Nursing Elites

1. A unit manager has been working to decrease the incidence of catheter-associated urinary tract infections on his unit, spending extra time on the unit researching best practices and conducting training. Having completed training, the manager decides to take a couple of days off. Which of the following leadership traits is this unit manager displaying?

• A. Perseverance
• B. Balance
• C. Generosity
• D. Ability to handle stress

Correct answer: B

Rationale: The correct answer is 'Balance.' The unit manager is displaying balance by recognizing the importance of taking time off to rest and recharge after working diligently to decrease infections. 'Perseverance' is not the correct choice because the manager is taking time off, not persisting in the face of challenges. 'Generosity' and 'Ability to handle stress' are also incorrect as they do not align with the situation described.

2. An RN is reviewing professional behavior expectations with a group of new nurses. Which of the following statements should be included in the teaching?

• A. It is not OK to discuss your days at work on social media.
• B. When you are passionate about a topic, speak up in professional platforms.
• C. Your behavior outside of the practice setting can impact your license.
• D. Nurses may lose their licenses for unprofessional actions.

Correct answer: D

Rationale: The correct statement to include in the teaching is that nurses may lose their licenses for unprofessional actions. This is an important reminder to new nurses about the serious consequences of unprofessional behavior in the healthcare field. Choice A is incorrect because discussing work on social media can breach patient confidentiality. Choice B is incorrect as speaking up in blogs and forums may not always align with professional conduct standards. Choice C is incorrect as behavior outside the practice setting, if unprofessional, can indeed impact a nurse's license.

3. Which of the following best describes the concept of value-based healthcare?

• A. Focusing on the volume of services provided
• B. Maximizing hospital revenue
• C. Improving clinical outcomes while controlling costs
• D. Emphasizing patient satisfaction

Correct answer: C

Rationale: The correct answer is C. Value-based healthcare focuses on improving clinical outcomes while controlling costs. It emphasizes quality over quantity, aiming to provide efficient and effective care that enhances patient health outcomes while managing expenses. Choices A and B are incorrect because value-based healthcare is not about focusing on the volume of services provided or maximizing hospital revenue. Choice D, emphasizing patient satisfaction, is also not the primary focus of value-based healthcare, which prioritizes clinical outcomes and cost control.

4. A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?

• A. Wear an N95 respirator when giving direct care to the client.
• B. Place the client in a private room with negative-pressure airflow.
• C. Ensure the client's room has at least six air exchanges per hour.
• D. Ensure the client wears a mask when outside their room if there is construction in the area.

Correct answer: A

Rationale: In a protective environment for a client with an allogeneic stem cell transplant, the nurse needs to wear an N95 respirator when providing direct care to the client. This precaution is essential to protect the client, whose immune system is compromised after the transplant, from exposure to potential pathogens. Placing the client in a private room with negative-pressure airflow (choice B) is more appropriate for clients with airborne infections. Ensuring the client's room has sufficient air exchanges (choice C) is important for maintaining air quality but is not the primary precaution for protecting an immunocompromised client. Making the client wear a mask when outside the room due to construction (choice D) focuses on external factors and does not directly address the risk of infection during direct care.

5. Which of the following behaviors would be an early warning sign that you are not handling job stress in a healthy way?

• A. Focusing excessively on patient outcomes
• B. Needing to spend more time alone
• C. Juggling work, studies, and family responsibilities
• D. Awakening in the morning feeling unrested

Correct answer: D

Rationale: The correct answer is D. Awakening in the morning feeling unrested can be an early warning sign that you are not handling job stress in a healthy way. This may indicate that the stress is impacting your quality of sleep, which is essential for managing stress and maintaining overall well-being. Choices A, B, and C are not necessarily indicative of unhealthy stress management. Focusing excessively on patient outcomes may show dedication to work, needing to spend more time alone could be a personal preference, and juggling work, studies, and family responsibilities could be a common challenge that many individuals face.

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