Nursing Elites

1. Several factors are considered in the calculation of the amount of FTEs. Which of the following is NOT considered when calculating the FTEs?

• A. Hours of care provided
• B. Ancillary staff
• C. Procedures to be done
• D. Types of patients

Correct answer: A

Rationale: When calculating Full-Time Equivalents (FTEs), factors such as the hours of work for the staff for two weeks, average daily census, and types of patients are considered. However, the hours of care provided are not typically included in the calculation of FTEs. Therefore, the correct answer is A. Choice B, ancillary staff, can impact FTE calculations as they contribute to the overall workload. Choice C, procedures to be done, can also influence FTE calculations, especially if they affect staffing requirements. Choice D, types of patients, play a role in determining the level of care needed and subsequently impact FTE calculations.

2. Which of the following best describes the concept of patient-centered care?

• A. Care that is directed solely by healthcare providers
• B. Care that involves coordination among multiple healthcare providers
• C. Care that prioritizes the patient's preferences, needs, and values
• D. Care that strictly adheres to the latest clinical guidelines

Correct answer: C

Rationale: Patient-centered care is a healthcare approach that places the patient at the center of decision-making, emphasizing their preferences, needs, and values. This approach ensures that care is tailored to individual patients, taking into account their unique circumstances and actively involving them in their own care. Choice A is incorrect because patient-centered care focuses on the patient's needs rather than being solely directed by healthcare providers. Choice B is incorrect as involving multiple healthcare providers doesn't necessarily mean care is patient-centered; instead, it's about tailoring care to the patient's individual needs. Choice D is also incorrect as patient-centered care goes beyond just following clinical guidelines to encompass individual patient preferences and values.

3. Which leadership style is most effective in a crisis situation?

• A. Democratic
• B. Autocratic
• C. Transformational
• D. Laissez-faire

Correct answer: B

Rationale: An autocratic leadership style is most effective in a crisis situation because it allows for quick decision-making without the need for extensive consultation or deliberation. In a crisis, immediate and decisive actions are often required to address the situation effectively. Democratic leadership, on the other hand, may slow down the decision-making process due to the need for consensus and input from team members. Transformational leadership focuses on inspiring and motivating followers, which may not always be as effective in a crisis where urgent actions are needed. Laissez-faire leadership, characterized by a hands-off approach, is generally ineffective in crisis situations as it lacks the necessary direction and guidance required to navigate through the challenges efficiently.

4. Politics is a means for influencing events and the decisions of others. The nurse manager who consistently reminds the staff that 'there is no I in team' and periodically brings treats for the staff is using:

• A. Image enhancement
• B. Political skills
• C. Reward power
• D. Expert power

Correct answer: B

Rationale: The correct answer is B: Political skills. Politics involve interpersonal endeavors, collective activities, analysis, planning, and managing image. In this scenario, the nurse manager is skillfully building team morale and influencing staff dynamics by emphasizing teamwork ('there is no I in team') and boosting morale through occasional treats. This demonstrates the use of political skills to influence and manage relationships within the team. Choices A, C, and D are incorrect because the manager's actions are not solely focused on image enhancement, reward power, or expert power. Instead, they are aimed at fostering teamwork and boosting staff morale.

5. As a new nurse on a pediatric unit, you must work nights and you have minimal time to spend with your children. Your colleague observes that you speak abruptly with parents and you become easily annoyed when the patients cry or when they are demanding. You realize you are becoming increasingly more distressed and that you have no time with your children and, as a result you: (Select all that apply.)

• A. Express negative comments to colleagues about patients and parents who annoy you.
• B. Ask the nurse manager to have a schedule with an equal number of day and night shifts so that you can be with your children.
• C. Call off sick as frequently as you can without violating policies so that you have more time with your children.
• D. Minimize your communication with patients and parents so you do not offend them.

Correct answer: B

Rationale: The correct answer is B. Asking the nurse manager for a schedule with an equal number of day and night shifts is a proactive and constructive approach to address the issue of having minimal time with your children. This solution aims to balance work and personal life effectively. Choices A, C, and D are incorrect. Expressing negative comments about patients and parents (Choice A) is unprofessional and can create a negative work environment. Calling off sick frequently (Choice C) is irresponsible and violates work policies, leading to potential disciplinary actions. Minimizing communication with patients and parents (Choice D) is not a suitable approach as effective communication is essential in healthcare to provide optimal care and support to patients and their families.

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