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An RN is counseled by the nurse manager regarding inappropriate delegation when the:
- A. RN instructs the nursing assistant to greet ambulatory surgery patients and show them to their rooms.
- B. nursing assistant informs the RN that she has not been trained to collect a sputum specimen and the RN states, "I will show you this time and you can show me the next time."
- C. RN assigns the float LPN/LVN the task of completing a plan of care for a stable patient who was admitted for routine replacement of a feeding tube.
- D. LPN/LVN who has demonstrated competence is asked to perform a dressing change for a patient before she is discharged home.
Correct Answer: C
Rationale: The correct answer is C because delegating the task of completing a plan of care to a float LPN/LVN for a stable patient is inappropriate. LPNs/LVNs have a different scope of practice compared to RNs and should not be assigned tasks related to developing care plans. This task requires critical thinking skills and assessment that are within the RN's scope of practice.
A: A is incorrect because delegating the task of greeting and showing ambulatory surgery patients to their rooms is appropriate for a nursing assistant.
B: B is incorrect because delegating the task of collecting a sputum specimen, once trained, is appropriate for a nursing assistant under the supervision of an RN.
D: D is incorrect because delegating the task of performing a dressing change to a competent LPN/LVN is appropriate, as long as it falls within their scope of practice.
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A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
- A. know his or her own values and how these values relate to beliefs and the philosophy of nursing.
- B. rid the impurities in his or her value system.
- C. ignore his or her own values.
- D. realize that values do not change and that they cannot be influenced by others.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice.
2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing.
3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client.
4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards.
Summary:
- Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them.
- Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care.
- Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.
A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?
- A. Baby Boomers
- B. Traditionalist
- C. Generation X
- D. Millenniums
Correct Answer: C
Rationale: The nurse's communication style of working independently, sharing ideas with the team, and suggesting a collaborative approach aligns with Generation X characteristics. Generation X values independence, work-life balance, and collaboration. Baby Boomers (A) tend to be more hierarchical, Traditionalists (B) prioritize loyalty and respect for authority, and Millennials (D) are known for their tech-savvy and collaborative nature, but the nurse's approach best fits Generation X.
During a health history interview, the nurse listens to a patient relating the precipitating events that led to the onset of chest pain. She focuses her attention on the patient, makes eye contact, and acknowledges what the patient has to say. The nurse is exhibiting:
- A. assertive communication.
- B. active listening.
- C. empathy.
- D. passive communication.
Correct Answer: B
Rationale: The correct answer is B: active listening. Active listening involves fully focusing on the speaker, making eye contact, acknowledging what they are saying, and showing genuine interest in their words. In this scenario, the nurse is attentively listening to the patient's account of the events leading to chest pain, demonstrating active listening skills by being present in the moment and engaging with the patient's narrative.
A: Assertive communication involves expressing one's thoughts and feelings clearly and respectfully. This choice is incorrect because the nurse is not actively expressing her thoughts or feelings in this situation.
C: Empathy involves understanding and sharing the feelings of another. While empathy is important in nursing care, the nurse in this scenario is primarily engaged in listening rather than specifically expressing empathy.
D: Passive communication is characterized by a lack of assertiveness and active engagement in the conversation. This choice is incorrect because the nurse is actively listening and engaging with the patient's narrative.
Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (select all that apply)
- A. serving on interdisciplinary care teams.
- B. being competent to work in several areas independently when dictated by patient census.
- C. attending a meeting to plan advanced training for unlicensed assistive personnel.
- D. evaluating outcomes of care that are reported to a standing committee.
Correct Answer: A
Rationale: The correct answer is A: serving on interdisciplinary care teams. This is correct because as registered nurses enter the workforce, they are expected to collaborate with other healthcare professionals on interdisciplinary care teams to provide comprehensive patient care. This involves working together with professionals from different disciplines to ensure holistic and effective treatment plans.
Explanation for why the other choices are incorrect:
B: Being competent to work in several areas independently when dictated by patient census - While nurses may need to be versatile, the emphasis on independent work in various areas does not necessarily reflect expanded leadership responsibilities.
C: Attending a meeting to plan advanced training for unlicensed assistive personnel - While important for team collaboration, attending meetings to plan training for support staff does not directly relate to expanded leadership responsibilities.
D: Evaluating outcomes of care that are reported to a standing committee - While evaluating outcomes is important, it may not specifically denote expanded leadership responsibilities compared to the collaborative nature of serving on interdisciplinary care teams.
A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three- part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. This nurse is involved in the role of:
- A. change agent.
- B. educator.
- C. manager.
- D. coordinator.
Correct Answer: A
Rationale: The correct answer is A: change agent. The nurse is acting as a change agent by identifying a problem (care being withheld until an interpreter arrives) and proposing a solution (teaching common medical terms in Spanish). As a change agent, the nurse is promoting positive change within the organization to improve patient care. The other choices are incorrect because:
B: Educator - While the nurse is providing education, the primary role in this scenario is not solely that of an educator.
C: Manager - The nurse is not directly managing staff or resources in this scenario.
D: Coordinator - The nurse is not primarily coordinating activities or resources in this scenario.