Nursing Elites

1. Which of the following best describes the concept of shared governance?

• A. Top-down management
• B. Nurse-led committees
• C. Shared decision making
• D. Hierarchical structure

Correct answer: C

Rationale: The correct answer is C: 'Shared decision making.' Shared governance in healthcare involves empowering nurses to participate in decision-making processes that affect their practice. This model fosters collaboration, transparency, and accountability among healthcare providers. Choice A, 'Top-down management,' is incorrect because shared governance promotes a bottom-up approach. Choice B, 'Nurse-led committees,' is partially correct as it is a component of shared governance, but the core concept is broader and encompasses shared decision making beyond committee leadership. Choice D, 'Hierarchical structure,' is incorrect as shared governance aims to flatten hierarchies and distribute decision-making authority among healthcare team members.

2. When addressing a policy violation, what is one of the initial steps to take?

• A. Terminate the employee.
• B. Confront the employee.
• C. Discipline the employee immediately.
• D. Determine whether the employee is aware of the policy.

Correct answer: D

Rationale: When addressing a policy violation, one of the initial steps should be to determine whether the employee is aware of the policy. This step allows for clarification, feedback, and potential training if needed. Terminating the employee (Choice A) or disciplining immediately (Choice C) without assessing awareness can lead to unfair treatment and legal issues. Confronting the employee (Choice B) may be necessary but should come after establishing awareness and providing necessary support or education.

3. What is a common method used to collect work activity information from an applicant?

• A. Self-report logs
• B. Work sample questions
• C. Motion studies
• D. Interviewing

Correct answer: B

Rationale: Work sample questions are a common method used to collect work activity information from an applicant. This method allows employers to assess an applicant's skills and abilities by having them perform tasks that simulate actual job duties. Self-report logs (Choice A) rely on applicants' self-disclosure, which may not always be accurate. Motion studies (Choice C) involve observing and analyzing work movements to improve efficiency, rather than collecting work activity information directly from applicants. While interviewing (Choice D) is a common method in the selection process, it is more focused on assessing qualifications, experiences, and fit rather than directly collecting work activity information.

4. An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?

• A. Use shortcuts in documentation.
• B. Only use approved abbreviations.
• C. Documentation should be subjective.
• D. Document after care is provided.

Correct answer: B

Rationale: The correct recommendation that should be included in the reminders for ensuring legally credible nursing documentation is to 'Only use approved abbreviations.' Using shortcuts in documentation (Choice A) may lead to incomplete or vague information, compromising the credibility of documentation. Documentation should not be subjective (Choice C) but rather objective and based on factual information. While it is important to document after care is provided (Choice D), the immediate documentation following care provision is critical for accuracy and legal credibility.

5. Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?

• A. The patient’s blood glucose level is 174 mg/dL.
• B. The patient has gained 2 lb (0.9 kg) since yesterday.
• C. The patient is scheduled for a chest x-ray in an hour
• D. The patient’s blood urea nitrogen (BUN) level is 52 mg/dL.

Correct answer: D

Rationale:

Similar Questions