Nursing Elites

1. One of the perceptions of turnover is:

• A. Poor management
• B. Rejection of the job
• C. Loss of poor performers
• D. Poor job atmosphere

Correct answer: B

Rationale: The correct answer is B: 'Rejection of the job.' According to Steers and Stone, turnover can be perceived by coworkers as a rejection of the job. Choice A, 'Poor management,' is incorrect because turnover perception is more related to individual feelings about the job rather than management. Choice C, 'Loss of poor performers,' is incorrect as it focuses on the outcome of turnover rather than the perception. Choice D, 'Poor job atmosphere,' is incorrect as it describes a cause of turnover rather than a perception.

2. Which of the following best describes the role of a nurse preceptor?

• A. Supervisor of all nursing staff
• B. Mentor and educator for new nurses
• C. Director of nursing services
• D. Coordinator of patient care

Correct answer: B

Rationale: The correct answer is B: 'Mentor and educator for new nurses.' A nurse preceptor plays a crucial role in mentoring and educating new nurses. They provide guidance, support, and practical knowledge to help new nurses transition smoothly into their roles. While preceptors may have supervisory responsibilities during the orientation period, their primary focus is on supporting the professional development of new nurses, rather than supervising all nursing staff, directing nursing services, or coordinating patient care. Choice A is incorrect because a nurse preceptor does not supervise all nursing staff but focuses on new nurses. Choice C is incorrect as the role of a director of nursing services involves overall management and leadership of nursing services. Choice D is incorrect as a coordinator of patient care is responsible for organizing patient care activities, not specifically focused on mentoring new nurses.

3. Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?

• A. Carefully assess and document client status.
• B. Ensure all patient information is secure and the nurse has logged out of the computer before leaving the computer station.
• C. Keep detailed notes while providing care to ensure accurate documentation later in the day.
• D. Discuss safety needs with clients.

Correct answer: A

Rationale: The correct answer is A: 'Carefully assess and document client status.' When dealing with confused clients, it is crucial to assess their status carefully and document it accurately. This helps in avoiding charges of negligence and false imprisonment by ensuring that the client's condition is well-documented and appropriate care is provided. Choice B is incorrect because it focuses on computer security rather than client care. Choice C is incorrect because it emphasizes detailed notes for accuracy but does not specifically address the confusion of clients. Choice D is incorrect as it mentions discussing safety needs but does not directly relate to avoiding charges of negligence and false imprisonment for confused clients.

4. Which of the following is true regarding health care systems today?

• A. They are all managed care organizations.
• B. They are all privately owned.
• C. Only HMOs are profitable.
• D. There are multiple types of organizations.

Correct answer: D

Rationale: The correct answer is D: 'There are multiple types of organizations.' This statement is true as there are various health care delivery systems in today's world, including but not limited to managed care organizations, privately owned facilities, and other models. Choices A, B, and C are incorrect because not all health care systems are managed care organizations, privately owned, or only profitable if they are HMOs. Health care systems can vary in ownership, management, and profitability, making choice D the most accurate.

5. A nurse manager is using the nominal group technique to gather input from the staff on a new policy. What is the primary method of exchange in this technique?

• A. Oral presentations
• B. Email exchanges
• C. Written reports
• D. Group discussions

Correct answer: C

Rationale: In the nominal group technique, the primary method of exchange is through written reports. Participants independently generate ideas in writing, which are then shared and discussed within the group. This structured process allows for equal participation and prevents dominant individuals from influencing the group's outcome. Oral presentations (choice A) involve speaking rather than written communication, making it less suitable for the nominal group technique. Email exchanges (choice B) are also not the primary method as they lack the structured approach of the nominal group technique. Group discussions (choice D) do occur in the nominal group technique but are secondary to the initial written idea generation phase.

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