Nursing Elites

1. Which of the following clients would most likely be selected for case management?

• A. An adolescent with a gunshot wound who is in the ER.
• B. A young adult with a fractured pelvis.
• C. An elderly client awaiting a hip replacement.
• D. A 41-year-old client admitted for outpatient tonsillectomy.

Correct answer: C

Rationale: The correct answer is C, an elderly client awaiting a hip replacement. This choice is most likely selected for case management because hip replacements are common surgical procedures with high volume in hospitals, making it appropriate for case management. Choices A, B, and D involve acute care conditions but do not typically require the same level of coordination and management that a hip replacement case would. Therefore, they are less likely to be selected for case management.

2. Which of the following best describes the concept of resilience in healthcare?

• A. Ability to recover quickly from setbacks
• B. Strict adherence to protocols
• C. Adapting to changing environments
• D. Maintaining consistent performance

Correct answer: A

Rationale: The concept of resilience in healthcare refers to the ability to bounce back and recover quickly from setbacks, such as adverse events, stress, or failures. This resilience allows healthcare professionals to navigate challenges effectively and continue providing quality care to patients. Choice B, strict adherence to protocols, though important, does not fully encompass the flexibility and adaptability required for resilience. Choice C, adapting to changing environments, is closely related to resilience but does not solely define it. Choice D, maintaining consistent performance, is valuable but does not capture the aspect of overcoming setbacks and bouncing back resiliently.

3. The process by which registered nurses assess and judge the performance of peers against some predetermined standard is called:

• A. Group evaluation.
• B. Peer review.
• C. Forced distribution evaluation.
• D. Essay evaluation.

Correct answer: B

Rationale: The correct answer is B: Peer review. Peer review is a process in which professional peers assess and judge the performance of their colleagues against predetermined standards. Essay evaluations involve describing an employee's performance through a detailed written narrative. Forced distribution evaluation is a method where employees are rated based on a fixed distribution, similar to grading on a curve. Group evaluation, on the other hand, involves managers comparing individual and group performance against organizational standards.

4. Which regulatory body mandates the provision of immunizations, especially for hepatitis B?

• A. American Nurses Association (ANA)
• B. Occupational Safety and Health Administration (OSHA)
• C. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
• D. State board of nursing

Correct answer: B

Rationale: The correct answer is B - Occupational Safety and Health Administration (OSHA). OSHA mandates that the hepatitis B vaccine series must be offered to healthcare workers who are not immune to hepatitis. This requirement aims to protect healthcare workers from occupational exposure to bloodborne pathogens, including the hepatitis B virus. The American Nurses Association (ANA) (Choice A) is a professional organization for nurses, not a regulatory body. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (Choice C) focuses on accrediting healthcare organizations for quality and safety, not mandating immunizations. The State board of nursing (Choice D) is responsible for regulating nursing practice within a specific state, not mandating immunizations.

5. What is the main purpose of a utilization review?

• A. Evaluate patient outcomes
• B. Ensure compliance with regulations
• C. Reduce hospital readmissions
• D. Assess financial impact

Correct answer: A

Rationale: The main purpose of a utilization review is to evaluate patient outcomes and ensure that patients receive appropriate care based on medical necessity and quality standards. While ensuring compliance with regulations, reducing hospital readmissions, and assessing financial impact are important aspects of healthcare management, the primary goal of utilization review is to focus on the quality and effectiveness of patient care.

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