Nursing Elites

1. One of the most important driving forces behind health care policy changes is which of the following?

• A. New technology
• B. Outsourcing of services
• C. Emerging role of nurse practitioners
• D. Ability to pay for health care

Correct answer: D

Rationale: The correct answer is D, 'Ability to pay for health care.' One of the primary factors influencing health care policy changes is the financial aspect, as the ability to afford healthcare services affects access, quality, and equity. While new technology, outsourcing of services, and the emerging role of nurse practitioners may also impact health care policies, the fundamental driver often revolves around individuals' and societies' financial capacity to pay for healthcare.

2. When preparing for a meeting to discuss the annual budget, what would be the best approach to ensure all relevant points are covered?

• A. Prepare an agenda
• B. Use visual aids
• C. Invite only key stakeholders
• D. Review previous budgets

Correct answer: A

Rationale: Preparing an agenda is the best approach when discussing the annual budget to ensure that all relevant points are covered. An agenda helps structure the meeting, outline key topics, allocate time efficiently, and keep the discussion focused on important budget-related matters. It also assists in setting clear objectives and expectations for the meeting participants, ensuring that all necessary points are addressed and that the meeting stays on track. While using visual aids, inviting only key stakeholders, and reviewing previous budgets can be important steps in the budget discussion process, none of these can replace the crucial role of having a well-prepared agenda.

3. In the scenario where a family member slips on the wet floor and hits her head, what hospital process requires completion of an incident report?

• A. Risk management
• B. Outcome management
• C. Quality management
• D. Peer review

Correct answer: A

Rationale: In healthcare settings, completing an incident report is a crucial aspect of risk management. Risk management aims to identify, assess, and mitigate risks to prevent harm to patients, visitors, or staff. Incident reports provide valuable data for analyzing events, implementing corrective actions, and improving patient safety within the healthcare facility. Choices B, C, and D are incorrect because outcome management focuses on achieving desired results, quality management concentrates on maintaining high standards of care, and peer review involves evaluating the performance of healthcare providers, none of which directly relate to the completion of an incident report due to an accident.

4. There are several pitfalls that should be avoided when using social media of any type. For example, a nurse or student could be found guilty of libel in which of the following scenarios?

• A. Snapping a selfie with a patient
• B. Posting a positive review of the hospital where the student completed clinicals
• C. Creating a closed online forum where students can discuss clinical experiences without providing client information
• D. Complaining about her nurse preceptor on social media, discussing the preceptor�s unprofessional characteristics.

Correct answer: D

Rationale: Complaining about her nurse preceptor on social media, discussing the preceptor�s unprofessional characteristics, could be considered libel.

5. What is the role of a nurse in a multidisciplinary team (MDT)?

• A. To lead the MDT
• B. To provide emotional support
• C. To advocate for patient needs
• D. To conduct clinical research

Correct answer: C

Rationale: In a multidisciplinary team (MDT), a nurse's role is to advocate for patient needs and ensure their perspectives are considered in the care plan. While leadership may be a part of a nurse's role in some settings, the primary focus in an MDT is collaboration and coordination. Providing emotional support is essential but may not be the primary role of a nurse in an MDT. Conducting clinical research is typically not a direct responsibility of a nurse in an MDT focused on patient care.

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