Which of the following statements about time management is true?
- A. Time management is not important in nursing
- B. Writing goals will increase stress
- C. Effective time management reduces stress
- D. Setting goals is a time waster
Correct Answer: C
Rationale: The correct answer is C: Effective time management reduces stress. This is because when you manage your time well, you are able to prioritize tasks, allocate sufficient time for each activity, and avoid feeling overwhelmed. By having a clear plan and schedule, you can reduce stress levels and increase productivity.
Now, let's analyze why the other choices are incorrect:
A: Time management is not important in nursing - This is incorrect because time management is crucial in nursing to ensure patient care is delivered efficiently.
B: Writing goals will increase stress - This is incorrect as setting goals helps in providing direction and motivation, reducing stress in the long run.
D: Setting goals is a time waster - This is incorrect because setting goals helps in defining objectives and tracking progress, which is essential for effective time management.
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A Staff Nurse submits a six-week notice of resignation. The Nurse Manager prepares a request to immediately post the position and begin interviews. This action is best described as which of the following?
- A. Delegation
- B. A time-waster
- C. Reactive management
- D. Proactive management
Correct Answer: D
Rationale: The correct answer is D: Proactive management. This is because the Nurse Manager is taking preemptive action by posting the position and starting interviews immediately upon receiving the resignation notice. This proactive approach ensures a smooth transition and minimizes disruptions in patient care.
Choice A, Delegation, is incorrect because the Nurse Manager is not assigning tasks to others but taking direct action. Choice B, A time-waster, is incorrect as the Manager's actions are aimed at being efficient and timely. Choice C, Reactive management, is incorrect as the Manager is not waiting for an issue to arise but is being proactive in planning for the future.
The nurse has been teaching a patient with type 2 diabetes about managing blood glucose
levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional
teaching?
- A. “If I overeat at a meal, I will still take the usual dose of medication.”
- B. “Other medications besides the Glucotrol may affect my blood sugar.”
- C. “When I am ill, I may have to take insulin to control my blood sugar.”
- D. “My diabetes won’t cause complications because I don’t need insulin.”
Correct Answer: D
Rationale: The correct answer is D. This statement indicates a need for additional teaching because it shows a lack of understanding about diabetes complications. Here's the rationale:
1. Diabetes can lead to complications even if the patient doesn't need insulin.
2. Complications like heart disease, neuropathy, and kidney damage can still occur in type 2 diabetes.
3. Believing that not needing insulin means no complications is a misconception.
4. Patients with type 2 diabetes need to manage their condition carefully to prevent complications.
5. Therefore, educating the patient about potential complications is crucial for their overall health.
What is a common method used to collect work activity information from an applicant?
- A. Self-report logs
- B. Work sample questions
- C. Motion studies
- D. Interviewing
Correct Answer: B
Rationale: The correct answer is B: Work sample questions. This method allows applicants to demonstrate their skills in real work scenarios, providing concrete evidence of their abilities. Self-report logs (A) rely on subjective information, which may not accurately reflect the applicant's actual work activity. Motion studies (C) involve observing and analyzing work processes, but do not directly collect information from applicants. Interviewing (D) is a common method for gathering information but may not always provide specific details about an applicant's work activities compared to work sample questions.
A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?
- A. The client reports relief of nausea.
- B. The tube aspirate has a pH less than 5.
- C. Bowel sounds are present on auscultation.
- D. An x-ray shows the end of the tube above the pylorus.
Correct Answer: A
Rationale: The correct answer is A: The client reports relief of nausea. This is because when an NG tube is correctly placed in the stomach, it can help decompress the stomach and relieve nausea. Choice B is incorrect because pH less than 5 indicates gastric placement, but it does not confirm correct placement. Choice C is incorrect as bowel sounds can be present even if the tube is incorrectly placed. Choice D is incorrect because an x-ray showing the tube above the pylorus only confirms tube position, not necessarily correct placement.
The staff on a medical-surgical unit is in conflict with the occupational therapy department. What type of communication will be used to discuss the problems?
- A. Downward communication
- B. Lateral communication
- C. Distorted communication
- D. Upward communication
Correct Answer: B
Rationale: The correct answer is B: Lateral communication. In this scenario, the conflict between the staff and the occupational therapy department requires communication between individuals at the same hierarchical level. Lateral communication enables direct discussion and collaboration among peers to address issues and find solutions.
A: Downward communication involves communication from higher to lower levels in the hierarchy, which would not be suitable for resolving conflicts between different departments.
C: Distorted communication implies a breakdown in the communication process, leading to misunderstandings and misinterpretations, which would not be effective in addressing the conflict.
D: Upward communication involves communication from lower to higher levels in the hierarchy, which may not be the most appropriate method for resolving conflicts between departments.