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Which of the following scenarios would be an example of shared governance on a nursing unit?
- A. Staff nurses delegate activities to CNAs.
- B. Procedure manuals are written by a committee of nurse managers.
- C. Staff nurses and CNAs make their own schedules.
- D. A unit manager seeks advice from her supervisor.
Correct Answer: C
Rationale: The correct answer is C because shared governance involves staff nurses and CNAs collaborating in decision-making processes, such as creating schedules. This promotes autonomy, teamwork, and mutual respect. Option A involves delegation, not shared decision-making. Option B shows centralized authority by nurse managers. Option D indicates hierarchical decision-making, not shared governance. In summary, choice C aligns with the principles of shared governance, while the other options do not involve the active involvement of both staff nurses and CNAs in decision-making.
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Most evaluations are based on absolute judgment. This is:
- A. A standard set by an external source.
- B. The manager and staff's perceived notion.
- C. Internal standards.
- D. The manager's personal opinion.
Correct Answer: C
Rationale: The correct answer is C: Internal standards.
Rationale:
1. Internal standards refer to criteria set by an organization based on its own goals and values.
2. Absolute judgment means evaluations are made against these internal standards.
3. By using internal standards, evaluations are consistent and aligned with organizational objectives.
4. External sources (A) and manager's personal opinion (D) are subjective and may not reflect organizational goals.
5. Manager and staff's perceived notion (B) may vary and lack consistency, unlike internal standards.
Summary:
Internal standards provide a consistent and objective basis for evaluations, ensuring alignment with organizational goals. External sources, personal opinions, and perceived notions lack this consistency and alignment.
An environment that rewards good __________ is the goal in a work environment.
- A. Performance
- B. Turnover
- C. Strategies
- D. Stress
Correct Answer: A
Rationale: The correct answer is A: Performance. In a work environment, rewarding good performance encourages employees to excel and achieve organizational goals. Performance-based rewards motivate employees to work efficiently and effectively. Turnover (B) refers to the rate at which employees leave a company, which is not an ideal goal for a work environment. Strategies (C) are plans or approaches used to achieve objectives, but they are not the direct target of rewards. Stress (D) is a negative factor that should be minimized in a work environment, not rewarded.
1. Which patient action indicates good understanding of the nurse’s teaching about
administration of aspart (NovoLog) insulin?
- A. The patient avoids injecting the insulin into the upper abdominal area
- B. The patient cleans the skin with soap and water before insulin administration.
- C. The patient stores the insulin in the freezer after administering the prescribed dose.
- D. The patient pushes the plunger down while removing the syringe from the injection site
Correct Answer: B
Rationale: The correct answer is B because cleaning the skin with soap and water before insulin administration helps prevent infection. Proper skin preparation is essential for safe injection practices. Choice A is incorrect because the abdominal area is a recommended site for insulin injection. Choice C is incorrect because insulin should not be stored in the freezer. Choice D is incorrect because pushing the plunger down while removing the syringe could result in incomplete dosing.
Which of the following is a skill emotionally intelligent leaders must develop?
- A. Encourage constructive criticism.
- B. Work to complete all assigned tasks on his or her own.
- C. Minimize one’s own emotions, instead of seeking to understand the emotions of others.
- D. Encourage others to work efficiently and independently.
Correct Answer: A
Rationale: The correct answer is A. Emotionally intelligent leaders must develop the skill of encouraging constructive criticism because it fosters open communication, builds trust, and promotes growth and learning within the team. By actively seeking feedback and input from others, leaders show humility, empathy, and a willingness to improve. This skill also helps in creating a positive work environment where team members feel valued and supported.
Choice B is incorrect because emotionally intelligent leaders understand the importance of collaboration and delegating tasks effectively rather than working solely on their own. Choice C is incorrect because minimizing one's own emotions hinders effective communication and empathy, which are crucial aspects of emotional intelligence. Choice D is incorrect because while encouraging others to work efficiently is important, it does not specifically address the need for constructive criticism in developing emotional intelligence.
What is the main concern with collective bargaining?
- A. Create tension among nurses.
- B. Reform health care.
- C. Secure economic security.
- D. Unite the nurses.
Correct Answer: A
Rationale: The correct answer is A: Create tension among nurses. Collective bargaining involves negotiation between labor unions and employers, which can lead to disagreements and conflicts among nurses over issues such as wages, working conditions, and benefits. This tension is a common concern as it can impact unity and collaboration within the nursing workforce.
Summary:
B: Reform health care - This is incorrect as collective bargaining focuses on labor relations, not healthcare reform.
C: Secure economic security - This is incorrect as securing economic security is one of the goals of collective bargaining, not a concern.
D: Unite the nurses - This is incorrect as collective bargaining can sometimes lead to division and tension among nurses rather than uniting them.