A newly promoted nurse manager is overwhelmed by the amount of paperwork that must be submitted to the director. The nursing unit is very busy and is short staffed, so the manager also takes a client assignment
This additional work makes the paperwork load even more daunting. Which statement is the most important lesson for this manager to learn? 1. A manager's first priority is client care.
2. A manager's first priority is the nursing staff.
3. The job requires the nurse to adjust, respond to change, and remain flexible.
4. The paperwork is not important.
3
Rationale 1: The manager's first priority is providing for quality client care, but the manager does not have to personally provide that care.
Rationale 2: The manager does make the nursing staff a priority, but this is not the best answer to this question.
Rationale 3: Every day change is occurring and in health care the pace is fast. To find satisfaction in a career it requires the ability to adjust and respond to change. The most important attribute anyone can bring to this effort is to remain flexible.
Rationale 4: Paperwork, whether it is documentation of client care or management documents, is always important.
Global Rationale:
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A woman was bound, taken to a remote location, and raped at gunpoint. When found, she was examined and treated in the emergency department. Which aspect of this crisis produced the greatest amount of psychological trauma?
a. The threat to her life b. Collection of evidence c. Physical pain experienced d. Being in a remote location
A patient with severe dementia can no longer recognize her only daughter and becomes anxious and agitated when the daughter attempts to reorient her. An alternative the nurse could suggest to the daughter is to:
a. wear a large name tag. b. visit her mother less often. c. talk about experiences they've shared. d. place clocks and calendars strategically.
Which of the following nursing interventions should a nurse perform when caring for a female client with mood disorder who is prescribed lithium?
A) Instruct to resume regular activities such as driving. B) Administer lithium before meals. C) Withhold if serum level is less than 1.5 mEq. D) Instruct to avoid breastfeeding.
The nurse has taught a patient about the primary risk factors for irritable bowel syndrome. Which behavior by the patient would be evidence of learning? The patient:
1) Reduces her intake of gluten-containing products. 2) Does not consume foods that contain lactose. 3) Consumes only 4 cups of caffeinated coffee per day. 4) Takes measures to reduce her stress level.