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As a new nurse on a pediatric unit, you must work nights and you have minimal time to spend with your children. Your colleague observes that you speak abruptly with parents and you become easily annoyed when the patients cry or when they are demanding. You realize you are becoming increasingly more distressed and that you have no time with your children and, as a result you: (Select all that apply.)
- A. Express negative comments to colleagues about patients and parents who annoy you.
- B. Ask the nurse manager to have a schedule with an equal number of day and night shifts so that you can be with your children.
- C. Call off sick as frequently as you can without violating policies so that you have more time with your children.
- D. Minimize your communication with patients and parents so you do not offend them.
Correct Answer: B
Rationale: The correct answer is B because it addresses the root of the issue by requesting a schedule change that allows for a better work-life balance. This solution promotes your well-being and maintains professionalism.
A: Expressing negative comments is unprofessional and can create a toxic work environment. It does not address the underlying problem.
C: Calling off sick frequently is unethical and can compromise patient care. It does not address the issue at hand.
D: Minimizing communication with patients and parents is not appropriate as it goes against the principles of patient-centered care and can harm the therapeutic relationship.
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Which of the following may be considered an absenteeism management strategy?
- A. Holding regular meetings to address absenteeism
- B. Limiting career growth opportunities
- C. Reducing job stress
- D. Neglecting the issue
Correct Answer: C
Rationale: The correct answer is C: Reducing job stress. This is an absenteeism management strategy because high job stress can lead to increased absenteeism. By reducing stress through various methods such as workload management, providing support, and promoting work-life balance, organizations can effectively reduce absenteeism rates. Holding regular meetings (A) is important for communication but not a direct absenteeism strategy. Limiting career growth opportunities (B) may actually increase absenteeism due to lack of motivation. Neglecting the issue (D) will only worsen absenteeism rates.
A resident on night call refuses to answer pages from the staff nurse on the night shift and complains that she calls too often with minor problems. The nurse feels offended and reacts with frequent, middle-of-the-night phone calls to 'get back' at him. The behavior displayed by the resident and the nurse is an example of what kind of conflict?
- A. Perceived conflict
- B. Disruptive conflict
- C. Competitive conflict
- D. Felt conflict
Correct Answer: B
Rationale: The correct answer is B: Disruptive conflict. This type of conflict occurs when there is a lack of cooperation and communication between parties, leading to negative interactions. In this scenario, the resident and nurse are engaging in retaliatory behavior, causing disruption in their professional relationship. The resident's refusal to answer pages and the nurse's excessive phone calls are escalating the conflict, impacting their ability to work effectively as a team.
A: Perceived conflict refers to misunderstandings or misinterpretations of others' actions. In this case, the conflict is real and evident.
C: Competitive conflict involves a desire to win or outperform others. While there may be some competitiveness in their actions, the main issue is the disruptive nature of their conflict.
D: Felt conflict describes emotional responses to conflict situations. While emotions are likely present in this scenario, the key aspect is the disruptive nature of their behavior.
Which of the following describes the concept of ratification?
- A. Contract administration
- B. Contract passage
- C. Contract denial
- D. Contract reorganization
Correct Answer: B
Rationale: Ratification is the act of formally approving or confirming a previously unauthorized or informal agreement, making it legally binding. In the context of a contract, ratification occurs after the initial negotiation and agreement have taken place. Choice B, "Contract passage," aligns with this definition as it accurately describes the process of a contract being ratified or officially accepted. Choice A, "Contract administration," refers to the management of a contract after it has been ratified, not the ratification process itself. Choice C, "Contract denial," is incorrect as it opposes the concept of ratification. Choice D, "Contract reorganization," does not relate to the formal approval of a contract, making it an incorrect choice.
When in opposition to an immediate superior, a nurse manager should use which important strategy in a confrontation?
- A. Using 'I' language
- B. Using absolutes
- C. Using 'why' questions
- D. Using negative assertions
Correct Answer: A
Rationale: The correct answer is A: Using 'I' language. This strategy is effective in confrontation as it focuses on expressing one's own thoughts and feelings without blaming the other person. By using "I" language, the nurse manager can communicate assertively and take ownership of their perspective, which can lead to a more constructive dialogue.
Summary:
B: Using absolutes can come across as rigid and may escalate the confrontation.
C: Using 'why' questions can be perceived as accusatory and defensive, potentially leading to further conflict.
D: Using negative assertions can create a hostile environment and hinder effective communication.
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
- A. Wear an N95 respirator when giving direct care to the client.
- B. Place the client in a private room with negative-pressure airflow.
- C. Ensure the client's room has at least six air exchanges per hour.
- D. Ensure the client wears a mask when outside their room if there is construction in the area.
Correct Answer: A
Rationale: The correct answer is A: Wear an N95 respirator when giving direct care to the client. This is correct because allogeneic stem cell transplant recipients are at high risk for infection due to immunosuppression. An N95 respirator helps protect the nurse from inhaling airborne pathogens when in close contact with the client.
Choice B is incorrect because negative-pressure airflow rooms are typically used for clients with airborne infections, not for those at risk due to immunosuppression.
Choice C is incorrect because although adequate air exchanges are important for infection control, it is not the specific precaution needed for a client with an allogeneic stem cell transplant.
Choice D is incorrect because wearing a mask outside the room is not as effective in preventing transmission of infections as wearing an N95 respirator during direct care.