Nursing Elites

1. A nurse manager who tells the staff to 'come to me with any problem' but then keeps the office door closed is using what type of communication?

• A. Intrasender conflict
• B. Diagonal communication
• C. Metacommunication
• D. Upward communication

Correct answer: A

Rationale: The correct answer is A: Intrasender conflict. Intrasender conflict happens when there is a discrepancy between verbal and nonverbal communication. In this scenario, the nurse manager's verbal message encourages staff to communicate openly, but the closed office door sends a conflicting nonverbal message, creating intrasender conflict. Metacommunication involves nonverbal behaviors like gestures or facial expressions that support or contradict verbal communication. Upward communication refers to the flow of information from staff to management or lower to upper management. Diagonal communication involves communication between individuals or departments at different hierarchical levels.

2. A manager has been given a deadline to complete an assignment by the end of the day. It will take every minute left of the afternoon to complete. Which interventions illustrate assertiveness to minimize interruptions in order to meet the deadline? (Select all that apply.)

• A. Allowing voicemail to answer all incoming calls or turning off email notification
• B. Delegating a discharge planning issue for a patient to one of the staff nurses
• C. Placing a 'Do Not Disturb for the Afternoon' sign on the office door
• D. All of the above

Correct answer: D

Rationale: All the interventions listed are appropriate ways to minimize interruptions. By allowing voicemail to answer calls or turning off email notifications, the manager can focus solely on the assignment. Delegating tasks to staff nurses frees up the manager's time. Placing a 'Do Not Disturb for the Afternoon' sign on the office door sends a clear message to minimize interruptions and focus on the deadline. Therefore, all of the above interventions illustrate assertiveness to meet the deadline by minimizing interruptions.

3. A Nurse Manager completes an interruption log and identifies two staff members who take an inordinate amount of time with drop-in issues that are not urgent. What are some methods to address this behavior in an attempt to better manage time? (Select all that apply.)

• A. Designate specific time slots for drop-in visits.
• B. Position the desk chair so it is not facing the hallway.
• C. Communicate with staff about using e-mail for non-urgent matters to improve time management.
• D. When staff members drop in, the manager should stand and remain standing during the conversation.

Correct answer: A

Rationale: Designating specific time slots for drop-in visits helps in managing interruptions effectively by consolidating them into designated periods. This approach allows the Nurse Manager to allocate focused time for addressing these issues without disrupting workflow. Option B, repositioning the desk chair, is not a standard strategy for managing time or interruptions. Option C, promoting the use of e-mail for non-urgent matters, may help in some cases but may not entirely address the behavior of extended drop-in visits. Option D, standing during conversations, may not be practical for longer discussions and does not provide a structured approach to address time management issues.

4. Although technology has seen many advances, which two ethical principles may be in conflict because of technology?

• A. Beneficence and justice
• B. Beneficence and nonmaleficence
• C. Beneficence and veracity
• D. Beneficence and confidentiality

Correct answer: B

Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence is the ethical principle of doing good to benefit others, while nonmaleficence is the principle of doing no harm to others. With technological advances, there can be a conflict between these two principles, as the benefits of technology may inadvertently cause harm, leading to an ethical dilemma. Choices A, C, and D are incorrect because while beneficence is involved in all options, the conflicting principle of nonmaleficence specifically addresses the avoidance of harm, making it the most relevant in the context of technology's impact on ethical principles.

5. What is the primary role of a nurse mentor?

• A. To supervise nursing staff
• B. To provide emotional support
• C. To guide new nurses in their roles
• D. To enforce policy compliance

Correct answer: C

Rationale: The primary role of a nurse mentor is to guide new nurses in their roles. This involves providing support, sharing knowledge and expertise, offering guidance for professional development, and assisting new nurses in adjusting to their roles and responsibilities. Option A, supervising nursing staff, is more aligned with a nurse manager's responsibilities rather than a mentor's. Option B, providing emotional support, is a part of the mentorship role but not the primary focus. Option D, enforcing policy compliance, is essential but not the primary role of a mentor, as mentoring focuses more on nurturing and developing new nurses.

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