Nursing Elites

1. 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: When in a confrontation, using 'I' language is crucial for a nurse manager. This approach allows the manager to express personal feelings without sounding accusatory, which can help reduce defensiveness and promote open communication. Choices B, C, and D are incorrect. Using absolutes can come off as rigid and may escalate the conflict. 'Why' questions can be perceived as confrontational and may put the other person on the defensive. Negative assertions can lead to a more hostile exchange rather than fostering a constructive dialogue.

2. An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?

• A. Commitment to others means I should be honest and accountable for my actions.
• B. I should encourage my fellow nurses to talk when they are having a bad day.
• C. I should be flexible with myself and my fellow nurses when it comes to the dress code.
• D. If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.

Correct answer: A

Rationale: Commitment to others involves accountability for one�s actions, lifelong learning, and commitment to colleagues.

3. A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?

• A. Airborne
• B. Protective environment
• C. Contact
• D. Droplet

Correct answer: B

Rationale: The correct answer is 'B: Protective environment.' Rubella requires placing the client in a protective environment due to its airborne precautions. Airborne precautions are typically used for diseases that are spread through tiny droplets that remain in the air for an extended period, like tuberculosis. Contact precautions are used for diseases that are spread by direct or indirect contact, such as MRSA. Droplet precautions are implemented for diseases transmitted through respiratory droplets, like influenza. Therefore, in the case of rubella, airborne precautions in a protective environment are necessary.

4. A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?

• A. 9-12 months
• B. 3-6 months
• C. 1-2 months
• D. Over two years

Correct answer: B

Rationale: The correct answer is B: 3-6 months. The process of preparing a typical budget usually takes around 3-6 months. This allows enough time for gathering financial data, analyzing expenses, projecting revenues, and finalizing the budget. Choice A (9-12 months) is too long for a typical budgeting process in most settings. Choice C (1-2 months) is too short to adequately complete all the necessary steps in the budgeting process. Choice D (Over two years) is excessive and not practical for the timeline of a standard budget preparation.

5. As an RN stands in line for the cafeteria cashier, he overhears the staff in front of him talking about a client the RN took care of earlier in the week. The client�s room number is mentioned along with the diagnosis and prognosis. Which of the following actions should the RN take?

• A. Join in the conversation in case the RN is assigned to care for the client in the future.
• B. Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
• C. Correct a statement made by one of the staff members.
• D. Ignore the conversation.

Correct answer: B

Rationale: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).

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