Jane, an experienced head nurse, is given the task of completing the summer vacation schedule for the pediatric unit
She is fully aware of the hospital's restrictions on time off and the number of staff on vacation at any given time, as well as its issues regarding seniority. She weighs the options of allowing staff choice, such as it takes more time but gives employees options. However, if choice is allowed, this could cause arguments. Which of the following is the best alternative?
a. Ask for requests for vacation time in advance, and post the times.
b. Post the completed vacation schedule.
c. Post a tentative schedule, and request feedback.
d. Post a blank schedule, and ask staff members to fill in their times by a given date.
ANS: D
This is based on a decision-making model that allows experience and knowledge to predict whether a decision will or will not work. The experience of the head nurse suggests that it is important to involve staff in decisions that affect them the most.
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An adult patient is experiencing deficiencies in folic acid and vitamin B12 . This patient's compromised health status creates a risk for which of the following?
A) Hyperuricemia B) Hepatitis C) Non-Hodgkin's lymphoma D) Megaloblastic anemia
In comparing the major features of psychiatric theories, the nurse correctly concludes that:
1. Medical–psychobiologic and psychoanalytic theories focus on the individual client. 2. Social–interpersonal and medical–psychobiologic theories seek to change behavior through pharmacology. 3. Social–interpersonal and medical–psychobiologic theories are in direct opposition to the other. 4. Cognitive behavioral and psychoanalytic theories share the premise that behavior stems from the unconscious and requires the client to develop insight.
A nurse is to insert an indwelling urinary catheter into a female client. After thorough hand hygiene, which of these techniques should the nurse use?
a. Cleanse the client's perineal area before catheter insertion. b. Establish and maintain a sterile field before and during catheter insertion. c. Don gloves before positioning the client for catheter insertion. d. Wear cap, gown, gloves, and goggles during the catheter insertion.
A new graduate from a master's entry program in nursing announces, "I just passed my clinical nurse leader certification exam." Certification as a clinical nurse leader:
a. is granted by the state boards of nursing. b. denotes minimum level of knowledge and skills to practice safely. c. allows independent nursing practice, often in primary care. d. recognizes achievement of advanced skills and knowledge.