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Corrine, a student nurse, often hears that nurses are gatekeepers and wonders what that term means.As a nurse leader, you explain that this is a reference to the:


A) assessment and admission of patients into care.
B) orientation of patients to services once they are admitted.
C) function of controlling which patients see the physician and which do not.
D) coordination of care, services, advocacy, and access for patients within the healthcare system.

Correct Answer

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Based on data from the patient satisfaction survey, the nurse manager decides that a change should be made in communication with family members.What would be important for a nurse manager to consider when instituting a change to improve customer service?


A) Assess the perceptions of the nursing staff regarding the specific service problem.
B) Include community representatives on a planning committee to address the change.
C) Involve physicians, other healthcare professionals, and ancillary staff.
D) Review all patient complaints with the nursing staff.

Correct Answer

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The nurse manager must develop a patient satisfaction survey.What is one of the critical elements in selecting a patient satisfaction instrument?


A) Being able to use the same instrument for all clinical units
B) Including items that are important from the patient's perspective
C) Being able to administer the instrument before a patient's discharge from the hospital
D) Being sure that the reading level is no higher than third grade

Correct Answer

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A nurse makes a medication error that is not serious and does not cause harm to the patient.As the charge nurse, your best action would be to:


A) call attention to it by posting the critical incidents report at the nursing station.
B) include the mistake on the nurse's performance appraisal.
C) apologize to the patient for the error and indicate that discipline has occurred.
D) educate the nurse on how to provide an apology to the patient.

Correct Answer

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The chief nursing officer decides to establish a client advocacy position in an oncology unit.Advocacy is best represented by:


A) establishing private and professional networking systems.
B) asking social services to handle clients' concerns.
C) identifying community support groups.
D) empowering others by promoting self-determination.

Correct Answer

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