Which of the following best describes the purpose of a root cause analysis (RCA)?

Correct Answer: C

Rationale: The correct answer is C: Discover the underlying causes of an error. Root cause analysis aims to identify the fundamental reason(s) contributing to an issue, allowing for effective solutions. It focuses on understanding the core factors leading to an error rather than blaming individuals (A, B) or assessing policy effectiveness (D). By conducting RCA, organizations can prevent recurrence and improve processes.

Correct Answer: C

Rationale: The correct answer is C: Greater client workload. Magnet Hospitals are known for their commitment to nursing excellence, which leads to improved patient outcomes and increased demand for their services. This higher demand can result in a greater client workload for the hospital. The other choices are incorrect because A (Greater client satisfaction) and B (Improved nursing recruitment) are potential benefits of Magnet Hospital designation, but they are not guaranteed advantages. Choice D (Nurses who are independent decision makers) is not directly related to the advantages of achieving Magnet Hospital designation. Therefore, the correct answer is C as it aligns with the core principles of Magnet Hospitals.

Correct Answer: C

Rationale: The correct answer is C: Inspiring and motivating the healthcare team. A nurse leader's role involves guiding, supporting, and empowering their team to provide high-quality care. Inspiring and motivating the team helps improve morale, teamwork, and ultimately patient outcomes. Managing patient care directly (A) is typically the responsibility of staff nurses, not nurse leaders. Enforcing healthcare policies (B) is important, but it is not the primary role of a nurse leader. Ensuring regulatory compliance (D) is crucial, but it is a shared responsibility among healthcare professionals and not exclusive to nurse leaders.

Correct Answer: A

Rationale: The correct answer is A because it validates the client's feelings by acknowledging the common experience of middle adults feeling a sense of purpose through nurturing others. This response shows empathy and understanding, which can help the client feel heard and supported. Choice B is incorrect because it immediately delves into exploring the reasons behind the feelings without first acknowledging or validating them. This approach may come off as dismissive or insensitive. Choice C is incorrect because it brushes off the client's feelings by emphasizing the positive aspect of children becoming independent, without addressing the client's emotional distress. Choice D is incorrect because it makes a generalization about happiness related to children leaving home without directly addressing the client's specific feelings of uselessness. It does not acknowledge or validate the client's emotions.

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: D

Rationale: The correct answer is D: Shared responsibility. In team nursing, all team members share responsibility for patient care, promoting collaboration and teamwork. This principle ensures that each team member contributes to decision-making and patient outcomes. A: Decentralized decision making is not a key principle of team nursing as it involves individual team members making decisions independently, which can lead to lack of coordination. B: Centralized decision making is also not a key principle of team nursing as it involves decision-making being controlled by a single authority, undermining the collaborative nature of team nursing. C: Individual accountability is important in team nursing, but it is not the key principle. Shared responsibility emphasizes collective accountability and collaboration among team members.

Correct Answer: B

Rationale: The correct answer is B: Potential substance abuse by the healthcare provider. Constant reports of inadequate pain control could indicate potential substance abuse by the healthcare provider. This is because substance abuse can impair judgment and lead to inappropriate prescribing practices, resulting in inadequate pain management for clients. The other choices are incorrect because improper administration of medications (A), poorly written prescriptions (C), and inadequate scheduling by healthcare providers (D) are more likely to be isolated incidents rather than consistent patterns of inadequate pain control.

Correct Answer: D

Rationale: The main focus of a risk management program in healthcare is to improve clinical outcomes. This involves identifying, assessing, and mitigating risks that may impact patient safety and care quality. By focusing on clinical outcomes, healthcare organizations can enhance patient satisfaction, reduce medical errors, and optimize treatment effectiveness. Hospital readmissions, financial management, and regulatory compliance are important aspects of healthcare management but are not the primary focus of a risk management program, which is centered on patient care and safety.

Correct Answer: D

Rationale: The correct answer is D: Awakening in the morning feeling unrested. This behavior indicates potential poor sleep quality due to stress, impacting physical and mental well-being. Restful sleep is crucial for managing stress. A: Focusing excessively on patient outcomes may indicate dedication but not necessarily unhealthy stress management. B: Needing to spend more time alone could be a coping mechanism and not inherently unhealthy. C: Juggling work, studies, and family responsibilities may show a busy lifestyle but doesn't directly correlate with unhealthy stress management.