How will working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims affect staff?

Correct Answer: B

Rationale: The correct answer is B: Fear of failure. Working in a high-volume, noisy emergency room with a high incidence of assault victims can lead to staff experiencing fear of failure due to the intense and high-pressure nature of the work environment. Staff may feel overwhelmed by the constant influx of critical cases and the need to make quick decisions, which can contribute to a fear of not being able to save every patient. This fear can impact their confidence and increase stress levels. Incorrect choices: A: Feelings of extreme overload - While staff may feel overwhelmed, the specific impact mentioned in this choice is not directly related to the work environment described. C: A pessimistic sense about the world - This choice is too broad and not necessarily tied to the specific challenges of working in this type of emergency room. D: Inability to separate intense work situations from personal situations - While this can be a challenge, it is not the primary effect discussed in the question stem.

Correct Answer: A

Rationale: The correct answer is A: Attendance. This is because being consistently late for work due to unreliable transportation directly impacts one's ability to be present at work on time, affecting attendance. It is not voluntary (B) as the individual is not choosing to be late, nor is it related to motivation (C) as it is an external factor beyond their control. It is also not involuntary (D) as the lateness is a result of a specific issue rather than a lack of intention.

Correct Answer: A

Rationale: The correct answer is A: Desire to leave. Voluntary turnover occurs when an employee chooses to leave the organization. This choice could be due to personal reasons, career advancement, or dissatisfaction with the current job. Termination (B) is involuntary, forced resignation (C) is also not voluntary as it involves external pressure, and floating (D) is not a recognized term in the context of turnover. Therefore, A is the correct choice for voluntary turnover.

Correct Answer: B

Rationale: The correct answer is B because note-taking forces the manager to deal with the problem by documenting important information, actions, and decisions. This helps in tracking progress, identifying trends, and making informed decisions. It promotes accountability and ensures issues are addressed promptly. A: Not specific and behavior-oriented - Incorrect. Note-taking should be specific and focus on behaviors to provide accurate and detailed information. C: Records only undesirable events - Incorrect. Note-taking should capture both positive and negative events for a comprehensive view. D: Failure to give performance feedback - Incorrect. Note-taking is a tool to provide feedback and track performance effectively.

Correct Answer: B

Rationale: The correct answer is B: Unlicensed assistive personnel. Nurse extenders are typically nursing assistants or other unlicensed staff who provide basic patient care under the supervision of registered nurses. They help alleviate the workload during staffing shortages but do not have the same level of education and training as licensed nurses. Float RNs (A) are registered nurses who work in various units as needed. LPNs (C) are licensed practical nurses who have more training than nursing assistants. Agency nurses (D) are temporary nurses hired from external agencies. Unlicensed assistive personnel best fit the description of nurse extenders due to their role in providing direct patient care under supervision.