Nokea
The nurse manager is talking with the CNA about her time management. Which of the following is an example of a nurse manager as a coach?
- A. Your timely response to patients' call lights is exemplary.
- B. Your appearance is seldom professional.
- C. You must get the vital signs taken on time or you will be disciplined.
- D. You never report AM blood sugar levels on time.
Correct Answer: A
Rationale: The correct answer is A because it provides positive reinforcement for a behavior that the nurse manager wants to encourage. By praising the CNA for her timely response to patients' call lights, the nurse manager is acting as a coach by recognizing and reinforcing a positive behavior. This approach is motivational and helps the CNA understand the importance of time management in a positive manner.
Choice B is incorrect because it focuses on the CNA's appearance, which is not directly related to time management or coaching. Choice C is incorrect as it uses a threat of discipline rather than coaching to address the issue of vital signs being taken on time. Choice D is incorrect as it uses a negative statement without providing constructive feedback or coaching to address the issue of reporting blood sugar levels on time.
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Which of the following are essential components of strategic planning?
- A. Values
- B. Vision & Mission statements
- C. Reengineering
- D. A & B
Correct Answer: D
Rationale: The correct answer is D (Values and Vision & Mission statements) because they are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & Mission statements define the organization's purpose, goals, and direction, providing a roadmap for strategic decisions. Reengineering (choice C) is not a typical component of strategic planning as it focuses on process improvement rather than guiding the overall strategy. Choice A (Values) alone is not sufficient for strategic planning without a clear direction provided by Vision & Mission statements (B), making D the most comprehensive and accurate choice.
Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)
- A. At least 1,250 hours during the previous 12 months.
- B. At least 12 months.
- C. At least six months.
- D. At a work site with 50 employees within a 75-mile radius.
Correct Answer: C
Rationale: The correct answer is C: At least six months. This is because eligibility for a leave of absence is typically based on the duration of employment, with many employers requiring a minimum of six months of service before being eligible. Choices A and B are common criteria for FMLA eligibility, but not for general leave of absence policies. Choice D is related to the Family and Medical Leave Act (FMLA) provision on worksite eligibility, not individual employee eligibility. Therefore, choice C is the most relevant and appropriate requirement for employees to take a leave of absence.
What term refers to the situation where the pay of newer employees is similar to or higher than that of more experienced employees?
- A. Salary compression
- B. Salary expectations
- C. Salary range
- D. Salary inflation
Correct Answer: A
Rationale: The correct answer is A: Salary compression. Salary compression occurs when the pay of newer employees is comparable to or higher than that of more experienced employees due to various factors such as market trends, limited salary budgets, or lack of adjustments for inflation. This can lead to decreased morale and motivation among the experienced employees.
Choice B, salary expectations, does not specifically refer to the situation described in the question. Choice C, salary range, is a term used to define the minimum and maximum pay levels for a particular job position and does not address the relationship between newer and more experienced employees' pay. Choice D, salary inflation, refers to the general increase in wages over time due to factors such as rising costs of living and economic growth, but it does not specifically address the scenario of newer employees earning more than experienced employees.
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.
When planning care for a client with vision loss, which of the following interventions should the nurse include in the plan of care to assist the client with feeding?
- A. Arrange food in a consistent pattern on the client's plate
- B. Thicken liquids on the client's tray
- C. Provide small-handled utensils for the client
- D. Assign a staff member to feed the client
Correct Answer: A
Rationale: The correct answer is A: Arrange food in a consistent pattern on the client's plate. This intervention is crucial for a client with vision loss as it helps them locate and distinguish different food items more easily. By arranging food in a consistent pattern, the client can use their sense of touch to identify and pick up each item. Thicking liquids (choice B) does not directly address the issue of feeding difficulties due to vision loss. Providing small-handled utensils (choice C) may help with dexterity but does not specifically address the visual impairment. Assigning a staff member to feed the client (choice D) may not promote independence and may not always be feasible.