Nokea
A client complains every morning that the night shift nursing staff does not answer his call light promptly to assist his elimination needs. His concerns are not shared with the Nurse Manager, and he falls while trying to walk to the bathroom. This fall could be attributed to which of the following?
- A. Breakdown in communication
- B. Lack of staff
- C. Lack of concern
- D. Breakdown in management
Correct Answer: A
Rationale: The correct answer is A: Breakdown in communication. The client's complaint about the night shift nursing staff not responding promptly to his call light indicates a lack of effective communication between the client and the staff. This breakdown in communication leads to the client attempting to walk to the bathroom alone, resulting in a fall. Lack of staff (B) or lack of concern (C) are not directly related to the client's fall, as the core issue lies in communication. Breakdown in management (D) could contribute to communication issues, but the immediate cause of the fall is the lack of communication between the client and the nursing staff.
You may also like to solve these questions
An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?
- A. Use shortcuts in documentation.
- B. Only use approved abbreviations.
- C. Documentation should be subjective.
- D. Document after care is provided.
Correct Answer: B
Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations helps prevent misinterpretation and errors in documentation, ensuring legal credibility. Shortcuts in documentation (A) can lead to incomplete or inaccurate information. Subjective documentation (C) may lack objectivity and legal validity. Documenting after care is provided (D) may result in memory bias and inaccuracies. Therefore, emphasizing the use of approved abbreviations is crucial for ensuring accurate, clear, and legally credible nursing documentation.
Lippitt's phases of change are important factors in the change process. The phase that involves key people in data collection is known as:
- A. Assess the motivation.
- B. Choose a change agent.
- C. Diagnose the problem.
- D. Maintain the change.
Correct Answer: C
Rationale: The correct answer is C: Diagnose the problem. In Lippitt's phases of change, this phase involves key people in data collection to identify the root cause of the issue. Assessing motivation (A) comes before diagnosing the problem, choosing a change agent (B) is about selecting a person to lead the change effort, and maintaining the change (D) occurs after implementation. Diagnosing the problem is crucial as it sets the foundation for developing effective strategies to address the identified issues.
The type of theory that discusses how motivation works to direct a person's efforts is:
- A. Reinforcement.
- B. Operant.
- C. Conditioning.
- D. Process.
Correct Answer: D
Rationale: The correct answer is D: Process. Process theories of motivation focus on how individuals initiate, sustain, and direct their behavior towards achieving goals. These theories explore the cognitive processes involved in motivation, such as goal-setting, expectancy, and self-regulation. They highlight the importance of understanding individuals' thought processes and decision-making in driving their efforts.
Rationale:
A: Reinforcement theories primarily focus on how behavior is influenced by consequences, such as rewards and punishments. While reinforcement is a factor in motivation, it does not address the cognitive processes underlying motivation.
B: Operant theories, like reinforcement, concentrate on how behavior is shaped by consequences. However, they do not delve into the internal cognitive processes that drive motivation.
C: Conditioning theories, such as classical and operant conditioning, emphasize how behavior is learned through associations and reinforcements. While conditioning plays a role in shaping behavior, it does not directly address how motivation works to direct efforts based on cognitive processes.
In summary, the correct answer, D
What is dysfunctional turnover?
- A. Retaining all employees.
- B. Losing employees consistently.
- C. Losing highly skilled employees who are hard to replace.
- D. Hiring new employees.
Correct Answer: C
Rationale: The correct answer is C because dysfunctional turnover refers to the loss of highly skilled employees who are difficult to replace, leading to negative impacts on the organization. Losing such employees can harm productivity, morale, and innovation. Retaining all employees (choice A) is not necessarily dysfunctional, and losing employees consistently (choice B) does not specify the impact on the organization. Hiring new employees (choice D) is not directly related to dysfunctional turnover. In summary, choice C is correct because it specifically addresses the detrimental effects of losing key employees.
A nurse manager is preparing the budget for the year. The budgeted amounts have been set without regard to changes that may occur during the year. What type of budget is the manager preparing?
- A. Fixed budget
- B. Zero-based budget
- C. Variable budget
- D. Operating budget
Correct Answer: A
Rationale: The correct answer is A: Fixed budget. A fixed budget is set without considering changes that may occur during the year. It remains unchanged regardless of actual performance. In this scenario, the budgeted amounts are predetermined and do not adjust based on changing conditions. Other choices are incorrect because:
- B: Zero-based budget requires justifying every expense from scratch, not pre-set amounts.
- C: Variable budget adjusts based on activity levels, not predetermined like in this case.
- D: Operating budget encompasses all revenues and expenses, not necessarily fixed like in this scenario.