When lifting a bedside cabinet to move it closer to a client, what action should the nurse take to prevent self-injury?

Correct Answer: A

Rationale: The correct answer is A: Keep the feet close together. This helps maintain a stable base of support, improving balance and reducing the risk of injury. The wider the base of support, the more stable the body is during lifting. Keeping the feet close together also helps distribute the weight evenly and allows for better control over the movement. Summary of why other choices are incorrect: B: Using the back muscles for lifting can lead to strain and injury. It is important to use the legs and core muscles instead. C: Standing close to the cabinet when lifting may cause strain due to limited range of motion. It is better to maintain a comfortable distance. D: Bending at the waist increases the risk of back injury. Instead, it is recommended to bend at the knees and hips while keeping the back straight.

Correct Answer: A

Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.

Correct Answer: C

Rationale: The primary goal of discharge planning is to ensure continuity of care. This involves coordinating the transition of care from the hospital to the next level of care to prevent gaps in treatment and promote a smooth recovery process. Option A focuses solely on readmission rates, which is not the sole purpose of discharge planning. Option B is a broad goal that is encompassed within ensuring continuity of care. Option D, while important, is just one aspect of the overall goal of ensuring continuity of care. Thus, option C is the correct answer as it encompasses all aspects of discharge planning.

Correct Answer: A

Rationale: The correct answer is A: Performance. In a work environment, rewarding good performance encourages employees to excel and achieve organizational goals. Performance-based rewards motivate employees to work efficiently and effectively. Turnover (B) refers to the rate at which employees leave a company, which is not an ideal goal for a work environment. Strategies (C) are plans or approaches used to achieve objectives, but they are not the direct target of rewards. Stress (D) is a negative factor that should be minimized in a work environment, not rewarded.

Correct Answer: B

Rationale: The correct answer is B because nursing ethics primarily concern the ethical principles, duties, and rules of behavior that guide professional nurses in their practice. This includes aspects such as patient confidentiality, informed consent, and beneficence. A is incorrect because nursing ethics are not limited to the organizational level but extend to individual actions within the profession. C is incorrect as while moral character is important, nursing ethics are more about professional responsibilities and conduct. D is incorrect because while the experiences and needs of nurses are important, nursing ethics are primarily about how nurses interact with patients, families, and colleagues.

Correct Answer: C

Rationale: The correct answer is C. The unit director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety when dealing with an incompetent employee. 1. Firstly, it is important to prioritize patient safety above all else. 2. By following the institution's formal process, the director ensures that the proper steps are taken to address the incompetence effectively. 3. This approach also promotes transparency and accountability within the organization. 4. It aligns with ethical principles of duty to care and responsibility for patient well-being. The other choices are incorrect: A: Tolerating incompetence is not an acceptable approach as it can compromise patient safety. B: Incompetence can have broader impacts beyond the individual nurse, such as affecting patient outcomes and overall team performance. D: While nurse practice acts may provide guidance, the institution's specific procedures should be followed to address incompetence effectively.

Correct Answer: B

Rationale: The correct answer is B because nurse practitioners (NPs) are advanced practice registered nurses who can diagnose and treat medical conditions independently, under the scope of their licensure. NPs have the authority to prescribe medications, order diagnostic tests, and provide primary care services. This role allows them to manage patient care autonomously, without direct supervision from a physician. Choice A is incorrect because NPs do not provide direct patient care under the supervision of a physician; they work independently. Choice C is incorrect because NPs focus on clinical care rather than administrative tasks. Choice D is incorrect because while NPs may specialize in specific areas of nursing practice, the defining characteristic of their role is the ability to diagnose and treat medical conditions independently.

Correct Answer: C

Rationale: The correct answer is C because many nurses felt frustrated with the lack of independent functioning after the Vietnam War. This is a significant challenge as nurses were accustomed to a high level of autonomy in field hospitals during wartime but faced restrictions in civilian healthcare settings. This led to dissatisfaction and a sense of limitation in their professional roles. Explanation of why other choices are incorrect: A: Nursing contributing to the stigma of AIDS in the 1980s out of fear is not a challenge that the profession faced but rather a societal issue related to lack of knowledge and fear of the disease. B: Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment is not a challenge but a positive aspect of nursing history. D: A decline in the number of hospice nurses due to ethical dilemmas is a specific problem related to hospice care and not a widespread challenge faced by the entire profession of nursing.

Correct Answer: C

Rationale: The primary responsibility of a nurse manager in a healthcare setting is to oversee administrative tasks (Choice C). This includes managing staff, scheduling, budgeting, ensuring regulatory compliance, and improving patient care quality. Providing direct patient care (Choice A) is typically the responsibility of bedside nurses. Managing healthcare facilities (Choice B) is usually handled by facility administrators. Conducting clinical research (Choice D) is more aligned with the role of a nurse researcher or clinical trials coordinator. Thus, the correct answer (Choice C) focuses on the core duties of a nurse manager in managing the operations and administrative aspects of a healthcare setting.