Hospitals surveyed nurses who terminated their employment to determine why they chose to leave. One of the most common reasons for leaving was:
a. decreased pay for alternative shifts.
b. that the nurse/patient ratio prevents safe care.
c. that most facilities are choosing an all-RN staff, which decreases opportunities for advancement.
d. that agency and foreign nurses are favored by administration over full-time nursing staff.
ANS: B
Correct: A number of studies in the late 1990s focused on the work environment as a significant contributor to the difficulties involved in recruiting and retaining RNs. One of the primary factors for the increasing nurse turnover rate was identified as workload and staffing patterns. A more recent study by Aiken (2002) reported higher rates of patient complications and increased death rates when fewer nurses are assigned per patient.
Incorrect:
a. Substantial monetary compensation is provided for alternative shifts.
c. An all-RN staff would not limit advancement opportunities.
d. Use of agency and foreign nurses results in considerable expenditures by health care organizations. Many believe that these recruitment-related costs would be better spent by increasing the basic compensation levels of professional nurses.
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Which statement by the formal leader of a nursing unit reflects the personality required to energize the staff and promote creativity? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. "I would like to change the format we use for shift report, but I'm afraid it would upset staff members who have been here a long time." 2. "This is the decision I have made, and there is no room for discussion." 3. "I would like to thank everyone for your hard work and dedication while we have been short staffed." 4. "I am certain that our new assignment system is going to make the workload more equitable." 5. "I know this week has been rough. I feel a little like sandpaper myself."
When appropriate, the nurse can use _____________________ as part of an interaction when there is no talking. This can communicate support
ANS:
The nurse is reviewing a teaching plan to assist a client who is resisting smoking cessation. What should be included in this plan? (Select all that apply.)
1. Discuss the risks of smoking. 2. Provide relevant information. 3. Discuss the rewards of quitting. 4. Steps to evaluate lung function 5. Ask about roadblocks to quitting.
A client is prescribed amitriptyline, an antidepressant for incontinence. The nurse understands which of the following reasons that this drug is an effective treatment?
A) Increases contraction of the detrusor muscle B) Increases bladder neck resistance C) Reduces bladder spasticity D) Decreases involuntary bladder contractions