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You believe that you are working harder than other nurses and that you take care of patients that are more complex. You are angry that other staff nurses have less complex and lower acuity patients, but you __________ .
- A. Avoid discussing the situation because you do not want to be perceived as a complainer.
- B. Know that you need to discuss the inequity with the nurse manager because you are resenting the work and becoming more dissatisfied in your job
- C. A & B
- D. None of the above
Correct Answer: C
Rationale: The correct answer is C. This is because both options A and B are valid courses of action in this scenario. Option A suggests avoiding discussing the situation to prevent being seen as a complainer, which can be a mature approach to handle the situation diplomatically. Option B emphasizes the importance of addressing the inequity with the nurse manager to prevent increasing dissatisfaction with the job. By choosing option C, you can combine the benefits of both approaches, addressing the issue with the nurse manager while also maintaining professionalism and avoiding unnecessary conflict with colleagues.
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Even though this is not easy, facilitating ____________ is a mandatory skill for all nurse managers and is crucial in the success of the manager.
- A. resistance
- B. change
- C. planning
- D. collection of data
Correct Answer: B
Rationale: The correct answer is B: change. Nurse managers often encounter resistance when implementing changes in healthcare settings. Facilitating change involves effectively managing resistance, promoting buy-in, and ensuring successful implementation. This skill is crucial for nurse managers to drive positive outcomes and improve patient care. Planning (choice C) and collection of data (choice D) are important skills but do not directly address the challenges of managing change. Resistance (choice A) is the opposite of what nurse managers aim to overcome when leading change initiatives.
Behavioral leadership theory recognizes three styles of leadership. Which of the following best describes democratic leadership?
- A. The democratic leader communicates meaning and purpose.
- B. The democratic leader gives orders and makes decisions for the group.
- C. The democratic leader does little planning or decision making.
- D. The democratic leader makes plans and decisions with the team.
Correct Answer: D
Rationale: Step-by-step rationale:
1. Democratic leadership involves collaboration and shared decision-making.
2. Option D aligns with this as it states that the leader makes plans and decisions with the team.
3. This style empowers team members and fosters a sense of ownership and commitment.
4. Option A is incorrect as communication of meaning and purpose is not exclusive to democratic leadership.
5. Option B is incorrect as giving orders contradicts the collaborative nature of democratic leadership.
6. Option C is incorrect as doing little planning or decision-making goes against the essence of democratic leadership.
Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?
- A. Carefully assess and document client status.
- B. Ensure all patient information is logged out and the nurse has signed out of the computer before leaving the computer station.
- C. Keep careful notes while providing care to ensure accurate documentation later in the day.
- D. Discuss safety needs with clients.
Correct Answer: A
Rationale: The correct answer is A. Carefully assessing and documenting client status is crucial to avoid charges of negligence and false imprisonment. By assessing and documenting client status, healthcare providers can ensure they are meeting the client's needs and providing appropriate care. This helps in demonstrating that the healthcare provider acted responsibly.
Option B is incorrect because ensuring all patient information is logged out and the nurse has signed out of the computer before leaving the computer station relates more to patient privacy and data security, rather than avoiding charges of negligence and false imprisonment. Option C, keeping careful notes while providing care, is important for accurate documentation but does not directly address the risk of negligence or false imprisonment. Option D, discussing safety needs with clients, is important but does not specifically address the legal aspects of negligence and false imprisonment.
The length of a coaching session should be no longer than:
- A. 15 minutes.
- B. 60 minutes.
- C. 10 minutes.
- D. 30 minutes.
Correct Answer: C
Rationale: The correct answer is C: 10 minutes. The rationale is that coaching sessions are most effective when kept concise and focused. A shorter duration helps maintain the participant's attention and ensures key points are covered without overwhelming them. Longer sessions can lead to decreased engagement and retention. Choice A (15 minutes) is slightly longer and may still risk losing focus. Choices B (60 minutes) and D (30 minutes) are too lengthy for a coaching session, increasing the likelihood of information overload and decreased effectiveness.
The belief that effort will lead to a specific performance level in an individual is known as:
- A. Rewards.
- B. Expectancy.
- C. Valence.
- D. Instrumentality.
Correct Answer: B
Rationale: The correct answer is B: Expectancy. Expectancy theory posits that individuals believe that their effort will lead to a specific level of performance. This belief in the relationship between effort and performance is crucial in determining motivation. Rewards (A) refer to the outcomes of the performance, not the belief in effort-performance connection. Valence (C) is the value a person places on a specific reward, not the belief in effort-performance link. Instrumentality (D) is the belief that performance will lead to a certain outcome, not the belief in effort-performance relationship.