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After several months of heavy patient loads in the Emergency Department and inability to secure sufficient and experienced staff, the department is especially taxed by a train accident that brings in many seriously injured individuals. You observe that Rama ignores the requests of several of the injured, even when time is available to care for them and is rude to two older adult patients. You are concerned that Rama is evidencing which state?
- A. depersonalization
- B. role ambiguity
- C. depression
- D. hardiness
Correct Answer: A
Rationale: The correct answer is A: depersonalization. Depersonalization is a common symptom of burnout, characterized by a lack of empathy and treating patients as objects rather than individuals. In this scenario, Rama's behavior of ignoring patient requests and being rude to older adult patients indicates a disconnect and lack of personalization in patient care. This behavior can be a coping mechanism for dealing with high stress and heavy patient loads.
Choice B: role ambiguity, is incorrect as there is no indication of confusion or uncertainty about Rama's role in this scenario. Choice C: depression, is incorrect as the behavior described is more indicative of depersonalization rather than depression. Choice D: hardiness, is incorrect as hardiness refers to resilience and adaptability in stressful situations, which is not demonstrated by Rama's behavior in this scenario.
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The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?
- A. Searching the literature for a systematic review.
- B. Applying strategies that aid in adoption of research in practice.
- C. Providing the results of research studies to practitioners.
- D. Conducting an integrative review of the literature.
Correct Answer: B
Rationale: The correct answer is B: Applying strategies that aid in adoption of research in practice. This best describes TRIP because it involves implementing evidence-based research findings into clinical practice. It focuses on bridging the gap between research and practice by promoting the utilization of research findings to improve patient outcomes.
A: Searching the literature for a systematic review is a step in the research process but not specifically related to TRIP.
C: Providing the results of research studies to practitioners is important but does not encompass the full process of translating research into practice.
D: Conducting an integrative review of the literature is a research method but not directly related to implementing research into practice.
A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?
- A. Incidence of catheter-induced urinary tract infections.
- B. Nursing staff ratios.
- C. Availability of resources, such as fire extinguishers.
- D. Quality of nursing care provided.
Correct Answer: A
Rationale: The correct answer is A because an outcome audit measures the results or outcomes of client care, such as the incidence of catheter-induced urinary tract infections. This type of audit evaluates the effectiveness of the care provided and focuses on patient outcomes. Choices B and C are incorrect as they pertain to process audits, which assess how care is delivered and the availability of resources, respectively. Choice D is incorrect because it is too broad and does not specifically address a measurable outcome. Choices E, F, and G are not provided, but they would likely be incorrect unless they specifically relate to measurable outcomes of client care.
A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
- A. Encouraging the patient to attend group therapy.
- B. Monitoring for thoughts of self-harm.
- C. Preventing fluid and electrolyte imbalance.
- D. Fostering feelings of self-respect.
Correct Answer: C
Rationale: The correct answer is C: Preventing fluid and electrolyte imbalance. This is the priority goal because individuals with anorexia nervosa are at high risk for dehydration, electrolyte imbalances, and cardiac complications due to severe restriction of food intake. Addressing fluid and electrolyte balance is crucial for the client's physical health and safety. Monitoring for self-harm thoughts (B) and fostering self-respect (D) are important but secondary to the immediate physiological needs of the client. Encouraging group therapy (A) is beneficial for long-term treatment but not as critical as addressing the client's physical health in the immediate term.
To help nurse managers better manage their time, the chief nursing officer suggests that they:
- A. Progress through the workday without a plan.
- B. Put off important tasks until they feel motivated to start them.
- C. Only accept projects that exactly fit their specifications.
- D. Decline requests that are not in alignment with their priorities.
Correct Answer: D
Rationale: The correct answer is D: Decline requests that are not in alignment with their priorities. This is the best option for nurse managers to manage their time effectively. By focusing on tasks that align with their priorities, they can ensure they are using their time efficiently and effectively. Progressing without a plan (choice A) is not recommended as it can lead to disorganization and inefficiency. Putting off important tasks (choice B) is counterproductive and can lead to increased stress and missed deadlines. Only accepting projects that fit exact specifications (choice C) may limit opportunities for growth and development. In summary, by declining requests that do not align with priorities, nurse managers can optimize their time management and focus on what truly matters.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
- A. I need to speak with you about unit expectations regarding delegating and completing tasks.
- B. You have been very inconsiderate of others by not completing your share of the work.
- C. If you don't do your share of the work, I will have to inform the nurse manager.
- D. Several staff members have commented that you don't do your fair share of the work.
Correct Answer: A
Rationale: The correct answer is A: "I need to speak with you about unit expectations regarding delegating and completing tasks." This statement addresses the issue directly and professionally, focusing on establishing clear communication and setting expectations. By having a conversation about unit expectations, it allows for clarification on roles and responsibilities, promoting accountability and teamwork.
Incorrect Choices:
B: This statement uses accusatory language and does not address the issue constructively.
C: Threatening to inform the nurse manager may escalate the conflict instead of resolving it through open communication.
D: This choice involves hearsay and gossip, which is not an effective way to address the issue professionally.