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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.
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A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?
- A. Allow LPNs and CNAs to perform tasks beyond their scope of practice.
- B. Establish a rewards program to recognize achievements of the staff.
- C. Hire additional staff so individual workloads are lessened.
- D. Improve the working conditions of the unit by investing in ergonomic chairs.
Correct Answer: B
Rationale: The correct answer is B: Establish a rewards program to recognize achievements of the staff. This strategy can motivate the LPNs and CNAs by providing positive reinforcement for their hard work and dedication. Recognizing their achievements can boost morale, increase job satisfaction, and encourage them to continue performing well. This approach acknowledges their efforts and creates a sense of appreciation, leading to a more positive work environment.
Choice A is incorrect as allowing LPNs and CNAs to perform tasks beyond their scope of practice can lead to legal and safety issues. Choice C of hiring additional staff may help with workload but may not directly address job satisfaction. Choice D of investing in ergonomic chairs can improve physical comfort but may not address the underlying issues causing dissatisfaction.
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
- A. Review the events leading up to each medication administration error.
- B. Require staff nurses to demonstrate competency by passing a medication administration examination.
- C. Develop a quality improvement program for nurses involved in medication administration errors.
- D. Provide an inservice on medication administration to all the nurses.
Correct Answer: A
Rationale: The correct answer is A: Review the events leading up to each medication administration error. This is the first strategy the committee should initiate because it helps identify root causes of errors. By conducting a thorough review of the events leading up to each error, the committee can identify systemic issues, communication breakdowns, and other factors contributing to errors. This information is crucial for developing targeted interventions to prevent future errors.
Choice B is incorrect because competency testing alone may not address underlying system issues leading to errors. Choice C is incorrect because focusing solely on nurses involved in errors may overlook broader system issues. Choice D, providing an inservice, is also not as effective as reviewing events leading to errors, as it may not address specific causes of errors.
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.
The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?
- A. Searching the literature for a systematic review.
- B. Applying strategies that aid in adoption of research in practice.
- C. Providing the results of research studies to practitioners.
- D. Conducting an integrative review of the literature.
Correct Answer: B
Rationale: The correct answer is B: Applying strategies that aid in adoption of research in practice. This best describes TRIP because it involves implementing evidence-based research findings into clinical practice. It focuses on bridging the gap between research and practice by promoting the utilization of research findings to improve patient outcomes.
A: Searching the literature for a systematic review is a step in the research process but not specifically related to TRIP.
C: Providing the results of research studies to practitioners is important but does not encompass the full process of translating research into practice.
D: Conducting an integrative review of the literature is a research method but not directly related to implementing research into practice.
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.