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1. Which of the following is true of malpractice?
- A. Malpractice occurs when a professional shares information about a patient that could damage that patient�s reputation.
- B. Malpractice is a serious criminal offense.
- C. Malpractice is a minor criminal offense.
- D. Malpractice is a negligent act by an individual whose duties require specialized education.
Correct answer: D
Rationale: Malpractice is a negligent act by an individual whose duties require specialized education.
2. What is the primary role of a nurse in a patient-centered medical home (PCMH)?
- A. Coordinate patient care
- B. Administer treatments
- C. Provide health education
- D. Conduct research
Correct answer: A
Rationale: The primary role of a nurse in a patient-centered medical home (PCMH) is to coordinate patient care. Nurses in PCMH settings focus on ensuring continuity of care, managing transitions between different healthcare providers, and facilitating communication among the healthcare team and the patient. Administering treatments, providing health education, and conducting research are important aspects of nursing practice but are not the primary role of a nurse in a patient-centered medical home.
3. Achieving Magnet Hospital designation offers hospitals the following advantages: (Select all that apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct answer: C
Rationale: Achieving Magnet Hospital designation offers hospitals advantages such as improved nursing recruitment and greater nursing retention. The empowered, independent problem-solving nurses resulting from this designation contribute to greater client satisfaction and improved nursing care. Therefore, the correct answer is 'Greater client workload' (C). Choices A, B, and D are incorrect because although they are beneficial outcomes of achieving Magnet Hospital designation, they are not advantages specifically mentioned in the provided rationale.
4. An RN comes upon a serious motor vehicle accident that has just occurred and no first responders are on the scene. One car has been flipped upside down, and she can see the driver still in the car. The RN decides to stop and help. She knows she is protected from civil liability as long as she does which of the following?
- A. Acts in an ordinary, reasonable, and prudent professional manner
- B. Assures that information obtained is not communicated to anyone else
- C. Does not make any verbal comments that could lead to economic harm
- D. Fails to meet the established standards of practice
Correct answer: A
Rationale: The correct answer is A: 'Acts in an ordinary, reasonable, and prudent professional manner.' In emergency situations, healthcare professionals are protected from civil liability as long as they act in a manner that any other reasonable and prudent professional would under similar circumstances. Choice B is incorrect because communication of relevant information is essential for patient care and handover to other healthcare providers. Choice C is incorrect as it pertains to a different issue of preventing economic harm rather than addressing the immediate medical needs of the injured driver. Choice D is incorrect because failing to meet established standards of practice can lead to liability, especially in emergencies where immediate action is required to save lives.
5. Cultural diversity presents an important challenge to nurse managers due to which of the following?
- A. A nursing shortage exists
- B. Staff nurses are not trained to be culturally sensitive
- C. 80% of nursing staff comes from one or more minority groups
- D. The increase in cultural diversity is seen both in the patient population and the nursing staff
Correct answer: D
Rationale: Cultural diversity presents an important challenge to nurse managers due to the increase in cultural diversity seen both in the patient population and the nursing staff. This challenge requires nurse managers to ensure that their nursing staff can effectively communicate and provide culturally competent care to patients from diverse backgrounds. Choice A is incorrect because it does not directly relate to the impact of cultural diversity. Choice B is incorrect as it focuses on the training of staff nurses rather than the overall challenge of managing cultural diversity. Choice C is incorrect as the percentage of nursing staff from minority groups, while important, is not the primary reason cultural diversity poses a challenge to nurse managers.
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