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.
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A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?
- A. Thigh
- B. Buttock
- C. Abdomen
- D. Upper arm
Correct Answer: C
Rationale: The correct site to administer morning insulin for a patient who rides a bicycle daily is the abdomen. The abdomen has consistent and faster absorption rates due to increased blood flow and muscle activity during exercise, ensuring better insulin absorption and efficacy. Insulin absorption is slower in the thigh and buttock due to less muscle movement and blood flow. The upper arm may not be as convenient for self-administration and may result in inconsistent absorption.
By using ___________ in the workplace, nurses increase their professional influence.
- A. political skills
- B. reward power
- C. expert power
- D. power and politics
Correct Answer: C
Rationale: The correct answer is C: expert power. Nurses increase their professional influence by demonstrating expertise, knowledge, and skills in their field. This expertise allows them to gain credibility and influence others based on their competence. Expert power is based on respect and trust earned through proficiency in their profession. Choice A (political skills) focuses on manipulation and may not lead to genuine influence. Choice B (reward power) involves using rewards to influence behavior, which is different from professional influence. Choice D (power and politics) is a broad concept that encompasses various types of power dynamics, but expert power specifically highlights the importance of knowledge and skills in increasing influence in the workplace.
What is the primary reason for conducting a performance appraisal?
- A. Providing constructive feedback.
- B. Imposing punishment.
- C. Identifying issues.
- D. Offering coaching.
Correct Answer: A
Rationale: The correct answer is A: Providing constructive feedback. Performance appraisals are primarily conducted to give employees feedback on their performance, highlighting strengths and areas for improvement. This helps employees understand their performance, set goals, and develop professionally. Choice B is incorrect as performance appraisals should not be used for punishment but for development. Choice C is incorrect as appraisals focus on identifying performance-related issues, not general issues. Choice D is incorrect because while coaching may be a part of the appraisal process, the main purpose is to provide feedback.
Which of the following actions best demonstrates effective delegation by a nurse manager?
- A. Retaining all tasks
- B. Assigning tasks without supervision
- C. Delegating tasks and providing oversight
- D. Avoiding delegation
Correct Answer: C
Rationale: The correct answer is C because effective delegation involves assigning tasks to appropriate staff members while providing oversight. This ensures tasks are completed safely and accurately. Retaining all tasks (A) does not promote staff development. Assigning tasks without supervision (B) can lead to errors. Avoiding delegation (D) limits staff growth. Effective delegation (C) maximizes efficiency and empowers staff.
During a home safety assessment, a nurse is evaluating a client who is receiving supplemental oxygen. Which observation should the nurse identify as a proper safety protocol?
- A. The client has a weekly inspection checklist for oxygen equipment.
- B. The client stores an extra oxygen tank on its side under their bed.
- C. The client identifies the location of a fire extinguisher.
- D. The client uses a wool blanket on their bed.
Correct Answer: A
Rationale: The correct answer is A because having a weekly inspection checklist for oxygen equipment ensures the client is monitoring the equipment regularly for safety. Choice B is incorrect as storing an oxygen tank on its side can be dangerous. Choice C is not directly related to oxygen safety. Choice D is incorrect because wool blankets can create static electricity, which is a fire hazard.
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