Which of the following indicators is viewed as important by the nurse manager in relation to a performance model?

Correct Answer: A

Rationale: The correct answer is A: Patient outcomes. Nurse managers are responsible for overseeing the quality of care provided by their staff. Patient outcomes directly reflect the effectiveness of care delivery. Monitoring patient outcomes helps nurse managers identify areas for improvement, implement changes, and ensure high-quality care. Rapport with staff (B) is important for team cohesion but may not directly impact performance model evaluation. Daily job performance (C) reflects individual staff performance, not the overall performance model. Flexibility (D) is a valuable trait but is not a specific indicator in relation to a performance model.

Correct Answer: D

Rationale: The correct answer is D because delegation involves transferring responsibility for a task while retaining accountability for the outcome. The nurse has delegated specific tasks (AM care) to the UAP, which aligns with the principle that only certain tasks can be delegated. Choice A is incorrect because delegation does not require clearly defined superiors, but rather defined tasks. Choice B is incorrect as delegation can also occur between peers or team members. Choice C is incorrect as delegation is not exclusive to healthcare professionals but is a common practice in various industries.

Correct Answer: A

Rationale: The primary role of a nurse in a PCMH is to coordinate patient care. This involves ensuring all aspects of a patient's care are well-managed, communicating with various healthcare providers, and advocating for the patient's needs. This role aligns with the core principles of a PCMH, which emphasize comprehensive, coordinated, and patient-centered care. Administering treatments (B) is typically the role of physicians or other healthcare providers. Providing health education (C) is important but not the primary role of a nurse in a PCMH. Conducting research (D) is not a direct responsibility of nurses in a clinical setting like a PCMH.

Correct Answer: C

Rationale: The primary function of discipline is to teach. Discipline aims to guide individuals towards desired behaviors, values, and attitudes through positive reinforcement, correction, and guidance. It involves setting boundaries, providing structure, and helping individuals learn from their mistakes. Punishing (choice A) focuses solely on consequences without teaching alternatives. Evaluation (choice B) assesses performance but doesn't necessarily teach. Ridicule (choice D) is harmful and counterproductive, not a purpose of discipline. In summary, discipline primarily serves to educate and cultivate positive behavior.

Correct Answer: B

Rationale: The correct answer is B because evidence-based management involves integrating managerial expertise with research evidence to make informed decisions. This approach ensures decisions are grounded in data and proven strategies, leading to more effective outcomes. Choice A is incorrect as it relies solely on personal experience, neglecting valuable external evidence. Choice C is incorrect as intuition alone may not always lead to optimal decisions. Choice D is incorrect as it focuses only on peer-reviewed literature, excluding the importance of combining it with managerial expertise.

Correct Answer: A

Rationale: The correct answer is A: Job enlargement. Job enlargement involves adding more tasks of a similar level of complexity to an existing job role. In this scenario, the manager is given additional responsibilities without a new hire, which expands the scope of their role. This aligns with the concept of job enlargement. Explanation for why other choices are incorrect: B: Proactive management typically involves taking preventive actions to address potential issues before they occur. This situation does not involve proactive measures. C: Time log refers to tracking and recording time spent on various tasks, which is not relevant to the scenario described. D: Prioritizing involves determining the order of importance of tasks. While prioritizing may be necessary in this situation, it is not the best fit for the scenario provided.

Correct Answer: B

Rationale: The correct answer is B because a nurse working for two competing healthcare organizations creates a conflict of interest as they may prioritize one organization over the other. This could compromise patient care and violate ethical standards. A: Accepting gifts from a patient may be inappropriate but does not necessarily create a conflict of interest. C: Disclosing patient information without consent is a breach of confidentiality but not specifically a conflict of interest. D: Delegating tasks improperly is a violation of professional standards but does not directly relate to a conflict of interest.

Correct Answer: C

Rationale: The correct answer is C because when an ethical dilemma involves two or more equally unpleasant choices, it can be challenging for decision-makers to come to a consensus. This is known as a moral dilemma, where there is no clear right or wrong option, making it difficult to reach an agreement. In such cases, individuals may have strong convictions about different courses of action, leading to a deadlock in decision-making. Incorrect choices: A: One or more of the parties may be able to reconcile their values - This choice suggests that parties can find common ground by adjusting their values, which is not always possible in complex ethical dilemmas. B: The patient’s point of view is recognized as valuable - While recognizing the patient's perspective is important, it may not directly address the core reason why an agreement cannot be reached. D: The institution is unable to honor the patient’s request - This choice focuses on institutional constraints rather than the fundamental nature of ethical dilemmas and decision-making processes.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Commitment to others implies putting patients' needs first, being honest, and taking responsibility for one's actions. 2. Being honest and accountable are key components of professionalism in nursing. 3. Accountability ensures that patients receive safe and quality care. 4. Encouraging honesty and accountability among colleagues promotes a culture of safety and trust. Summary: - Choice A is correct as it aligns with the principles of professionalism in nursing. - Choices B, C, and D do not directly address the core aspects of professionalism, such as honesty, accountability, and prioritizing patient care.