A new organization has come in to manage the healthcare facility where the PMHNP works. The organization has implemented "stay” interviews (rather than "exit" interviews) in an attempt to improve employee morale. The questions on the interview form include, "Tell me about a time when you felt fully appreciated at work" and "Tell me about a time when you most enjoyed your job." This quality improvement approach is known as which of the following?
Donabedian model
Institute of Medicine's quality aims
Plan, Do, Study, Act model
Appreciative inquiry
The Correct Answer is D
Choice A reason: The Donabedian model focuses on evaluating healthcare quality through structure, process, and outcomes. It is more about system evaluation than employee engagement.
Choice B reason: The Institute of Medicine’s quality aims provide overarching goals for healthcare improvement, such as safety, effectiveness, and patient-centeredness, but do not prescribe methods like “stay interviews.”
Choice C reason: The Plan, Do, Study, Act (PDSA) model is a cyclical framework for implementing and testing change but is not specifically about engaging employees through positive reflection.
Choice D reason: Appreciative inquiry emphasizes identifying what works well in an organization and leveraging strengths. Using “stay interviews” to explore positive experiences aligns directly with this approach, focusing on fostering engagement and morale rather than addressing problems alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Aortic stenosis typically produces a harsh, crescendo-decrescendo systolic murmur radiating to the carotids, not a soft blowing murmur at the apex.
Choice B reason: Mitral valve regurgitation produces a blowing, holosystolic murmur best heard at the apex and radiating toward the axilla. The grade 3 intensity corresponds to a moderately loud murmur without a palpable thrill.
Choice C reason: Tricuspid stenosis produces a diastolic murmur best heard at the lower left sternal border, not a systolic apex murmur.
Choice D reason: Austin-Flint murmur is associated with severe aortic regurgitation, producing a mid-to-late diastolic rumble at the apex, not a systolic blowing murmur.
Correct Answer is B
Explanation
Choice A reason: Limiting career advancement is a potential risk, not a benefit of disclosure.
Choice B reason: Disclosing a psychiatric condition can allow reasonable accommodations under the Americans with Disabilities Act, such as flexible scheduling or time off for appointments, facilitating better management of symptoms while maintaining employment.
Choice C reason: Avoidance of hiring is a risk associated with disclosure, not a benefit.
Choice D reason: Negative assumptions about productivity are potential risks, not advantages of disclosure.
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