The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?

Correct Answer: A

Rationale: The correct answer is A: Intragroup conflict. This type of conflict occurs within the same group or team, such as the staff of the medical-surgical unit. In this scenario, the disagreement about holiday scheduling is happening within the team, making it an intragroup conflict. Other choices are incorrect because intergroup conflict involves conflict between different groups, interpersonal conflict involves conflict between individuals, and intrapersonal conflict is conflict within an individual's own thoughts or emotions.

Correct Answer: C

Rationale: The correct answer is C: Staffing that minimizes overtime. Politics involves influencing resource allocation, and staffing decisions directly impact resources like labor. Minimizing overtime through efficient staffing reflects a strategic allocation of scarce resources, ensuring adequate coverage while controlling costs. Raises for staff (A) may be important but do not directly relate to resource allocation. Patient supplies (B) and printer paper (D) are important resources, but they are not typically managed by the manager of a patient care unit in the same way as staffing decisions.

Correct Answer: C

Rationale: The main focus of Six Sigma methodology in healthcare is enhancing clinical decision making. This is because Six Sigma aims to reduce variation and defects in processes, leading to improved quality and outcomes. By focusing on clinical decision making, healthcare providers can ensure that the most effective and evidence-based decisions are made, ultimately leading to better patient care. Explanation for other choices: A: Reducing healthcare costs - While Six Sigma can lead to cost reduction by optimizing processes, its primary focus is on quality improvement. B: Improving patient satisfaction - Although important, patient satisfaction is not the main focus of Six Sigma in healthcare. D: Increasing healthcare access - Six Sigma is more concerned with improving the quality and efficiency of healthcare delivery rather than increasing access to healthcare services.

Correct Answer: B

Rationale: The primary goal of the Affordable Care Act (ACA) is to expand access to healthcare. This is evident through provisions such as Medicaid expansion, health insurance marketplaces, and subsidies for low-income individuals. By increasing access to healthcare services and coverage, the ACA aims to ensure that more people have the opportunity to receive necessary medical care. This goal aligns with the overarching aim of improving public health and reducing disparities in healthcare access. The other choices are incorrect because while the ACA includes measures to address healthcare costs, quality, and funding, its main focus and primary goal are centered around expanding access to healthcare for all individuals.

Correct Answer: C

Rationale: The correct answer is C: National healthcare legislation. Macro-level health policies refer to overarching policies that affect a large population. National healthcare legislation fits this description as it is implemented at the national level and impacts healthcare delivery on a broad scale. Local health ordinances (A) only apply to specific localities, state licensing regulations (B) are more focused on individual professionals, and institutional policies (D) are specific to particular organizations. National healthcare legislation is the most comprehensive and impactful in shaping the healthcare system across the entire country.

Correct Answer: B

Rationale: The correct answer is B because promoting good health and treating those who are ill in a holistic manner aligns with Florence Nightingale's theory of nursing. Nightingale emphasized the importance of considering the physical, emotional, and social aspects of patients' well-being. This approach focuses on addressing the whole person rather than just the illness. Respecting the patient's culture and incorporating cultural needs (A) is important in providing patient-centered care, but it does not directly align with Nightingale's theory. Understanding how to motivate people to practice a healthy lifestyle and reduce risks (C) is relevant to health promotion but does not fully capture the holistic approach of Nightingale. Teaching other nurses how to deliver the highest quality of care (D) is essential for professional development but does not specifically reflect Nightingale's holistic nursing philosophy.

Correct Answer: B

Rationale: The correct answer is B: To develop staffing policies and procedures. The primary purpose of a nurse staffing committee is to establish guidelines for determining appropriate nurse staffing levels, creating schedules, and ensuring adequate coverage. By developing policies and procedures, the committee helps maintain safe and efficient patient care delivery. Incorrect Choices: A: To oversee patient safety initiatives - While patient safety is an important aspect of nursing, overseeing patient safety initiatives is not the primary purpose of a staffing committee. C: To coordinate patient care - Although coordinating patient care is a responsibility of nurses, it is not the primary purpose of a staffing committee. D: To manage nurse recruitment - Nurse recruitment involves hiring and retaining nurses, which is a separate function from establishing staffing policies and procedures.

Correct Answer: D

Rationale: The correct answer is D: Have a tongue depressor available at the client's bedside. This is crucial for maintaining airway patency during a seizure. Placing a tongue depressor can prevent the client from aspirating secretions or biting their tongue. A: Ensuring blankets are placed on all four sides of the bed is not directly related to managing seizures. B: Refraining from using restraints during seizure activity is important as restraints can cause injury, but it is not the best action to add to the care plan. C: Positioning the client laterally during seizure activity is important for safety, but having a tongue depressor available takes precedence in maintaining airway patency.

Correct Answer: A

Rationale: The correct answer is A because interprofessional collaboration in healthcare involves multiple healthcare professionals working together to improve patient outcomes. This teamwork allows for diverse perspectives, expertise, and skills to be integrated for comprehensive patient care. Choice B is incorrect as it describes independence rather than collaboration. Choice C is incorrect as it focuses on protocols rather than teamwork. Choice D is incorrect as it pertains to information sharing, not collaboration. In summary, interprofessional collaboration emphasizes teamwork and coordination among healthcare professionals to enhance patient care outcomes.