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With regard to nursing practice, nurse managers are held responsible for:
- A. Referring all errors in nursing judgment to state disciplinary boards.
- B. Verifying that attending physicians are properly licensed to provide care on patient care units.
- C. Practicing within legal guidelines established under state law and nurse practice acts.
- D. Creating an environment of severe consequences for nursing errors to ensure quality practice.
- E. Ensuring that nursing staff under their supervision are currently licensed to practice.
Correct Answer: C,E
Rationale: The correct answers are C and E. Nurse managers are responsible for ensuring that nursing practice is within legal guidelines and that all nursing staff under their supervision are currently licensed. This is crucial for maintaining patient safety, quality care, and regulatory compliance. Referring errors to disciplinary boards (A) is not solely the role of nurse managers. Verifying physician licenses (B) is outside the scope of nursing practice. Creating an environment of severe consequences (D) may not promote a culture of learning and improvement. Choice F and G are not provided.
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Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:
- A. practice failure.
- B. efficacy.
- C. effectiveness.
- D. comparative error.
Correct Answer: C
Rationale: The correct answer is C: effectiveness. In this scenario, the feedback indicates that the new scale is not effective for patients with limited language skills and under duress. The term "effectiveness" in testing refers to how well a test measures what it is intended to measure. In this case, the new scale is not effectively measuring the intended outcomes due to the difficulties faced by the patients.
A: Practice failure does not directly address the issue of the new scale being difficult for certain patients.
B: Efficacy typically refers to how well a treatment works under ideal conditions, not the appropriateness of a test for specific populations.
D: Comparative error is not relevant in this context and does not address the issue of the new scale being too difficult for certain patients.
In summary, the correct answer is C because the feedback indicates a lack of effectiveness in the new scale for patients with limited language skills and under duress.
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.
A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?
- A. Allow LPNs and CNAs to perform tasks beyond their scope of practice.
- B. Establish a rewards program to recognize achievements of the staff.
- C. Hire additional staff so individual workloads are lessened.
- D. Improve the working conditions of the unit by investing in ergonomic chairs.
Correct Answer: B
Rationale: The correct answer is B: Establish a rewards program to recognize achievements of the staff. This strategy can motivate the LPNs and CNAs by providing positive reinforcement for their hard work and dedication. Recognizing their achievements can boost morale, increase job satisfaction, and encourage them to continue performing well. This approach acknowledges their efforts and creates a sense of appreciation, leading to a more positive work environment.
Choice A is incorrect as allowing LPNs and CNAs to perform tasks beyond their scope of practice can lead to legal and safety issues. Choice C of hiring additional staff may help with workload but may not directly address job satisfaction. Choice D of investing in ergonomic chairs can improve physical comfort but may not address the underlying issues causing dissatisfaction.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
- A. I need to speak with you about unit expectations regarding delegating and completing tasks.
- B. You have been very inconsiderate of others by not completing your share of the work.
- C. If you don't do your share of the work, I will have to inform the nurse manager.
- D. Several staff members have commented that you don't do your fair share of the work.
Correct Answer: A
Rationale: The correct answer is A: "I need to speak with you about unit expectations regarding delegating and completing tasks." This statement addresses the issue directly and professionally, focusing on establishing clear communication and setting expectations. By having a conversation about unit expectations, it allows for clarification on roles and responsibilities, promoting accountability and teamwork.
Incorrect Choices:
B: This statement uses accusatory language and does not address the issue constructively.
C: Threatening to inform the nurse manager may escalate the conflict instead of resolving it through open communication.
D: This choice involves hearsay and gossip, which is not an effective way to address the issue professionally.
During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?
- A. autonomy
- B. nonmaleficence
- C. justice
- D. fidelity
Correct Answer: D
Rationale: The correct answer is D: fidelity. Fidelity refers to the principle of being faithful or loyal to commitments and obligations. In this scenario, the manager providing truthful feedback during the performance evaluation demonstrates fidelity by upholding their professional duty to provide honest and accurate information to support the nurse's growth and development. Autonomy (A) relates to respecting individuals' rights to make their own decisions. Nonmaleficence (B) pertains to avoiding harm. Justice (C) involves fairness and equality in decision-making. In this context, fidelity best aligns with the manager's responsibility to maintain trust and integrity in the feedback process.