The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:

Introducing substitute staff with fresh perspectives can harm the unit’s culture.

Unacceptable patient care may result.

Lower personnel numbers lead to reduced salary expenses, creating a positive variance.

It may encourage other team members to engage in absenteeism.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Introducing substitute staff with fresh perspectives can harm the unit’s culture. While introducing substitute staff can bring fresh perspectives, it can also disrupt the established team dynamics and culture. Frequent changes in staff can lead to inconsistencies in patient care and communication issues among team members. However, this is not the primary consequence of absenteeism.

Choice B Reason:

Unacceptable patient care may result. The most significant consequence of absenteeism in a nursing unit is the potential for unacceptable patient care. When nurses are absent, the remaining staff may be overworked, leading to fatigue and burnout. This can result in errors, missed care, and overall lower quality of patient care. Ensuring adequate staffing levels is crucial to maintaining high standards of care and patient safety.

Choice C Reason:

Lower personnel numbers lead to reduced salary expenses, creating a positive variance. While it is true that fewer staff members can reduce salary expenses, this is not a positive outcome in the context of healthcare. Reduced staffing can compromise patient care quality and increase the workload for the remaining staff, leading to burnout and higher turnover rates. Therefore, this is not a desirable consequence of absenteeism.

Choice D Reason:

It may encourage other team members to engage in absenteeism. Absenteeism can indeed create a negative work environment where other team members may feel justified in also being absent. This can lead to a cycle of absenteeism, further exacerbating staffing issues and negatively impacting patient care. However, this is a secondary consequence compared to the direct impact on patient care quality.

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Correct Answer is B

Explanation

Choice A Reason:

The Patient Self-Determination Act (PSDA) will explain your rights to change life-saving measures. The PSDA is a federal law that ensures patients are informed of their rights to make decisions about their medical care, including the right to accept or refuse treatment and the right to create an advance directive. However, it does not specifically address the modification of life-saving measures once a patient is unconscious. The living will, which is a type of advance directive, is the document that outlines the patient’s wishes regarding life-saving measures.

Choice B Reason:

The living will states the client’s wishes regarding life-saving measures. This is the correct response. A living will is a legal document that specifies a person’s preferences for medical treatment if they become unable to communicate their decisions. It includes instructions on life-saving measures such as resuscitation, mechanical ventilation, and other interventions. The living will reflects the client’s wishes and should be followed by healthcare providers and family members.

Choice C Reason:

The case manager can make changes to the client’s living will. This statement is incorrect. A case manager does not have the authority to alter a client’s living will. Changes to a living will can only be made by the client themselves while they are still competent to do so. Once the client is unconscious, the living will remains in effect as it was originally written.

Choice D Reason:

The durable power of attorney for health care can cancel the client’s living will. This statement is also incorrect. A durable power of attorney for health care (also known as a healthcare proxy) is a person designated to make medical decisions on behalf of the client if they are unable to do so. However, the healthcare proxy must follow the instructions outlined in the living will. They cannot cancel or override the living will unless the document explicitly grants them that authority.

A. Identifying weaknesses in clinical knowledge. B. Identifying job responsibilities. C. Role development. D. Identifying where to obtain support. E. Determining job expectations.

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A Reason:

Identifying weaknesses in clinical knowledge. Identifying weaknesses in clinical knowledge is crucial for professional growth and ensuring high-quality patient care. By recognizing areas where improvement is needed, nurses can seek additional training and education to enhance their skills. This continuous self-assessment helps maintain competency and ensures that nurses are up-to-date with the latest medical practices and technologies.

Choice B Reason:

Identifying job responsibilities. Understanding job responsibilities is essential for effective performance in any role. The ROLES assessment helps nurses clarify their duties and expectations, which can reduce confusion and improve job satisfaction. Clear identification of responsibilities also aids in prioritizing tasks and managing time efficiently, leading to better patient outcomes.

Choice C Reason:

Role development. Role development is a key aspect of professional nursing practice. It involves expanding one’s skills, knowledge, and responsibilities over time. The ROLES assessment supports this by identifying areas for growth and development, enabling nurses to take on more advanced roles and responsibilities within their practice. This progression is vital for career advancement and personal fulfillment in the nursing profession.

Choice D Reason:

Identifying where to obtain support. Knowing where to obtain support is critical for managing the challenges of nursing. The ROLES assessment can highlight resources and support systems available to nurses, such as mentorship programs, peer support, and professional organizations. Access to these resources can help nurses cope with stress, improve their practice, and enhance their overall well-being.

Choice E Reason:

Determining job expectations. Determining job expectations is fundamental for aligning personal goals with organizational objectives. The ROLES assessment helps nurses understand what is expected of them in their roles, which can lead to better performance and job satisfaction. Clear expectations also facilitate effective communication between nurses and their supervisors, ensuring that everyone is working towards common goals.

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The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is looking after an unconscious client with a living will. The client’s family inquires if they can modify life-saving measures now that the client is unconscious. What should the nurse say in response?

Correct Answer is B

Explanation

As a result of Amy’s coaching, Sarah, a nursing graduate of 5 years, completes a ROLES assessment. This assessment is helpful in: (Select all that apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

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:

A nurse manager seeks to enhance their unit’s use of evidence-based practice. Which of the following is an appropriate strategy for the nurse manager to consider?

According to the Nursing Intellectual Capital (NiC) Theory, which factor increases overall organizational improvement?

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?

When creating staffing schedules, a nurse manager must compute paid nonproductive hours. In this calculation, the nurse manager takes into account:

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?