What is dysfunctional turnover?

Correct Answer: C

Rationale: The correct answer is C because dysfunctional turnover refers to the loss of highly skilled employees who are difficult to replace, leading to negative impacts on the organization. Losing such employees can harm productivity, morale, and innovation. Retaining all employees (choice A) is not necessarily dysfunctional, and losing employees consistently (choice B) does not specify the impact on the organization. Hiring new employees (choice D) is not directly related to dysfunctional turnover. In summary, choice C is correct because it specifically addresses the detrimental effects of losing key employees.

Correct Answer: C

Rationale: The correct answer is C: Effective time management reduces stress. This is because when you manage your time well, you are able to prioritize tasks, allocate sufficient time for each activity, and avoid feeling overwhelmed. By having a clear plan and schedule, you can reduce stress levels and increase productivity. Now, let's analyze why the other choices are incorrect: A: Time management is not important in nursing - This is incorrect because time management is crucial in nursing to ensure patient care is delivered efficiently. B: Writing goals will increase stress - This is incorrect as setting goals helps in providing direction and motivation, reducing stress in the long run. D: Setting goals is a time waster - This is incorrect because setting goals helps in defining objectives and tracking progress, which is essential for effective time management.

Correct Answer: B

Rationale: Virginia Henderson is the correct answer because she emphasized the unique role of nursing in helping individuals achieve independence in meeting their basic needs. Henderson's theory focuses on the holistic approach to patient care, highlighting the importance of individualized care and the nurse's role in assisting patients to reach their optimal health potential. Florence Nightingale, known as the founder of modern nursing, focused on sanitation and environmental factors in health care. Martha Rogers emphasized the interconnectedness of humans with their environment. Abraham Maslow is known for his hierarchy of needs theory, which is more aligned with psychology than nursing.

Correct Answer: D

Rationale: The correct answer is D: Glycosylated hemoglobin level. This test provides an average blood glucose level over the past 2-3 months, reflecting long-term glycemic control. It is preferred for monitoring treatment effectiveness in diabetes. Urine dipstick for glucose (A) only detects current glucose levels in urine, not overall control. Oral glucose tolerance test (B) evaluates how the body processes glucose, not long-term control. Fasting blood glucose level (C) provides a snapshot of blood glucose at a specific moment, not long-term control.

Correct Answer: B

Rationale: The primary responsibility of a clinical nurse leader (CNL) is to coordinate patient care. This involves overseeing the care provided to patients, ensuring proper communication between healthcare team members, and promoting efficient and effective care delivery. CNLs focus on improving patient outcomes and quality of care by coordinating various aspects of patient care. Supervising nursing staff (A) is typically the responsibility of nurse managers or charge nurses. Developing nursing policies (C) is usually the role of nurse educators or nurse administrators. Implementing evidence-based practice (D) is important for all nurses but is not the primary responsibility of a CNL, whose main focus is on coordinating patient care.

Correct Answer: B

Rationale: The correct answer is B: Take control of the situation by being assertive. Being assertive allows nurses to address the conflict directly, set boundaries, and communicate effectively. This approach can help reduce stress by resolving issues instead of letting them escalate. A: Encouraging venting may temporarily alleviate feelings but does not address the root cause of the conflict, potentially perpetuating it. C: Ignoring volatile staff can lead to unresolved tensions and may exacerbate the situation over time. D: Avoiding interactions with angry staff does not address the issue and may create a culture of avoidance rather than addressing conflicts directly.

Correct Answer: B

Rationale: The correct answer is B: Wipe the top of the formula can with alcohol. This is the first action the nurse should take because it ensures the cleanliness and sterility of the formula before administering it to the client through the NG tube, reducing the risk of contamination and infection. A: Making sure the enteral formula is at room temperature is important but not the first action to take. C: Rinsing the feeding bag with water between feedings is not necessary for every feeding and does not address the immediate need to ensure the cleanliness of the formula. D: Instructing the client to keep the head of the bed elevated is important for preventing aspiration but is not the first action to take in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Work sample questions. This method allows applicants to demonstrate their skills in real work scenarios, providing concrete evidence of their abilities. Self-report logs (A) rely on subjective information, which may not accurately reflect the applicant's actual work activity. Motion studies (C) involve observing and analyzing work processes, but do not directly collect information from applicants. Interviewing (D) is a common method for gathering information but may not always provide specific details about an applicant's work activities compared to work sample questions.

Correct Answer: C

Rationale: The correct answer is C: Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery. Rationale: 1. Administering insulin falls under the scope of practice for an LPN/LVN. 2. Administering lispro insulin before surgery helps maintain the patient's blood glucose within a safe range during the procedure. 3. LPN/LVNs are trained to administer medications safely and accurately. Summary: A: Communication with the circulating nurse requires critical thinking and interpretation, which may be beyond the scope of an LPN/LVN. B: Discussing the reason for insulin therapy involves patient education and interpretation, which are typically responsibilities of a registered nurse. D: Planning strategies to prevent hypoglycemia or hyperglycemia requires higher-level critical thinking and assessment skills, usually performed by a registered nurse.