In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What’s the most likely outcome?

The conflict can help nurses better identify their common values.

Diverted attention and energy from patient care may potentially impact patient well-being.

The policy change, being the correct choice, will improve the overall unit performance.

When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group.

Debriefing involves temporarily setting aside the significance of our actions to concentrate on the actions themselves.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

The conflict can help nurses better identify their common values. While conflict can sometimes lead to positive outcomes, such as a deeper understanding of shared values and improved communication, it often requires effective conflict resolution strategies and a supportive environment. In the context of a new policy that has already sparked mistrust, it is less likely that the immediate outcome will be positive without deliberate efforts to address the underlying issues.

Choice B Reason:

Diverted attention and energy from patient care may potentially impact patient well-being. This is a significant concern in healthcare settings, especially in intensive care units where patient needs are critical. When nurses are preoccupied with internal conflicts and mistrust, their focus on patient care can be compromised, leading to potential negative outcomes for patients. Ensuring that the team remains cohesive and focused on patient care is essential for maintaining high standards of care and patient safety.

Choice C Reason:

The policy change, being the correct choice, will improve the overall unit performance. This statement assumes that the policy change is inherently beneficial and that its positive effects will be immediately apparent. However, even well-intentioned policies can face resistance if not properly communicated and implemented. The initial mistrust and conflict may hinder the potential benefits of the policy, at least in the short term.

Choice D Reason:

When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group. While this outcome is possible, it is not the most likely immediate outcome given the initial mistrust and conflict. It often takes time for the positive effects of a policy change to become evident and for dissenting team members to change their perspectives. Effective leadership and communication are crucial in facilitating this process.

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Correct Answer is A

Explanation

Choice A Reason:

The growing proportion of the population that will surpass the age of 65 is a significant demographic shift with substantial implications for future healthcare delivery systems. As the population ages, there will be an increased demand for healthcare services, particularly for chronic disease management, long-term care, and geriatric care. This shift will require healthcare systems to adapt by expanding services, increasing the workforce specialized in geriatric care, and developing new models of care to meet the needs of an aging population.

Choice B Reason:

Rising incidents of workplace violence are a serious concern in healthcare settings, impacting the safety and well-being of healthcare workers. However, this issue, while critical, does not represent a demographic shift. Addressing workplace violence involves implementing safety protocols, training staff, and creating a supportive work environment. It is an operational challenge rather than a demographic one.

Choice C Reason:

Increases in healthcare expenses are a major challenge for healthcare systems worldwide. Rising costs can strain resources and limit access to care. However, this issue is more related to economic and policy factors rather than a demographic shift. Strategies to manage healthcare expenses include cost-containment measures, value-based care models, and efficient resource utilization.

Choice D Reason:

Changes in staffing patterns are important for adapting to evolving healthcare needs. These changes can include shifts in the roles and responsibilities of healthcare professionals, the integration of new technologies, and the development of interdisciplinary teams. While staffing patterns are crucial for effective healthcare delivery, they are influenced by demographic shifts rather than being a demographic shift themselves.

A. Tertiary, long-term B. Private, long-term C. Public, specialized D. Secondary, general

Correct Answer is C

Explanation

Choice A Reason

Tertiary care refers to specialized consultative healthcare, usually provided on referral from primary or secondary medical care personnel. It involves advanced medical investigation and treatment, such as cancer management, neurosurgery, cardiac surgery, and other complex medical and surgical interventions. Long-term care typically refers to services that support the needs of people living with chronic health problems or disabilities over an extended period. The state-sponsored clinic described provides preventative health services on an outpatient basis, which does not align with the definition of tertiary, long-term care.

Choice B Reason

Private, long-term care facilities are typically privately funded and provide extended care for individuals with chronic illnesses or disabilities. These facilities focus on long-term support rather than preventative health services. The clinic in question is state-sponsored and provides preventative services, making it more aligned with public health initiatives rather than private, long-term care.

Choice C Reason

Public, specialized clinics are government-funded facilities that focus on specific health needs of the population. In this case, the clinic provides preventative health services for women and children, which is a specialized focus. These clinics aim to improve public health outcomes by offering targeted services to specific groups, often on an outpatient basis. This aligns well with the description of the state-sponsored clinic.

Choice D Reason

Secondary care refers to services provided by medical specialists and other health professionals who generally do not have first contact with patients. General secondary care includes routine hospital services, such as surgery and specialist consultations. The clinic described provides preventative health services on an outpatient basis, which is more specialized and targeted than general secondary care.

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In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What’s the most likely outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When examining the present healthcare delivery model, the nurse manager acknowledges that a demographic shift with substantial implications for future healthcare delivery systems is:

Correct Answer is A

Explanation

A state-sponsored clinic provides preventative health services for women and children on an outpatient basis. This facility would likely be considered:

Correct Answer is C

Explanation

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