Nursing Elites

1. Which of the following theories best describes current health care delivery systems?

• A. Open system theory
• B. Closed system theory
• C. Chaos theory
• D. Contingency theory

Correct answer: D

Rationale: The contingency theory best describes the current health care delivery systems. Contingency theory emphasizes that there is no one best way to organize or manage, and the effectiveness of an organization is contingent upon internal and external factors. In healthcare, the delivery systems must often adapt and be flexible in response to various factors like patient needs, technological advancements, and regulatory changes. Open system theory focuses on the interaction between a system and its environment, but it does not capture the dynamic and adaptive nature of current healthcare systems. Closed system theory suggests systems are self-contained and do not interact with the environment, which is not accurate for healthcare systems that constantly interact with patients, providers, and external factors. Chaos theory deals with complex systems and unpredictability, which while relevant to some aspects of healthcare, does not provide a comprehensive framework for understanding healthcare delivery systems.

2. The ANA recommends that nursing in the health care organization change its focus. This requires a shift from a technical model to which of the following?

• A. Professional
• B. Industrial
• C. Random
• D. Organized

Correct answer: A

Rationale: The correct answer is A: Professional. The American Nurses Association (ANA) recommends shifting the focus in healthcare organizations from a technical model to a professional model. This change emphasizes the level of nurse competence required to provide quality care. Choice B, Industrial, is incorrect as it does not align with the focus on professionalism in nursing. Choice C, Random, is unrelated to the context of the question. Choice D, Organized, while a positive attribute, is not the specific focus recommended by the ANA for nursing in healthcare organizations.

3. Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?

• A. “Do you feel bloated after eating?”
• B. “Have you seen any skin changes?”
• C. “Do you need to increase your insulin dosage when you are stressed?”
• D. “Have you noticed any painful new ulcerations or sores on your feet?”

Correct answer: A

Rationale:

4. The staff nurse is experiencing what type of conflict when the babysitter calls to cancel on the day of an important committee meeting?

• A. Intergroup conflict
• B. Perceived conflict
• C. Role conflict
• D. Structural conflict

Correct answer: C

Rationale: The correct answer is C: Role conflict. Role conflict arises when one has conflicting responsibilities or obligations, such as being scheduled to work while also needing to care for children. In this scenario, the staff nurse faces a conflict between their role as a parent needing childcare and their role as a professional scheduled to present at a committee meeting. Intergroup conflict (A) involves disputes between different groups, not conflicting roles within an individual. Structural conflict (D) stems from issues within the organizational structure, not conflicting responsibilities. Perceived conflict (B) refers to misunderstandings or misinterpretations between parties, not conflicting roles.

5. Which of the following skills are essential for healthcare professionals in today's healthcare environment?

• A. Communication
• B. Supervision & Management
• C. Delegation
• D. All of the above

Correct answer: D

Rationale: In today's healthcare environment, professionals require a diverse skill set to effectively navigate the complexities of patient care. Communication is fundamental for effective patient interactions, teamwork, and collaboration. Supervision and management skills are crucial for overseeing patient care and ensuring operational efficiency. Delegation is important for distributing tasks appropriately among team members. Therefore, all the skills mentioned (communication, supervision, management, and delegation) are essential for healthcare professionals in today's healthcare environment. The correct answer is 'All of the above' because all the skills listed are crucial and interlinked in providing high-quality patient care in the current healthcare setting. Choices A, B, and C are incorrect because each skill plays a vital role in the multifaceted responsibilities of healthcare professionals, and focusing on only one aspect would be limiting in today's dynamic healthcare landscape.

Similar Questions