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The staff nurse is experiencing what type of conflict when the babysitter calls to cancel on the day of an important committee meeting?
- A. Intergroup conflict
- B. Perceived conflict
- C. Role conflict
- D. Structural conflict
Correct Answer: C
Rationale: The correct answer is C: Role conflict. Role conflict occurs when there are conflicting demands from different roles a person holds. In this scenario, the staff nurse faces a conflict between her roles as a nurse and as a committee member due to the babysitter canceling. The nurse must now balance attending the meeting and finding alternative childcare. Intergroup conflict (A) involves conflicts between different groups, not roles. Perceived conflict (B) refers to the perception of conflict, not conflicting roles. Structural conflict (D) involves conflicts within an organization's structure, not conflicting roles.
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An RN’s client with terminal pancreatic cancer asks questions about a do not resuscitate order. Which of the following statements should be included in the RN’s teaching to the client?
- A. When a heart ceases to beat, the client is pronounced clinically dead.
- B. Physicians must write do not resuscitate (DNR) orders.
- C. A DNR order can be written after the health-care provider has discussed it with the client and family.
- D. A DNR requires a court decision.
Correct Answer: C
Rationale: Rationale for Correct Answer C:
1. In terminal cases, it's crucial for the healthcare provider to discuss DNR orders with the client and family to ensure understanding and consent.
2. The decision to implement a DNR order should always involve the client and their family to respect their wishes.
3. This statement emphasizes the importance of communication and shared decision-making in end-of-life care.
Summary:
A: Incorrect - This statement is about the clinical definition of death, not about DNR orders.
B: Incorrect - While physicians can write DNR orders, the involvement of the client and family is essential.
D: Incorrect - DNR orders do not require a court decision; they are typically based on the client's wishes and discussions with healthcare providers.
Which of the following best defines the role of a nurse educator?
- A. Provide direct patient care
- B. Conduct research on nursing practices
- C. Develop and implement educational programs for nursing staff
- D. Supervise nursing staff
Correct Answer: C
Rationale: The correct answer is C: Develop and implement educational programs for nursing staff. A nurse educator's primary role is to design and deliver educational programs to enhance the knowledge and skills of nursing staff. This includes developing curriculum, conducting training sessions, and evaluating learning outcomes. Providing direct patient care (A) is typically the responsibility of bedside nurses, not nurse educators. Conducting research on nursing practices (B) is more aligned with the role of a nurse researcher. Supervising nursing staff (D) falls under the domain of nurse managers or nurse administrators, not nurse educators. In summary, the unique role of a nurse educator is focused on educational program development and implementation for nursing staff.
What is the primary goal of a clinical nurse leader (CNL)?
- A. To manage the nursing staff
- B. To coordinate patient care
- C. To improve patient outcomes
- D. To implement evidence-based practices
Correct Answer: C
Rationale: The primary goal of a clinical nurse leader (CNL) is to improve patient outcomes. CNLs focus on enhancing the quality of care provided to patients by coordinating and overseeing healthcare processes. They work to ensure that patients receive the best possible care and achieve positive health outcomes. Managing nursing staff (A) is not the primary goal of a CNL, as their role is more patient-centered. While coordinating patient care (B) is an important aspect of a CNL's responsibilities, the ultimate goal is to improve patient outcomes. Implementing evidence-based practices (D) is essential for achieving better patient outcomes, but it is not the primary goal of a CNL, as their main focus is on the overall improvement of patient health and well-being.
From a unit perspective, disruptive and violent patient behavior may be distracting to patients and staff. As the nurse manager, you are concerned about: (EXCEPT)
- A. Patient and staff safety.
- B. Team tension.
- C. Fear of disappointment.
- D. Stress levels.
Correct Answer: C
Rationale: The correct answer is C: Fear of disappointment. As a nurse manager, concerns should be focused on patient and staff safety (A), team tension (B), and stress levels (D) due to disruptive and violent patient behavior. Fear of disappointment is not directly related to the immediate impact on safety, team dynamics, or stress levels in this scenario. It is important to prioritize addressing safety risks, maintaining team cohesion, and managing stress levels to ensure a safe and effective healthcare environment.
In order to minimize or avoid negative outcomes as a result of the violation and disciplinary action, the employee should offer which of the following?
- A. Excuses
- B. Discipline
- C. Suggestions
- D. Rules
Correct Answer: C
Rationale: The correct answer is C: Suggestions. When faced with a violation and disciplinary action, offering suggestions demonstrates a proactive approach towards resolving the issue. Suggestions show a willingness to improve and prevent future violations. Excuses (A) are not productive and can come off as deflecting responsibility. Discipline (B) is typically enforced by the employer as a consequence of the violation, not offered by the employee. Rules (D) are guidelines to follow and should already be in place, but offering suggestions on how to adhere to them better is more beneficial.