As the RN charge nurse on the night shift in a small long-term care facility, you've found that there is little turnover among your LPN and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job descriptions in
their work. Which of the following strategies might motivate the staff and lead to greater job satisfaction? a. Ask the director of nursing to offer higher wages and bonuses for extra work for the night LPNs and NAs.
b. Allow the LPNs and NAs greater deci-sion-making power within the scope of their positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care and indi-vidual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them sign contracts that guarantee work.
B
Hygiene factors such as salary, working conditions, and security are consistent with Herzberg's two-factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator fac-tors such as recognition and satisfaction with work promote a satisfying and enriched work en-vironment. Transformational leaders use motivator factors liberally to inspire work performance and increase job satisfaction.
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The nurse is examining a patient who has possible cardiac enlargement. Which statement about percussion of the heart is true?
a. Percussion is a useful tool for outlining the heart's borders. b. Percussion is easier in patients who are obese. c. Studies show that percussed cardiac borders do not correlate well with the true cardiac border. d. Only expert health care providers should attempt percussion of the heart.
A client with acute abdominal pain is scheduled for an appendectomy in 3 hours. While waiting for the surgery, the client reports that the pain has subsided. Which is the priority action by the nurse?
A) Determine when the client can be medicated for pain. B) Contact the surgery department. C) Contact the healthcare provider. D) Notify the nursing supervisor.
Which group of clients should not receive potassium iodide?
A) Those who are allergic to corticosteroids B) Those who are pregnant C) Those taking medications such as cough medicines D) Those who are allergic to seafood
What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia?
a. The prognosis for full recovery is excellent. b. Death usually occurs by 6 months of age. c. Liver transplantation may be needed eventually. d. Children with surgical correction live normal lives.