Nursing Elites

1. Which of the following is a common characteristic of a Magnet-designated hospital?

• A. High nurse turnover rates
• B. Strong emphasis on interdisciplinary teamwork
• C. Limited opportunities for professional development
• D. Focus on advanced technology for patient care

Correct answer: B

Rationale: A common characteristic of a Magnet-designated hospital is a strong emphasis on interdisciplinary teamwork. This emphasis promotes collaboration among healthcare professionals from different disciplines to provide holistic and patient-centered care. Choice A is incorrect as Magnet hospitals typically have lower nurse turnover rates due to better work environments. Choice C is also incorrect as Magnet hospitals usually offer ample opportunities for professional growth and development. Choice D is not a defining characteristic of Magnet hospitals, although they may utilize advanced technology, the primary focus is on the quality of care provided through teamwork and excellence in nursing practice.

2. The changes brought forth by the state boards of nursing are an example of which type of change agent?

• A. Resistance
• B. Empirical–rational
• C. Normative–reeducative
• D. Power–coercive

Correct answer: D

Rationale: The changes implemented by state boards of nursing typically fall under the category of Power–coercive change agents. State boards of nursing have the authority to enforce changes through regulations and policies, making use of their legitimate power. Resistance (choice A) is not the correct answer as it refers to opposition to change rather than the entity driving change. Empirical–rational (choice B) focuses on convincing individuals through empirical evidence and rational arguments, which is not reflective of the state boards' authority. Normative–reeducative (choice C) involves persuading individuals to change based on shared values and beliefs, which is not the primary approach of state boards of nursing.

3. Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)

• A. Greater client satisfaction.
• B. Improved nursing recruitment.
• C. Greater client workload.
• D. Nurses who are independent decision makers.

Correct answer: C

Rationale: The correct answer is C. Achieving Magnet Hospital designation provides advantages such as greater client satisfaction, improved nursing recruitment, and nurses who are independent decision makers. However, the statement about 'Greater client workload' is not a typical advantage associated with Magnet recognition. Organizations that achieve Magnet recognition focus on improving nursing work environments, empowering nurses, and enhancing patient care quality, rather than increasing client workload. Therefore, C is the correct choice. Choices A, B, and D are incorrect because they align with the benefits of achieving Magnet Hospital designation as they lead to increased satisfaction, better recruitment, and more empowered nurses.

4. The manager of a medical-surgical unit is very task-motivated. Using Fiedler's Contingency Theory, under what circumstances would the manager be most effective?

• A. Only during highly stressful situations.
• B. When there is little to no stress.
• C. Under highly structured situations.
• D. When the situation is loosely structured.

Correct answer: C

Rationale: According to Fiedler's Contingency Theory, task-motivated managers are most effective under highly structured situations. This is because in such environments, where priorities are clear and tasks are well-defined, task-oriented managers can excel in organizing and accomplishing objectives efficiently. Choices A and B are incorrect because the effectiveness of a task-motivated manager is not solely linked to stress levels but rather to the structure of the situation. Choice D is also incorrect as a loosely structured situation would not provide the clarity and direction that a task-motivated manager thrives in.

5. What are the key elements essential to the implementation of case management? (Select all that apply.)

• A. Collaborative practice teams
• B. Established critical pathways
• C. Quality management system
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Established critical pathways, collaborative practice teams, and quality management systems are indeed key elements essential to the implementation of case management. Collaborative practice teams allow for multidisciplinary collaboration, established critical pathways help guide patient care, and a quality management system ensures that care provided meets established standards. Choice A, collaborative practice teams, is correct as they are fundamental for effective case management, involving various professionals working together. Choice B, established critical pathways, is also correct as they provide a structured approach to managing patient care. Choice C, quality management system, is correct as it ensures that care is delivered at high standards and continuously monitored for improvement. Therefore, all these elements are crucial for successful case management implementation.

Similar Questions