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When in opposition to an immediate superior, a nurse manager should use which important strategy in a confrontation?
- A. Using 'I' language
- B. Using absolutes
- C. Using 'why' questions
- D. Using negative assertions
Correct Answer: A
Rationale: The correct answer is A: Using 'I' language. This strategy is effective in confrontation as it focuses on expressing one's own thoughts and feelings without blaming the other person. By using "I" language, the nurse manager can communicate assertively and take ownership of their perspective, which can lead to a more constructive dialogue.
Summary:
B: Using absolutes can come across as rigid and may escalate the confrontation.
C: Using 'why' questions can be perceived as accusatory and defensive, potentially leading to further conflict.
D: Using negative assertions can create a hostile environment and hinder effective communication.
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A recent nursing school graduate is preparing to take the NCLEX. The graduate knows which of the following is true?
- A. Upon graduation from nursing school, she cannot use the title RN.
- B. Because the NCLEX is a national examination, her RN license will allow her to practice in all states and territories of the United States.
- C. If her home state participates in the compact agreement, she may practice in other states participating in the agreement, but should renew her license in her home state.
- D. The RN license is a mandatory license.
Correct Answer: C
Rationale: Step 1: The correct answer is C because the nurse can practice in other compact states if her home state participates in the compact agreement.
Step 2: The Nurse Licensure Compact (NLC) allows nurses to practice in other compact states with one multistate license.
Step 3: Nurses must maintain an active license in their home state and follow the regulations of the compact agreement.
Step 4: Answer A is incorrect as graduates can use the title RN upon passing the NCLEX.
Step 5: Answer B is incorrect as the nurse must meet each state's requirements to practice there with the compact license.
Step 6: Answer D is incorrect as the RN license is not mandatory if the nurse does not intend to practice.
Which action by a patient indicates that the home health nurse’s teaching about glargine and
regular insulin has been successful?
- A. The patient administers the glargine 30 minutes before each meal
- B. The patient’s family prefills the syringes with the mix of insulins weekly.
- C. The patient draws up the regular insulin and then the glargine in the same syringe.
- D. The patient disposes of the open vials of glargine and regular insulin after 4 weeks
Correct Answer: D
Rationale: Step 1: Glargine and regular insulin should not be mixed in the same syringe as they have different onset and duration of action.
Step 2: Administering glargine 30 minutes before each meal is incorrect as it is a long-acting insulin.
Step 3: Pre-filling syringes weekly with the mix of insulins can lead to incorrect dosing or contamination.
Step 4: Disposing of open vials after 4 weeks is the correct action to ensure potency and safety of the insulin.
Summary: Choice D is correct because it demonstrates proper insulin storage and disposal practices. Choices A, B, and C are incorrect as they involve incorrect administration techniques or storage practices.
As a new nurse on a pediatric unit, you must work nights and you have minimal time to spend with your children. Your colleague observes that you speak abruptly with parents and you become easily annoyed when the patients cry or when they are demanding. You realize you are becoming increasingly more distressed and that you have no time with your children and, as a result you: (Select all that apply.)
- A. Express negative comments to colleagues about patients and parents who annoy you.
- B. Ask the nurse manager to have a schedule with an equal number of day and night shifts so that you can be with your children.
- C. Call off sick as frequently as you can without violating policies so that you have more time with your children.
- D. Minimize your communication with patients and parents so you do not offend them.
Correct Answer: B
Rationale: The correct answer is B because it addresses the root of the issue by requesting a schedule change that allows for a better work-life balance. This solution promotes your well-being and maintains professionalism.
A: Expressing negative comments is unprofessional and can create a toxic work environment. It does not address the underlying problem.
C: Calling off sick frequently is unethical and can compromise patient care. It does not address the issue at hand.
D: Minimizing communication with patients and parents is not appropriate as it goes against the principles of patient-centered care and can harm the therapeutic relationship.
Healthcare systems primarily have functional structures. Which of the following would be an example of this?
- A. Open communication exists between Physical Therapy and Nursing.
- B. Medicine has authority over nursing.
- C. Laboratory services have little authority.
- D. All nursing tasks fall under nursing service.
Correct Answer: D
Rationale: The correct answer is D because in a functional structure, tasks are grouped by function. All nursing tasks falling under nursing service exemplifies this as it centralizes nursing responsibilities within the nursing department. A is incorrect as it describes communication, not structure. B is incorrect as it implies a hierarchy, not a functional structure. C is incorrect as it suggests a lack of authority, not the grouping of tasks.
Verbal interventions with an agitated patient may be calming. These interventions include:
- A. Holding and reassuring the patient
- B. Encouraging other staff to distract the patient
- C. Remaining calm and keeping an arm's distance
- D. Standing close to the patient while talking
Correct Answer: C
Rationale: The correct answer is C because remaining calm and keeping an arm's distance is crucial when dealing with an agitated patient. This approach helps prevent escalating the situation and promotes a sense of safety. Holding and reassuring the patient (A) can be perceived as intrusive and may escalate the agitation. Encouraging other staff to distract the patient (B) can also be counterproductive as it may increase the patient's distress. Standing close to the patient while talking (D) can be perceived as threatening and may escalate the situation further. Thus, maintaining calm and keeping a safe distance is the most effective verbal intervention strategy.