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 C
Explanation
Choice A reason: Restricting visitation to only the biological mother is inappropriate, disregards family dynamics, and may harm the therapeutic relationship.
Choice B reason: While legal parent status is important, excluding one parent from the session is not aligned with family-centered care, especially when both caregivers function as parents.
Choice C reason: Accepting both women as parents acknowledges the child’s family structure, supports family engagement in treatment, and promotes inclusive, evidence-based family therapy practices.
Choice D reason: Sneaking a parent into the session is unethical and unsafe, violating hospital rules and professional standards.
Correct Answer is D
Explanation
Choice A reason: Erikson does address midlife through psychosocial stages, specifically generativity vs. stagnation.
Choice B reason: Integrity vs. despair occurs in late adulthood and involves reflecting on life rather than midlife concerns.
Choice C reason: Industry vs. inferiority occurs in school-aged children and is unrelated to midlife crises.
Choice D reason: Generativity vs. stagnation occurs in midlife (ages 40–65) and involves the desire to contribute meaningfully to society. A midlife crisis reflects challenges in achieving generativity.
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