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 B

Explanation

A. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.

A. Incidence of catheter-induced urinary tract infections. B. Nursing staff ratios. C. Availability of resources, such as fire extinguishers. D. Quality of nursing care provided.

Correct Answer is A

Explanation

A. Incidence of catheter-induced urinary tract infections: Outcome audits measure the results or outcomes of care, such as the incidence of infections, reflecting the effectiveness of care interventions.
B. Nursing staff ratios: This pertains to a process or structure audit, which examines staffing levels and their adequacy rather than the outcomes of care.
C. Availability of resources, such as fire extinguishers: This is assessed by a structure audit, focusing on the availability and adequacy of resources rather than client care outcomes.
D. Quality of nursing care provided: While important, quality of care is typically assessed through various audit types including process and outcome audits, and is not specifically categorized under outcome audits alone.

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Naxlex Comprehensive Predictor Exams

A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

Correct Answer is B

Explanation

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Correct Answer is A

Explanation

Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following does NOT correspond with the five rights of delegation?

During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

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?

The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?