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Which of the following actions best demonstrates effective delegation by a nurse manager?
- A. Retaining all tasks
- B. Assigning tasks without supervision
- C. Delegating tasks and providing oversight
- D. Avoiding delegation
Correct Answer: C
Rationale: The correct answer is C because effective delegation involves assigning tasks to appropriate staff members while providing oversight. This ensures tasks are completed safely and accurately. Retaining all tasks (A) does not promote staff development. Assigning tasks without supervision (B) can lead to errors. Avoiding delegation (D) limits staff growth. Effective delegation (C) maximizes efficiency and empowers staff.
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An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?
- A. Limiting overtime for highly paid workers
- B. Reducing the number of beds
- C. Using per diem workers
- D. Refusing to pay overtime
Correct Answer: C
Rationale: The correct answer is C: Using per diem workers. This option is viable because per diem workers can be brought in to cover shifts without incurring overtime costs. By utilizing per diem workers, the organization can reduce the need for regular staff to work overtime hours, hence decreasing overall overtime expenses.
A: Limiting overtime for highly paid workers is not a practical solution as all workers, regardless of pay, may contribute to the need for overtime.
B: Reducing the number of beds may lead to reduced capacity and impact patient care, not directly addressing the issue of reducing overtime.
D: Refusing to pay overtime is not a sustainable solution as it may lead to legal issues and impact employee morale and productivity.
An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN’s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?
- A. Fidelity
- B. Confidentiality
- C. Veracity
- D. Accountability
Correct Answer: B
Rationale: The correct answer is B: Confidentiality. The RN should consider confidentiality when replying to his friends about the senator's condition. By maintaining confidentiality, the RN upholds the trust and privacy of the senator's medical information. Sharing such information breaches the ethical duty to protect patient privacy.
A: Fidelity pertains to being faithful and loyal to one's commitments, not directly related to this situation.
C: Veracity refers to truthfulness and honesty, but in this case, maintaining confidentiality takes precedence over disclosing the truth to friends.
D: Accountability involves taking responsibility for one's actions, which is not the primary ethical principle at play in this scenario.
Within the fast-paced, changing healthcare environment, job satisfaction will influence your success. What other characteristic is an asset?
- A. Being friendly
- B. Humility
- C. Ability to anticipate consequences
- D. Flexibility
Correct Answer: D
Rationale: The correct answer is D: Flexibility. In a fast-paced healthcare environment, being flexible is crucial to adapt to changes quickly. It allows you to navigate uncertainties, respond to new challenges, and adjust your approach as needed. Being friendly (A) is important but not as critical as flexibility. Humility (B) is valuable but may not directly impact success in a dynamic environment. While the ability to anticipate consequences (C) is beneficial, it does not provide the same level of adaptability and versatility as flexibility does in a rapidly changing healthcare setting.
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
- A. Determine what type of activities the patient enjoys.
- B. Remind the patient that exercise will improve self-esteem.
- C. Teach the patient about the effects of exercise on glucose levels.
- D. Give the patient a list of activities that are moderate in intensity.
Correct Answer: A
Rationale: Correct answer: A. Determine what type of activities the patient enjoys.
Rationale:
1. By determining the patient's preferred activities, the nurse can tailor an exercise plan that is more likely to be enjoyable and sustainable for the patient.
2. Enjoyable activities increase motivation and adherence to exercise regimen, leading to better outcomes for the patient.
3. Personalized approach considers the patient's interests and abilities, promoting a positive experience with exercise.
Summary:
B: Reminding the patient about self-esteem doesn't address individual preferences for exercise.
C: Teaching about glucose levels is important but not as crucial as personalizing the exercise plan.
D: Providing a list of activities may not consider the patient's preferences and may not lead to sustained engagement.
Which of the following presents an important emerging challenge to changes in health care?
- A. Decreased immigration
- B. Nursing staff shortages
- C. Bioterrorism
- D. Increased surgical procedures
Correct Answer: C
Rationale: The correct answer is C: Bioterrorism. This is because bioterrorism poses a serious threat to public health and healthcare systems worldwide, requiring preparedness and response strategies.
- A: Decreased immigration is not a significant emerging challenge to changes in healthcare.
- B: Nursing staff shortages are an ongoing issue but not necessarily a new emerging challenge.
- D: Increased surgical procedures may strain resources but are not a specific emerging challenge like bioterrorism.