Which of the following is considered voluntary turnover?

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: Effective time management is crucial for nurses to complete their responsibilities within a shift. Identifying tasks in order of priority allows the nurse to focus on the most critical client needs first, ensuring safety and quality care while optimizing workflow. This strategy aligns with nursing principles like the ABC (airway, breathing, circulation) framework or Maslow's hierarchy, which guide prioritization based on urgency and importance. Completing documentation at shift's end risks inaccuracies due to memory lapse and delays handoff, while delegating all tasks is impractical and exceeds the scope of assistive personnel, potentially compromising care. Avoiding breaks can lead to fatigue, reducing efficiency and increasing errors. Prioritizing tasks enables the nurse to allocate time effectively, address high-priority issues promptly, and complete documentation contemporaneously, reducing the need to stay late while maintaining professional standards.

Correct Answer: A

Rationale: Post-cholecystectomy pain surgical or gas-related requires the nursing process: assessment first. Assessing the client's pain level (e.g., scale 0-10, location, quality) identifies severity and cause, guiding intervention medication for incision pain, repositioning for shoulder gas pain per ABC priorities (circulation intact, pain affects recovery). Administering medication without assessment risks over- or under-treatment, repositioning may not address root pain, and a heating pad could worsen inflammation if misapplied. Assessment informs a targeted plan, ensuring timely relief, aligning with evidence-based care, and reflecting the nurse's role in addressing postoperative discomfort effectively.

Correct Answer: A

Rationale: Commitment emotional drive and passion for a goal captures the dedication needed for team success, like the staff's potential shift under mediation. It's about zeal without needing control, distinct from mere cooperation (a willingness, not a fervor) or communication (a tool, not the state). In this context, fostering commitment aligns with team building, as it fuels collective effort and accountability, driving the group toward a shared purpose beyond individual tasks or compliance.

Correct Answer: D

Rationale: Leadership links to change not consistency, planning, or paperwork. Nurse leaders like new protocols drive this, contrasting with routine. In healthcare, it's progress, aligning leadership with vision.

Correct Answer: A

Rationale: The correct answer is A because holistic nursing emphasizes integrating the mind, body, and spirit in patient care, considering the patient as a whole being. This approach recognizes the interconnectedness of physical, emotional, social, and spiritual aspects of health, promoting overall well-being. Choice B is incorrect because holistic nursing goes beyond physical health. Choice C is incorrect as it neglects the emotional and spiritual aspects. Choice D is unrelated to holistic nursing as it focuses on hospital administration rather than patient care. Holistic nursing aims to provide comprehensive and individualized care, acknowledging the importance of addressing all dimensions of a patient's health.

Correct Answer: C

Rationale: The correct answer is C because the director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety. This is crucial to maintain high standards of patient care and ensure accountability. Choice A is incorrect as tolerating incompetence can lead to serious consequences for patient safety. Choice B is incorrect as incompetence can impact patient outcomes and overall quality of care. Choice D is incorrect as nurse practice acts may provide guidelines but the institution's specific process should be followed to address incompetence effectively.

Correct Answer: A

Rationale: The correct answer is A: Integrative decision-making. This strategy involves allowing the group to explore multiple solutions and reach a consensus, fostering collaboration and mutual benefit. This approach promotes a win-win outcome and encourages open communication and respect among team members. It is effective for resolving conflicts as it focuses on finding a solution that satisfies the interests of all parties involved. Choice B: Win-win is a similar concept to integrative decision-making but lacks the emphasis on exploring multiple solutions and reaching a consensus. Choice C: Competing involves one party winning at the expense of the other, contrary to the collaborative nature of integrative decision-making. Choice D: Confrontation is a direct and aggressive approach that does not promote collaboration or consensus-building like integrative decision-making does.

Correct Answer: C

Rationale: The correct answer is C because metformin is typically held before a coronary angiogram due to the risk of lactic acidosis. This information is crucial for the health care provider to know to prevent potential complications during the procedure. Option A is not as urgent as the patient's current medication status. Option B is less relevant as it does not impact the procedure directly. Option D is important but not as critical as knowing the status of metformin intake. Reporting the patient's current medication, especially metformin, is vital for ensuring patient safety during the coronary angiogram.