Nursing Elites

1. A manager has a budget request deadline today at 3:00. He stops his work to answer the phone, check emails as they arrive, and speak with staff who stop by his office. As a result, he misses the deadline. What best describes the cause of missing his deadline?

• A. Goal setting
• B. Organization
• C. Time wasters
• D. Assertiveness

Correct answer: C

Rationale: The best choice that describes the cause of the manager missing his deadline is 'Time wasters.' In this scenario, the manager's focus was diverted by tasks like answering the phone, checking emails, and speaking with staff, which are considered time wasters when they prevent him from meeting his deadline. Choices A, B, and D are incorrect in this context. Goal setting was not the issue as the manager was aware of the deadline; organization did not play a significant role as his tasks were interrupted by external factors, and assertiveness was not the cause of missing the deadline.

2. Which of the following best describes the ethical concept of values?

• A. Values are an individual�s feelings about situations.
• B. Values are learned through family systems.
• C. Values are organized ways of thinking about the meaning of life.
• D. Values determine the rightness or wrongness of behavior.

Correct answer: A

Rationale: Values are how individuals feel about ideas, situations, and concepts.

3. Which of the following is a common characteristic of a high reliability organization (HRO)?

• A. Flexibility
• B. Reluctance to simplify
• C. Preoccupation with failure
• D. Deference to expertise

Correct answer: C

Rationale: A common characteristic of a high reliability organization (HRO) is a preoccupation with failure. HROs focus on identifying and addressing potential failure points to prevent errors and maintain high levels of safety and reliability. This mindset helps them anticipate and mitigate risks proactively, leading to better outcomes and performance. Choices A, B, and D are incorrect. While flexibility, reluctance to simplify, and deference to expertise may be important in various contexts, they are not the primary defining characteristics of a high reliability organization. The core focus of HROs is on continuously monitoring for potential failures and working to prevent them.

4. Which of the following should be included in a discussion of advance directives with new nurse graduates?

• A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
• B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
• C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
• D. The advance directive designates a health-care surrogate who will make known the client�s wishes regarding medical treatment if the client is unable to do so.

Correct answer: A

Rationale: According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.

5. Which of the following best describes the role of an informatics nurse specialist?

• A. Managing electronic health records
• B. Providing technical support
• C. Educating nursing staff
• D. Improving patient care through technology

Correct answer: D

Rationale: An informatics nurse specialist focuses on improving patient care through technology by implementing, optimizing, and leveraging healthcare information systems. While managing electronic health records and providing technical support may be part of their responsibilities, the primary goal is to enhance patient outcomes and healthcare delivery through the strategic use of technology. Educating nursing staff, although important, is typically not the core role of an informatics nurse specialist.

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