With the new career ladder in place, the hospital expects nurse managers to attend budget meetings, prepare staffing schedules, and enroll in a health management systems graduate program. One nurse manager with three small children is at high risk for:
a. Role theory
b. Role structure
c. Role learning
d. Role stress
ANS: D
Role stress or role dissonance is caused by a difference between role enactment and role expectations. The greater the difference, the greater the stress.
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The purpose of a chest tube is to
A) re-establish negative pressure within the pleural space. B) promote reflux of drainage into the chest. C) aid in wound healing postpneumonectomy. D) restore positive air pressure within the lungs.
The patient, age 30, has a history of renal calculi and is admitted to the hospital with gross hematuria and severe colicky left flank pain that radiates to his left testicle
An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter. Physician orders include meperidine (Demerol) 100 mg IM q4h prn, strain all urine, and encourage fluids to 4,000 mL/day. In planning care for this patient, the nurse gives the highest priority to which nursing diagnosis? a. Pain related to irritation of a stone b. Anxiety related to unclear outcome of condition c. Ineffective health maintenance related to lack of knowledge about prevention of stones d. Risk for injury related to disorientation
Which of the following nursing activities is of highest priority for maintaining medical asepsis?
1) Washing hands 2) Donning gloves 3) Applying sterile drapes 4) Wearing a gown
Mrs. Maple reports that she is having difficulty with her 4-year-old taking medicine from the cup provided with the medication. The child may take the medication better if she uses which of these devices? 
A. 1 B. 2 C. 3 D. 4