Nursing Elites

1. Which of the following statements regarding leadership and management is true?

• A. Leadership is focused on the achievement of organizational goals.
• B. One must develop the ability to adapt in order to lead.
• C. Management occurs when an individual attempts to influence another.
• D. Successful managers encourage others to work together toward a common goal.

Correct answer: D

Rationale: The correct answer is D. Successful managers play a key role in encouraging collaboration among team members to achieve a common goal. This statement accurately reflects the essence of effective management, emphasizing the importance of fostering teamwork and cooperation to drive success. Choices A, B, and C are incorrect because leadership, adaptation, and influence are not exclusively tied to the definition of successful management.

2. What is the main focus of a clinical governance framework?

• A. Financial performance
• B. Regulatory compliance
• C. Patient care quality
• D. Staff satisfaction

Correct answer: C

Rationale: The main focus of a clinical governance framework is patient care quality. This framework is designed to ensure that patient care is safe, effective, and patient-centered. Choice A, financial performance, is not the main focus of a clinical governance framework, although financial aspects may be considered. Choice B, regulatory compliance, is important but not the primary focus of a clinical governance framework. Choice D, staff satisfaction, is also important but is not the main focus of a clinical governance framework, which primarily centers around patient care quality.

3. Which of the following is an example of a macro-level health policy?

• A. Local health ordinances
• B. State licensing regulations
• C. National healthcare legislation
• D. Institutional policies

Correct answer: C

Rationale: The correct answer is national healthcare legislation. This type of policy operates at a broad level, influencing healthcare delivery and financing across an entire nation. It sets overarching frameworks and regulations that impact various aspects of the healthcare system on a large scale, affecting a wide population rather than specific localities or institutions. Choices A, B, and D are not examples of macro-level health policy. Local health ordinances pertain to specific areas or communities, state licensing regulations focus on a state level, and institutional policies are internal regulations of a particular healthcare facility.

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. When facing problems that require immediate action, what organized method involving seven specific steps can nurses use for effective problem-solving?

• A. Nominal group technique
• B. Delphi method
• C. Problem-solving process
• D. Brainstorming

Correct answer: C

Rationale: The correct answer is C: Problem-solving process. The problem-solving process involving seven specific steps is a structured approach that nurses can utilize when immediate action is required. This method allows for a systematic and organized way of addressing urgent issues, ensuring a thorough and effective problem-solving approach. Choices A, B, and D are incorrect because they do not specifically refer to the structured method involving seven specific steps that nurses can follow for effective problem-solving.

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