Nokea
A charge nurse allows a nurse an additional twenty minutes for his lunch break to take care of a personal matter. The charge nurse agrees to watch his patients for the additional twenty minutes, only if he agrees to help with the end-of-shift drug count. The charge nurse is demonstrating which of the following types of conflict management?
- A. Avoiding
- B. Compromising
- C. Cooperating
- D. Competing
Correct Answer: B
Rationale: The correct answer is B: Compromising. Compromising involves finding a middle ground where both parties give up something to reach a mutually acceptable solution. In this scenario, the charge nurse and nurse both make concessions - the charge nurse agrees to watch the patients for an additional twenty minutes, and the nurse agrees to help with the end-of-shift drug count. This approach allows both parties to achieve their goals partially, demonstrating a compromise. Avoiding (A) would be ignoring the issue, cooperating (C) would involve working together without concessions, and competing (D) would be a win-lose situation.
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A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?
- A. Follower
- B. Manager
- C. Laissez-faire
- D. Leader
Correct Answer: D
Rationale: The correct answer is D: Leader. By offering resources and support to the family during a difficult time, the nurse is taking on a leadership role. The nurse is demonstrating initiative, empathy, and guidance in providing options for additional assistance. This action shows the nurse's ability to take charge, make decisions, and support the family in coping with the situation.
A: Follower - Incorrect. The nurse is not following anyone's lead but rather taking charge and offering support.
B: Manager - Incorrect. While the nurse is managing care, the specific action of offering resources and support goes beyond typical managerial duties.
C: Laissez-faire - Incorrect. Laissez-faire implies a hands-off approach, which is not the case here as the nurse is actively engaging with the family.
E, F, G: No options provided.
During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:
- A. Review the correct procedure with staff members who use the mechanical lifts incorrectly.
- B. Remind employees who sustain back injuries that they are solely responsible for their actions.
- C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts.
- D. File a grievance about inadequate funding and an unsafe work environment.
Correct Answer: A
Rationale: The correct answer is A: Review the correct procedure with staff members who use the mechanical lifts incorrectly. This is the correct choice because it addresses the root cause of the problem, which is the incorrect use of mechanical lifts. By reviewing the correct procedure with the staff members, the unit manager can ensure that everyone is properly trained and following the correct protocols, thus reducing the occurrence of back injuries.
Choice B is incorrect because it shifts the blame to the employees instead of addressing the need for proper training and procedures. Choice C is incorrect because using Wikipedia articles may not provide accurate or reliable information for developing a revised procedure. Choice D is incorrect because filing a grievance does not directly address the issue of improper use of mechanical lifts.
As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff?
- A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity.
- B. Encouraging the potential in all staff.
- C. Being conscious of the dynamics when culture interacts.
- D. Conducting a cultural self-assessment.
- E. Fostering unity by imposing American values upon all staff members.
Correct Answer: B,C,D
Rationale: Correct Answer: B, C, D
Rationale:
B: Encouraging the potential in all staff is crucial for addressing cultural needs. It promotes inclusivity and values diversity.
C: Being conscious of the dynamics when culture interacts helps in understanding and respecting different cultural perspectives and practices.
D: Conducting a cultural self-assessment is essential to identify biases and gain awareness of one's own cultural background.
Summary:
A: Assuming thoughts and behaviors based on race/ethnicity is stereotyping and can lead to discrimination.
E: Imposing American values may alienate staff with different cultural backgrounds and hinder effective communication and collaboration.
Which of the following is an effective approach in the appraisal of research studies?
- A. Evaluate the quality of the research against the standards for that type of research.
- B. Select only studies with a sample size of at least 100 people.
- C. Discard systematic reviews and meta-analyses since they are the weakest form of evidence.
- D. Accept only studies that use a randomized controlled trial design.
Correct Answer: A
Rationale: The correct answer is A: Evaluate the quality of the research against the standards for that type of research. This approach is effective because it considers the specific criteria and guidelines relevant to the particular type of research being appraised. By assessing the research against established standards, one can determine the rigor, validity, and reliability of the study. This method ensures that the evaluation process is objective and systematic, leading to a more accurate assessment of the research's quality.
Summary:
B: Selecting studies based solely on sample size is not a comprehensive approach as other factors also influence research quality.
C: Discarding systematic reviews and meta-analyses is incorrect as they provide valuable synthesized evidence.
D: Accepting only randomized controlled trials may limit the scope of research appraisal, excluding other valid study designs.
With regard to nursing practice, nurse managers are held responsible for:
- A. Referring all errors in nursing judgment to state disciplinary boards.
- B. Verifying that attending physicians are properly licensed to provide care on patient care units.
- C. Practicing within legal guidelines established under state law and nurse practice acts.
- D. Creating an environment of severe consequences for nursing errors to ensure quality practice.
- E. Ensuring that nursing staff under their supervision are currently licensed to practice.
Correct Answer: C,E
Rationale: The correct answers are C and E. Nurse managers are responsible for ensuring that nursing practice is within legal guidelines and that all nursing staff under their supervision are currently licensed. This is crucial for maintaining patient safety, quality care, and regulatory compliance. Referring errors to disciplinary boards (A) is not solely the role of nurse managers. Verifying physician licenses (B) is outside the scope of nursing practice. Creating an environment of severe consequences (D) may not promote a culture of learning and improvement. Choice F and G are not provided.