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Factors that may contribute to workplace violence in a health care setting include:
- A. Lack of armed security
- B. Continuous loud noises and/or poorly monitored entrances
- C. Poor staff interactions
- D. Tense shoulders and clenched fists
Correct Answer: B
Rationale: The correct answer is B because continuous loud noises and poorly monitored entrances can create a stressful environment, leading to heightened emotions and potential triggers for violence. Loud noises can increase agitation, while poorly monitored entrances can allow unauthorized individuals to enter, posing a security risk. The other choices are incorrect because lack of armed security (A) is not a direct cause of workplace violence, poor staff interactions (C) may contribute to a negative work environment but not necessarily violence, and tense shoulders and clenched fists (D) are physical signs of stress but do not directly cause workplace violence.
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When someone is consistently late for work due to unreliable transportation, this is known as which type of barrier?
- A. Attendance
- B. Voluntary
- C. Motivation
- D. Involuntary
Correct Answer: A
Rationale: The correct answer is A: Attendance. This is because being consistently late for work due to unreliable transportation directly impacts one's ability to be present at work on time, affecting attendance. It is not voluntary (B) as the individual is not choosing to be late, nor is it related to motivation (C) as it is an external factor beyond their control. It is also not involuntary (D) as the lateness is a result of a specific issue rather than a lack of intention.
The manager of a medical-surgical unit is very task-motivated. Using Fiedler's Contingency Theory, under what circumstances would the manager be most effective?
- A. Only during highly stressful situations.
- B. When there is little to no stress.
- C. Under highly structured situations.
- D. When the situation is loosely structured.
Correct Answer: C
Rationale: According to Fiedler's Contingency Theory, task-motivated leaders are most effective in highly structured situations. This is because in such environments, the leader can focus on task accomplishment and clearly defined goals without needing to rely heavily on interpersonal relationships. In contrast, in loosely structured situations, task-motivated leaders may struggle as the lack of clear direction and ambiguity can hinder their task-oriented approach. Therefore, the correct answer is C. Choices A and B are incorrect as they focus on stress levels, which are not directly related to the effectiveness of task-motivated leaders. Choice D is incorrect because loosely structured situations are not ideal for task-motivated leaders according to Fiedler's theory.
Which of the following is a characteristic of a well-written goal?
- A. Goals should be vague
- B. Goals should be unrealistic
- C. Goals need to be measurable, realistic, and achievable
- D. Goals should be easy to achieve
Correct Answer: C
Rationale: The correct answer is C because well-written goals need to be specific, measurable, achievable, relevant, and time-bound (SMART). Measurable goals allow for tracking progress, realistic goals are attainable, and achievable goals are within reach. Vague goals (A) lack clarity, unrealistic goals (B) may lead to frustration, and goals that are too easy to achieve (D) do not challenge individuals to grow and improve. Therefore, option C is the best choice for a well-written goal.
How will working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims affect staff?
- A. Feelings of extreme overload.
- B. Fear of failure.
- C. A pessimistic sense about the world.
- D. Inability to separate intense work situations from personal situations.
Correct Answer: B
Rationale: The correct answer is B: Fear of failure. Working in a high-volume, noisy emergency room with a high incidence of assault victims can lead to staff experiencing fear of failure due to the intense and high-pressure nature of the work environment. Staff may feel overwhelmed by the constant influx of critical cases and the need to make quick decisions, which can contribute to a fear of not being able to save every patient. This fear can impact their confidence and increase stress levels.
Incorrect choices:
A: Feelings of extreme overload - While staff may feel overwhelmed, the specific impact mentioned in this choice is not directly related to the work environment described.
C: A pessimistic sense about the world - This choice is too broad and not necessarily tied to the specific challenges of working in this type of emergency room.
D: Inability to separate intense work situations from personal situations - While this can be a challenge, it is not the primary effect discussed in the question stem.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation?
- A. Urine is positive for ketones
- B. Urine has an unusual odor
- C. Urine specific gravity is 1.035 (normal range: 1.010 to 1.025)
- D. Bladder scan shows 525 mL of urine
Correct Answer: A
Rationale: The correct answer is A because the presence of ketones in the urine may indicate dehydration or infection, which can lead to catheter obstruction. Irrigation may be needed to clear the catheter and prevent further complications. Choices B, C, and D are incorrect because an unusual odor, high specific gravity, and a significant amount of urine in the bladder do not necessarily indicate the need for catheter irrigation.