Nokea
A nurse is reading about positive reinforcement with the goal of increasing staff motivation. Which action would demonstrate positive reinforcement?
- A. Every morning at shift change, thank each employee for an excellent job.
- B. Rotate a monthly "employee recognition award" among all employees on the unit.
- C. Wait until the annual performance review to recognize accomplishments.
- D. Give spur-of-the-moment recognition to an employee who has accomplished a goal.
Correct Answer: D
Rationale: The correct answer is D because giving spur-of-the-moment recognition to an employee who has accomplished a goal is an example of positive reinforcement. This action immediately follows the desired behavior, increasing the likelihood of it being repeated. This instant feedback helps reinforce the employee's behavior positively.
A: Thanking each employee every morning is a form of positive feedback, but it lacks the immediacy of reinforcement.
B: Rotating a monthly recognition award does not provide immediate reinforcement for specific behaviors.
C: Waiting for an annual review to recognize accomplishments does not provide timely feedback to reinforce desired behaviors.
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A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?
- A. Quick and dirty
- B. Advanced
- C. Brute force
- D. Link searching
Correct Answer: B
Rationale: The correct answer is B: Advanced. The nurse conducted an advanced search by specifically looking for cause and effect diagrams on a website dedicated to providing images and templates for fishbone diagrams. This demonstrates a targeted and refined search strategy, indicating a higher level of proficiency in using search tools. The other choices are incorrect because: A) Quick and dirty implies a hasty and superficial search, which was not the case here. C) Brute force suggests an exhaustive and unrefined search method, which was not demonstrated in this scenario. D) Link searching involves following hyperlinks to find information, which was not explicitly stated in the question.
A group of registered nurses with ADN degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in. Under the "grandfather clause," nurses with associate degrees will:
- A. be required to complete a bridge program to earn a BSN and then be tested only on material that was not part of the ASN curriculum.
- B. continue to use the title "registered nurse."
- C. have 10 years to obtain a BSN or the license will be revoked.
- D. use whatever title is established for associate degree nurses.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. The "grandfather clause" typically allows individuals to maintain current status or privileges despite changes in requirements.
2. The clause ensures that nurses with ADN degrees can continue using the title "registered nurse" without needing to upgrade to a BSN.
3. This aligns with the principle of honoring past qualifications while moving forward with new standards.
4. Choice A is incorrect as it introduces additional requirements beyond what the clause typically allows.
5. Choice C is incorrect as it imposes a strict time limit, which is not a common practice under grandfather clauses.
6. Choice D is incorrect as it suggests using a new title, which contradicts the purpose of grandfathering in existing qualifications.
A nurse studied a community to determine if there were clients who would benefit from a hospice program if one were developed. This type of research is:
- A. a survey.
- B. quasi-experimental.
- C. a needs assessment method.
- D. a pilot study.
Correct Answer: C
Rationale: The correct answer is C: a needs assessment method. A needs assessment method is used to identify gaps or deficiencies in services, programs, or resources in a community. In this scenario, the nurse is determining if there is a need for a hospice program, which aligns with the purpose of a needs assessment. A survey (choice A) involves collecting data from a sample group to gather insights, but it doesn't necessarily focus on identifying specific needs. Quasi-experimental (choice B) and pilot study (choice D) are research designs used to test interventions or programs, which are not the primary goal in this case.
A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)
- A. The client is crying and distraught when he learns of a diagnosis of cancer.
- B. An intravenous antibiotic given preoperatively does not infuse because of a faulty pump.
- C. The nurse is unable to carry out orders written by the specialist because of illegibility.
- D. A client falls while in the shower, although she was told not to get up alone.
Correct Answer: B
Rationale: The correct answer is B because it involves a medical error that could potentially harm the patient. An incident report is necessary to document such events for quality improvement and patient safety. Choice A does not involve a preventable adverse event, so it does not require an incident report. Choice C is related to communication issues and can be resolved without an incident report. Choice D involves a patient fall, which is a reportable event, but the client was informed not to get up alone, making it less urgent for an incident report compared to a medication error.
When the nurse manager conducts a qualitative analysis of budget variances, he or she is:
- A. determining the percentage increase of supply usage from the last quarter to the current quarter.
- B. identifying the overall increase in the dollar amount of salaries paid for overtime.
- C. comparing productivity metrics across all nursing units in the facility.
- D. reconciling with current conditions the underlying assumptions on which the budget was based.
Correct Answer: D
Rationale: The correct answer is D because when a nurse manager conducts a qualitative analysis of budget variances, they need to reconcile the underlying assumptions on which the budget was based with current conditions. This involves reviewing the initial budget assumptions to see if they still hold true and adjusting them accordingly. This step ensures that the budget remains relevant and accurate.
A is incorrect because determining the percentage increase of supply usage does not involve a qualitative analysis of budget variances. B is incorrect because identifying the overall increase in the dollar amount of salaries paid for overtime is a quantitative analysis, not qualitative. C is incorrect because comparing productivity metrics across nursing units is a different type of analysis and not specifically related to budget variances.