Nursing Elites

1. Which of the following is a positive benefit of conflict within an organization?

• A. Conflict leads to compromise of values and beliefs.
• B. Conflict leads to intergroup collaboration.
• C. Conflict helps people recognize differences and motivates them towards improved performance.
• D. Conflict always results in a win-win resolution.

Correct answer: C

Rationale: The correct answer is C. Conflict within an organization can have positive outcomes as it helps individuals recognize legitimate differences, fostering diversity of thought and perspectives. This recognition can serve as a motivator for individuals to enhance their performance in order to address and adapt to these differences effectively, ultimately leading to improved organizational outcomes. Choice A is incorrect because conflict should not lead to compromising core values and beliefs. Choice B is incorrect as conflict typically leads to competition rather than collaboration. Choice D is incorrect because conflict does not always result in a win-win resolution; in reality, conflicts often involve compromise and trade-offs rather than everyone winning.

2. What is the primary purpose of a nurse staffing committee?

• A. To oversee patient safety initiatives
• B. To develop staffing policies and procedures
• C. To coordinate patient care
• D. To manage nurse recruitment

Correct answer: B

Rationale: The primary purpose of a nurse staffing committee is to develop staffing policies and procedures to ensure adequate nurse-to-patient ratios. By establishing these guidelines, the committee aims to optimize patient care by ensuring appropriate staffing levels, which in turn can enhance patient safety and coordination of care. While overseeing patient safety initiatives and managing nurse recruitment are important aspects of healthcare management, the core function of a nurse staffing committee is to create and implement policies that govern the allocation and distribution of nursing staff to meet patient care needs effectively. Therefore, choices A, C, and D, though relevant to healthcare, do not align with the primary purpose of a nurse staffing committee as outlined in the question.

3. In determining a way to make shift change more effective for the nurse and the client, a hospital implemented a course of action. After a week of implementation, the decision was deemed inappropriate. What step of Roger's diffusion of innovations is this?

• A. Confirmation
• B. Implementation
• C. Knowledge
• D. Persuasion

Correct answer: A

Rationale: The correct answer is A: Confirmation. In the diffusion of innovations theory by Rogers, the confirmation stage seeks reinforcement of the action taken. In this scenario, after implementing the course of action regarding shift changes, the decision was reviewed and found inappropriate, aligning with the confirmation phase. Choice B, 'Implementation,' refers to putting the plan into action, which had already been done. Choice C, 'Knowledge,' pertains to becoming aware of the innovation, not evaluating its effectiveness. Choice D, 'Persuasion,' involves efforts to influence individuals to adopt the innovation, not verifying its appropriateness.

4. Which of the following is an example of a tertiary prevention strategy?

• A. Administering childhood vaccinations
• B. Chemotherapy for cancer treatment
• C. Routine screening for hypertension
• D. Physical therapy for stroke rehabilitation

Correct answer: D

Rationale: The correct answer is D: Physical therapy for stroke rehabilitation. Tertiary prevention aims to prevent complications and manage existing conditions to improve the quality of life. Administering childhood vaccinations (A) is an example of primary prevention to prevent the onset of diseases. Chemotherapy for cancer treatment (B) is a form of secondary prevention focusing on early detection and treatment to stop the progression of the disease. Routine screening for hypertension (C) is also a form of secondary prevention to detect and treat hypertension early, preventing further complications.

5. The healthcare provider is developing a critical pathway for congestive heart failure (CHF). Which components are essential to include? (Select ONE that does not apply.)

• A. Expected length of stay
• B. Assigned staff healthcare provider
• C. Patient outcomes
• D. Medical diagnosis

Correct answer: B

Rationale: Critical pathways are designed to outline the expected sequence and timing of interventions to achieve optimal patient outcomes for a specific medical condition. Components such as the expected length of stay, patient outcomes, and medical diagnosis are crucial in developing a critical pathway for congestive heart failure. However, the assigned staff healthcare provider is not typically a fixed component of a critical pathway as it may vary based on staffing schedules and rotations. Therefore, the assigned staff healthcare provider is the component that does not apply.

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