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An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision-makers involved. Which step best describes the current stage the RN is working through?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: C
Rationale: The correct answer is C: Planning. In an ethical dilemma, once the decision-makers are identified, the next step is to plan the course of action to address the issue. Planning involves considering the ethical principles, potential outcomes, and identifying the best course of action to resolve the dilemma. Assessment (A) involves gathering information, Diagnosis (B) involves analyzing the information, and Implementation (D) involves executing the chosen plan. Therefore, the RN is currently in the planning stage as he is strategizing on how to address the ethical dilemma effectively.
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Which of the following best defines the role of a nurse educator?
- A. Provide direct patient care
- B. Conduct research on nursing practices
- C. Develop and implement educational programs for nursing staff
- D. Supervise nursing staff
Correct Answer: C
Rationale: The correct answer is C: Develop and implement educational programs for nursing staff. A nurse educator's primary role is to design and deliver educational programs to enhance the knowledge and skills of nursing staff. This includes developing curriculum, conducting training sessions, and evaluating learning outcomes. Providing direct patient care (A) is typically the responsibility of bedside nurses, not nurse educators. Conducting research on nursing practices (B) is more aligned with the role of a nurse researcher. Supervising nursing staff (D) falls under the domain of nurse managers or nurse administrators, not nurse educators. In summary, the unique role of a nurse educator is focused on educational program development and implementation for nursing staff.
The problem of overrating staff performance is called ___________ .
- A. Recency error
- B. Absolute judgment
- C. Halo error
- D. Leniency error
Correct Answer: D
Rationale: The correct answer is D: Leniency error. This occurs when a rater consistently rates employees higher than deserved. This leads to inflated performance evaluations, hindering accurate assessment and feedback. Recency error (A) is when recent performance influences ratings. Absolute judgment (B) is when a rater uses the same rating scale for all employees. Halo error (C) is when one positive trait influences overall rating. In this case, leniency error best describes the problem of overrating staff performance.
Which of the following are NOT outcomes of a job analysis? (EXCEPT)
- A. Job specification
- B. Job evaluation
- C. Job description
- D. Job performance
Correct Answer: C
Rationale: The correct answer is C: Job description. Job description is NOT an outcome of a job analysis. Job analysis is the process of gathering information about a job to identify its duties, responsibilities, and requirements. Job specification, option A, is an outcome of job analysis as it outlines the qualifications and skills needed for a job. Job evaluation, option B, is also an outcome of job analysis as it involves assessing the relative worth of different jobs in an organization. Job performance, option D, is indirectly influenced by job analysis as it helps in setting performance expectations. Only job description, option C, is not directly derived from the process of job analysis, making it the correct answer.
The staff in the emergency department has presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need to implement the suggestion?
- A. Courage
- B. Integrity
- C. Energy
- D. Initiative
Correct Answer: D
Rationale: The correct answer is D: Initiative. In this scenario, the nurse leader needs to take the initiative to implement the suggested changes for streamlining the triage process. By showing initiative, the leader demonstrates the willingness to take action and drive the necessary changes forward. Courage (A) may be needed to face challenges, but it doesn't directly address the need for proactive action. Integrity (B) is important but doesn't specifically relate to implementing changes. Energy (C) is beneficial for motivation but doesn't focus on taking the first step to make changes happen. Therefore, the key quality required in this situation is initiative to drive process improvements efficiently.
Which of the following behaviors would be an early warning sign that you are not handling job stress in a healthy way?
- A. Focusing excessively on patient outcomes
- B. Needing to spend more time alone
- C. Juggling work, studies, and family responsibilities
- D. Awakening in the morning feeling unrested
Correct Answer: D
Rationale: The correct answer is D: Awakening in the morning feeling unrested. This behavior indicates potential poor sleep quality due to stress, impacting physical and mental well-being. Restful sleep is crucial for managing stress. A: Focusing excessively on patient outcomes may indicate dedication but not necessarily unhealthy stress management. B: Needing to spend more time alone could be a coping mechanism and not inherently unhealthy. C: Juggling work, studies, and family responsibilities may show a busy lifestyle but doesn't directly correlate with unhealthy stress management.