A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The correct answer is C: Secure the restraint ties to the bed's side rails. This is important for ensuring the client's safety and preventing harm. Attaching the restraints to the side rails allows for proper immobilization without causing injury or restricting circulation. Padding the client's wrists (choice A) can be uncomfortable and ineffective. Evaluating circulation every 8 hours (choice B) is not frequent enough for monitoring potential issues. Removing restraints every 4 hours (choice D) can increase the risk of injury and should only be done as necessary.

Correct Answer: A

Rationale: The correct answer is A because it addresses the issue directly and effectively. By talking individually with your friends and explaining the need for equitable patient assignments, you are promoting fairness and transparency in your delegation process. This approach fosters open communication and helps maintain professional boundaries. Choice B is incorrect because suppressing your feelings of anger can lead to further tension and unresolved conflicts. Choice C is inappropriate as it involves gossiping about other staff members, which is unprofessional and can create additional problems. Choice D is not a proactive solution and avoiding addressing the issue will only prolong the negative impact on your relationships and work environment.

Correct Answer: D

Rationale: The correct answer is D because all the interventions mentioned demonstrate assertiveness in minimizing interruptions to meet the deadline. A: Allowing voicemail or turning off email notifications shows assertiveness in managing communication. B: Delegating tasks to staff nurses frees up the manager's time to focus on the assignment. C: Placing a 'Do Not Disturb' sign sets clear boundaries to avoid interruptions. In summary, each intervention in choice D actively addresses potential interruptions, allowing the manager to concentrate on completing the assignment within the deadline.

Correct Answer: D

Rationale: The correct answer is D: Chaos theory. Chaos theory explains how complex systems, like organizations, can exhibit unpredictable behavior due to small changes in initial conditions. In this context, the interconnectedness and diverse choices within organizations result in unanticipated consequences. Contingency theory (A) focuses on adapting to environmental factors, closed system theory (B) suggests organizations are isolated from the environment, and open system theory (C) emphasizes interactions with the external environment, but none directly address the unpredictable consequences arising from intertwined links and diverse choices within organizations like Chaos theory does.

Correct Answer: B

Rationale: The correct answer is B: Strong emphasis on interdisciplinary teamwork. Magnet-designated hospitals are recognized for their commitment to nursing excellence and quality patient care. Interdisciplinary teamwork is crucial for enhancing patient outcomes and promoting a holistic approach to healthcare. Collaboration among healthcare professionals ensures comprehensive patient care. Other choices are incorrect because high nurse turnover rates, limited professional development opportunities, and a focus on advanced technology do not necessarily define a Magnet-designated hospital.

Correct Answer: D

Rationale: The correct answer is D because complaining about a nurse preceptor on social media and discussing their unprofessional characteristics can be considered libel. Libel involves making false and damaging statements about someone that are published and seen by others. This action could harm the preceptor's reputation and potentially lead to legal consequences. Choice A is incorrect because snapping a selfie with a patient, if done with the patient's consent and in compliance with privacy laws, does not necessarily constitute libel. Choice B is incorrect because posting a positive review of a hospital is not libelous as long as it is truthful and does not harm anyone's reputation. Choice C is incorrect because creating a closed online forum for students to discuss clinical experiences without providing client information is a professional and ethical practice that respects privacy and confidentiality.

Correct Answer: A

Rationale: Correct answer: A. Determine what type of activities the patient enjoys. Rationale: 1. By determining the patient's preferred activities, the nurse can tailor an exercise plan that is more likely to be enjoyable and sustainable for the patient. 2. Enjoyable activities increase motivation and adherence to exercise regimen, leading to better outcomes for the patient. 3. Personalized approach considers the patient's interests and abilities, promoting a positive experience with exercise. Summary: B: Reminding the patient about self-esteem doesn't address individual preferences for exercise. C: Teaching about glucose levels is important but not as crucial as personalizing the exercise plan. D: Providing a list of activities may not consider the patient's preferences and may not lead to sustained engagement.

Correct Answer: B

Rationale: The correct answer is B: Substituting personal days. This approach addresses absenteeism by allowing employees to use personal days instead of sick days, promoting honesty and reducing misuse. Rewarding non-absent employees (A) may not address underlying causes of absenteeism. Termination (C) is extreme and counterproductive. Disciplinary actions (D) may create a negative work environment. Substituting personal days encourages responsible time management and positive behavior.

Correct Answer: D

Rationale: The correct answer is D: Power-coercive. State boards of nursing have the authority to enforce regulations and standards through legal power, making them a power-coercive change agent. They can mandate compliance and impose consequences for non-compliance, utilizing their regulatory power to drive change. A: Resistance is incorrect as state boards of nursing do not resist change but rather implement and enforce it. B: Empirical-rational is incorrect as this approach involves presenting data and information to persuade individuals to change, which may not align with the state boards' regulatory enforcement. C: Normative-reeducative is incorrect as it focuses on changing beliefs and values through education and social influence, which is not the primary method used by state boards of nursing for implementing change.