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1. Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct answer: C
Rationale: The correct answer is C. Achieving Magnet Hospital designation provides advantages such as greater client satisfaction, improved nursing recruitment, and nurses who are independent decision makers. However, the statement about 'Greater client workload' is not a typical advantage associated with Magnet recognition. Organizations that achieve Magnet recognition focus on improving nursing work environments, empowering nurses, and enhancing patient care quality, rather than increasing client workload. Therefore, C is the correct choice. Choices A, B, and D are incorrect because they align with the benefits of achieving Magnet Hospital designation as they lead to increased satisfaction, better recruitment, and more empowered nurses.
2. Which of the following is an example of a secondary prevention activity?
- A. Blood pressure screening
- B. Administering medications
- C. Developing a care plan
- D. Providing rehabilitation
Correct answer: A
Rationale: The correct answer is A, blood pressure screening. Secondary prevention aims to identify and treat conditions early to prevent their progression. Blood pressure screening helps in early detection of hypertension, allowing for timely intervention. Choices B, C, and D are not examples of secondary prevention activities. Administering medications (B) can be part of treatment after a condition is diagnosed, developing a care plan (C) is more related to organizing and coordinating care rather than prevention, and providing rehabilitation (D) focuses on recovery and improvement post-diagnosis rather than early detection and prevention.
3. What is the primary goal of evidence-based practice (EBP)?
- A. Reduce healthcare costs
- B. Improve patient outcomes
- C. Enhance clinical decision making
- D. Ensure patient safety
Correct answer: C
Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision making by integrating the best available evidence with clinical expertise and patient values. While improving patient outcomes is a significant result of EBP, the ultimate aim is to ensure that healthcare decisions are based on the most current, relevant, and reliable evidence. While reducing healthcare costs and ensuring patient safety are important in healthcare, they are not the primary goals of evidence-based practice.
4. What is typically the first sign that a healthcare professional with a substance abuse problem will exhibit?
- A. Avoidance
- B. Bargaining
- C. Denial
- D. Regression
Correct answer: C
Rationale: The correct answer is C: Denial. When healthcare professionals have substance abuse problems, denial is often the initial sign they exhibit. Denial involves minimizing or refusing to acknowledge the issue, making it difficult to recognize and address the substance abuse problem. Choices A, B, and D are incorrect. Avoidance, bargaining, and regression are not typically the first signs displayed by healthcare professionals with substance abuse problems. By identifying denial early on, healthcare professionals can take the necessary steps to seek help and overcome substance abuse issues.
5. Which of the following is an example of an environmental factor that could influence decision-making in nursing?
- A. Personal preferences
- B. Ethical considerations
- C. Availability of resources
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, 'All of the above.' Environmental factors encompass a wide range of influences on decision-making in nursing. Personal preferences can impact how a nurse chooses a course of action, ethical considerations guide decision-making based on moral principles, and the availability of resources determines the options that are feasible. Therefore, all of these factors play a significant role in influencing decision-making in nursing. Choices A, B, and C are incorrect because each of them individually represents a specific environmental factor, whereas the correct answer D acknowledges that all of these factors collectively contribute to influencing decision-making.
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