Ethics and Issues in Contemporary Nursing -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Connection. The nurse's power comes from her ability to network and build relationships with influential individuals like the Chief of Medical Staff and the President of the hospital. This grants her access to information, resources, and opportunities not available to others. This power is based on who she knows rather than her expertise (
A), position (
B), or ability to offer rewards (
D). The nurse's statement implies that her influence stems from her connections, making choice C the most appropriate answer.

Correct Answer: D

Rationale: The correct answer is D because developing a 5-year plan that incorporates the clinical nurse leader aligns with strategic planning, which involves setting long-term goals and outlining strategies to achieve them. This action demonstrates forward-thinking and aligns with the organization's overall vision.

A: Ensuring nurses understand organizational philosophy is important but does not specifically relate to strategic planning.

B: Evaluating communication processes is more operational or tactical in nature, not directly tied to long-term strategic planning.

C: Monitoring data from a quality management initiative is important for quality improvement but does not directly relate to future planning and strategy development.

Correct Answer: C

Rationale: The correct answer is C: X-ray technicians. Internal customers refer to individuals or departments within the same organization who rely on each other's services to fulfill their roles effectively. X-ray technicians work within the healthcare facility and depend on other staff like nurses for patient care coordination. Insurance companies (
A) and accreditors (
B) are external entities. Clinical pharmacists (
D) are also internal, but X-ray technicians have a direct service-dependency relationship with nurses in healthcare settings, making them the most relevant internal customers in this context.

Correct Answer: B

Rationale: The correct answer is B: participatory. This is because the nurse managers are actively involved in designing their unit budgets to meet the established goals set by the executive administrative leaders. In a participatory budgeting approach, input and collaboration from lower-level managers or staff members are encouraged, allowing for a more inclusive and bottom-up decision-making process. This approach fosters ownership, accountability, and transparency in budget planning.

Summary of other choices:
A: top-down - This approach involves setting budget goals and directives from the top management without much input or involvement from lower-level managers. Not applicable in this scenario.
C: iterative - This approach involves making continuous adjustments and refinements to the budget based on feedback and performance data. Not explicitly mentioned in the scenario.
D: incremental - This approach involves making small adjustments to the previous budget period. While there may be some incremental changes, the scenario emphasizes a more collaborative process involving nurse managers, making this choice less suitable.

Correct Answer: A

Rationale:
Step-by-step rationale for why choice A is correct:
1. Quality in healthcare should be consumer-centric, meeting their needs and preferences.
2. Consumer needs and wants drive patient satisfaction and outcomes.
3. Patient-centered care leads to better health outcomes and overall quality of care.
4. Focusing on consumer needs promotes individualized and effective care delivery.

Summary of why other choices are incorrect:
-
Choice B (economical care) does not necessarily ensure high-quality care.
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Choice C (technologic advancement) is important but not the sole focus of quality healthcare.
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Choice D (equally distributed services) is important for equity but does not define quality in healthcare.