Nokea
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
- A. Pad the client's wrists before applying the restraints.
- B. Evaluate the client's circulation every 8 hours after application.
- C. Secure the restraint ties to the bed's side rails.
- D. Remove the restraints every 4 hours to evaluate the client's status.
Correct Answer: C
Rationale: The correct answer is C: Secure the restraint ties to the bed's side rails. This is important for ensuring the client's safety and preventing harm. Attaching the restraints to the side rails allows for proper immobilization without causing injury or restricting circulation. Padding the client's wrists (choice A) can be uncomfortable and ineffective. Evaluating circulation every 8 hours (choice B) is not frequent enough for monitoring potential issues. Removing restraints every 4 hours (choice D) can increase the risk of injury and should only be done as necessary.
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The nurse manager has two employees with a longstanding conflict that is affecting the group's productivity and cohesiveness. She decides to meet with the employees in private, bring the conflict out into the open, and attempt to resolve it through knowledge and reason. Which conflict management strategy did she employ?
- A. Confrontation
- B. Suppression
- C. Collaboration
- D. Intervention
Correct Answer: A
Rationale: The correct answer is A: Confrontation. In this scenario, the nurse manager directly addresses the conflict by meeting with the employees in private. Confrontation involves facing the conflict head-on, bringing it out into the open, and attempting to resolve it through open communication and discussion. By addressing the conflict directly, the nurse manager is using a proactive approach to resolve the issue.
Summary of other choices:
B: Suppression - This involves ignoring or avoiding the conflict, which is not what the nurse manager is doing in this scenario.
C: Collaboration - While collaboration involves working together to find a mutually beneficial solution, the nurse manager is taking a more direct approach by confronting the conflict.
D: Intervention - This typically involves a third party stepping in to mediate the conflict, which is not what is happening in this scenario.
A new nurse manager is attempting to solve a management issue by using one solution after another until she solves the problem. This would be known as what type of method?
- A. Decision making
- B. Trial and error
- C. Experimentation
- D. Analysis
Correct Answer: B
Rationale: The correct answer is B: Trial and error. This method involves attempting different solutions sequentially until the problem is solved. Decision making (A) refers to making choices based on available information. Experimentation (C) involves testing hypotheses through controlled trials. Analysis (D) is the process of examining data and information to understand a situation. In this scenario, the nurse manager is not systematically testing hypotheses (experimentation), analyzing data (analysis), or making informed decisions (decision making), but rather trying different solutions until finding the one that works, which aligns with the trial and error method.
Which of the following best describes decertification?
- A. Encourage union affiliation
- B. Change union affiliation
- C. Reward union affiliation
- D. Empower union affiliation
Correct Answer: B
Rationale: The correct answer is B: Change union affiliation. Decertification refers to the process of employees voting to remove a union as their bargaining representative. This means changing or ending their current union affiliation.
A: Encouraging union affiliation is not related to decertification, as it involves promoting rather than changing union membership.
C: Rewarding union affiliation is not accurate for decertification, as it does not involve rewarding but rather changing the affiliation.
D: Empowering union affiliation is not the correct choice, as decertification does not enhance but rather changes or removes union representation.
Which of the following is the preferable alternative to firing an employee?
- A. Voluntary resignation
- B. Training
- C. Confrontation
- D. Coaching
Correct Answer: A
Rationale: The correct answer is A: Voluntary resignation. This option allows the employee to leave on their own terms, preserving their dignity and potentially avoiding negative consequences of being fired. Training (B) may not address the root issue leading to termination. Confrontation (C) can create a hostile environment and damage morale. Coaching (D) is more focused on improving performance rather than addressing termination. Opting for voluntary resignation promotes a more amicable separation and can benefit both the employee and the organization.
Which of the following best describes the concept of shared decision-making in healthcare?
- A. The process by which patients make healthcare decisions on their own
- B. A collaborative process that allows patients and providers to make healthcare decisions together
- C. A method for providers to dictate treatment plans to patients
- D. The use of evidence-based guidelines to make healthcare decisions
Correct Answer: B
Rationale: The correct answer is B because shared decision-making in healthcare involves both patients and providers actively participating in the decision-making process together. This collaborative approach allows for a discussion of treatment options, considering patient preferences, values, and medical evidence. It promotes patient autonomy and enhances the quality of care by incorporating both the patient's perspective and the provider's expertise.
Choice A is incorrect because shared decision-making is not solely about patients making healthcare decisions independently. Choice C is incorrect as it describes a paternalistic approach where providers dictate treatment plans to patients, which is not in line with the principles of shared decision-making. Choice D is incorrect as it refers to evidence-based guidelines, which are important but not the sole focus of shared decision-making.