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A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
- A. waiting for oncoming shift to start walking rounds.
- B. failure to delegate tasks to the licensed practical nurse and unlicensed assistive personnel and instead, completing task herself.
- C. talking with a patient's family member who is also a personal friend.
- D. spending time thinking about the vacation to the beach.
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion.
Incorrect choices:
B: Failure to delegate tasks is an internal issue, not an external distractor.
C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor.
D: Thinking about a vacation is also an internal distraction, not an external one.
In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.
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Einstein's theory of relativity laid the groundwork for theories of mathematics, and Freud and Jung provided the basis for a philosophy of man. Which nursing theory served as the foundation for nursing science?
- A. Rogers' science of unitary human beings
- B. Nightingale's theory of practice
- C. Watson's theory of human caring
- D. King's theory of goal attainment
Correct Answer: A
Rationale: The correct answer is A: Rogers' science of unitary human beings. Martha Rogers' theory emphasizes the interconnectedness of humans and the environment, showing how individuals are unified with their surroundings. This theory serves as the foundation for nursing science by focusing on the holistic nature of individuals and their environment, aligning with the core principles of nursing practice. Rogers' theory guides nurses in understanding the interconnectedness of human beings and their environment, shaping the way nursing care is delivered.
Summary of other choices:
B: Nightingale's theory of practice focuses on environmental factors and cleanliness in healthcare settings, but it does not provide the comprehensive framework for nursing science.
C: Watson's theory of human caring emphasizes the importance of caring in nursing, but it does not serve as the fundamental basis for nursing science.
D: King's theory of goal attainment emphasizes goal setting and achieving outcomes in nursing care, but it does not lay the foundational principles for nursing science.
When the job applicant is asked to identify weaknesses, one appropriate reply for the novice nurse might be:
- A. "I have no weaknesses."
- B. "Are you trying to set me up?"
- C. "Delegating to peers."
- D. "Caring requires weakness."
Correct Answer: C
Rationale: The correct answer is C: "Delegating to peers." This response shows self-awareness and willingness to improve by acknowledging a common weakness for novice nurses - difficulty in delegating tasks to peers. It demonstrates a willingness to learn and grow in the role.
A: "I have no weaknesses." - This answer lacks self-awareness and does not show a willingness to improve. It comes across as overconfident.
B: "Are you trying to set me up?" - This response is defensive and unprofessional. It does not address the question directly.
D: "Caring requires weakness." - This answer is vague and does not provide a specific weakness or show a proactive approach to self-improvement.
A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?
- A. Blocking
- B. Filtration
- C. Empathy
- D. False assurance
Correct Answer: A
Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues.
Summary:
B: Filtration is not relevant as it involves selectively presenting information.
C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues.
D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.
Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (select all that apply)
- A. serving on interdisciplinary care teams.
- B. being competent to work in several areas independently when dictated by patient census.
- C. attending a meeting to plan advanced training for unlicensed assistive personnel.
- D. evaluating outcomes of care that are reported to a standing committee.
Correct Answer: A
Rationale: The correct answer is A: serving on interdisciplinary care teams. This is correct because as registered nurses enter the workforce, they are expected to collaborate with other healthcare professionals on interdisciplinary care teams to provide comprehensive patient care. This involves working together with professionals from different disciplines to ensure holistic and effective treatment plans.
Explanation for why the other choices are incorrect:
B: Being competent to work in several areas independently when dictated by patient census - While nurses may need to be versatile, the emphasis on independent work in various areas does not necessarily reflect expanded leadership responsibilities.
C: Attending a meeting to plan advanced training for unlicensed assistive personnel - While important for team collaboration, attending meetings to plan training for support staff does not directly relate to expanded leadership responsibilities.
D: Evaluating outcomes of care that are reported to a standing committee - While evaluating outcomes is important, it may not specifically denote expanded leadership responsibilities compared to the collaborative nature of serving on interdisciplinary care teams.
A nurse is delegating to the newly hired nursing unlicensed assistive personnel (UAP) the task of assisting with oral hygiene, knowing that this assignment "does not require decisions based on the nursing process." The nurse is correctly using which of the five rights of delegation?
- A. Supervision
- B. Communication
- C. Person
- D. Circumstance
Correct Answer: C
Rationale: Correct Answer: C - Person
Rationale:
- The five rights of delegation are Right Task, Right Circumstances, Right Person, Right Direction/Communication, and Right Supervision.
- In this scenario, choosing the Right Person means delegating tasks to individuals with appropriate skills and abilities, such as UAP assisting with oral hygiene.
- This choice is correct as the nurse is delegating a task that falls within the UAP's scope of practice without requiring nursing process decisions.