Nursing Elites

1. From a unit perspective, disruptive and violent patient behavior may be distracting to patients and staff. As the nurse manager, you are concerned about: (EXCEPT)

• A. Patient and staff safety.
• B. Team tension.
• C. Fear of disappointment.
• D. Stress levels.

Correct answer: C

Rationale: Disruptive and violent patient behavior can indeed pose challenges on a unit. Concerns as a nurse manager would revolve around patient and staff safety (Choice A) due to the risk of harm, team tension (Choice B) arising from managing such situations, and stress levels (Choice D) of both patients and staff. Fear of disappointment (Choice C) is not a typical concern in this scenario and does not directly relate to the immediate impact of disruptive and violent patient behavior.

2. As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)

• A. In a communication to all staff nurses to inspire them.
• B. At a conference within the health care facility.
• C. In an email to a friend.
• D. In a presentation with select individuals.

Correct answer: A

Rationale: The correct answer is A. Sharing information about your participation in the conference with all staff nurses is essential to inspire them, promote a culture of evidence-based practice, and encourage professional development. Choice B is incorrect as it refers to a conference within the health care facility, not the national conference. Choice C is incorrect as informing a friend does not align with the professional impact and growth objectives of presenting at a national conference. Choice D is also incorrect as sharing the information with select individuals limits the reach and impact of the achievement.

3. A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?

• A. Satisficing
• B. Routine
• C. Adaptive
• D. Rationalizing

Correct answer: A

Rationale: Satisficing is the correct decision-making strategy in this scenario. The nurse manager is not aiming for the best solution but rather choosing an alternative that is good enough given the circumstances of staff shortage. Choice B, Routine, does not apply here as the situation is not part of the manager's regular tasks. Choice C, Adaptive, involves adjusting to new conditions, which is not the primary focus in this scenario. Choice D, Rationalizing, does not fit as the decision made is more about finding an acceptable solution rather than justifying it.

4. 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.' Coaching sessions are recommended to last between 5-10 minutes to ensure they are concise and impactful. Choice A ('15 minutes') is incorrect because it exceeds the recommended duration. Choice B ('60 minutes') is incorrect as it is too long for an effective coaching session, leading to decreased engagement. Choice D ('30 minutes') is also incorrect as it surpasses the optimal time frame for a coaching session.

5. When matching a job with an experienced RN, what is the first step in the selection process?

• A. Job analysis
• B. Selection techniques
• C. Methods of recruiting
• D. Assurance of legal requirements

Correct answer: A

Rationale: The correct answer is A, job analysis. Job analysis is the first step in the selection process as it involves gathering information about the duties, responsibilities, necessary skills, outcomes, and work environment of a particular job. This information is crucial in creating an accurate job description and specification that will guide the recruitment and selection process. Choices B, C, and D are incorrect because while selection techniques, methods of recruiting, and legal requirements are important aspects of the selection process, they come after the job analysis has been completed.

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