not align with the traits of a transformational leader as they involve more routine tasks or directives without the inspirational and visionary approach typical of transformational leadership.

5. What is the primary goal of patient education?

• A. To enhance clinical skills
• B. To ensure patient safety
• C. To empower patients to take control of their health
• D. To improve patient compliance

Correct answer: C

Rationale: The correct answer is C: 'To empower patients to take control of their health.' Patient education aims to provide individuals with the knowledge and skills necessary to actively participate in managing their health conditions. Choice A, 'To enhance clinical skills,' is incorrect as patient education focuses on empowering patients, not enhancing healthcare providers' skills. Choice B, 'To ensure patient safety,' is incorrect because while patient safety is crucial, the primary goal of patient education is to empower patients. Choice D, 'To improve patient compliance,' is also incorrect as the main aim is to empower patients to make informed decisions and take an active role in their healthcare.

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