Nursing Elites

1. Which of the following skills are essential for healthcare professionals in today's healthcare environment?

• A. Communication
• B. Supervision & Management
• C. Delegation
• D. All of the above

Correct answer: D

Rationale: In today's healthcare environment, professionals require a diverse skill set to effectively navigate the complexities of patient care. Communication is fundamental for effective patient interactions, teamwork, and collaboration. Supervision and management skills are crucial for overseeing patient care and ensuring operational efficiency. Delegation is important for distributing tasks appropriately among team members. Therefore, all the skills mentioned (communication, supervision, management, and delegation) are essential for healthcare professionals in today's healthcare environment. The correct answer is 'All of the above' because all the skills listed are crucial and interlinked in providing high-quality patient care in the current healthcare setting. Choices A, B, and C are incorrect because each skill plays a vital role in the multifaceted responsibilities of healthcare professionals, and focusing on only one aspect would be limiting in today's dynamic healthcare landscape.

2. A nurse manager needs to resolve a conflict between the staff nurses and the physical therapy department. What type of power might the manager utilize? (EXCEPT)

• A. Connection and referent power
• B. Reward and punishment power
• C. Legitimate power
• D. Information power

Correct answer: C

Rationale: In this scenario, the nurse manager may utilize various types of power to resolve the conflict between the staff nurses and the physical therapy department. Referent power and connection power are based on respect/admiration and influential links, respectively. Information power is about access to valuable data. Reward power involves offering inducements for cooperation, while punishment power is about imposing penalties for non-compliance. Legitimate power, however, is derived from the manager's authority associated with their job and rank. Since the question asks for the type of power the manager might utilize 'EXCEPT,' legitimate power, being a key type of power often used in managerial roles, is the correct answer. It's important for the nurse manager to understand the dynamics of power and utilize the appropriate types to effectively address interdepartmental conflicts.

3. 1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?

• A. Blood pressure
• B. Serum creatinine
• C. Chest x-ray
• D. Urine for microalbuminuria

Correct answer: C

Rationale: The correct answer is C: Chest x-ray. While monitoring for complications in a patient with type 2 diabetes, annual tests such as blood pressure measurement, serum creatinine levels, and urine for microalbuminuria are essential. These tests help in assessing kidney function, cardiovascular health, and early signs of kidney damage, which are common complications of diabetes. A chest x-ray is not routinely scheduled annually to monitor for complications related to type 2 diabetes, making it the least applicable option.

4. A nurse has a seriously ill parent and must take care of the parent at home. Which of the following would NOT be a suitable solution to this problem? (EXCEPT)

• A. Resignation
• B. FMLA
• C. Termination
• D. LOA

Correct answer: C

Rationale: FMLA (Family and Medical Leave Act) provides up to 12 weeks of unpaid, job-protected leave to care for a seriously ill family member, securing the employee's job status. Termination and resignation involve ending employment, which is not a suitable solution as it does not provide job security. LOA (Leave of Absence) is often unpaid and does not guarantee job protection, making it less suitable than FMLA in this scenario.

5. Which of the following is one important factor in sustaining employee satisfaction?

• A. Organization culture
• B. Individual performance
• C. Performance evaluation
• D. Job satisfaction

Correct answer: D

Rationale: Job satisfaction is a crucial factor in sustaining employee satisfaction. Studies have shown that higher levels of job satisfaction lead to lower turnover rates and higher productivity. Choice A, organization culture, is important but focuses more on the overall environment rather than individual satisfaction. Choice B, individual performance, is relevant but doesn't directly address employee satisfaction. Choice C, performance evaluation, is a process rather than a factor in sustaining satisfaction.

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