Upon noticing a visitor who is loud and active and carrying a gun on the unit where you are in charge, what should you do immediately?

Correct Answer: D

Rationale: The correct answer is D: Notify security with the details of the situation. This is the best course of action to ensure the safety of everyone involved. By immediately notifying security, who are trained to handle such situations, you are taking proactive steps to de-escalate the potential threat and protect the well-being of the staff and other visitors. Asking the visitor to leave (choice A) may escalate the situation further. Talking quietly to calm the visitor (choice B) is not appropriate when a gun is involved as it could agitate the individual. Asking the visitor for the gun (choice C) is extremely risky and could lead to a dangerous confrontation.

Correct Answer: B

Rationale: The correct answer is B: Strong emphasis on interdisciplinary teamwork. Magnet-designated hospitals are recognized for their commitment to nursing excellence and quality patient care. Interdisciplinary teamwork is crucial for enhancing patient outcomes and promoting a holistic approach to healthcare. Collaboration among healthcare professionals ensures comprehensive patient care. Other choices are incorrect because high nurse turnover rates, limited professional development opportunities, and a focus on advanced technology do not necessarily define a Magnet-designated hospital.

Correct Answer: B

Rationale: The correct answer is B because shared decision-making in healthcare involves both patients and providers actively participating in the decision-making process together. This collaborative approach allows for a discussion of treatment options, considering patient preferences, values, and medical evidence. It promotes patient autonomy and enhances the quality of care by incorporating both the patient's perspective and the provider's expertise. Choice A is incorrect because shared decision-making is not solely about patients making healthcare decisions independently. Choice C is incorrect as it describes a paternalistic approach where providers dictate treatment plans to patients, which is not in line with the principles of shared decision-making. Choice D is incorrect as it refers to evidence-based guidelines, which are important but not the sole focus of shared decision-making.

Correct Answer: D

Rationale: The correct answer is D: Standardize care processes. Lean methodology in healthcare aims to streamline and standardize processes to eliminate waste and improve efficiency. By standardizing care processes, healthcare organizations can ensure consistent quality of care, reduce errors, and enhance patient safety. This focus on standardization is essential for achieving continuous improvement and delivering better outcomes. Explanation of other choices: A: Reduce healthcare costs - While reducing costs is a potential benefit of Lean methodology, it is not the primary focus. Cost reduction is a byproduct of improving processes and eliminating waste. B: Enhance patient satisfaction - While patient satisfaction is important in healthcare, it is not the primary focus of Lean methodology. Improving patient satisfaction may be a result of implementing Lean principles, but it is not the main goal. C: Increase patient throughput - While increasing patient throughput is a common goal in healthcare, it is not the primary focus of Lean methodology. Lean focuses on improving processes to deliver better quality care, rather than simply increasing the

Correct Answer: B

Rationale: Correct Answer: B - Intrinsic values are basic needs for sustaining life. Rationale: 1. Intrinsic values refer to inherent qualities that are fundamental and essential. 2. Basic needs for sustaining life, such as food, water, shelter, and safety, are considered intrinsic values. 3. These needs are universal and essential for human survival. 4. Choices A, C, and D describe different aspects of values but do not capture the core concept of intrinsic values as essential for survival.

Correct Answer: C

Rationale: The correct answer is C: expert power. Nurses increase their professional influence by demonstrating expertise, knowledge, and skills in their field. This expertise allows them to gain credibility and influence others based on their competence. Expert power is based on respect and trust earned through proficiency in their profession. Choice A (political skills) focuses on manipulation and may not lead to genuine influence. Choice B (reward power) involves using rewards to influence behavior, which is different from professional influence. Choice D (power and politics) is a broad concept that encompasses various types of power dynamics, but expert power specifically highlights the importance of knowledge and skills in increasing influence in the workplace.

Correct Answer: C

Rationale: The correct answer is C: Using per diem workers. This option is viable because per diem workers can be brought in to cover shifts without incurring overtime costs. By utilizing per diem workers, the organization can reduce the need for regular staff to work overtime hours, hence decreasing overall overtime expenses. A: Limiting overtime for highly paid workers is not a practical solution as all workers, regardless of pay, may contribute to the need for overtime. B: Reducing the number of beds may lead to reduced capacity and impact patient care, not directly addressing the issue of reducing overtime. D: Refusing to pay overtime is not a sustainable solution as it may lead to legal issues and impact employee morale and productivity.

Correct Answer: B

Rationale: The correct answer is B: Trial and error. This method involves attempting different solutions sequentially until the problem is solved. Decision making (A) refers to making choices based on available information. Experimentation (C) involves testing hypotheses through controlled trials. Analysis (D) is the process of examining data and information to understand a situation. In this scenario, the nurse manager is not systematically testing hypotheses (experimentation), analyzing data (analysis), or making informed decisions (decision making), but rather trying different solutions until finding the one that works, which aligns with the trial and error method.

Correct Answer: C

Rationale: The correct answer is C: Administer pain medication 45 minutes before changing the client's dressing. This is the priority action because it directly addresses the client's pain during the dressing change, ensuring their comfort and adherence to the procedure. Administering pain medication in advance allows time for it to take effect, minimizing the discomfort experienced by the client. Encouraging relaxation techniques (A) and educating about the importance of dressing change (B) are important but secondary to addressing the immediate pain issue. Assisting the client to a comfortable position (D) is helpful but does not directly alleviate the pain like pain medication does.