After several months of heavy patient loads in the Emergency Department and inability to secure sufficient and experienced staff, the department is especially taxed by a train accident that brings in many seriously injured individuals. You observe that Rama ignores the requests of several of the injured, even when time is available to care for them and is rude to two older adult patients. You are concerned that Rama is evidencing which state?

depersonalization

role ambiguity

depression

hardiness

Answer and Explanation

The Correct Answer is A

A. Depersonalization: Depersonalization involves feeling detached from one’s work and treating patients as objects rather than individuals, which matches Rama's behavior of ignoring patient requests and being rude.
B. Role ambiguity: Role ambiguity occurs when there is a lack of clarity about job responsibilities and expectations, which does not align with the described behaviors.
C. Depression: Depression involves persistent sadness and loss of interest in activities, which may not directly explain the specific behaviors of ignoring and being rude to patients.
D. Hardiness: Hardiness is a personality trait that involves resilience and the ability to endure stressful situations, which contrasts with Rama's negative behaviors.

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Correct Answer is A

Explanation

A. Involve affected staff in the decision-making process: Involving staff in decision-making aligns with complexity principles, which emphasize collaboration and the consideration of multiple perspectives to address complex issues effectively.
B. Focus the assessment on the unit and do not consider the hospital as a whole: Ignoring broader organizational factors may limit the effectiveness of adaptations and does not fully consider the complexity of the hospital environment.
C. Create a mandatory policy to force workers to participate in problem-solving solutions: Mandating participation without engagement may lead to resistance and does not align with complexity principles that value collaboration and buy-in.
D. Select a management approach that does not change: Maintaining the status quo may fail to address the unique needs of older adults and does not reflect the adaptive nature of complexity principles.

A. autonomy B. nonmaleficence C. justice D. fidelity

Correct Answer is D

Explanation

A. Autonomy: Autonomy refers to respecting individuals' right to make their own decisions, which is not the primary focus in providing feedback.
B. Nonmaleficence: Nonmaleficence involves avoiding harm, which is indirectly related to providing truthful feedback, but not the main ethical principle here.
C. Justice: Justice involves fairness and equality, which can be related to evaluations but is not specifically about providing truthful feedback.
D. Fidelity: Fidelity refers to being truthful and maintaining trustworthiness. Providing honest feedback is a key aspect of fidelity, ensuring transparency and trust in the manager-nurse relationship.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?

Correct Answer is A

Explanation

During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

Correct Answer is D

Explanation

As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

Which of the following is most accurate regarding evidence-based practice?

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

A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?

A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

With regard to nursing practice, nurse managers are held responsible for: (Select all that apply.)

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?