A nurse says to their nurse manager, “I’m the only one on my team who is working hard.” Which of the following responses should the nurse manager make?
“Why do you feel upset about this?”
“You should be working harder.”
“I will reprimand your team members.”
“You must feel frustrated.”
The Correct Answer is A
Choice A reason:
“Why do you feel upset about this?” is a response that opens up a dialogue and allows the nurse to express their feelings and concerns. It shows that the nurse manager is interested in understanding the nurse’s perspective and is willing to listen. This approach can help identify any underlying issues and work towards a resolution. It is important for managers to create an environment where employees feel heard and supported.
Choice B reason:
“You should be working harder.” is a dismissive response that does not address the nurse’s concerns. It can make the nurse feel undervalued and unappreciated, leading to decreased morale and job satisfaction. This response does not foster a supportive work environment and can exacerbate feelings of frustration and resentment. Effective management involves acknowledging employees’ efforts and addressing their concerns constructively.
Choice C reason:
“I will reprimand your team members.” is a response that may seem supportive at first glance, but it can create a negative work environment. Reprimanding team members without understanding the full context can lead to resentment and conflict within the team. It is important for managers to address performance issues in a fair and constructive manner, focusing on solutions rather than punishment.
Choice D reason:
“You must feel frustrated.” is an empathetic response that acknowledges the nurse’s feelings. It shows that the nurse manager understands the nurse’s frustration and is willing to listen. This response can help build trust and rapport between the nurse and the manager, creating a more positive and supportive work environment. Empathy is a key component of effective leadership and can help address and resolve workplace issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason: Have a padded tongue blade available at the client’s bedside.
Having a padded tongue blade available is not recommended for seizure management. Inserting any object into a patient’s mouth during a seizure can cause injury to the teeth, gums, or jaw1. Current guidelines advise against placing anything in the mouth of a person having a seizure. Instead, focus on ensuring the patient’s safety by turning them on their side to maintain an open airway and prevent aspiration.
Choice B Reason: Keep the four side rails down when the client is in bed.
Keeping the side rails down is not advisable for a client with a seizure disorder. To prevent injury during a seizure, it is important to keep the side rails up and padded. This helps prevent the client from falling out of bed and sustaining injuries. Additionally, the bed should be kept in its lowest position to minimize the risk of injury from falls.
Choice C Reason: Keep suction equipment available in the client’s room.
Keeping suction equipment available is crucial for managing a client with a seizure disorder. During a seizure, there is a risk of aspiration due to excessive salivation or vomiting. Having suction equipment readily available allows the nurse to quickly clear the client’s airway, reducing the risk of aspiration and ensuring the client can breathe properly1.
Choice D Reason: Have wire cutters available at the client’s bedside.
Wire cutters are not typically necessary for managing a seizure disorder. They are sometimes mentioned in the context of clients with Vagus Nerve Stimulators (VNS), where the wire cutters might be used in an emergency to cut the VNS wire. However, this is a rare situation and not a standard precaution for all clients with seizure disorders4.
Correct Answer is C
Explanation
Choice A Reason:
Urinary frequency is not typically associated with allergic reactions. It is more commonly related to urinary tract infections, diabetes, or other conditions affecting the urinary system. Therefore, it is not an indication of a mild allergic reaction.
Choice B Reason:
Tinnitus, or ringing in the ears, is not a common symptom of an allergic reaction. It is usually associated with conditions affecting the auditory system, such as exposure to loud noises, ear infections, or certain medications. Thus, it does not indicate a mild allergic reaction.
Choice C Reason:
Urticaria, also known as hives, is a common symptom of a mild allergic reaction. It presents as red, itchy welts on the skin that can vary in size and shape. Urticaria occurs when the body’s immune system reacts to an allergen, releasing histamines that cause the characteristic rash.
Choice D Reason:
A sore throat can be a symptom of various conditions, including infections like the common cold or strep throat. While it can occur in some allergic reactions, it is not a primary indicator of a mild allergic reaction. More common symptoms of mild allergic reactions include hives, itching, and nasal congestion.
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