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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.
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A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?
- A. Involve affected staff in the decision-making process.
- B. Focus the assessment on the unit and do not consider the hospital as a whole.
- C. Create a mandatory policy to force workers to participate in problem-solving solutions.
- D. Select a management approach that does not change.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: In complex systems like a medical unit, involving affected staff in decision-making is crucial as they have valuable insights and frontline experience. This participatory approach fosters ownership, engagement, and innovation. It allows for diverse perspectives to be considered, leading to more effective and sustainable solutions tailored to the specific needs of older adult patients. By involving staff, the nurse manager can leverage collective intelligence and build a culture of collaboration and continuous improvement.
Incorrect Choices Summary:
B: Focusing only on the unit overlooks the interconnectedness of systems within the hospital, potentially missing out on valuable resources and expertise.
C: Implementing a mandatory policy can create resistance, decrease morale, and inhibit creativity, leading to suboptimal outcomes.
D: Maintaining the status quo in a dynamic environment like healthcare is not conducive to adaptation and improvement, hindering the ability to meet the evolving needs of older adult patients.
As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff?
- A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity.
- B. Encouraging the potential in all staff.
- C. Being conscious of the dynamics when culture interacts.
- D. Conducting a cultural self-assessment.
- E. Fostering unity by imposing American values upon all staff members.
Correct Answer: B,C,D
Rationale: Correct Answer: B, C, D
Rationale:
B: Encouraging the potential in all staff is crucial for addressing cultural needs. It promotes inclusivity and values diversity.
C: Being conscious of the dynamics when culture interacts helps in understanding and respecting different cultural perspectives and practices.
D: Conducting a cultural self-assessment is essential to identify biases and gain awareness of one's own cultural background.
Summary:
A: Assuming thoughts and behaviors based on race/ethnicity is stereotyping and can lead to discrimination.
E: Imposing American values may alienate staff with different cultural backgrounds and hinder effective communication and collaboration.
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
- A. Evaluate the results.
- B. Identify the problem.
- C. Brainstorm solutions.
- D. Implement a resolution.
Correct Answer: B
Rationale: The correct answer is B: Identify the problem. The first step in resolving any conflict is to understand the root cause. By identifying the problem between the pharmacy and staff nurses, the nurse manager can gain insight into the specific issues causing the conflict. This step allows for a targeted and strategic approach to finding solutions. Evaluating results (A) comes after implementing a resolution, brainstorming solutions (C) is premature without a clear understanding of the problem, and implementing a resolution (D) should only occur once the problem has been fully identified and a plan developed.
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.
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.