Question 1 5 out of 5 points A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past month. He tells the manager that he very much wants to come to work when scheduled but must often care for his wife, who is undergoing treatment for breast cancer. According to Maslow’s need hierarchy theory, what would be the best approach to satisfying the needs of this nurse, other staff, and patients? Selected Answer: d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife’s treatments. Correct Answer: d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife’s treatments. Response Feedback: Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect patient care and threaten the needs of staff to feel competent. Arranging the schedule around the wife’s needs meets the needs of the staff and of patients while satisfying the nurse’s need for affiliation. Question 2 5 out of 5 points A clinic nurse has observed another nurse deviating from agency policy in performing wound care. The best approach for the clinic nurse to take is to: Selected Answer: d. Assess the risk to the client and the agency before proceeding. Correct Answer: d. Assess the risk to the client and the agency before proceeding. Response Feedback: In assessing risk, the nurse engages in the initial step of the problem-solving process, which involves asking “What benefits (or risks) will be derived from solving it?” Purposeful inaction may not be appropriate when the individual cannot resolve the problem or when there is risk to patients. Question 3 5 out of 5 points A good nursing decision maker is one who: Selected Answer: a. Uses various models to guide the process based on the circumstances of the situation. Correct
Answer: a. Uses various models to guide the process based on the circumstances of the situation. Response Feedback: Research has determined that a structured approach to decision making increases critical thinking and is the best way to learn how to make quality decisions because it eliminates trial and error and focuses on proven processes. Question 4 5 out of 5 points During a fire drill, several psychiatric patients become agitated. The nurse manager quickly assigns a staff member to each patient. This autocratic decision style is most appropriate for: Selected Answer: b. Crisis situations.
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- Fall '08
- Nursing, Nurse Manager, unit manager