What is the primary goal of infection control practices in healthcare settings?

Correct Answer: C

Rationale: The correct answer is C: To control the spread of infections within the healthcare setting. This is the primary goal of infection control practices as it aims to prevent the transmission of infections among patients, healthcare workers, and visitors. By implementing measures such as hand hygiene, proper use of personal protective equipment, and environmental cleaning, healthcare facilities can effectively minimize the risk of infections spreading. Explanation of why other choices are incorrect: A: To reduce the length of hospital stays - While infection control practices may contribute to shorter hospital stays indirectly by preventing additional complications from infections, this is not the primary goal. B: To ensure patient safety and prevent infections - While patient safety and infection prevention are important aspects of infection control, the primary goal is specifically focused on controlling the spread of infections within the healthcare setting. D: To comply with healthcare regulations - While compliance with regulations is essential for maintaining a safe healthcare environment, it is not the primary goal of infection control practices, which is centered on preventing the spread of infections.

Correct Answer: B

Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system. A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed. C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition. D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.

Correct Answer: C

Rationale: The correct answer is C because evidence-based practice (EBP) involves integrating clinical expertise with the best available research evidence and considering patient preferences. This approach ensures that decisions are informed by both the clinician's experience and the most current and relevant research findings, leading to the most effective and individualized patient care. Choice A is incorrect as it solely relies on clinical expertise without considering research evidence. Choice B is incorrect as it suggests solely relying on research findings, neglecting the importance of clinical judgment. Choice D is incorrect as it focuses on following institutional guidelines rather than on the integration of clinical expertise and research evidence.

Correct Answer: B

Rationale: The correct answer is B (3-6 months) because this timeframe allows for adequate planning, data collection, analysis, and stakeholder input without being too rushed or prolonged. 9-12 months (A) is too long, leading to potential inefficiencies and outdated information. 1-2 months (C) is too short, risking errors and overlooking crucial details. Over two years (D) is excessive and may lead to budgeting based on outdated or irrelevant information. B strikes the right balance for a thorough and efficient budgeting process.

Correct Answer: C

Rationale: The correct answer is C: Network model. In a network model HMO, the organization contracts with two or more IPAs. IPAs are groups of independent doctors who work together to provide care. This model allows members to choose from a network of providers. A: Staff model HMOs directly employ physicians. B: Point of service model HMOs allow members to go out of network for care. D: Group model HMOs contract with a single medical group, not multiple IPAs. Therefore, the network model is the correct choice as it specifically involves contracting with multiple IPAs, distinguishing it from the other options.

Correct Answer: A

Rationale: The correct answer is A. Carefully assessing and documenting client status is crucial to avoid charges of negligence and false imprisonment. By assessing and documenting client status, healthcare providers can ensure they are meeting the client's needs and providing appropriate care. This helps in demonstrating that the healthcare provider acted responsibly. Option B is incorrect because ensuring all patient information is logged out and the nurse has signed out of the computer before leaving the computer station relates more to patient privacy and data security, rather than avoiding charges of negligence and false imprisonment. Option C, keeping careful notes while providing care, is important for accurate documentation but does not directly address the risk of negligence or false imprisonment. Option D, discussing safety needs with clients, is important but does not specifically address the legal aspects of negligence and false imprisonment.

Correct Answer: D

Rationale: Step-by-step rationale: 1. Democratic leadership involves collaboration and shared decision-making. 2. Option D aligns with this as it states that the leader makes plans and decisions with the team. 3. This style empowers team members and fosters a sense of ownership and commitment. 4. Option A is incorrect as communication of meaning and purpose is not exclusive to democratic leadership. 5. Option B is incorrect as giving orders contradicts the collaborative nature of democratic leadership. 6. Option C is incorrect as doing little planning or decision-making goes against the essence of democratic leadership.

Correct Answer: B

Rationale: The correct answer is B: Collaboration. Collaboration involves both parties working together to find a mutually beneficial solution. In this scenario, collaborating with the physicians and nursing staff allows for open communication, respect for each other's expertise, and finding a compromise on when to record vital signs. Accommodating (A) involves giving in to one party's preferences, while avoiding (C) involves ignoring the conflict altogether. Competing (D) focuses on one party winning at the expense of the other, which does not respect the professionalism of both parties. Collaboration is the most effective technique as it values input from all parties and fosters a positive working relationship.

Correct Answer: A

Rationale: The correct answer is A because it ensures the safety and well-being of staff by debriefing them, completing incident reports, and verifying their safety. This action promotes communication, support, and documentation after a violent incident. Reassuring the patient (B) is important but not the immediate priority. Avoiding interactions (C) is counterproductive as addressing the incident is necessary. Standing close to the patient (D) can potentially escalate the situation and compromise safety.