Nursing Elites

1. What is the main focus of a clinical governance framework?

• A. Financial performance
• B. Regulatory compliance
• C. Patient care quality
• D. Staff satisfaction

Correct answer: C

Rationale: The main focus of a clinical governance framework is patient care quality. This framework is designed to ensure that patient care is safe, effective, and patient-centered. Choice A, financial performance, is not the main focus of a clinical governance framework, although financial aspects may be considered. Choice B, regulatory compliance, is important but not the primary focus of a clinical governance framework. Choice D, staff satisfaction, is also important but is not the main focus of a clinical governance framework, which primarily centers around patient care quality.

2. The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes about home management of the disease. Which action should the nurse take first?

• A. Ask the patient�s family to participate in the diabetes education program.
• B. Assess the patient�s perception of what it means to have diabetes mellitus.
• C. Demonstrate how to check glucose using capillary blood glucose monitoring.
• D. Discuss the need for the patient to actively participate in diabetes management.

Correct answer: B

Rationale:

3. The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?

• A. Quantum
• B. Servant
• C. Autocratic
• D. Democratic

Correct answer: A

Rationale: The correct answer is A: Quantum. The quantum theory of leadership addresses complexity in organizations, making it suitable for the challenges posed by the current health care delivery systems. Servant leadership (choice B) focuses on serving others rather than traditional hierarchies, but it is not specifically tailored to address complexities. Autocratic leadership (choice C) and Democratic leadership (choice D) are more traditional styles that may not be as effective in handling the intricacies of modern health care systems.

4. What is the major difference between managers and leaders?

• A. Leaders usually have legitimate power.
• B. Leaders do not necessarily make good managers.
• C. Managers are not always leaders.
• D. Managers always have legitimate power.

Correct answer: D

Rationale: The major difference between managers and leaders is that managers always have legitimate power. This is because managers derive their authority from their position within an organization, giving them legitimate power over subordinates. On the other hand, leaders do not always have legitimate power; their influence may come from various sources such as expertise, charisma, or the ability to inspire others. Choice A is incorrect because not all leaders necessarily have legitimate power. Choice B is incorrect as it is a generalization that leaders do not make good managers, which is not always the case. Choice C is incorrect as there can be managers who are also effective leaders.

5. An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?

• A. One or more of the parties may be able to reconcile their values.
• B. The patient�s point of view is recognized as valuable.
• C. The dilemma involves two or more equally unpleasant choices.
• D. The institution is unable to honor the patient�s request.

Correct answer: C

Rationale: An agreement cannot be reached because the dilemma involves two or more equally unpleasant choices.

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