Nokea
Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?
- A. Including in the labor budget costs for overtime and benefits
- B. Managing variances in nursing overtime costs and supply usage
- C. Accurately predicting revenues on the basis of unit-of-service
- D. Providing qualitative analysis for variances in the capital budget
Correct Answer: B
Rationale: Step 1: Managing variances in nursing overtime costs and supply usage is crucial for a nurse manager's performance evaluation as it demonstrates their ability to control expenses effectively.
Step 2: This component directly relates to the nurse manager's responsibility in budgeting and financial management.
Step 3: Analyzing and managing variances show the nurse manager's skill in monitoring and adjusting budgetary allocations to meet targets.
Step 4: Other choices are not directly related to the nurse manager's core responsibilities in budgeting or evaluating performance.
Step 5: Labor budget costs for overtime and benefits (Choice A) and predicting revenues (Choice C) are important but not as directly tied to performance evaluation as managing variances in costs.
Step 6: Providing qualitative analysis for variances in the capital budget (Choice D) is not typically a key aspect of a nurse manager's evaluation, as it focuses more on long-term investments rather than day-to-day operational budgeting.
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An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
- A. "You are just too late for that. Where were you when he needed you?"
- B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
- C. "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
- D. "I lost my dad last year. He died alone. He was a policeman. I am just like you. Let me stay here and console you."
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs.
Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.
A priority action for the nurse who works with culturally diverse clients is completion of a:
- A. sign language course.
- B. cultural self-assessment.
- C. cultural client assessment.
- D. continuing education course on how to speak Spanish.
Correct Answer: B
Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts.
A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language.
C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first.
D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.
Which statement related to delegation is correct?
- A. The practice of unlicensed assistive personnel (UAP) is defined in the nurse practice act.
- B. Nursing practice can be delegated only when the LPN/LVN and UAP have received adequate training.
- C. Supervision is not required when routine tasks are delegated to a competent individual.
- D. The RN must be knowledgeable about the laws and regulations that govern nursing practice, as well as those that have no clearly defined parameters, such as for UAP.
Correct Answer: D
Rationale: The correct answer is D because the RN must have knowledge of laws and regulations governing nursing practice, including those that have unclear boundaries for UAP. This is crucial to ensure safe and effective delegation. Option A is incorrect because the nurse practice act typically does not define UAP roles. Option B is incorrect as delegation also requires assessing competency, not just training. Option C is incorrect as supervision is necessary regardless of the task's routine nature. The correct answer emphasizes the importance of legal knowledge for proper delegation.
A nurse is caring for a client with malignant hypertension whose blood pressure has increased by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the physician. The nurse is at risk for being charged with:
- A. negligence.
- B. assault.
- C. defamation of character.
- D. tort.
Correct Answer: A
Rationale: Correct Answer: A - Negligence
Rationale:
1. Negligence is the failure to provide the standard of care resulting in harm to the patient.
2. The nurse failed to report a significant change in the patient's condition, breaching the duty of care.
3. The increase in blood pressure could lead to serious complications, indicating the severity of negligence.
Summary:
B: Assault - Involves intentional threat or harm, not applicable in this scenario.
C: Defamation of character - Involves false statements damaging reputation, not relevant in the context of patient care.
D: Tort - A broader legal term encompassing various civil wrongs, but negligence is a specific type of tort applicable here.
A nurse is assigned to a unit where 95% of all patients required total care. Most days the assistive personnel are able to complete their assignments and provide high-quality care. A patient returning from a procedure was somehow "skipped" when daily baths were performed and requests that her care now be provided. The nurse discovers the bed is rumpled and damp. The RN joins with some other staff to bathe the patient, change the bed, and help make the patient comfortable. These staff members are demonstrating:
- A. altruism.
- B. veracity.
- C. autonomy.
- D. whistle-blowing.
Correct Answer: A
Rationale: The correct answer is A: altruism. Altruism is the selfless concern for the wellbeing of others, which is demonstrated by the staff members helping the patient in need without hesitation. In this scenario, the staff members are putting the patient's needs above their own, showing compassion and empathy. This aligns with the principle of altruism in nursing, where caregivers prioritize the welfare of their patients.
Choices B, C, and D are incorrect:
B: Veracity refers to truthfulness and honesty. While these are important traits in nursing, they are not the focus of the staff members' actions in this scenario.
C: Autonomy is the right of individuals to make decisions about their own care. In this situation, the patient is not exercising autonomy, but rather relying on the staff for assistance.
D: Whistle-blowing involves reporting unethical or illegal behavior within an organization. There is no indication of any wrongdoing that would require whistle-blowing in this scenario.