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To help nurse managers better manage their time, the chief nursing officer suggests that they:
- A. Progress through the workday without a plan.
- B. Put off important tasks until they feel motivated to start them.
- C. Only accept projects that exactly fit their specifications.
- D. Decline requests that are not in alignment with their priorities.
Correct Answer: D
Rationale: The correct answer is D: Decline requests that are not in alignment with their priorities. This is the best option for nurse managers to manage their time effectively. By focusing on tasks that align with their priorities, they can ensure they are using their time efficiently and effectively. Progressing without a plan (choice A) is not recommended as it can lead to disorganization and inefficiency. Putting off important tasks (choice B) is counterproductive and can lead to increased stress and missed deadlines. Only accepting projects that fit exact specifications (choice C) may limit opportunities for growth and development. In summary, by declining requests that do not align with priorities, nurse managers can optimize their time management and focus on what truly matters.
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A charge nurse allows a nurse an additional twenty minutes for his lunch break to take care of a personal matter. The charge nurse agrees to watch his patients for the additional twenty minutes, only if he agrees to help with the end-of-shift drug count. The charge nurse is demonstrating which of the following types of conflict management?
- A. Avoiding
- B. Compromising
- C. Cooperating
- D. Competing
Correct Answer: B
Rationale: The correct answer is B: Compromising. Compromising involves finding a middle ground where both parties give up something to reach a mutually acceptable solution. In this scenario, the charge nurse and nurse both make concessions - the charge nurse agrees to watch the patients for an additional twenty minutes, and the nurse agrees to help with the end-of-shift drug count. This approach allows both parties to achieve their goals partially, demonstrating a compromise. Avoiding (A) would be ignoring the issue, cooperating (C) would involve working together without concessions, and competing (D) would be a win-lose situation.
A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?
- A. Surgery to the wrong site was stopped prior to a procedure.
- B. Paralysis of a client's lower extremities occurred following epidural anesthesia.
- C. A client fall during ambulation did not result in client injury.
- D. A complaint that a nurse was culturally insensitive was made by a client's family member.
Correct Answer: B
Rationale: The correct answer is B: Paralysis of a client's lower extremities occurred following epidural anesthesia. This incident should be identified as a sentinel event because it resulted in a serious harm or death to the patient. Sentinel events are defined as unexpected occurrences involving death or serious physical or psychological injury. In this case, the paralysis of the client's lower extremities following epidural anesthesia qualifies as a serious physical injury. The other choices do not meet the criteria for a sentinel event: A did not result in harm, C did not result in client injury, and D involves a complaint of cultural insensitivity which, while important, does not meet the criteria of a sentinel event.
To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?
- A. Establishing a journal club.
- B. Encouraging staff to join a professional association.
- C. Instituting mandatory writing assignments discussing a chosen best-practice article.
- D. Creating an incentive program for staff to pursue a specialty certification.
Correct Answer: C
Rationale: The correct answer is C: Instituting mandatory writing assignments discussing a chosen best-practice article. This is not an appropriate strategy for the nurse manager to recommend because mandating writing assignments may create resistance and decrease staff engagement. Instead, fostering a voluntary learning environment through options like journal clubs (A), professional association memberships (B), and incentive programs (D) can motivate staff to engage in evidence-based practice without imposing mandatory tasks. Encouraging autonomy and interest-driven learning is more effective than enforcing obligations.
A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
- A. Encouraging the patient to attend group therapy.
- B. Monitoring for thoughts of self-harm.
- C. Preventing fluid and electrolyte imbalance.
- D. Fostering feelings of self-respect.
Correct Answer: C
Rationale: The correct answer is C: Preventing fluid and electrolyte imbalance. This is the priority goal because individuals with anorexia nervosa are at high risk for dehydration, electrolyte imbalances, and cardiac complications due to severe restriction of food intake. Addressing fluid and electrolyte balance is crucial for the client's physical health and safety. Monitoring for self-harm thoughts (B) and fostering self-respect (D) are important but secondary to the immediate physiological needs of the client. Encouraging group therapy (A) is beneficial for long-term treatment but not as critical as addressing the client's physical health in the immediate term.
The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?
- A. Integrate available evidence with unit expertise.
- B. Develop the clinical question.
- C. Appraise the evidence.
- D. Identify the databases to be used.
Correct Answer: B
Rationale: The correct answer is B: Develop the clinical question. This step is crucial in evidence-based practice as it helps to focus the search for evidence. By clearly defining the clinical question, the nurse manager can determine what information is needed to address the problem of preventing ventilator-associated pneumonia. Integrating available evidence with unit expertise (choice A) comes after developing the question. Appraising the evidence (choice C) and identifying databases (choice D) are important steps, but they should come later in the evidence-based inquiry process after the question has been formulated.