As a new graduate employed in a high-volume maternity unit that uses differentiated practice as its staffing model, what can the nurse expect?

Correct Answer: C

Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety. Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used. Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader. Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.

Correct Answer: B

Rationale: The correct answer is B: Total quality management. This approach focuses on meeting customer needs and continuous improvement. By allowing the client to rest, the nurse is prioritizing the client's comfort and well-being, which aligns with the principles of total quality management. Continuous quality improvement (A) focuses on incremental improvements, Six Sigma (C) aims to reduce defects, and Quality management (D) is a broader term that encompasses various quality approaches.

Correct Answer: C

Rationale: The correct answer is C: Preoccupation with failure. High reliability organizations (HROs) prioritize identifying and addressing potential failures to prevent catastrophic events. This focus on failure helps them anticipate, detect, and respond to risks effectively. A: Flexibility may be important but not a defining characteristic of HROs. B: Reluctance to simplify is not a common characteristic as HROs value simplicity and clarity in communication. D: Deference to expertise is beneficial but not exclusive to HROs as many organizations value expertise. Therefore, the preoccupation with failure is the key characteristic of a high reliability organization.

Correct Answer: C

Rationale: The correct answer is C: Encouraging open communication. This strategy promotes understanding, empathy, and collaboration among conflicting parties. It allows individuals to express their thoughts and feelings, leading to mutual respect and potential solutions. Ignoring the conflict (A) can escalate tensions, while assigning blame (B) can create hostility. Enforcing strict rules (D) may suppress conflict temporarily but does not address underlying issues. In summary, open communication fosters constructive dialogue and facilitates resolving conflicts effectively.

Correct Answer: B

Rationale: The correct answer is B: Mentor and educator for new nurses. A nurse preceptor guides and supports new nurses in their transition to the workplace, providing mentorship and educational resources. This role involves teaching clinical skills, sharing knowledge, and offering emotional support. A: Supervisor of all nursing staff - Incorrect. A nurse preceptor focuses on mentoring new nurses, not supervising all nursing staff. C: Director of nursing services - Incorrect. The director of nursing services is a higher-level administrative position responsible for overseeing the nursing department. D: Coordinator of patient care - Incorrect. While a nurse preceptor may assist in coordinating patient care for their assigned nurse, their primary role is to mentor and educate new nurses.