A nurse manager asks the staff to submit written suggestions for a change in policy. The group would then vote on the different suggestions. What type of decision-making technique did the nurse manager use?

Correct Answer: B

Rationale: The correct answer is B: Nominal group technique. The nurse manager used this technique by asking staff to submit written suggestions, which are then voted on collectively. In nominal group technique, group members generate ideas individually, then share and discuss them as a group to reach a decision. This technique encourages equal participation, prevents domination by vocal members, and ensures all ideas are considered fairly. A: Statistical aggregation involves combining data or opinions to reach a numerical result, not individual suggestions. C: Brainstorming is a technique where a group generates ideas freely without immediate evaluation or criticism. D: Delphi method involves gathering input from experts anonymously to reach a consensus, which is different from voting on written suggestions.

Correct Answer: A

Rationale: The correct answer is A: Using 'I' language. This strategy is effective in confrontation as it focuses on expressing one's own thoughts and feelings without blaming the other person. By using "I" language, the nurse manager can communicate assertively and take ownership of their perspective, which can lead to a more constructive dialogue. Summary: B: Using absolutes can come across as rigid and may escalate the confrontation. C: Using 'why' questions can be perceived as accusatory and defensive, potentially leading to further conflict. D: Using negative assertions can create a hostile environment and hinder effective communication.

Correct Answer: A

Rationale: The correct answer is A: Variable costs. Variable costs are costs that change in direct proportion to the level of activity or volume. In this scenario, as patient volume and activity increase or decrease, the costs will fluctuate accordingly. Indirect costs (B) are not directly tied to patient volume. Fixed costs (C) remain constant regardless of patient volume. Direct costs (D) are specific to the production of a good or service and are not necessarily impacted by patient volume.

Correct Answer: C

Rationale: The correct answer is C because remaining calm and keeping an arm's distance is crucial when dealing with an agitated patient. This approach helps prevent escalating the situation and promotes a sense of safety. Holding and reassuring the patient (A) can be perceived as intrusive and may escalate the agitation. Encouraging other staff to distract the patient (B) can also be counterproductive as it may increase the patient's distress. Standing close to the patient while talking (D) can be perceived as threatening and may escalate the situation further. Thus, maintaining calm and keeping a safe distance is the most effective verbal intervention strategy.

Correct Answer: B

Rationale: Ratification is the act of formally approving or confirming a previously unauthorized or informal agreement, making it legally binding. In the context of a contract, ratification occurs after the initial negotiation and agreement have taken place. Choice B, "Contract passage," aligns with this definition as it accurately describes the process of a contract being ratified or officially accepted. Choice A, "Contract administration," refers to the management of a contract after it has been ratified, not the ratification process itself. Choice C, "Contract denial," is incorrect as it opposes the concept of ratification. Choice D, "Contract reorganization," does not relate to the formal approval of a contract, making it an incorrect choice.