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. Which of the following best describes intrinsic values?

• A. Intrinsic values are often abstract ideas.
• B. Intrinsic values are basic needs for sustaining life.
• C. Intrinsic values are qualities patients consider to be important in their private lives.
• D. Intrinsic values are qualities patients consider important for nurses to have.

Correct answer: B

Rationale: The correct answer is B because intrinsic values refer to fundamental beliefs and principles that guide a person's behavior and decision-making. These values are deeply ingrained and are essential for sustaining life and well-being. Choices A, C, and D are incorrect because intrinsic values are not just abstract ideas, qualities important in private lives, or qualities patients desire in others; they are the core principles that individuals hold dear to lead a fulfilling life.

3. 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. Proper time management allows nurses to prioritize tasks, allocate sufficient time for each activity, and reduce the feeling of being overwhelmed. This, in turn, helps in reducing stress levels and increasing productivity. Choices A, B, and D are incorrect. Time management is crucial in nursing to ensure efficient patient care and task completion. Writing goals helps in providing direction and motivation, reducing stress rather than increasing it. Setting goals is not a time waster; it is a fundamental aspect of effective time management.

4. The type of theory that discusses how motivation works to direct a person's efforts is:

• A. Reinforcement.
• B. Operant.
• C. Conditioning.
• D. Process.

Correct answer: D

Rationale: The correct answer is D, Process. Process theory focuses on how motivation directs an individual's efforts into performance. Reinforcement theory, on the other hand, views motivation as a form of learning. It involves operant conditioning, where behavior is associated with consequences. Conditioning is a broad term that includes both classical and operant conditioning, but it does not specifically address how motivation directs efforts. Therefore, choices A, B, and C are incorrect in the context of discussing how motivation works to direct a person's efforts.

5. When is the time to make people think about the routines that have been previously followed and to consider what might be a better plan of action?

• A. Collection of data
• B. Planning
• C. Analyzing data
• D. Identification

Correct answer: B

Rationale: The correct answer is B, 'Planning.' Planning is the phase where individuals reflect on current routines and explore alternative courses of action. This stage involves considering new strategies and approaches, making it the most suitable time to challenge existing norms. Choice A, 'Collection of data,' focuses on gathering information rather than actively reconsidering routines. Choice C, 'Analyzing data,' involves assessing the gathered data rather than proposing new plans. Choice D, 'Identification,' does not specifically address the process of reviewing routines and suggesting improvements, making it less relevant to the question.

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