Nursing Elites

1. In dealing with conflict, the manager knows that feelings or perceptions about the situation will have an effect. According to Filey, what is this effect known as?

• A. Conflict suppression
• B. Resolution aftermath
• C. Antecedent conditions
• D. Manifest behavior

Correct answer: D

Rationale: Feelings or perceptions about the situation initiate behavior, known as manifest behavior. Antecedent conditions refer to preexisting conditions that may have led to the conflict but are not the immediate effect of feelings or perceptions. Resolution aftermath pertains to the consequences or outcomes following conflict resolution. Conflict suppression refers to the action of suppressing conflict without addressing its root causes, which is a subsequent step after the manifestation of behavior.

2. A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum glucose level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which action prescribed by the healthcare provider should the nurse take first?

• A. Place the patient on a cardiac monitor
• B. Administer IV potassium supplements
• C. Obtain urine glucose and ketone levels
• D. Start an insulin infusion at 0.1 units/kg/hr

Correct answer: A

Rationale: In a patient with diabetic ketoacidosis (DKA), the initial priority is to assess for any cardiac arrhythmias due to electrolyte imbalances. Since the patient has a low serum potassium level of 3.1 mEq/L, placing the patient on a cardiac monitor is crucial to monitor for any potential cardiac complications. Administering IV potassium supplements (Choice B) may be needed, but it is not the first action to take. Obtaining urine glucose and ketone levels (Choice C) and starting an insulin infusion (Choice D) are important interventions in managing DKA, but ensuring patient safety by monitoring for arrhythmias takes precedence.

3. Why is increasing the use of advanced practice nurses encouraged?

• A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
• B. Advanced practice nurses act as an extension of physicians.
• C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
• D. Advanced practice nurses lack the skills to diagnose.

Correct answer: A

Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services by leveraging the expertise and skills of advanced practice nurses. Choice B is incorrect as it describes the role of advanced practice nurses rather than providing a reason for increasing their use. Choice C is unrelated to the encouragement of increasing the use of advanced practice nurses as it focuses on the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care, so the statement that they lack diagnostic skills is inaccurate.

4. An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?

• A. Use shortcuts in documentation.
• B. Only use approved abbreviations.
• C. Documentation should be subjective.
• D. Document after care is provided.

Correct answer: B

Rationale: The correct recommendation that should be included in the reminders for ensuring legally credible nursing documentation is to 'Only use approved abbreviations.' Using shortcuts in documentation (Choice A) may lead to incomplete or vague information, compromising the credibility of documentation. Documentation should not be subjective (Choice C) but rather objective and based on factual information. While it is important to document after care is provided (Choice D), the immediate documentation following care provision is critical for accuracy and legal credibility.

5. When someone is consistently late for work due to unreliable transportation, this is known as which type of barrier?

• A. Attendance
• B. Voluntary
• C. Motivation
• D. Involuntary

Correct answer: A

Rationale: The correct answer is 'Attendance.' In this scenario, the nurse being late for work due to unreliable transportation is an example of an attendance barrier. This type of barrier refers to factors that affect an individual's ability to be present at work on time, such as transportation issues. Choices B, C, and D are incorrect because voluntary barriers are ones that individuals choose to impose on themselves, motivation barriers relate to lacking the drive to perform a task, and involuntary barriers are obstacles beyond one's control.

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