Nursing Elites

1. What is the primary focus of strategic planning in healthcare organizations?

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

Correct answer: C

Rationale: In healthcare organizations, the primary focus of strategic planning is to enhance patient care quality. While financial performance, staff satisfaction, and regulatory compliance are essential aspects in healthcare management, they are secondary to the overarching goal of providing high-quality care to patients. Financial performance ensures sustainability, staff satisfaction impacts productivity and retention, and regulatory compliance maintains legal standards. However, without a core focus on improving patient care quality, the strategic planning efforts may not align with the primary mission of healthcare organizations.

2. The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?

• A. The patient's blood pressure is 154/92.
• B. The patient has a history of emphysema
• C. The patient's blood glucose is 86 mg/dL.
• D. The patient has chest pressure when walking

Correct answer: D

Rationale: Chest pressure while walking may indicate heart-related issues such as angina or a heart attack. Rosiglitazone (Avandia) has been associated with increased risks of cardiovascular events like heart failure. Given these risks, chest pressure is an urgent symptom that must be reported immediately to prevent potentially life-threatening complications.

3. 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.

4. Which of the following is an example of a primary prevention strategy?

• A. Administering vaccinations
• B. Performing a surgical procedure
• C. Teaching healthy lifestyle choices
• D. Prescribing medication

Correct answer: A

Rationale: Administering vaccinations is indeed an example of a primary prevention strategy. Primary prevention aims to prevent the occurrence of a disease or injury before it occurs by targeting the entire population or specific high-risk groups. Vaccinations help prevent the initial development of a disease by enhancing immunity against specific pathogens. Choices B, C, and D are not examples of primary prevention strategies. Performing a surgical procedure (Choice B) is a treatment intervention, not a preventive measure. Teaching healthy lifestyle choices (Choice C) falls under health promotion and education, which is more aligned with secondary prevention. Prescribing medication (Choice D) is typically associated with treatment rather than preventing the initial onset of a disease.

5. A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?

• A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
• B. Incompetence only impacts the individual nurse.
• C. The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.
• D. Most nurse practice acts direct how to handle incompetent nurses.

Correct answer: C

Rationale: The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.

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