The nurse manager is talking with the CNA about her time management. Which of the following is an example of a nurse manager as a coach?

Correct Answer: A

Rationale: The correct answer is A because it provides positive reinforcement for a behavior that the nurse manager wants to encourage. By praising the CNA for her timely response to patients' call lights, the nurse manager is acting as a coach by recognizing and reinforcing a positive behavior. This approach is motivational and helps the CNA understand the importance of time management in a positive manner. Choice B is incorrect because it focuses on the CNA's appearance, which is not directly related to time management or coaching. Choice C is incorrect as it uses a threat of discipline rather than coaching to address the issue of vital signs being taken on time. Choice D is incorrect as it uses a negative statement without providing constructive feedback or coaching to address the issue of reporting blood sugar levels on time.

Correct Answer: C

Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety. Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used. Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader. Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.

Correct Answer: C

Rationale: The correct answer is C: middle-level manager. Middle-level managers oversee first-level managers and coordinate activities within related specialties. They bridge the gap between top-level executives and front-line employees, ensuring organizational goals are met. A: Self-directed managers work autonomously, not supervising other managers. B: First-level managers supervise front-line employees, not other managers. D: Self-motivated is a personal trait and not a managerial level.

Correct Answer: B

Rationale: The correct answer is B: Total quality management. This approach focuses on meeting customer needs and continuous improvement. By allowing the client to rest, the nurse is prioritizing the client's comfort and well-being, which aligns with the principles of total quality management. Continuous quality improvement (A) focuses on incremental improvements, Six Sigma (C) aims to reduce defects, and Quality management (D) is a broader term that encompasses various quality approaches.

Correct Answer: C

Rationale: The correct answer is C: Preoccupation with failure. High reliability organizations (HROs) prioritize identifying and addressing potential failures to prevent catastrophic events. This focus on failure helps them anticipate, detect, and respond to risks effectively. A: Flexibility may be important but not a defining characteristic of HROs. B: Reluctance to simplify is not a common characteristic as HROs value simplicity and clarity in communication. D: Deference to expertise is beneficial but not exclusive to HROs as many organizations value expertise. Therefore, the preoccupation with failure is the key characteristic of a high reliability organization.