an environment that rewards good is the goal in a work environment
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Nursing Elites

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1. An environment that rewards good __________ is the goal in a work environment.

Correct answer: A

Rationale: An environment that rewards good performance is the goal in a work environment as it promotes productivity and motivation among employees. Rewarding performance leads to improved outcomes and helps in achieving organizational objectives. Choice B, 'Turnover,' is incorrect as turnover refers to the rate at which employees leave an organization, and it is not a goal to be rewarded. Choice C, 'Strategies,' does not directly relate to rewarding good behavior but rather focuses on plans or approaches to achieve goals. Choice D, 'Stress,' is not something that should be rewarded in a work environment; instead, it should be managed and reduced to promote employee well-being.

2. A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

Correct answer: D

Rationale: The correct answer is D, "You will have to talk to my partner about this." This response indicates that the client is willing to involve their partner in the learning process, showing readiness to take responsibility and engage in the education. Choices A, B, and C demonstrate potential barriers to learning: A indicates a preference for learning time but does not show active involvement, B focuses on external factors hindering learning, and C reflects a lack of understanding or motivation for the learning.

3. A healthcare professional is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the healthcare professional identify as an indication that the treatment was successful?

Correct answer: D

Rationale: The correct answer is D: Decrease in capillary refill time. In a client with fluid volume deficit, improving capillary refill time indicates that the perfusion status is improving due to the increase in fluid volume. Choices A, B, and C are incorrect. An increase in hematocrit may indicate hemoconcentration due to fluid loss, an increase in respiratory rate may suggest respiratory distress, and a decrease in heart rate may not be directly related to fluid volume status.

4. A middle adult client tells the nurse, 'I feel so useless now that my children do not need me anymore.' Which of the following responses should the nurse make?

Correct answer: A

Rationale: The correct response is to validate the client's feelings by acknowledging that individuals in middle adulthood often derive satisfaction from nurturing and guiding young people. This response shows empathy and understanding towards the client's emotions. Choice B is incorrect because it may come across as dismissive of the client's feelings. Choice C is incorrect as it does not address the client's emotional state and could be perceived as minimizing their concerns. Choice D is incorrect as it generalizes feelings and may not be applicable to the client's specific situation.

5. Which of the following leaders would be considered a transformational leader?

Correct answer: D

Rationale: The correct answer is D because transformational leaders are known for inspiring and motivating their followers to reach their full potential. They focus on fostering a positive work environment, encouraging growth, and supporting career development. In this scenario, the Advanced Practice Nurse is displaying characteristics of a transformational leader by encouraging a staff nurse to pursue additional education for career advancement. Choices A, B, and C do not align with the traits of a transformational leader as they involve more routine tasks or directives without the inspirational and visionary approach typical of transformational leadership.

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