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According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?
- A. Authoritative
- B. Closed systems
- C. Open systems
- D. Trait
Correct Answer: C
Rationale: The correct answer is C: Open systems. In an open system theory, organizations interact with their environment, adapting to changes and feedback. In this case, the nurse's repeated excessive call-ins affecting shift change demonstrate a lack of consideration for the team and patient care, disrupting the system's functioning. This theory emphasizes the interconnectedness and impact of individual actions on the entire system, refuting the nurse's claim of unfair treatment.
Summary:
A: Authoritative - Focuses on centralized decision-making authority, not relevant to addressing the nurse's behavior.
B: Closed systems - Operate independently without external influences, not applicable as the nurse's actions impact the system.
D: Trait - Focuses on individual characteristics, not addressing the systemic impact of the nurse's behavior.
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An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:
- A. educational mobility.
- B. a traditional nursing program.
- C. training for advanced practice nursing.
- D. credit by examination.
Correct Answer: A
Rationale: Rationale for Correct Answer (A - educational mobility):
1. Educational mobility refers to the ability to move between different levels of education in nursing.
2. The nurse with a diploma seeking a BSN is utilizing educational mobility by advancing to a higher level of education.
3. Choosing a program with self-scheduling and a self-paced curriculum allows for flexibility, facilitating educational mobility.
Summary of Incorrect Choices:
B: Traditional nursing programs typically have fixed schedules and structured curricula, not aligned with self-paced learning.
C: Training for advanced practice nursing involves pursuing education beyond a BSN to become an advanced practice nurse, not directly related to obtaining a BSN.
D: Credit by examination allows students to earn credits based on prior knowledge, but it does not specifically relate to pursuing a BSN for educational mobility.
During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
- A. Honeymoon
- B. Shock or rejection
- C. Recovery
- D. Resolution
Correct Answer: A
Rationale: The nurse is experiencing the "Honeymoon" phase of reality shock. In this phase, individuals feel excited, optimistic, and idealistic about their new role and workplace. The nurse's positive visualization of enjoying the benefits of their hard work during orientation aligns with the honeymoon phase. This phase is characterized by a sense of satisfaction, fulfillment, and a belief that the sacrifices made, such as enduring nursing school, were worth it. The nurse's emotional state of smiling and feeling content reflects the honeymoon phase.
Other choices are incorrect:
B: Shock or rejection - This phase involves feeling overwhelmed, anxious, and doubting one's abilities. The nurse's positive emotions do not align with this phase.
C: Recovery - This phase involves adjusting and finding ways to cope with the challenges of the new role. The nurse is not in a phase of recovery as they are not struggling or adapting to the new environment.
D: Resolution - This phase involves accepting the reality of the new role and moving forward
A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?
- A. Knowledge
- B. Comprehension
- C. Application
- D. Analysis
Correct Answer: C
Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data.
Incorrect choices:
A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation.
B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions.
D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.
Nurse practice acts:
- A. are written and passed by legislators.
- B. cannot be influenced by special interest groups.
- C. reflect only the concerns of RNs.
- D. are affected by the practice of dentists.
Correct Answer: A
Rationale: The correct answer is A: Nurse practice acts are written and passed by legislators. This is because nurse practice acts are laws that govern the scope of practice for nurses, outlining their responsibilities, licensure requirements, and standards of care. Legislators create and pass these acts to ensure public safety and regulate the nursing profession. Choice B is incorrect because special interest groups can influence legislation. Choice C is incorrect as nurse practice acts also apply to other types of nurses, not just RNs. Choice D is incorrect as dentist practices are governed by separate laws and regulations.
The nurse manager meets with upper administration and learns that the strategic plan for nursing is to have 80% BSN staff within the next 3 years. The nurse manager then built her budget to meet the organization's strategic goal by providing tuition reimbursement and flexible work hours, which required some agency staffing. Which approach to budgeting is used?
- A. Iterative
- B. Top-down
- C. Participatory
- D. Zero-based
Correct Answer: C
Rationale: The correct answer is C: Participatory. The nurse manager involves staff in the budgeting process by allowing input through tuition reimbursement and flexible work hours. This approach promotes engagement and collaboration, aligning with the organization's strategic goal of increasing BSN staff. Participatory budgeting is characterized by involving stakeholders in decision-making, leading to buy-in and better implementation of the budget.
Summary of other choices:
A: Iterative - Involves repeating steps to refine the budget, not necessarily focused on stakeholder participation.
B: Top-down - Decision-making comes from upper management without much input from lower levels.
D: Zero-based - Requires justifying every expense from scratch, not necessarily involving staff input in decision-making.