Nursing Elites

1. Which of the following are effective ways to apply power and politics in nursing? (EXCEPT)

• A. Picketing the employer
• B. Networking with other professionals
• C. Writing letters to legislators
• D. Joining professional organizations

Correct answer: A

Rationale: The correct answer is A - 'Picketing the employer.' Networking with other professionals, writing letters to legislators, and joining professional organizations are effective ways to apply power and politics in nursing. Picketing the employer is not an appropriate approach in a healthcare setting as it may lead to disruptions in patient care and conflict within the workplace.

2. The staff nurse is experiencing what type of conflict when the babysitter calls to cancel on the day of an important committee meeting?

• A. Intergroup conflict
• B. Perceived conflict
• C. Role conflict
• D. Structural conflict

Correct answer: C

Rationale: The correct answer is C: Role conflict. Role conflict arises when one has conflicting responsibilities or obligations, such as being scheduled to work while also needing to care for children. In this scenario, the staff nurse faces a conflict between their role as a parent needing childcare and their role as a professional scheduled to present at a committee meeting. Intergroup conflict (A) involves disputes between different groups, not conflicting roles within an individual. Structural conflict (D) stems from issues within the organizational structure, not conflicting responsibilities. Perceived conflict (B) refers to misunderstandings or misinterpretations between parties, not conflicting roles.

3. Through which of the following methods are values learned?

• A. Reading books
• B. Formal degrees
• C. Continuous reinforcement
• D. Meeting diverse individuals

Correct answer: C

Rationale: Values are learned through continuous reinforcement, where behaviors are positively reinforced to instill values. Reading books (choice A) may expose individuals to different perspectives but doesn't necessarily lead to internalizing values. Formal degrees (choice B) provide education but may not directly teach values. Meeting diverse individuals (choice D) can broaden perspectives but doesn't guarantee learning specific values through reinforcement.

4. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?

• A. Pad the client's wrists before applying the restraints.
• B. Evaluate the client's circulation every 8 hours after application.
• C. Secure the restraint ties to the bed's side rails.
• D. Remove the restraints every 4 hours to evaluate the client's status.

Correct answer: C

Rationale: When applying wrist restraints, it is crucial to secure the restraint ties to the bed's side rails to ensure the client's safety and prevent injury. Padding the client's wrists (Choice A) is not a standard practice and may compromise the effectiveness of the restraints. Evaluating the client's circulation (Choice B) is important but should be done more frequently than every 8 hours to ensure prompt detection of any circulation issues. Removing the restraints every 4 hours (Choice D) is unnecessary and may increase the risk of injury or agitation in the client.

5. A nurse manager asks the staff to submit written suggestions for a change in policy. The group would then vote on the different suggestions. What type of decision-making technique did the nurse manager use?

• A. Statistical aggregation
• B. Nominal group technique
• C. Brainstorming
• D. Delphi

Correct answer: B

Rationale: The nurse manager used the nominal group technique. This technique involves group members submitting written suggestions, followed by a voting process. Statistical aggregation involves analyzing numerical data, not suggestions. Brainstorming focuses on generating creative ideas collectively, without a structured voting process. Delphi technique involves reaching a consensus through a series of questionnaires or surveys, without a direct voting process.

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