A nurse manager asks a colleague for advice on strategies to improve communication with staff nurses. Which response by the nurse manager's colleague is best?
- A. "Be sensitive, show respect, and be genuine."
- B. "You need to be consistently nice to the staff nurses."
- C. "Work as a staff nurse every month to develop empathy."
- D. "Staff nurses need a leader who is not emotional."
Correct Answer: A
Rationale: The correct answer is A because it emphasizes essential components of effective communication: sensitivity, respect, and genuineness. Sensitivity helps in understanding others' emotions, respect fosters a positive relationship, and genuineness promotes trust. Choice B is too simplistic and lacks depth. Choice C is impractical as working as a staff nurse monthly may not be feasible for a manager. Choice D is incorrect as emotional intelligence and empathy are crucial for effective leadership, not being emotionless. Thus, choice A is the best response due to its focus on key communication principles.
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Which statement, if made by the nurse, could positively affect the course of the patient's situation by suggestibility?
- A. "Breastfeeding will provide time to bond with your baby.=
- B. "Breastfeeding will take longer than giving your baby a bottle.=
- C. "You will need to be careful about taking medications while breastfeeding.=
- D. "Breastfeeding mothers can develop infections that are serious.=
Correct Answer: A
Rationale: The correct answer is A because it emphasizes the positive aspect of breastfeeding, which can influence the patient's perception and behavior positively. By highlighting the bonding experience, the nurse can encourage the patient to view breastfeeding as a rewarding and meaningful activity, potentially increasing the likelihood of successful breastfeeding. Option B focuses on the time aspect and may discourage the patient. Option C introduces a potential negative aspect, which could create fear or uncertainty. Option D mentions a risk of infection, which could lead to anxiety or hesitation. In summary, choice A promotes a positive outlook and emotional connection, making it the most effective in positively affecting the patient's situation.
The characteristic that is representative of the nurse-patient relationship is that this relationship:
- A. focuses on the nurse's ability to build rapport.
- B. continues after discharge.
- C. does not include humor.
- D. focuses on the assessed patient health problems.
Correct Answer: D
Rationale: The correct answer is D because the nurse-patient relationship primarily focuses on addressing the assessed health problems of the patient. This relationship is centered around providing care, support, and assistance related to the patient's health needs. Building rapport (A) is important, but not the primary focus. The relationship does not necessarily continue after discharge (B) as it depends on the circumstances. Humor (C) can be included in the relationship but is not a defining characteristic. Thus, D is the correct choice as it aligns with the fundamental purpose of the nurse-patient relationship.
After the BCG treatment, the team leader delegates disposal of the fluid contents in Mr. B's (bladder cancer) urinary drainage bag to the UAP. What instructions should be given to the UAP?
- A. "No special handling of the bag or its contents is required."
- B. "Wear a lead apron when you are emptying the drainage container."
- C. "Discard the fluid in the toilet and disinfect the toilet with bleach for 6 hours."
- D. "Wear sterile gloves when you are handling the bag and its contents."
Correct Answer: C
Rationale: The correct answer is C because after BCG treatment, the fluid in the urinary drainage bag is considered hazardous due to the live bacteria used in the treatment. Therefore, instructing the UAP to discard the fluid in the toilet and disinfect it with bleach is crucial to prevent the spread of infection. This step helps to ensure proper disposal and minimize the risk of exposure to others.
Choice A is incorrect because special handling is indeed required due to the nature of the contents. Choice B is incorrect as wearing a lead apron is not necessary for handling the fluid in the urinary drainage bag. Choice D is also incorrect as sterile gloves are not specifically required for this task; instead, proper disinfection of the toilet is essential.
As a part of the F.O.C.U.S. model, the "C" stands for
- A. Communicate
- B. Connect
- C. Concern
- D. Convince
Correct Answer: A
Rationale: The correct answer is A: Communicate. In the F.O.C.U.S. model, the "C" stands for Communicate because effective communication is essential in any situation requiring focus. By communicating clearly and efficiently, individuals can convey their thoughts, ideas, and goals effectively, leading to better understanding and collaboration. This helps in achieving the desired outcomes and staying on track.
Summary of other choices:
B: Connect - While connecting with others is important, it is not the central aspect of focus in the F.O.C.U.S. model.
C: Concern - Concern may be relevant in some contexts, but it is not the primary focus in the F.O.C.U.S. model.
D: Convince - While persuasion can be a part of communication, the primary emphasis in the F.O.C.U.S. model is on effective communication rather than convincing others.
The team leader is reviewing the pain management plan for Mr. U. He is having significant pain related to the cancer and the pulmonary resection. Which option would be the best for Mr. U?
- A. Mr. U is instructed to ask for pain medication whenever he needs it.
- B. Mr. U is to receive around-the-clock fixed doses of opioid analgesics.
- C. Mr. U should be offered the nonopioid medication first to see it if works.
- D. Mr. U has a high risk for respiratory distress, so opioids are not prescribed.
Correct Answer: B
Rationale: The correct answer is B because Mr. U is experiencing significant pain related to cancer and pulmonary resection, which typically requires continuous pain management. Around-the-clock fixed doses of opioid analgesics provide consistent pain relief and can be adjusted based on his pain levels. This approach ensures adequate pain control without the need for Mr. U to wait until the pain becomes severe before asking for medication. Option A may lead to undertreatment of pain. Option C delays effective pain relief for Mr. U who is already experiencing significant pain. Option D is incorrect as opioids can be safely administered with proper monitoring, even in patients at high risk for respiratory distress.
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