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As a nurse manager, you introduce a program that enables staff nurses to recognize peers for teamwork and exceptional patient care with care awards.' Your rationale for this program is that peer recognition:
- A. Increases staff accountability
- B. Reduces organizational conflict
- C. Increases job satisfaction
- D. Reduces the need for managerial oversight
Correct Answer: C
Rationale: Peer care awards' for teamwork and care boost job satisfaction nurses feel valued by colleagues, lifting morale, as studies link recognition to engagement. It's not primarily about accountability, conflict, or less oversight, though it may ease tensions. In your unit, this fosters positivity amid stress, reinforcing good practice via peer praise, a low-cost, high-impact way to enhance fulfillment and retention, aligning with morale-building goals.
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Nurse receives four phone calls from pregnant women in their last trimester of pregnancy. Which call should be answered first?
- A. Client can't sleep supine because shortness of breath
- B. Client with frequent heartburn
- C. Client who can't remove wedding ring
- D. Client with frequent non-painful uterine contractions
Correct Answer: A
Rationale: The nurse must prioritize the client with shortness of breath when supine, a potential sign of late-pregnancy complications like preeclampsia or heart strain, over heartburn, ring tightness, or non-painful contractions. Dyspnea signals respiratory or cardiac distress say, from fluid overload needing urgent assessment to prevent maternal-fetal harm. Heartburn's common, ring issues suggest edema (less acute), and contractions could be Braxton Hicks, not immediate labor. In nursing leadership, triaging this call first ensures safety; a delay might miss hypoxia, risking oxygen delivery to the fetus. Picture a 38-week pregnant woman gasping this demands swift action, guiding care prioritization in high-stakes obstetric settings effectively.
When a student encounters problems while trying to reach a goal and then claims that she is a failure is an example of-
- A. Realistic thinking
- B. The best way to reach a goal
- C. Distortion of thinking
- D. Adjustment of thinking process
Correct Answer: C
Rationale: Failure claim is distortion , not realistic, best, or adjustment. Nurse leaders like reframing setbacks counter this, contrasting with negativity. In healthcare, resilience aids progress, aligning leadership with positive mindset.
The nurse is assessing a client with suspected hyperglycemia. Which finding supports this diagnosis?
- A. Polyuria
- B. Sweating
- C. Muscle cramps
- D. Shakiness
Correct Answer: A
Rationale: In suspected hyperglycemia, polyuria supports it, not sweating, cramps, or shakiness (hypoglycemia signs). High glucose spills into urine frequent urination signals control issues, unlike adrenergic responses. Leadership notes this imagine thirst; it guides insulin, aligning with diabetes care effectively.
Types of stress include
- A. OM' mantra
- B. Daily chores
- C. Internal factors
- D. Psychological stress
Correct Answer: D
Rationale: Psychological stress is a type, unlike mantra, chores, or factors. Nurse leaders like addressing anxiety tackle this, contrasting with tasks. In healthcare, recognizing mental stress is key, aligning leadership with emotional health.
As a nurse manager, you want to institute point-of-care devices on your unit. The rationale that you provide to support the point-of-care devices includes:
- A. reduction in incidents of medication error
- B. immediate documentation of care
- C. comparison of patient data with previous data
- D. immediate access to staffing schedules
Correct Answer: A
Rationale: Point-of-care devices, like bedside scanners or tablets, enhance care by enabling real-time actions. A primary rationale is reducing medication errors e.g., through bar-code scanning to verify drugs and patient identity before administration, catching mistakes instantly. This directly improves safety, a compelling argument for adoption. Immediate documentation and data comparison are benefits, streamlining workflow and informing decisions, but error reduction is a stronger, more urgent driver tied to patient outcomes. Access to staffing schedules is unrelated to clinical care delivery. Emphasizing medication error reduction highlights a tangible, evidence-supported impact, aligning with safety priorities and likely securing support for implementation.