Nokea
If a staff member does not respond to discipline, the manager must ______ employment.
- A. Terminate
- B. Confront
- C. Describe the staff nurse's behavior that violated the policy
- D. Determine the employee's awareness of the policy
Correct Answer: A
Rationale: The correct answer is A: Terminate. If a staff member is not responding to discipline, it indicates a serious issue with their behavior or performance. Terminating their employment may be necessary to maintain discipline and uphold organizational standards. Confronting (B) and describing behavior (C) are initial steps in addressing the issue but may not be effective if the staff member continues to be non-responsive. Determining awareness (D) of the policy is important but does not directly address the lack of response to discipline. Terminating employment may be a last resort to maintain the integrity of the organization.
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Construction is occurring in the Emergency Department, with equipment and sharp items being used by the contractors. As the charge nurse, you are concerned that agitated patients might use the equipment as weapons and you meet with staff to: (EXCEPT)
- A. Notify the nursing supervisor.
- B. Notify security.
- C. Have them check patients to verify safety.
- D. Ask construction workers to be responsible.
Correct Answer: D
Rationale: The correct answer is D because asking construction workers to be responsible for the equipment and sharp items used is not within the charge nurse's role or authority. The responsibility for ensuring safety and security in the Emergency Department lies with the healthcare staff (including the charge nurse) and security personnel. Construction workers may not have the training or expertise to handle agitated patients or prevent potential incidents.
A: Notifying the nursing supervisor (A) can help escalate the issue and involve higher authority in addressing the safety concern.
B: Notifying security (B) is essential to ensure that trained professionals are present to handle security-related issues.
C: Having staff check patients (C) is important to verify their safety, but it does not address the primary concern of preventing patients from accessing construction equipment as weapons.
What quality is observed among individuals who strive to find the best way to do their job?
- A. Punctuality
- B. Strictness
- C. Honesty
- D. Motivation
Correct Answer: D
Rationale: The correct answer is D: Motivation. Individuals who strive to find the best way to do their job are motivated to continuously improve and excel in their work. Motivation drives them to seek out better methods, innovate, and push boundaries for greater efficiency and effectiveness. Punctuality (A) relates more to timeliness, strictness (B) implies rigidity rather than adaptability, and honesty (C) is important but not directly related to the drive for improvement. Overall, motivation is the key factor that propels individuals to constantly seek the best ways to perform their job.
Which of the following best describes the concept of interprofessional collaboration in healthcare?
- A. The process by which multiple healthcare professionals work together to improve patient outcomes
- B. A method for healthcare professionals to work independently within their scope of practice
- C. The use of standardized protocols to ensure consistent care
- D. A way for healthcare professionals to share patient information electronically
Correct Answer: A
Rationale: The correct answer is A because interprofessional collaboration in healthcare involves different healthcare professionals working together as a team to provide comprehensive care and improve patient outcomes. This teamwork allows for a holistic approach to patient care, utilizing the expertise of each team member. Choice B is incorrect as it refers to working independently, which goes against the collaborative nature of interprofessional collaboration. Choice C is incorrect as it focuses on standardized protocols rather than the collaboration between professionals. Choice D is also incorrect as it pertains to sharing patient information electronically, which is just one aspect of collaboration and not the main focus.
A manager is working on the personnel budget for the year. The manager anticipates needing to replace 832 benefit hours. How many FTEs (Full-Time Equivalents) will be needed for replacement?
- A. 0.40 FTEs
- B. 17.0 FTEs
- C. 0.05 FTEs
- D. 1.0 FTEs
Correct Answer: A
Rationale: To determine the FTEs needed, divide the total benefit hours by the standard annual benefit hours for a full-time employee. In this case, 832 benefit hours / 2080 standard annual benefit hours = 0.4 FTEs (Choice A). This is because an FTE represents the hours worked by one full-time employee in a year.
Choice B (17.0 FTEs) is incorrect as it is significantly higher than the calculated 0.4 FTEs. Choice C (0.05 FTEs) is too low and does not accurately reflect the number of FTEs needed for 832 benefit hours. Choice D (1.0 FTEs) is incorrect as it assumes that 832 benefit hours equal the standard annual benefit hours for one full-time employee, which is not the case here.
As a new graduate employed in a high-volume maternity unit that uses differentiated practice as its staffing model, what can the nurse expect?
- A. Evidence-based practice guides risk management principles.
- B. Client teaching is the responsibility of the team leader.
- C. The initial level of practice responsibility will be limited.
- D. Seniority is the main determinant of client assignments.
Correct Answer: C
Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety.
Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used.
Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader.
Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.