Nursing Elites

1. Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)

• A. At least 1,250 hours during the previous 12 months.
• B. At least 12 months.
• C. At least six months.
• D. At a work site with 50 employees within a 75-mile radius.

Correct answer: C

Rationale: Employees are eligible to take a leave of absence if they have worked for the employer for at least 12 months, have worked at least 1,250 hours during the previous 12 months, and are at a work site with 50 or more employees, or at a site where 50 workers are employed within 75 miles of the work site. The statement 'At least six months' is incorrect as the requirement is for 12 months of work to be eligible for a leave of absence.

2. What is the primary goal of the Affordable Care Act (ACA)?

• A. To reduce healthcare costs
• B. To expand access to healthcare
• C. To improve healthcare quality
• D. To increase healthcare funding

Correct answer: B

Rationale: The primary goal of the Affordable Care Act (ACA) is to expand access to healthcare. While reducing healthcare costs and improving healthcare quality are important aspects, the ACA's main focus was on increasing the number of Americans with health insurance coverage and enhancing the availability and affordability of healthcare services. Increasing healthcare funding is not the primary goal of the ACA, as its main aim was to make healthcare more accessible and affordable for a larger portion of the population.

3. Which of the following is NOT considered a withdrawal behavior?

• A. Turnover
• B. Strategies
• C. Stress
• D. Punctuality

Correct answer: B

Rationale: The correct answer is B, 'Strategies.' Withdrawal behaviors are actions employees take to mentally escape the work environment. Turnover, stress, and punctuality are examples of withdrawal behaviors. Turnover refers to employees leaving the workplace, stress leads to disengagement, and lack of punctuality can indicate disinterest or withdrawal. 'Strategies' do not fit the definition of withdrawal behaviors, making it the correct answer.

4. Construction is occurring in the Emergency Department, with equipment and sharp items being used by the contractors. As the charge nurse, you are concerned that agitated patients might use the equipment as weapons and you meet with staff to: (EXCEPT)

• A. Notify the nursing supervisor.
• B. Notify security.
• C. Have them check patients to verify safety.
• D. Ask construction workers to be responsible.

Correct answer: D

Rationale: When construction is ongoing in a healthcare setting, it is essential to address safety concerns promptly. While it is crucial to notify the nursing supervisor and security to manage potential risks, having staff check patients for safety is also a valid precautionary measure. However, asking construction workers to be responsible is not a proper action to address the safety concerns posed by the equipment. Construction workers are professionals responsible for their tasks; it is the healthcare facility's responsibility to ensure patient and staff safety in such situations.

5. What is the primary focus of a patient safety program?

• A. To reduce healthcare costs
• B. To improve clinical outcomes
• C. To enhance patient satisfaction
• D. To comply with regulatory standards

Correct answer: C

Rationale: The primary focus of a patient safety program is to enhance patient satisfaction by ensuring safe practices. While reducing healthcare costs and improving clinical outcomes are important aspects influenced by patient safety programs, the main goal is to prioritize patient well-being and satisfaction. Complying with regulatory standards is essential but not the primary focus; it is a means to achieve safe practices for the benefit of patients.

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