Nursing Elites

1. A group of physicians comes into conflict with the nursing staff of a unit over when AM vital signs are recorded. What type of technique might be used that respects the professionalism of both parties?

• A. Accommodating
• B. Collaboration
• C. Avoiding
• D. Competing

Correct answer: B

Rationale: In this scenario, the most appropriate technique to use is collaboration. Collaboration involves working together with mutual attention to the problem, utilizing the talents of all parties involved. This approach respects the professionalism of both physicians and nursing staff by valuing their input and expertise. Choice A, accommodating, involves giving in to the other party's concerns, which may not fully address the conflict. Choice C, avoiding, suggests ignoring or sidestepping the issue, which does not promote a resolution. Choice D, competing, involves pursuing one's own concerns at the expense of the other party's, leading to a win-lose situation, which is not conducive to resolving conflicts in a professional setting.

2. What is the primary goal of a clinical nurse leader (CNL)?

• A. To manage the nursing staff
• B. To coordinate patient care
• C. To improve patient outcomes
• D. To implement evidence-based practices

Correct answer: C

Rationale: The primary goal of a clinical nurse leader (CNL) is to improve patient outcomes by overseeing patient care delivery, coordinating with healthcare team members, and ensuring quality care. While managing nursing staff (choice A) and implementing evidence-based practices (choice D) are important aspects of a CNL's role, the ultimate focus is on enhancing patient outcomes. Coordinating patient care (choice B) is part of the CNL's responsibilities but not the primary goal.

3. Selecting a person/unit to negotiate on the group's behalf is known as:

• A. Labor negotiations.
• B. Bargaining.
• C. Establishing a union.
• D. Representation election.

Correct answer: D

Rationale: The correct answer is D, representation election. Representation election is the process where individuals within a group vote to select a person or unit to represent and negotiate on their behalf. Options A and B are incorrect because they refer to the broader concepts of labor negotiations and bargaining, not specifically the process of selecting a representative. Option C, establishing a union, is also incorrect as it refers to the formation of a labor union rather than the act of choosing a representative for bargaining.

4. When utilizing an internal float pool, which of the following pools is most efficient?

• A. Centralized
• B. Flexible
• C. Mixed
• D. Decentralized

Correct answer: A

Rationale: Centralization is the most efficient option when utilizing an internal float pool because it allows for a pool of nurses to be used anywhere in the hospital. In centralized pools, staff members are not limited to working for only one nurse manager or on only one unit, unlike in decentralized pools. Flexible and mixed pools may offer some advantages, but in terms of efficiency and utilization of resources, centralized pools are the most effective choice.

5. Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?

• A. Carefully assess and document client status.
• B. Ensure all patient information is logged out and the nurse has signed out of the computer before leaving the computer station.
• C. Keep careful notes while providing care to ensure accurate documentation later in the day.
• D. Discuss safety needs with clients.

Correct answer: A

Rationale: The correct answer is A: Carefully assess and document client status. By carefully assessing and documenting the client's status, healthcare providers can ensure they have a clear understanding of the client's condition, needs, and any potential risks. This helps in providing appropriate care and avoiding situations that may lead to charges of negligence or false imprisonment. Choice B is incorrect because logging out of computer systems is more related to data security and confidentiality rather than preventing negligence or false imprisonment. Choice C is not directly related to avoiding charges of negligence and false imprisonment but rather ensuring accurate documentation. Choice D, while important for overall client safety, does not specifically address the issue of avoiding charges of negligence and false imprisonment for confused clients.

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