A legal consultant recommends that the nurse manager and staff members create a group agreement before addressing conflicts. According to Yoder Wise and Sportsman, agreements about how team members will collaborate are essential because:

Human beings tend to be untruthful by default and may not cooperate effectively unless they are held accountable.

In the absence of agreements, there is an unspoken approval for individuals to conduct themselves however they please.

Agreements help differentiate between team members who cooperate effectively and those who are less productive.

Agreements emphasize that despite disagreements and gossip that may arise during meetings, these conflicts are never aimed at individuals personally.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Human beings tend to be untruthful by default and may not cooperate effectively unless they are held accountable. While accountability is important in any team setting, the statement that human beings tend to be untruthful by default is a broad generalization and not the primary reason for creating group agreements. Group agreements are more about fostering a positive and collaborative environment rather than assuming negative behavior from the outset.

Choice B Reason:

In the absence of agreements, there is an unspoken approval for individuals to conduct themselves however they please. This choice highlights the importance of having clear guidelines to prevent chaos and ensure everyone understands the expected behavior. However, it does not fully capture the essence of why agreements are crucial for team collaboration and conflict resolution.

Choice C Reason:

Agreements help differentiate between team members who cooperate effectively and those who are less productive. While agreements can help identify productive behaviors, their primary purpose is not to single out individuals but to create a cohesive and supportive team environment. The focus is on collective success rather than individual performance.

Choice D Reason:

Agreements emphasize that despite disagreements and gossip that may arise during meetings, these conflicts are never aimed at individuals personally. This choice best captures the essence of why group agreements are essential. They provide a framework for respectful communication and conflict resolution, ensuring that disagreements are handled professionally and do not become personal attacks. This helps maintain a positive team dynamic and fosters trust among team members.

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Correct Answer is D

Explanation

Choice A Reason

Feeling in control of her behavior is an important goal for clients with anorexia nervosa, as it addresses the psychological aspect of the disorder. Anorexia nervosa often involves a significant loss of control over eating behaviors and body image. However, while regaining a sense of control is crucial, it is not the immediate priority when the client is severely underweight and at risk for serious health complications. The primary focus should be on stabilizing the client’s physical health.

Choice B Reason

Making positive statements about improvements in body image is also an important goal, as it can help improve the client’s self-esteem and body perception. However, this goal is more long-term and secondary to addressing the immediate physical health risks associated with severe weight loss. Positive body image can be worked on concurrently with nutritional rehabilitation but should not overshadow the urgent need for weight gain.

Choice C Reason

Identifying changes within the family unit that promote the client’s autonomy is beneficial for long-term recovery. Family dynamics often play a significant role in the development and maintenance of eating disorders. Promoting autonomy and healthy family interactions can support the client’s recovery process. However, similar to the previous goals, this is a secondary priority compared to the immediate need to address the client’s critical nutritional status.

Choice D Reason

Gaining 2 pounds of weight per week is the most immediate and critical goal for a client with anorexia nervosa who is severely underweight. This goal directly addresses the life-threatening physical health risks associated with the disorder, such as malnutrition, electrolyte imbalances, and organ failure. Achieving a safe and steady weight gain is essential for stabilizing the client’s health and providing a foundation for addressing the psychological aspects of the disorder.

A. Activate the fire alarm. B. Move any clients in the immediate vicinity. C. Use a fire extinguisher to put out the fire. D. Close the fire doors on the unit.

Correct Answer is A

Explanation

Choice A Reason:

Activate the fire alarm. The nurse’s top priority in this situation should be to activate the fire alarm. This action ensures that the entire facility is alerted to the fire, allowing for a coordinated and timely response. Activating the fire alarm initiates the emergency protocols, including evacuation procedures and the arrival of the fire department. This step is crucial because it addresses the safety of all individuals in the facility, not just those in the immediate vicinity of the fire. By activating the fire alarm, the nurse ensures that everyone is aware of the danger and can take appropriate action to protect themselves.

Choice B Reason:

Move any clients in the immediate vicinity. While moving clients in the immediate vicinity is important, it is not the top priority. This action addresses the safety of those closest to the fire but does not alert the rest of the facility to the danger. Without activating the fire alarm first, other staff members and clients may remain unaware of the fire, potentially putting more people at risk. Therefore, while moving clients is a necessary step, it should follow the activation of the fire alarm to ensure a comprehensive response to the emergency.

Choice C Reason:

Use a fire extinguisher to put out the fire. Using a fire extinguisher to put out the fire is a valid action, but it should not be the nurse’s top priority. Attempting to extinguish the fire without first alerting others can be dangerous, especially if the fire spreads quickly or if the nurse is unable to control it. Activating the fire alarm ensures that help is on the way and that evacuation procedures are initiated. Once the fire alarm is activated, the nurse can then attempt to use a fire extinguisher if it is safe to do so.

Choice D Reason:

Close the fire doors on the unit. Closing the fire doors is an important step in containing the fire and preventing it from spreading. However, this action should come after the fire alarm has been activated. Closing the fire doors without alerting others to the fire may delay the overall response and evacuation efforts. By activating the fire alarm first, the nurse ensures that everyone is aware of the fire and can take appropriate actions, including closing fire doors as part of the containment strategy.

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A legal consultant recommends that the nurse manager and staff members create a group agreement before addressing conflicts. According to Yoder Wise and Sportsman, agreements about how team members will collaborate are essential because:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Correct Answer is D

Explanation

A patient, while smoking in the bathroom, disposed of a cigarette into a wastepaper basket, causing it to start smoldering. What should be the nurse’s top priority in this situation?

Correct Answer is A

Explanation

According to the ANA Systematic Practices, nurses’ contributions to quality health care and their professional roles are scaled in:

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