In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?

Correct Answer: C

Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.

Correct Answer: B

Rationale: The correct answer is B because evidence-based management involves integrating managerial expertise with research evidence to make informed decisions. This approach ensures decisions are grounded in data and proven strategies, leading to more effective outcomes. Choice A is incorrect as it relies solely on personal experience, neglecting valuable external evidence. Choice C is incorrect as intuition alone may not always lead to optimal decisions. Choice D is incorrect as it focuses only on peer-reviewed literature, excluding the importance of combining it with managerial expertise.

Correct Answer: B

Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas. 1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin. 2. This action helps to lower blood glucose levels in patients with type 2 diabetes. 3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body. Incorrect choices: A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production. C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia. D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.

Correct Answer: A

Rationale: The primary role of a nurse in a PCMH is to coordinate patient care. This involves ensuring all aspects of a patient's care are well-managed, communicating with various healthcare providers, and advocating for the patient's needs. This role aligns with the core principles of a PCMH, which emphasize comprehensive, coordinated, and patient-centered care. Administering treatments (B) is typically the role of physicians or other healthcare providers. Providing health education (C) is important but not the primary role of a nurse in a PCMH. Conducting research (D) is not a direct responsibility of nurses in a clinical setting like a PCMH.

Correct Answer: A

Rationale: The correct answer is A: Patient outcomes. Nurse managers are responsible for overseeing the quality of care provided by their staff. Patient outcomes directly reflect the effectiveness of care delivery. Monitoring patient outcomes helps nurse managers identify areas for improvement, implement changes, and ensure high-quality care. Rapport with staff (B) is important for team cohesion but may not directly impact performance model evaluation. Daily job performance (C) reflects individual staff performance, not the overall performance model. Flexibility (D) is a valuable trait but is not a specific indicator in relation to a performance model.

Correct Answer: C

Rationale: The correct answer is C: Self-actualization. This level in Maslow's hierarchy is rarely met because it represents the highest level of personal growth and fulfillment, where individuals achieve their full potential and self-realization. Most people do not reach this level as it requires a deep understanding of oneself and a continuous journey of personal development. Esteem (A), Safety (B), and Belongingness (D) are more basic needs that are relatively easier to fulfill compared to self-actualization. These lower levels focus on physical and social needs that are essential for survival and well-being, whereas self-actualization involves achieving one's highest aspirations and inner fulfillment.

Correct Answer: A

Rationale: The correct answer is A. Asking the client to consider a direct donation respects their religious beliefs while also addressing the partner's concerns. This option promotes patient autonomy and involves the client in decision-making. B: Withholding the blood transfusion disregards the client's autonomy and may lead to ethical issues. C: This is a repeated option and does not provide a different course of action. D: Requesting a consultation with the ethics committee may delay necessary treatment and should be considered only when there is a significant ethical dilemma beyond this situation.

Correct Answer: D

Rationale: The correct answer is D because delegation involves transferring responsibility for a task while retaining accountability for the outcome. The nurse has delegated specific tasks (AM care) to the UAP, which aligns with the principle that only certain tasks can be delegated. Choice A is incorrect because delegation does not require clearly defined superiors, but rather defined tasks. Choice B is incorrect as delegation can also occur between peers or team members. Choice C is incorrect as delegation is not exclusive to healthcare professionals but is a common practice in various industries.

Correct Answer: C

Rationale: The correct answer is C: Variance. Variance represents the difference between budgeted and actual revenue or cost. It is a crucial metric in performance evaluation and budget control. Variance analysis helps identify discrepancies and allows for adjustments to be made. Incorrect choices: A: Budget - This is the overall plan or financial blueprint for revenues and costs, not the difference between budgeted and actual amounts. B: Variable - Refers to costs that change in relation to activity levels, not specifically the difference between budgeted and actual amounts. D: Premiums - Relates to additional payments made, not the comparison between budgeted and actual figures.