In response to COVID-19, the Chief Nursing Officer employs the hospital’s workplace advocacy program to support the overwhelmed medical floors. Workplace advocacy aims to aid nurses by:

Representing them in labor-management disputes.

Negotiating employment contracts.

Equipping them to practice in a rapidly changing environment.

Creating professional practice climates in their institutions.

Answer and Explanation

The Correct Answer is C

Choice A Reason

Representing nurses in labor-management disputes is an important function of workplace advocacy programs. These programs often provide support during negotiations and conflicts between staff and management, ensuring that nurses’ rights and interests are protected. However, this function is more focused on resolving specific disputes rather than addressing the broader challenges posed by a rapidly changing healthcare environment, such as those brought about by the COVID-19 pandemic.

Choice B Reason

Negotiating employment contracts is another key role of workplace advocacy programs. These programs help nurses secure fair wages, benefits, and working conditions through collective bargaining and contract negotiations. While this is crucial for ensuring job satisfaction and security, it does not directly address the immediate need for nurses to adapt to the rapidly evolving demands of the healthcare environment during a crisis like COVID-19.

Choice C Reason

Equipping nurses to practice in a rapidly changing environment is the most relevant function of workplace advocacy in the context of the COVID-19 pandemic. This involves providing nurses with the necessary resources, training, and support to adapt to new protocols, technologies, and patient care practices. During the pandemic, healthcare environments have undergone significant changes, requiring nurses to quickly learn and implement new procedures to ensure patient and staff safety. Workplace advocacy programs play a critical role in facilitating this adaptation process.

Choice D Reason

Creating professional practice climates in their institutions is an essential aspect of workplace advocacy. These programs work to foster supportive and collaborative work environments where nurses can thrive professionally. While this is important for long-term job satisfaction and retention, it is not as directly related to the immediate need for nurses to adapt to the rapidly changing conditions brought about by the COVID-19 pandemic.

Conclusion

In summary, while representing nurses in disputes, negotiating contracts, and creating supportive work environments are important functions of workplace advocacy programs, the most relevant function in the context of the COVID-19 pandemic is equipping nurses to practice in a rapidly changing environment. This ensures that nurses have the resources and support they need to adapt to new challenges and continue providing high-quality care.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Choice A Reason

Abandonment occurs when a nurse terminates the nurse-patient relationship without reasonable notice or providing a competent replacement. This can leave the patient without necessary care and support, potentially leading to harm. In this scenario, the nurse did not abandon the patient but instead threatened to withhold care, which aligns more closely with the definition of assault.

Choice B Reason

Battery involves the actual physical contact with a patient without their consent. This could include actions such as administering a medication against the patient’s will or physically restraining them without justification. In this case, the nurse did not physically touch the patient, so battery is not the correct term for the described behavior.

Choice C Reason

Assault is the threat of harm or unwanted physical contact that causes the patient to fear for their safety. By threatening to withhold the client’s meal tray, the nurse is using intimidation to coerce the patient into compliance. This threat can cause the patient to feel fearful and anxious, which constitutes assault. The key element here is the threat of harm, not the actual physical act.

Choice D Reason

False imprisonment involves restraining a patient against their will without legal justification. This could include locking a patient in a room or using physical restraints without a medical order. The scenario does not describe any form of physical restraint or confinement, so false imprisonment is not applicable in this context.

A. Provide the staff member the opportunity to disagree with the evaluation. B. Conduct the performance appraisal in a public setting to ease tension. C. Evaluate how well employees were able to perform duties outside of their job description. D. Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member.

Correct Answer is A

Explanation

Choice A Reason:

Providing the staff member the opportunity to disagree with the evaluation is a crucial aspect of a fair and transparent performance appraisal process. This approach allows for open communication and ensures that the staff member feels heard and respected. It also provides an opportunity for the nurse to address any misunderstandings or discrepancies in the evaluation. This practice can lead to a more constructive and positive appraisal experience, fostering a culture of trust and collaboration.

Choice B Reason:

Conducting the performance appraisal in a public setting to ease tension is inappropriate. Performance appraisals should be conducted in a private and confidential setting to ensure that the staff member feels comfortable discussing their performance openly. A public setting can lead to embarrassment and discomfort, which can hinder honest communication and negatively impact the appraisal process.

Choice C Reason:

Evaluating how well employees were able to perform duties outside of their job description is not a standard practice in performance appraisals. The focus should be on assessing the staff member’s performance based on their defined roles and responsibilities. While flexibility and willingness to take on additional tasks can be noted, the primary evaluation should be based on the core duties of the job.

Choice D Reason:

Initiating a random time to conduct the performance appraisal to ensure authentic responses by the staff member is not recommended. Performance appraisals should be scheduled in advance to allow both the evaluator and the staff member to prepare adequately. This preparation ensures a thorough and thoughtful evaluation process. Random appraisals can lead to anxiety and may not provide an accurate reflection of the staff member’s performance.

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In response to COVID-19, the Chief Nursing Officer employs the hospital’s workplace advocacy program to support the overwhelmed medical floors. Workplace advocacy aims to aid nurses by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A caregiver is caring for a client who is uncooperative, verbally abusive, and disrespectful towards the nurse. The nurse responds defensively and threatens to withhold the client’s meal tray if they do not cooperate. Which of the following intentional torts has the nurse demonstrated?

Correct Answer is C

Explanation

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse manager mediates an argument between two staff members. Which of the following actions should the nurse take first to resolve the conflict?

A nurse from a medical floor is serving on a committee that is performing an outcome audit of the hospital. Which of the following aspects of client care is measured by an outcome audit?

During a meeting of nurse managers, the chief nursing officer urges them to come up with ideas for cutting expenses. Nurse managers can have the most significant influence on cost reduction by effectively overseeing:

During an annual performance evaluation, a manager is mindful to avoid favoritism, which could result in a biased and unfair performance review. Which ethical principle is best demonstrated in this scenario?

In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that:

To help nurse managers better manage their time, the chief nursing officer suggests that they:

A nurse manager is introducing new staff members to computerized charting, which requires an understanding of informatics. Informatics, in essence, concerns three fundamental principles:

Nurses perform numerous tasks that demand skills, judgment, precise motor control, and other forms of expertise that are challenging to replicate using AI. One example of such a skill that is difficult to replicate is: