Nokea
A technique used to eliminate negative behavior by ignoring the behavior is known as __________.
- A. Punishment
- B. Extinction
- C. Shaping
- D. Equity
Correct Answer: B
Rationale: The correct answer is B: Extinction. Extinction is a behavior modification technique where negative behavior is eliminated by withholding reinforcement previously maintaining it. Ignoring the behavior prevents it from being reinforced, leading to its decrease over time. Punishment (A) involves applying aversive consequences to reduce behavior. Shaping (C) is a technique to gradually modify behavior by reinforcing successive approximations. Equity (D) refers to fairness and equal treatment, not a behavior modification technique.
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Which of the following best describes the role of a nurse advocate?
- A. Direct patient care provider
- B. Advocate for patient needs
- C. Manage nursing staff
- D. Ensure policy adherence
Correct Answer: B
Rationale: The correct answer is B, advocate for patient needs. A nurse advocate acts as a voice for patients, ensuring their rights are respected and needs are met. This involves advocating for proper care, treatment, and support. Direct patient care provider (A) focuses on hands-on patient care. Managing nursing staff (C) involves overseeing and coordinating staff, not directly advocating for patients. Ensuring policy adherence (D) involves following organizational policies and procedures, not necessarily advocating for individual patient needs. In summary, the role of a nurse advocate is to prioritize and champion the best interests of the patient.
A nurse is caring for a client who is postoperative. When the nurse prepares to change the client's dressing, they say, 'Every time you change my bandage, it hurts so much.' Which of the following interventions is the nurse's priority action?
- A. Encourage the client to relax and take deep breaths during the dressing change
- B. Educate the client about the importance of the dressing change to prevent infection
- C. Administer pain medication 45 minutes before changing the client's dressing
- D. Assist the client to a comfortable position for the dressing change
Correct Answer: C
Rationale: The correct answer is C: Administer pain medication 45 minutes before changing the client's dressing. This is the priority action because it directly addresses the client's pain during the dressing change, ensuring their comfort and adherence to the procedure. Administering pain medication in advance allows time for it to take effect, minimizing the discomfort experienced by the client. Encouraging relaxation techniques (A) and educating about the importance of dressing change (B) are important but secondary to addressing the immediate pain issue. Assisting the client to a comfortable position (D) is helpful but does not directly alleviate the pain like pain medication does.
Which of the following is the preferable alternative to firing an employee?
- A. Voluntary resignation
- B. Training
- C. Confrontation
- D. Coaching
Correct Answer: A
Rationale: The correct answer is A: Voluntary resignation. This option allows the employee to leave on their own terms, preserving their dignity and potentially avoiding negative consequences of being fired. Training (B) may not address the root issue leading to termination. Confrontation (C) can create a hostile environment and damage morale. Coaching (D) is more focused on improving performance rather than addressing termination. Opting for voluntary resignation promotes a more amicable separation and can benefit both the employee and the organization.
The charge nurse role has negatively affected your relationship with your friends and made you feel tense and isolated. You decide that you will delegate more time-consuming tasks to staff who are not your friends, who then complain to your nurse manager about your perceived unfairness. You decide to:
- A. Talk with your friends individually to let them know that you will be assigning patients to all staff in an equitable manner.
- B. Not express your angry feelings.
- C. Talk about staff who are annoying you with staff on other units.
- D. Ignore your feelings of uncertainty, hoping they will diminish.
Correct Answer: A
Rationale: The correct answer is A because it addresses the issue directly and effectively. By talking individually with your friends and explaining the need for equitable patient assignments, you are promoting fairness and transparency in your delegation process. This approach fosters open communication and helps maintain professional boundaries.
Choice B is incorrect because suppressing your feelings of anger can lead to further tension and unresolved conflicts. Choice C is inappropriate as it involves gossiping about other staff members, which is unprofessional and can create additional problems. Choice D is not a proactive solution and avoiding addressing the issue will only prolong the negative impact on your relationships and work environment.
A manager has been given a deadline to complete an assignment by the end of the day. It will take every minute left of the afternoon to complete. Which interventions illustrate assertiveness to minimize interruptions in order to meet the deadline? (Select all that apply.)
- A. Allowing voicemail to answer all incoming calls or turning off email notification
- B. Delegating a discharge planning issue for a patient to one of the staff nurses
- C. Placing a 'Do Not Disturb for the Afternoon' sign on the office door
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the interventions mentioned demonstrate assertiveness in minimizing interruptions to meet the deadline.
A: Allowing voicemail or turning off email notifications shows assertiveness in managing communication.
B: Delegating tasks to staff nurses frees up the manager's time to focus on the assignment.
C: Placing a 'Do Not Disturb' sign sets clear boundaries to avoid interruptions.
In summary, each intervention in choice D actively addresses potential interruptions, allowing the manager to concentrate on completing the assignment within the deadline.