Nursing Elites

1. A client is admitted to a medical-surgical unit after six hours in the emergency room. He requests that his AM care be delayed to allow him to rest. The nurse complies with his request. This is an example of which type of management philosophy?

• A. Continuous quality improvement
• B. Total quality management
• C. Six Sigma
• D. Quality management

Correct answer: B

Rationale: Total Quality Management (TQM) emphasizes meeting customer needs and satisfaction. In this scenario, by honoring the client's request to delay care to allow for rest, the nurse is aligning with the customer-focused approach of TQM. TQM seeks to continuously improve processes and services to enhance customer experiences and outcomes. Continuous Quality Improvement focuses on incremental improvements in processes and outcomes over time. Six Sigma is a data-driven approach to process improvement that aims to reduce defects and errors. Quality Management is a broader concept that encompasses various strategies to ensure quality standards are met.

2. One of the critical elements in interviewing is:

• A. Time management during the interview.
• B. Involving others in the interview process.
• C. Choosing the interview location.
• D. Developing an interview guide.

Correct answer: D

Rationale: Developing an interview guide is a critical element in interviewing as it allows for a systematic approach. An interview guide helps the interviewer stay on track, ensures important topics are covered, and provides consistency in questioning. Options A, B, and C are not as crucial as developing an interview guide. Time management during the interview is important but not the critical element being addressed in this question. Involving others may be beneficial in some cases, but it is not a fundamental element of interviewing. While choosing a suitable interview location is essential for a conducive environment, it is not as central as having a structured interview guide.

3. A female patient is scheduled for an oral glucose tolerance test. Which information from the patient’s health history is most important for the nurse to communicate to the health care provider?

• A. The patient uses oral contraceptives.
• B. The patient runs several days a week.
• C. The patient has been pregnant three times
• D. The patient has a family history of diabetes

Correct answer: A

Rationale:

4. In dealing with conflict, the manager knows that feelings or perceptions about the situation will have an effect. According to Filey, what is this effect known as?

• A. Conflict suppression
• B. Resolution aftermath
• C. Antecedent conditions
• D. Manifest behavior

Correct answer: D

Rationale: Feelings or perceptions about the situation initiate behavior, known as manifest behavior. Antecedent conditions refer to preexisting conditions that may have led to the conflict but are not the immediate effect of feelings or perceptions. Resolution aftermath pertains to the consequences or outcomes following conflict resolution. Conflict suppression refers to the action of suppressing conflict without addressing its root causes, which is a subsequent step after the manifestation of behavior.

5. Which of the following is an important aspect of note-taking?

• A. Not specific and behavior-oriented
• B. Forces the manager to deal with the problem
• C. Records only undesirable events
• D. Failure to give performance feedback

Correct answer: B

Rationale: The correct answer is B: 'Forces the manager to deal with the problem.' Note-taking is essential as it compels the manager to address issues, regardless of their size or nature. This process helps in identifying, documenting, and resolving problems effectively. Choice A is incorrect because note-taking should be specific and focused on behaviors. Choice C is incorrect as note-taking should record all events, not just undesirable ones. Choice D is incorrect as it does not directly relate to the importance of note-taking in addressing problems.

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