Nokea
The problem of overrating staff performance is called ___________ .
- A. Recency error
- B. Absolute judgment
- C. Halo error
- D. Leniency error
Correct Answer: D
Rationale: The correct answer is D: Leniency error. This occurs when a rater consistently rates employees higher than deserved. This leads to inflated performance evaluations, hindering accurate assessment and feedback. Recency error (A) is when recent performance influences ratings. Absolute judgment (B) is when a rater uses the same rating scale for all employees. Halo error (C) is when one positive trait influences overall rating. In this case, leniency error best describes the problem of overrating staff performance.
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From a unit perspective, disruptive and violent patient behavior may be distracting to patients and staff. As the nurse manager, you are concerned about: (EXCEPT)
- A. Patient and staff safety.
- B. Team tension.
- C. Fear of disappointment.
- D. Stress levels.
Correct Answer: C
Rationale: The correct answer is C: Fear of disappointment. As a nurse manager, concerns should be focused on patient and staff safety (A), team tension (B), and stress levels (D) due to disruptive and violent patient behavior. Fear of disappointment is not directly related to the immediate impact on safety, team dynamics, or stress levels in this scenario. It is important to prioritize addressing safety risks, maintaining team cohesion, and managing stress levels to ensure a safe and effective healthcare environment.
Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct Answer: C
Rationale: The correct answer is C: Greater client workload. Achieving Magnet Hospital designation typically does not lead to an increase in client workload. The other choices (A, B, D) are advantages of Magnet Hospital designation as they are commonly associated with it. A: Greater client satisfaction is a common outcome due to improved quality of care. B: Improved nursing recruitment is a benefit as it attracts high-quality nurses. D: Nurses who are independent decision makers is a characteristic of Magnet Hospitals, promoting autonomy and professional growth.
What type of staffing involves scheduling a certain number of people per day consistently?
- A. Flexible
- B. Mixed
- C. Block
- D. Creative
Correct Answer: C
Rationale: The correct answer is C: Block staffing. Block staffing involves scheduling a fixed number of employees per day consistently, typically in blocks of time. This type of staffing is efficient for roles that require a consistent number of staff members each day, such as in healthcare settings where a certain number of nurses are needed for each shift.
Rationale:
1. Block staffing ensures consistent coverage: By scheduling a set number of employees each day, organizations can ensure that they have adequate coverage for their operations.
2. Predictability and stability: With block staffing, employees know when they are expected to work, providing stability in scheduling.
3. Efficient resource allocation: Block staffing allows for efficient allocation of resources by matching the workforce to the demand for services.
Other choices are incorrect:
A: Flexible staffing involves adjusting the number of employees based on fluctuating demand.
B: Mixed staffing combines different types of staffing models based on varying needs.
D: Creative staffing involves innovative approaches to staffing, which may not necessarily involve consistent scheduling
An RN is reviewing professional behavior expectations with a group of new nurses. Which of the following statements should be included in the teaching?
- A. It is not OK to discuss your days at work on social media.
- B. When you are passionate about a topic, speak up in professional platforms.
- C. Your behavior outside of the practice setting can impact your license.
- D. Nurses may lose their licenses for unprofessional actions.
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. Nurses are held to high professional standards, and unprofessional actions can lead to license revocation.
2. Maintaining professionalism is crucial to ensuring patient safety and trust in the healthcare system.
3. Highlighting consequences reinforces the importance of adhering to ethical standards.
Summary:
A: Irrelevant to professional behavior expectations.
B: While encouraged, passion must be expressed appropriately.
C: True, but does not emphasize the serious consequences of unprofessional behavior.
A 28-year-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?
- A. The patient always carries hard candies when engaging in exercise.
- B. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
- C. The patient has a peanut butter sandwich before going for a bicycle ride.
- D. The patient increases daily exercise when ketones are present in the urine.
Correct Answer: D
Rationale: The correct answer is D. Increasing exercise when ketones are present can worsen diabetic ketoacidosis. A patient should not exercise with ketones in urine. Carrying candies for exercise (A) helps manage low blood sugar. Going for a walk with a glucose of 200 mg/dL (B) can help lower blood sugar. Eating a sandwich before exercise (C) provides fuel.