The following are grounds for immediate dismissal except:

Stealing and selling the unit's narcotics.

Restraining a patient in bed for several hours unsupervised, as punishment for hitting a staff member.

Grabbing the unit manager and threatening further physical harm after a poor performance appraisal.

Failing to pursue further medical help for a patient who has unrelieved pain.

Answer and Explanation

The Correct Answer is D

Choice A reason: Stealing and selling narcotics is a criminal act and a clear violation of trust and legal obligations, warranting immediate dismissal.

Choice B reason: Unsupervised and punitive restraint of a patient is unethical, potentially illegal, and against medical standards, justifying immediate dismissal.

Choice C reason: Physical assault or threats against any staff member, including the unit manager, are serious offenses that compromise safety and warrant immediate dismissal.

Choice D reason: While failing to pursue further medical help is a serious concern, it may not always result in immediate dismissal. It requires investigation to understand the context and whether it was a case of negligence or a different issue.

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Correct Answer is A

Explanation

Choice A reason: This option is the most detailed and provides clear instructions for the UAP, including a specific task, a time frame, and what to do if there is an issue. It promotes patient safety and ensures proper communication and follow-up.

Choice B reason: This statement is inappropriate as it expresses doubt about the UAP's competence, which can undermine confidence and does not provide clear guidance or expectations.

Choice C reason: While this choice includes an action and a follow-up, it lacks specificity about the task and does not mention a time frame for reporting potential issues, which is crucial for patient safety and effective delegation.

Choice D reason: This option is too vague and does not provide specific instructions or expectations for the UAP, which could lead to confusion and potential neglect of important care details.

A. Functional structure. B. Transformational leadership. C. Matrix service line. D. Bureaucratic.

Correct Answer is D

Explanation

Choice A reason: A functional structure is an organizational design that groups employees by their similar skills and expertise. While it involves clear roles and responsibilities, it does not necessarily imply that the majority of decisions are made by senior administrators.

Choice B reason: Transformational leadership is a style of leadership where the leader works with teams to identify needed change, creating a vision to guide the change through inspiration. This does not specifically describe an organization with clear rules and procedures.

Choice C reason: A matrix service line is a type of management system that combines a traditional departmental structure with a project-based structure. This choice does not fit the description of an organization primarily governed by strict rules and senior administrator decisions.

Choice D reason: This is the correct answer because a bureaucratic organization is characterized by formal procedures and protocols, a clear hierarchy, and decision-making authority typically residing with senior administrators. This structure is designed to ensure efficiency and consistency in operations.

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The following are grounds for immediate dismissal except:

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Naxlex Comprehensive Predictor Exams

In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?

Correct Answer is A

Explanation

A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:

Correct Answer is D

Explanation

The nurse manager analyzes the data from the client satisfaction surveys. What can a nurse manager do to strengthen client satisfaction?

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:

As a nurse manager, you want to institute point-of-care devices on your unit. The rationale that you provide to support the point-of-care devices includes (select all that apply):

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A nurse enters a room and finds the client lying on the floor. Which of the following actions should the nurse take first?

In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

The nurse manager on a unit wants to evaluate patient satisfaction. The nurse manager understands that ultimately, positive relationships with consumers of care are evaluated by the: