Nursing Elites

1. What is the process of helping an employee to improve performance called?

• A. Coaching
• B. Disciplining
• C. Mentoring
• D. Peer reviewing

Correct answer: A

Rationale: The correct answer is A: Coaching. Coaching involves providing guidance and support to help an employee enhance their performance by focusing on skill development, addressing weaknesses, and achieving professional growth. Mentoring (choice C) is about guiding and nurturing a less experienced individual, not specifically aimed at improving performance. Peer reviewing (choice D) involves colleagues evaluating each other's performance, not necessarily focused on improvement. Disciplining (choice B) is taking corrective actions in response to policy violations or performance issues, which is different from the process of helping an employee improve their performance.

2. A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?

• A. Role ambiguity
• B. Role overload
• C. Role conflict
• D. Sick role

Correct answer: C

Rationale: In this scenario, the partner is struggling to balance caring for their loved one with dementia and managing household responsibilities. This situation represents role conflict, where conflicting demands from different roles (caregiver and homemaker) create stress. Role ambiguity (choice A) refers to uncertainty about what is expected in a role, not conflicting demands. Role overload (choice B) occurs when there are too many responsibilities within a single role, not conflicting roles. The sick role (choice D) is a sociological concept related to the rights and responsibilities of individuals who are ill.

3. A postoperative nurse is caring for a client after knee replacement. She discovers the consent was not signed before the surgery. Which of the following charges could be filed?

• A. False imprisonment
• B. Libel
• C. Battery
• D. Malpractice

Correct answer: C

Rationale: The correct answer is C: 'Battery.' Battery could be charged if the consent was not signed before surgery. In this scenario, the lack of signed consent could constitute a case of battery, as the procedure was performed without the patient's explicit permission. Choice A, 'False imprisonment,' does not apply in this context, as it refers to the unlawful confinement of a person. Choice B, 'Libel,' involves making false statements that harm someone's reputation in writing, which is not relevant to the situation described. Choice D, 'Malpractice,' typically refers to professional negligence or failure to meet a standard of care, which is not the primary concern in this case.

4. A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?

• A. Wear an N95 respirator when giving direct care to the client.
• B. Place the client in a private room with negative-pressure airflow.
• C. Ensure the client's room has at least six air exchanges per hour.
• D. Ensure the client wears a mask when outside their room if there is construction in the area.

Correct answer: A

Rationale: In a protective environment for a client with an allogeneic stem cell transplant, the nurse needs to wear an N95 respirator when providing direct care to the client. This precaution is essential to protect the client, whose immune system is compromised after the transplant, from exposure to potential pathogens. Placing the client in a private room with negative-pressure airflow (choice B) is more appropriate for clients with airborne infections. Ensuring the client's room has sufficient air exchanges (choice C) is important for maintaining air quality but is not the primary precaution for protecting an immunocompromised client. Making the client wear a mask when outside the room due to construction (choice D) focuses on external factors and does not directly address the risk of infection during direct care.

5. Which of the following is an example of an effective conflict resolution strategy?

• A. Ignoring the conflict
• B. Assigning blame to one party
• C. Encouraging open communication
• D. Enforcing strict rules

Correct answer: C

Rationale: Encouraging open communication is an effective conflict resolution strategy because it promotes transparency, understanding, and collaboration among individuals involved in the conflict. By encouraging open communication, parties can express their perspectives, concerns, and needs, leading to the identification of common ground and potential solutions. This approach fosters a positive and constructive environment for resolving conflicts and can help prevent misunderstandings and escalation of issues. Choices A, B, and D are not effective conflict resolution strategies. Ignoring the conflict can lead to unresolved issues, assigning blame can escalate tensions and hinder problem-solving, and enforcing strict rules may not address the underlying causes of the conflict or promote mutual understanding.

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