The administration of a health care system advertises that it promotes "a healthy work environment

" Which events would cause a nurse working in this system to question this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The nurse collaborating with physical therapy to establish mutually agreeable treatment schedules lobbies physicians to support nursing's position in any disagreements.
2. When staff nurses ask for the nurse manager's opinion on client care issues, the response is frequently, "I'll leave that decision up to you."
3. Administration has developed a plan in which each week two nurses from each unit are recognized as "best nurse of the week."
4. The nurse managers of each unit make a true effort to provide adequate staffing on each shift.
5. The nurse executive communicates with managers mostly by email.


1,2,3,5
Rationale 1: The collaboration characteristic of a healthy work environment is "true collaboration." Lobbying for physician support is not true collaboration.
Rationale 2: Effective decision making is a characteristic of a healthy work environment. If the staff nurse was comfortable making a decision without input, the nurse would not ask for help.
Rationale 3: Recognition should be meaningful. Recognizing two nurses from each unit each week is not meaningful.
Rationale 4: Appropriate staffing is a tenet of a healthy work environment.
Rationale 5: While email is a convenient method of communication, it should not be the only method employed.
Global Rationale:

Nursing

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Which of the following statements apply to DNR orders? (Select all that apply.)

a. DNR orders are often delayed because of difficulty predicting the time of death. b. The patient's wishes are often not known or are vaguely stated. c. A DNR order indicates that all care should be stopped. d. End-of-life care skills are not emphasized in medical curricula. e. DNR orders do not address pain management.

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The wife of a man diagnosed with prostate cancer appears disheveled and anxious during a visit to her husband. When the patient leaves the floor for testing, the nurse uses the opportunity to approach her

Which approach by the nurse is most therapeutic? 1. "Would you like to talk about your concerns?" 2. "You must be having problems with all of this." 3. "What is wrong?" 4. "I can see that you are having a difficult time."

Nursing

The director of nurses (DON) in a long-term care facility has noticed an increased number of urinary tract infections (UTIs) on the east wing of the facility, and would like the infection control nurse to investigate this problem

What is the best problem statement for this study? A) "Is there a relationship between the personnel caring for specific patients and whether or not these patients developed UTIs?" B) "Is there an increase in the number of UTIs on the east wing of the facility?" C) "Does the east wing have a greater number of UTIs than the west wing of the facility?" D) "What is the patient census on the east wing as opposed to the other wings of the facility?"

Nursing

The nurse is teaching new parents how to communicate with their infant. Which response by the parents indicates accurate understanding of the information presented?

1. "I will prop the bottle while my baby is in the carseat so that I can cook dinner." 2. "I will use a low-pitched voice while talking to my baby as this is most appropriate." 3. "I will unwrap my baby when she is upset to allow interaction with the environment." 4. "I will talk and sing to my baby while I am providing daily care, including diaper changes."

Nursing