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A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style?
- A. Assertive
- B. Aggressive
- C. Passive
- D. Passive-aggressive
Correct Answer: D
Rationale: The correct answer is D, passive-aggressive. The nurse is indirectly expressing her displeasure and resistance to floating by smiling and agreeing to come back for lunch, but then displaying negative body language and muttering under her breath. This behavior is passive on the surface but aggressive in the underlying tone. The nurse is not openly confronting the issue but is still showing resistance and frustration.
A: Assertive communication involves expressing one's needs and feelings in a direct and respectful manner. The nurse is not openly communicating her feelings or needs in this scenario.
B: Aggressive communication involves expressing needs and feelings in a forceful and hostile manner. The nurse's behavior is not openly hostile towards others.
C: Passive communication involves avoiding conflict and not expressing one's needs or feelings. The nurse is indirectly expressing her displeasure, so it's not purely passive.
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A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:
- A. query the state nursing association to determine their stance on the role of LPNs.
- B. ask the LPNs on the unit to list what tasks they routinely performed.
- C. contact the state board of nursing to determine legal scope of practice for LPNs.
- D. refer to California's nurse practice act because the scope of LPNs/LVNs is consistent across the United States.
Correct Answer: C
Rationale: The correct answer is C: contact the state board of nursing to determine legal scope of practice for LPNs. This is the most appropriate action because the state board of nursing is the authoritative body that governs nursing practice within a specific state. By contacting the board, the RN can get accurate and up-to-date information on the legal scope of practice for LPNs in Arkansas. This ensures compliance with state regulations and avoids any potential legal issues.
A: Querying the state nursing association may provide some insight, but the state board of nursing is the official entity that regulates nursing practice.
B: Asking the LPNs about their tasks may not provide a comprehensive understanding of their legal scope of practice and could lead to misunderstandings.
D: Referring to California's nurse practice act is irrelevant as each state has its own regulations, and assuming consistency across states can lead to incorrect assumptions.
A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?
- A. Transactional
- B. Clinical consultant
- C. Corporate supporter
- D. Autocratic
Correct Answer: B
Rationale: The correct answer is B: Clinical consultant. In this scenario, the DON is providing guidance and expertise to the ad hoc committee in developing strategies to meet the organization's goal of providing quality patient care. As a clinical consultant, the DON utilizes their clinical knowledge and experience to coach and support the committee in achieving desired outcomes related to patient care. The other choices are incorrect because:
A: Transactional leadership focuses on exchanging rewards for performance and does not align with the DON's role in providing clinical guidance.
C: Corporate supporter role involves advocating for organizational goals at a higher level and is not directly related to coaching a committee on clinical matters.
D: Autocratic leadership style is characterized by making decisions without input from others, which is not demonstrated in the scenario where the DON is coaching and guiding the committee.
Which nurse is more prone to burnout? The nurse who:
- A. graduated last in the class.
- B. is industrious and conscientious.
- C. refuses to work an extra shift even though he or she needs the money.
- D. volunteers to serve on only one committee and keeps in touch with schoolmates.
Correct Answer: C
Rationale: The correct answer is C because the nurse who refuses to work an extra shift despite needing money is more prone to burnout. This choice indicates a lack of work-life balance and boundary-setting, leading to increased stress and potential burnout. Refusing to take breaks or extra shifts can result in exhaustion and emotional strain.
Option A is incorrect as academic performance does not necessarily correlate with burnout. Option B, being industrious and conscientious, is actually a positive trait that may help prevent burnout through effective time management and self-care. Option D's involvement in one committee and maintaining school connections is also not indicative of burnout risk, as long as boundaries are maintained.
A nurse is interested in learning how reminiscence therapy can improve memory in cognitively intact persons over the age of 65 years. Findings from three groups are compared. Group 1 receives music therapy, Group 2 receives life review therapy, and Group 3 does not receive therapy, but data are collected from all three groups and compared. Group 3 is known as the:
- A. pilot study.
- B. survey.
- C. needs assessment.
- D. control group.
Correct Answer: D
Rationale: The correct answer is D: control group. In this study design, Group 3 serves as the control group to compare the effects of music therapy and life review therapy on memory. The control group does not receive any intervention, allowing researchers to isolate the impact of the therapies. This helps determine if any observed improvements in memory are due to the therapies and not other factors. A pilot study (A) is a small-scale preliminary investigation, not a comparison group. A survey (B) is a data collection method, not a comparison group. A needs assessment (C) is used to determine needs, not a comparison group. Thus, the control group is essential in research to establish causal relationships.
A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. At the committee meeting, the nurse learns that:
- A. older nurses are being encouraged to retire so that younger, more efficient nurses can practice.
- B. Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work hours but fail to retain nurses because insufficient autonomy over professional practice is provided.
- C. multitasking is seldom desired by the younger generation of nurses.
- D. many younger workers are less concerned with longevity and are willing to change institutions to achieve professional advancement and flexible work hours.
Correct Answer: D
Rationale: Step 1: Many younger workers prioritize professional advancement and flexible work hours over longevity.
Step 2: This mindset leads them to change institutions to achieve their career goals.
Step 3: The nurse learns about this behavior during the committee meeting.
Step 4: Therefore, the correct answer is D as it aligns with the behavior and motivations of younger nurses.
Summary:
A: Encouraging older nurses to retire is age discrimination and does not address retention issues.
B: Magnet hospitals attract nurses with benefits, but lack of autonomy is not the primary reason for retention issues.
C: Multitasking preferences do not directly relate to recruitment and retention challenges.