QUESTION The Institute of Medicine defines evidence-based practice as the integration of: a. Patient values, clinical expertise, and the best research evidence b. Organizational values, clinical expertise, and the best research evidence c. Patient values, medical expertise, and the best research evidence d. Organizational values, medical expertise, and the best research evidence ANSWER: ANS: […]
QUESTION The nurse manager is planning the holiday schedule for the staff on the Oncology unit. The staff is highly experienced, and has worked well together for more than five years. Which situational leadership model is best used in this situation? 1. Participating 2. Telling 3. Selling 4. Delegating ANSWER: Answer: 1 Rationale: The […]
QUESTION Evidence-based practice information is a most useful resource for the development of: a. The mission statement b. Policies and procedures c. An evaluation process d. An environmental analysis ANSWER: ANS: B Evidence-based practice information is useful for developing policies and procedures as well as for making other management decisions.
QUESTION When planning client care, the nurse must be aware that current changes in health care are primarily driven by which force? 1. Availability of care 2. Cost of care 3. Access to care 4. Quality of care ANSWER: Answer: 2 Rationale: Cost is the primary factor driving the changes in health care because […]
QUESTION Fewer professional nurses on each unit will have which effect in the health care system of the future? 1. Increased quality of client care 2. Cost savings passed on to the client 3. Decreased mortality rates 4. Negative outcomes with surgical clients ANSWER: Answer: 4 Rationale: Recent research has shown a direct relationship […]
QUESTION The family of an elderly client demonstrates understanding of diagnosis-related groups (DRGs) when which statement is made? 1. “Since he has the same diagnosis as others who were able to be discharged early, he has to be discharged.” 2. “Since the average length of stay for his diagnosis is exceeded, he must be discharged […]
QUESTION Which factors make health care costs difficult to control? Select all that apply. 1. Technology replacement costs 2. People living longer 3. Focus on disease 4. The medically uninsured 5. Disease-prevention strategies ANSWER: Answers: 1; 2; 3; 4 Rationale: • Technology replacement costs: Machinery used in patient care and support services are becoming […]
QUESTION Which is the United States’ largest and most expensive health care program? 1. Temporary Assistance for Needy Families (TANF) 2. Social Security 3. Medicare 4. Medicaid ANSWER: Answer: 3 Rationale: Medicare is the government’s largest health care financing program. It serves 40 million people who are elderly and/or have disabilities. Medicaid is a […]
QUESTION The hospital educator established objectives for the education department. The following is an example of an objective: a. Develop and implement staff development programs to meet the need for increased knowledge b. Develop and implement at least 12 staff development programs by the end of the fiscal year c. Evaluate, revise, and implement the […]
QUESTION Which of the following individuals or groups influence how institutional goals are determined by the organization? a. Staff nurses b. Patient care coordinators c. Vice president for nursing d. Board of directors ANSWER: ANS: D It is appropriate for the board of directors and top administrators to set institutional goals and objectives and […]
