Nursing Elites

1. Which of the following is an example of a macro-level health policy?

• A. Local health ordinances
• B. State licensing regulations
• C. National healthcare legislation
• D. Institutional policies

Correct answer: C

Rationale: The correct answer is national healthcare legislation. This type of policy operates at a broad level, influencing healthcare delivery and financing across an entire nation. It sets overarching frameworks and regulations that impact various aspects of the healthcare system on a large scale, affecting a wide population rather than specific localities or institutions. Choices A, B, and D are not examples of macro-level health policy. Local health ordinances pertain to specific areas or communities, state licensing regulations focus on a state level, and institutional policies are internal regulations of a particular healthcare facility.

2. What is the term used for assigning a rating based on an overall impression?

• A. Recency error.
• B. Leniency error.
• C. Absolute judgment.
• D. Halo error.

Correct answer: D

Rationale: The correct answer is 'Halo error.' Halo error occurs when a rating is given based on a general impression rather than specific performance criteria. Choice A, 'Recency error,' refers to rating an employee based on recent events rather than the entire evaluation period. Choice B, 'Leniency error,' is when a manager consistently rates employees higher than they deserve. Choice C, 'Absolute judgment,' involves evaluating based on established standards rather than an overall impression.

3. A staff nurse is working with a patient who is on a critical pathway for education in preparation for home care. Which one of the following responsibilities would the nurse address first?

• A. Taking vital signs
• B. Answering the client's questions
• C. Evaluating client teaching
• D. Reviewing the information with the client and family

Correct answer: D

Rationale: The correct answer is D. Reviewing the information with the client and family should be addressed first. This step involves ensuring that the client and family fully understand the information provided, which is crucial before proceeding with any other responsibilities. Taking vital signs (choice A) is important but not the priority in this scenario. Answering the client's questions (choice B) and evaluating client teaching (choice C) can come after reviewing the information to ensure effective communication and understanding.

4. 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.

5. As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)

• A. In a communication to all staff nurses to inspire them.
• B. At a conference within the health care facility.
• C. In an email to a friend.
• D. In a presentation with select individuals.

Correct answer: A

Rationale: The correct answer is A. Sharing information about your participation in the conference with all staff nurses is essential to inspire them, promote a culture of evidence-based practice, and encourage professional development. Choice B is incorrect as it refers to a conference within the health care facility, not the national conference. Choice C is incorrect as informing a friend does not align with the professional impact and growth objectives of presenting at a national conference. Choice D is also incorrect as sharing the information with select individuals limits the reach and impact of the achievement.

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