Nokea
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
- A. I need to speak with you about unit expectations regarding delegating and completing tasks.
- B. You have been very inconsiderate of others by not completing your share of the work.
- C. If you don't do your share of the work, I will have to inform the nurse manager.
- D. Several staff members have commented that you don't do your fair share of the work.
Correct Answer: A
Rationale: The correct answer is A: "I need to speak with you about unit expectations regarding delegating and completing tasks." This statement addresses the issue directly and professionally, focusing on establishing clear communication and setting expectations. By having a conversation about unit expectations, it allows for clarification on roles and responsibilities, promoting accountability and teamwork.
Incorrect Choices:
B: This statement uses accusatory language and does not address the issue constructively.
C: Threatening to inform the nurse manager may escalate the conflict instead of resolving it through open communication.
D: This choice involves hearsay and gossip, which is not an effective way to address the issue professionally.
You may also like to solve these questions
To help nurse managers better manage their time, the chief nursing officer suggests that they:
- A. Progress through the workday without a plan.
- B. Put off important tasks until they feel motivated to start them.
- C. Only accept projects that exactly fit their specifications.
- D. Decline requests that are not in alignment with their priorities.
Correct Answer: D
Rationale: The correct answer is D: Decline requests that are not in alignment with their priorities. This is the best option for nurse managers to manage their time effectively. By focusing on tasks that align with their priorities, they can ensure they are using their time efficiently and effectively. Progressing without a plan (choice A) is not recommended as it can lead to disorganization and inefficiency. Putting off important tasks (choice B) is counterproductive and can lead to increased stress and missed deadlines. Only accepting projects that fit exact specifications (choice C) may limit opportunities for growth and development. In summary, by declining requests that do not align with priorities, nurse managers can optimize their time management and focus on what truly matters.
During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?
- A. autonomy
- B. nonmaleficence
- C. justice
- D. fidelity
Correct Answer: D
Rationale: The correct answer is D: fidelity. Fidelity refers to the principle of being faithful or loyal to commitments and obligations. In this scenario, the manager providing truthful feedback during the performance evaluation demonstrates fidelity by upholding their professional duty to provide honest and accurate information to support the nurse's growth and development. Autonomy (A) relates to respecting individuals' rights to make their own decisions. Nonmaleficence (B) pertains to avoiding harm. Justice (C) involves fairness and equality in decision-making. In this context, fidelity best aligns with the manager's responsibility to maintain trust and integrity in the feedback process.
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.
A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?
- A. Surgery to the wrong site was stopped prior to a procedure.
- B. Paralysis of a client's lower extremities occurred following epidural anesthesia.
- C. A client fall during ambulation did not result in client injury.
- D. A complaint that a nurse was culturally insensitive was made by a client's family member.
Correct Answer: B
Rationale: The correct answer is B: Paralysis of a client's lower extremities occurred following epidural anesthesia. This incident should be identified as a sentinel event because it resulted in a serious harm or death to the patient. Sentinel events are defined as unexpected occurrences involving death or serious physical or psychological injury. In this case, the paralysis of the client's lower extremities following epidural anesthesia qualifies as a serious physical injury. The other choices do not meet the criteria for a sentinel event: A did not result in harm, C did not result in client injury, and D involves a complaint of cultural insensitivity which, while important, does not meet the criteria of a sentinel event.
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.