What is the primary purpose of a patient-centered medical home (PCMH)?

Correct Answer: A

Rationale: The primary purpose of a patient-centered medical home (PCMH) is to coordinate all aspects of patient care (Choice A). This model aims to improve patient outcomes by ensuring comprehensive and coordinated care that meets the individual's needs. PCMH focuses on enhancing patient-provider communication, care coordination, and patient engagement to deliver high-quality care. Choices B, C, and D are incorrect because while PCMH may indirectly contribute to reducing healthcare costs and implementing clinical guidelines, the main focus is on improving patient care coordination and quality outcomes. Providing financial incentives for providers is not the primary purpose of PCMH, but rather a potential outcome of improved care coordination.

Correct Answer: C

Rationale: The correct answer is C: Greater client workload. Achieving Magnet Hospital designation typically does not lead to an increase in client workload. The other choices (A, B, D) are advantages of Magnet Hospital designation as they are commonly associated with it. A: Greater client satisfaction is a common outcome due to improved quality of care. B: Improved nursing recruitment is a benefit as it attracts high-quality nurses. D: Nurses who are independent decision makers is a characteristic of Magnet Hospitals, promoting autonomy and professional growth.

Correct Answer: D

Rationale: The correct answer is D: Transformational leadership. In the current health care environment, transformational leadership is most effective as it focuses on inspiring and motivating individuals to achieve a common goal through innovation and vision. This style encourages creativity, adaptability, and collaboration, which are essential in navigating the complexities of the health care delivery systems. Transformational leaders empower their team members, foster a culture of continuous improvement, and drive positive change. Autocratic leadership (A) is too controlling, Laissez-faire leadership (B) lacks direction and accountability, and Transactional leadership (C) focuses on rewards and punishments rather than inspiring and developing individuals.

Correct Answer: C

Rationale: The correct answer is C: Suppression and resolution. In the final stages of the conflict process, individuals may try to suppress their feelings or behaviors related to the conflict, and ultimately work towards resolving the conflict through communication, negotiation, or seeking a mutually agreeable solution. Antecedent conditions (A) refer to factors that lead to conflict, perceived and felt conflict (B) are early stages of conflict where individuals become aware of the disagreement, and conflict behavior (D) pertains to the actions taken during the active conflict phase. Therefore, C is the correct choice as it specifically addresses the final actions taken to manage and resolve the conflict.

Correct Answer: B

Rationale: The correct answer is B because it involves patient safety. Malfunctioning IV pumps leading to medication overdosing can result in serious harm to patients. This issue requires immediate attention to prevent any further harm. A: Inappropriate behaviors, while concerning, do not pose an immediate threat to patient safety. C: A nurse calling in sick, though inconvenient, can be managed through staffing adjustments and contingency plans. D: Scheduling committee discussions are important but can be scheduled at a later time without immediate harm to patients.