Nokea
In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?
- A. Avoidance
- B. Withdrawal
- C. Suppression
- D. Competition
Correct Answer: C
Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.
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Which of the following is an example of a secondary prevention strategy?
- A. Administering flu vaccinations
- B. Screening for hypertension
- C. Performing a mastectomy
- D. Providing rehabilitation after surgery
Correct Answer: B
Rationale: The correct answer is B: Screening for hypertension. Secondary prevention aims to detect and treat a disease in its early stages to prevent further progression. Screening for hypertension helps identify individuals at risk and enables timely intervention to prevent complications. Administering flu vaccinations (A) is an example of primary prevention. Performing a mastectomy (C) is a treatment method for existing breast cancer, falling under tertiary prevention. Providing rehabilitation after surgery (D) focuses on restoring function post-treatment, also part of tertiary prevention.
When a Nurse Manager leaves the facility, and one of the remaining managers is given that assignment in addition to her current load without the open position being filled, this is an example of which of the following?
- A. Job enlargement
- B. Proactive management
- C. Time log
- D. Prioritizing
Correct Answer: A
Rationale: The correct answer is A: Job enlargement. Job enlargement involves adding more tasks of a similar level of complexity to an existing job role. In this scenario, the manager is given additional responsibilities without a new hire, which expands the scope of their role. This aligns with the concept of job enlargement.
Explanation for why other choices are incorrect:
B: Proactive management typically involves taking preventive actions to address potential issues before they occur. This situation does not involve proactive measures.
C: Time log refers to tracking and recording time spent on various tasks, which is not relevant to the scenario described.
D: Prioritizing involves determining the order of importance of tasks. While prioritizing may be necessary in this situation, it is not the best fit for the scenario provided.
Characteristics that an interviewer will be most interested in when selecting a new staff will be: (EXCEPT)
- A. Your confidence in your clinical skills.
- B. How many hours of overtime you will work.
- C. Your ability to work as a team member.
- D. Your clinical competence.
Correct Answer: B
Rationale: The correct answer is B: How many hours of overtime you will work. Interviewers are primarily interested in your clinical competence, ability to work as a team member, and confidence in your skills. Overtime hours are not typically a deciding factor in selecting a new staff member as it relates more to scheduling and workload management, which can be negotiated after hiring. It is important to focus on demonstrating your skills, teamwork, and confidence during the interview to showcase your suitability for the position.
What is the primary function of discipline?
- A. To punish
- B. To evaluate
- C. To teach
- D. To ridicule
Correct Answer: C
Rationale: The primary function of discipline is to teach. Discipline aims to guide individuals towards desired behaviors, values, and attitudes through positive reinforcement, correction, and guidance. It involves setting boundaries, providing structure, and helping individuals learn from their mistakes. Punishing (choice A) focuses solely on consequences without teaching alternatives. Evaluation (choice B) assesses performance but doesn't necessarily teach. Ridicule (choice D) is harmful and counterproductive, not a purpose of discipline. In summary, discipline primarily serves to educate and cultivate positive behavior.
A client is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should be taken?
- A. Ask the client to consider a direct donation
- B. Withhold the blood transfusion
- C. Ask the client to consider a direct donation
- D. Request a consultation with the ethics committee
Correct Answer: A
Rationale: The correct answer is A. Asking the client to consider a direct donation respects their religious beliefs while also addressing the partner's concerns. This option promotes patient autonomy and involves the client in decision-making.
B: Withholding the blood transfusion disregards the client's autonomy and may lead to ethical issues.
C: This is a repeated option and does not provide a different course of action.
D: Requesting a consultation with the ethics committee may delay necessary treatment and should be considered only when there is a significant ethical dilemma beyond this situation.