Answer to Question 1
A
Magnet hospitals are an example of positive-sum competition because their leadership philosophy stresses developing cultures and systems that promote clinical excellence through collegiality, autonomy, and excellent performance.
A positive-sum revenue stream is not related to positive-sum competition.
Analyses of the value of nursing care are not a component of positive-sum competition.
Although it might be true that magnet hospitals contribute to the ability to compete within the health care marketplace in a positive manner, this is a very vague benefit and does not get to the heart of the characteristics making up an organization that values positive-sum competition.
Answer to Question 2
D
Gently confronting the patient with the fact that the injuries are not consistent with the explanation lets the patient know you suspect another cause of the injury and gives her time to tell the story. Many times the patient will confide in the nurse at this point but not always.
Asking the patient bluntly may result in the patient denying that she is being injured. Also, the patient may not self-identify with the word abused.
Nurses should know the law in the states where they practice; this action may be required in some locations. However, unless required, the nurse should not take this action; to call law enforcement without the patient's consent and without the patient admitting to being injured may cause the patient to lose trust in the nurse.
Documenting the injuries is very important, but the nurse should follow up with further questions about the injuries, especially if they appear suspicious.
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