Nokea
Which of the following best describes decertification?
- A. Encourage union affiliation
- B. Change union affiliation
- C. Reward union affiliation
- D. Empower union affiliation
Correct Answer: B
Rationale: The correct answer is B: Change union affiliation. Decertification refers to the process of employees voting to remove a union as their bargaining representative. This means changing or ending their current union affiliation.
A: Encouraging union affiliation is not related to decertification, as it involves promoting rather than changing union membership.
C: Rewarding union affiliation is not accurate for decertification, as it does not involve rewarding but rather changing the affiliation.
D: Empowering union affiliation is not the correct choice, as decertification does not enhance but rather changes or removes union representation.
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The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2
diabetes about home management of the disease. Which action should the nurse take first?
- A. Ask the patient’s family to participate in the diabetes education program.
- B. Assess the patient’s perception of what it means to have diabetes mellitus.
- C. Demonstrate how to check glucose using capillary blood glucose monitoring.
- D. Discuss the need for the patient to actively participate in diabetes management.
Correct Answer: B
Rationale: The correct answer is B: Assess the patient’s perception of what it means to have diabetes mellitus. This is the first step because understanding the patient's perception allows the nurse to tailor education to address any misconceptions or concerns. It helps establish a baseline of the patient's knowledge and beliefs about diabetes, enabling the nurse to provide accurate and relevant information.
Option A is incorrect as involving the family should come after assessing the patient's individual understanding and needs. Option C is incorrect as demonstrating blood glucose monitoring should follow assessing the patient's perception to ensure relevance. Option D is incorrect as discussing active participation should also come after assessing the patient's perception to ensure the information is personalized and effective.
A nurse is caring for a client who is postoperative. When the nurse prepares to change the client's dressing, they say, 'Every time you change my bandage, it hurts so much.' Which of the following interventions is the nurse's priority action?
- A. Encourage the client to relax and take deep breaths during the dressing change
- B. Educate the client about the importance of the dressing change to prevent infection
- C. Administer pain medication 45 minutes before changing the client's dressing
- D. Assist the client to a comfortable position for the dressing change
Correct Answer: C
Rationale: The correct answer is C: Administer pain medication 45 minutes before changing the client's dressing. This is the priority action because it directly addresses the client's pain during the dressing change, ensuring their comfort and adherence to the procedure. Administering pain medication in advance allows time for it to take effect, minimizing the discomfort experienced by the client. Encouraging relaxation techniques (A) and educating about the importance of dressing change (B) are important but secondary to addressing the immediate pain issue. Assisting the client to a comfortable position (D) is helpful but does not directly alleviate the pain like pain medication does.
When matching a job with an experienced RN, what is the first step in the selection process?
- A. Job analysis
- B. Selection techniques
- C. Methods of recruiting
- D. Assurance of legal requirements
Correct Answer: A
Rationale: The correct answer is A: Job analysis. This is the first step in the selection process as it involves identifying the specific duties, responsibilities, and requirements of the job. By conducting a job analysis, an organization can ensure that they have a clear understanding of what the job entails, which is crucial for effectively matching it with an experienced RN.
Choice B, selection techniques, comes after job analysis and involves determining the most appropriate methods for evaluating candidates. Choice C, methods of recruiting, focuses on attracting candidates and is not the first step in the selection process. Choice D, assurance of legal requirements, is important but typically occurs later in the process after job analysis has been completed.
The nurse manager has two employees with a longstanding conflict that is affecting the group's productivity and cohesiveness. She decides to meet with the employees in private, bring the conflict out into the open, and attempt to resolve it through knowledge and reason. Which conflict management strategy did she employ?
- A. Confrontation
- B. Suppression
- C. Collaboration
- D. Intervention
Correct Answer: A
Rationale: The correct answer is A: Confrontation. In this scenario, the nurse manager directly addresses the conflict by meeting with the employees in private. Confrontation involves facing the conflict head-on, bringing it out into the open, and attempting to resolve it through open communication and discussion. By addressing the conflict directly, the nurse manager is using a proactive approach to resolve the issue.
Summary of other choices:
B: Suppression - This involves ignoring or avoiding the conflict, which is not what the nurse manager is doing in this scenario.
C: Collaboration - While collaboration involves working together to find a mutually beneficial solution, the nurse manager is taking a more direct approach by confronting the conflict.
D: Intervention - This typically involves a third party stepping in to mediate the conflict, which is not what is happening in this scenario.
There are several pitfalls that should be avoided when using social media of any type. For example, a nurse or student could be found guilty of libel in which of the following scenarios?
- A. Snapping a selfie with a patient
- B. Posting a positive review of the hospital where the student completed clinicals
- C. Creating a closed online forum where students can discuss clinical experiences without providing client information
- D. Complaining about her nurse preceptor on social media, discussing the preceptor’s unprofessional characteristics.
Correct Answer: D
Rationale: The correct answer is D because complaining about a nurse preceptor on social media and discussing their unprofessional characteristics can be considered libel. Libel involves making false and damaging statements about someone that are published and seen by others. This action could harm the preceptor's reputation and potentially lead to legal consequences.
Choice A is incorrect because snapping a selfie with a patient, if done with the patient's consent and in compliance with privacy laws, does not necessarily constitute libel.
Choice B is incorrect because posting a positive review of a hospital is not libelous as long as it is truthful and does not harm anyone's reputation.
Choice C is incorrect because creating a closed online forum for students to discuss clinical experiences without providing client information is a professional and ethical practice that respects privacy and confidentiality.