Answer to Question 1
A
The year-long UHC/AACN Nurse Residency Program (NRP) developed by the University Health
System Consortium (UHC), an alliance of 107 academic medical centers and 232 of their affiliated
hospitals helped members achieve an astounding 4.4 turnover rate among first-year nurses. This
figure compares with a national turnover rate of 27.1, according to the Pricewaterhouse Coopers'
Health Research Institute.
Answer to Question 2
Correct answers should include:
o Client Assessment
Examples:
o The client has established well-defined care needs, support systems, and coping mechanisms.
o The client's condition is well controlled/managed.
o The client's condition is not excepted to change.
o The client or representative may direct his/her own care.
o Benefits and Risks Assessment
Examples:
o The activity and client response has been established over time.
o There are identifiable outcomes that are easily recognized.
o There are no negative systemic effects.
o The activity will be performed frequently enough for the UCP to maintain competence.
o Environmental Supports
Examples
o There are clear policies.
o The appropriate resources are readily available for consultation or intervention. In the community, this can mean by telephone.
Answer to Question 3
C
Planning for continuous improvement of quality, service, and cost-effectiveness are critical
competencies of successful 21st century health care organizations. Leadership in the health care
organizations of the 21st century demands competent nurses. Functioning in a leadership role requires
an understanding of how systems function.
