Nurses working in an inner-city neighborhood characterized by high levels of violence are concerned with the low levels of security presence in their department. Security levels have recently been decreased, and the nurses question why this has occurred. Which of the following would be an appropriate action?

Accept the security levels as a consequence of funding realities.

Refer the matter to the head of security and let them deal with it.

Provide nurses with information about the rationale for recent changes in security staffing.

Provide mentors who can help nurses defuse aggressiveness.

Answer and Explanation

The Correct Answer is C

Choice A reason: Accepting the security levels as a consequence of funding realities may be seen as passive and could potentially compromise the safety of the nurses and patients. It does not address the concerns of the nurses or seek to improve the situation.

Choice B reason: Referring the matter to the head of security and letting them deal with it removes the opportunity for nurses to be informed and involved in the decision-making process, which can lead to feelings of helplessness and frustration.

Choice C reason: Providing nurses with information about the rationale for recent changes in security staffing empowers them with knowledge and may help in understanding the broader context of the decisions made, which can alleviate concerns and foster a sense of inclusion in the workplace.

Choice D reason: While providing mentors to help nurses defuse aggressiveness can be beneficial in managing difficult situations, it does not address the root concern of decreased security presence and the reasons behind it.

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Correct Answer is B

Explanation

Choice A reason: While analyzing the cause is an important part of the process, it cannot be effectively done without first having a clear definition of what the problem is.

Choice B reason: Defining the problem is crucial as it sets the stage for all subsequent steps in the Quality Management process. It ensures that everyone understands what the issue is and agrees on its importance.

Choice C reason: Measuring the problem is necessary to understand its extent and impact, but it comes after the problem has been defined and before solutions are considered.

Choice D reason: Solving the root cause is the ultimate goal, but it is a later step that follows defining, analyzing, and measuring the problem.

A. Actively make the decisions during the planning and implementation process. B. Allow control of decision-making to team members to create an active learning environment. C. Set the rules for planning how to reach the goal. D. Maintain close oversight to approve all decisions made by team members.

Correct Answer is B

Explanation

Choice A reason: While a leader may actively make decisions, it is not always beneficial for them to do so during every stage of planning and implementation. This approach can limit the team's engagement and growth opportunities.

Choice B reason: This is the correct answer because allowing team members to control decision-making fosters an active learning environment. It encourages autonomy, enhances problem-solving skills, and can lead to more innovative solutions.

Choice C reason: Setting rules is a part of leadership, but it is not the sole responsibility. Leaders also need to inspire, motivate, and guide their team towards achieving the common goal.

Choice D reason: Maintaining close oversight can be necessary in certain situations, but approving all decisions can create a bottleneck and reduce the team's ability to act swiftly and learn from their experiences.

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Naxlex Comprehensive Predictor Exams

The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:

Correct Answer is B

Explanation

A leader guides people towards a common goal and, in addition, the leader should:

Correct Answer is B

Explanation

A clinic nurse developed objectives for a diabetic education program. The characteristics of well-written objectives include that they should be what? (Select all that apply)

Which of the following options best describes a Nursing outcome statement?

The biggest challenge in the recruitment of staff is:

The following are grounds for immediate dismissal except:

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A nurse intervenes when a client attempts to harm herself on the unit. During the interaction, the client slaps the nurse across the face, as a manager, it is important that you:

Two employees disagree about who should work on Christmas Day. The bottom line is that one will have to work the first half of the shift and the other the second half. What is the best method for the manager to decide who will work each half?

You need to terminate staff member Z, who has had a long-standing history of conflict with you and other employees. You consult with Human Resources, and together, you develop a plan, which includes: