what is the main focus of a risk management program in healthcare

ATI RN

ATI Leadership

1. What is the main focus of a risk management program in healthcare?

A. To reduce hospital readmissions
B. To manage financial resources
C. To ensure compliance with healthcare regulations
D. To improve clinical outcomes

Correct answer: D

Rationale: The main focus of a risk management program in healthcare is to improve clinical outcomes. By identifying and mitigating risks, healthcare organizations aim to enhance patient safety, quality of care, and overall health outcomes. Option A is incorrect because reducing hospital readmissions is a specific goal within healthcare but not the primary focus of risk management. Option B is incorrect as managing financial resources, while important, is more aligned with financial management rather than risk management. Option C is incorrect as ensuring compliance with healthcare regulations is vital but falls under compliance management rather than the primary focus of risk management, which is to improve clinical outcomes.

2. An RN�s client with terminal pancreatic cancer asks questions about a do not resuscitate order. Which of the following statements should be included in the RN�s teaching to the client?

A. When a heart ceases to beat, the client is pronounced clinically dead.
B. Physicians must write do not resuscitate (DNR) orders.
C. A DNR order can be written after the health-care provider has discussed it with the client and family.
D. A DNR requires a court decision.

Correct answer: C

Rationale: Clients may request a DNR order, but they need to be fully informed of all the ramifications of the decision. Therefore, the health-care provider will consult with the client and family before the order is written.

3. The nurse manager is talking with the CNA about her time management. Which of the following is an example of a nurse manager as a coach?

A. Your timely response to patients' call lights is exemplary.
B. Your appearance is seldom professional.
C. You must get the vital signs taken on time or you will be disciplined.
D. You never report AM blood sugar levels on time.

Correct answer: A

Rationale: The correct answer is A: 'Your timely response to patients' call lights is exemplary.' This choice reflects a positive reinforcement approach, providing feedback that praises and encourages good behavior. A coach in a professional setting aims to motivate, guide, and support staff rather than focusing on negative aspects or threats of discipline. Effective coaching involves recognizing and acknowledging employees' strengths and achievements to inspire continuous improvement and development. Choices B, C, and D are not examples of coaching as they either focus on criticism regarding appearance, use threatening language, or highlight a negative behavior without offering guidance or support.

4. A client with frequent tonic-clonic seizures is being admitted. What action should the nurse add to the client's plan of care?

A. Ensure blankets are placed on all four sides of the bed.
B. Refrain from using restraints during seizure activity.
C. Position the client laterally during seizure activity.
D. Have a tongue depressor available at the client's bedside.

Correct answer: D

Rationale: The correct action the nurse should add to the client's plan of care is to have a tongue depressor available at the client's bedside. This is important during a seizure to prevent the client from biting their tongue. Placing the client laterally helps maintain a clear airway and prevents aspiration, making choice C a good practice during seizure activity. Using restraints during a seizure can cause injuries and should be avoided, making choice B incorrect. Wrapping blankets around all four sides of the bed is unnecessary for seizure management and does not contribute to the client's safety during a seizure, making choice A incorrect.

5. Which of the following is a key aspect of transformational leadership?

A. Maintaining the status quo
B. Encouraging innovation
C. Focus on short-term goals
D. Top-down communication

Correct answer: B

Rationale: The correct answer is B: Encouraging innovation. Transformational leadership is characterized by inspiring and motivating team members to think creatively, embrace change, and strive for continuous improvement. Choice A is incorrect as transformational leaders seek to challenge the status quo rather than maintain it. Choice C is incorrect because transformational leadership emphasizes long-term vision and goals rather than short-term objectives. Choice D is incorrect as transformational leadership promotes open, two-way communication rather than top-down communication.