An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?
- A. Commitment to others means I should be honest and accountable for my actions.
- B. I should encourage my fellow nurses to talk when they are having a bad day.
- C. I should be flexible with myself and my fellow nurses when it comes to the dress code.
- D. If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Commitment to others implies putting patients' needs first, being honest, and taking responsibility for one's actions.
2. Being honest and accountable are key components of professionalism in nursing.
3. Accountability ensures that patients receive safe and quality care.
4. Encouraging honesty and accountability among colleagues promotes a culture of safety and trust.
Summary:
- Choice A is correct as it aligns with the principles of professionalism in nursing.
- Choices B, C, and D do not directly address the core aspects of professionalism, such as honesty, accountability, and prioritizing patient care.
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Which of the following is likely to facilitate union activity?
- A. Managers communicating effectively with employees
- B. Managers listening to concerns of employees
- C. Belief that low wages cause job dissatisfaction
- D. Belief that supervisors are not understanding of unionizing
Correct Answer: C
Rationale: Step 1: Low wages may lead to job dissatisfaction, prompting employees to seek unionization for better pay.
Step 2: A direct correlation exists between low wages and union activity due to dissatisfaction.
Step 3: This belief can motivate employees to band together for collective bargaining.
Step 4: Effective communication or listening by managers does not directly facilitate union activity.
Step 5: The perception of supervisors' understanding is secondary to the root cause of dissatisfaction.
What is a benefit of effective delegation?
- A. It increases the manager's workload
- B. It allows the manager to make all the decisions
- C. It empowers staff to make decisions
- D. It decreases staff involvement
Correct Answer: C
Rationale: The correct answer is C: It empowers staff to make decisions. Effective delegation involves assigning tasks and responsibilities to employees while providing them with the authority and autonomy to make decisions within their scope of work. This benefits the organization by empowering staff, improving morale, fostering skill development, and increasing productivity. By delegating effectively, managers can focus on strategic tasks, reduce micromanagement, and promote a culture of trust and collaboration within the team.
The other choices are incorrect because:
A: It increases the manager's workload - Effective delegation should actually decrease the manager's workload by distributing tasks among team members.
B: It allows the manager to make all the decisions - This goes against the concept of delegation, which involves sharing decision-making authority with staff.
D: It decreases staff involvement - Effective delegation should increase staff involvement by giving them responsibilities and decision-making power.
What is the primary focus of a patient safety program?
- A. To reduce healthcare costs
- B. To improve clinical outcomes
- C. To enhance patient satisfaction
- D. To comply with regulatory standards
Correct Answer: C
Rationale: The primary focus of a patient safety program is to enhance patient satisfaction. This is because the ultimate goal of patient safety initiatives is to ensure that patients receive safe and high-quality care, leading to improved patient experience and satisfaction. By prioritizing patient safety, healthcare providers can build trust with patients, reduce medical errors, and prevent harm.
Why other choices are incorrect:
A: While reducing healthcare costs may be a positive outcome of a patient safety program, it is not the primary focus.
B: Improving clinical outcomes is an important goal of patient safety programs, but it is not the primary focus as patient satisfaction encompasses a broader aspect of care.
D: Compliance with regulatory standards is essential, but it is a means to achieve patient safety rather than the primary focus.
Which of the following statements is true regarding nursing ethics?
- A. Nursing ethics focus on the organizational level at the workplace.
- B. Nursing ethics focus on the duties and rules of behavior for professional nurses.
- C. Nursing ethics focus on the moral character of nurses.
- D. Nursing ethics focus on the experiences and needs of nurses.
Correct Answer: D
Rationale: Step 1: Nursing ethics encompass principles guiding ethical decision-making.
Step 2: Focusing on the experiences and needs of nurses ensures ethical care delivery.
Step 3: Understanding nurse perspectives enhances patient-centered care.
Step 4: Organizational level (A) is limited, duties and rules (B) are important but not the sole focus, and moral character (C) is crucial but not the main emphasis.
An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?
- A. One or more of the parties may be able to reconcile their values.
- B. The patient’s point of view is recognized as valuable.
- C. The dilemma involves two or more equally unpleasant choices.
- D. The institution is unable to honor the patient’s request.
Correct Answer: C
Rationale: The correct answer is C because when an ethical dilemma involves two or more equally unpleasant choices, it can be challenging for decision-makers to come to a consensus. This is known as a moral dilemma, where there is no clear right or wrong option, making it difficult to reach an agreement. In such cases, individuals may have strong convictions about different courses of action, leading to a deadlock in decision-making.
Incorrect choices:
A: One or more of the parties may be able to reconcile their values - This choice suggests that parties can find common ground by adjusting their values, which is not always possible in complex ethical dilemmas.
B: The patient’s point of view is recognized as valuable - While recognizing the patient's perspective is important, it may not directly address the core reason why an agreement cannot be reached.
D: The institution is unable to honor the patient’s request - This choice focuses on institutional constraints rather than the fundamental nature of ethical dilemmas and decision-making processes.