Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A medical-surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. Which of the following actions should the nurse manager take?
A. Encourage the nurse to verbalize the reasons for resistance to the change.
If a nurse manager notices that a nurse who has a history of being resistant to change is not delivering care according to a new policy, the appropriate action for the nurse manager to take is to encourage the nurse to verbalize the reasons for their resistance to the change. This will allow the nurse manager to understand the nurse's concerns and work with them to address any issues and facilitate their acceptance of the new policy.
B. Ignore the resistance and allow peer pressure to facilitate a change in the nurse's behavior.
Option B is incorrect because ignoring the resistance and allowing peer pressure to facilitate a change in the nurse's behavior is not an effective or respectful way to address the issue.
C. Explain the importance and rationale of implementing the new policy to the nurse.
Option C is incorrect because explaining the importance and rationale of implementing the new policy to the nurse may be necessary, but it should not be the first action taken.
D. Indicate that there will be disciplinary consequences if the nurse does not implement the new policy.
Option D is incorrect because indicating that there will be disciplinary consequences if the nurse does not implement the new policy may be necessary, but it should not be the first action taken.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Medical Surgical Leadership Proctored Exam. Take the full exam now
Full Explanation
If a nurse manager notices that a nurse who has a history of being resistant to change is not delivering care according to a new policy, the appropriate action for the nurse manager to take is to encourage the nurse to verbalize the reasons for their resistance to the change. This will allow the nurse manager to understand the nurse's concerns and work with them to address any issues and facilitate their acceptance of the new policy.
Option B is incorrect because ignoring the resistance and allowing peer pressure to facilitate a change in the nurse's behavior is not an effective or respectful way to address the issue.
Option C is incorrect because explaining the importance and rationale of implementing the new policy to the nurse may be necessary, but it should not be the first action taken.
Option D is incorrect because indicating that there will be disciplinary consequences if the nurse does not implement the new policy may be necessary, but it should not be the first action taken.
Similar Questions
A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to see first?
A. A client who wants a bath.
B. A client who asks to review the instructions he received about his new prescription.
C. A client who needs a referral for home health services.
D. A client who requests pain medication.
The nurse should prioritize the client who requests pain medication as their need is likely the most urgent. Pain management is an important aspect of nursing care and addressing the client's pain should be a priority.
Full Explanation
The nurse should prioritize the client who requests pain medication as their need is likely the most urgent. Pain management is an important aspect of nursing care and addressing the client's pain should be a priority.
The other clients have needs that are important but not as urgent as the client in pain. The client who wants a bath can wait until the nurse has addressed more pressing needs. The client who asks to review instructions about their new prescription can also wait, as long as they are not in immediate danger. The client who needs a referral for home health services can also wait until the nurse has addressed more urgent needs.
A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?
A. Deliver a breakfast tray to a child who has been administered regular insulin.
If a nurse is assisting with the care of a group of pediatric clients, the first action the nurse should take is to deliver a breakfast tray to a child who has been administered regular insulin. This is because regular insulin is a fast-acting insulin that begins to lower blood sugar levels within 15 minutes of administration. It is important for the child to eat shortly after receiving regular insulin to prevent hypoglycemia.
B. Complete pin site care for a child who is in skeletal traction.
Option B is incorrect because completing pin site care for a child who is in skeletal traction is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
C. Provide clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy.
Option C is incorrect because providing clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
D. Administer acetaminophen to a child who has a temperature of 101.2°F (38.4°C).
Option D is incorrect because administering acetaminophen to a child who has a temperature of 101.2°F (38.4°C) is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Full Explanation
If a nurse is assisting with the care of a group of pediatric clients, the first action the nurse should take is to deliver a breakfast tray to a child who has been administered regular insulin. This is because regular insulin is a fast-acting insulin that begins to lower blood sugar levels within 15 minutes of administration. It is important for the child to eat shortly after receiving regular insulin to prevent hypoglycemia.
Option B is incorrect because completing pin site care for a child who is in skeletal traction is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option C is incorrect because providing clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option D is incorrect because administering acetaminophen to a child who has a temperature of 101.2°F (38.4°C) is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
A nurse enters the hospital cafeteria for lunch and overhears two assistive personnel (AP) discussing a client who is currently hospitalized. Which of the following actions should the nurse take?
A. Complete an incident report.
Option A is incorrect because completing an incident report may be necessary, but it should not be the first action taken.
B. Report the incident to the provider.
Option B is incorrect because reporting the incident to the provider is not an appropriate action in this situation.
C. Document the occurrence in the client's medical record.
Option C is incorrect because documenting the occurrence in the client's medical record is not an appropriate action in this situation.
D. Quietly tell the APs that the conversation is inappropriate.
If a nurse overhears two assistive personnel (AP) discussing a client who is currently hospitalized in the hospital cafeteria, the appropriate action for the nurse to take is to quietly tell the APs that the conversation is inappropriate. This will allow the nurse to address the issue in a respectful and professional manner and remind the APs of their responsibility to maintain client confidentiality.
Full Explanation
If a nurse overhears two assistive personnel (AP) discussing a client who is currently hospitalized in the hospital cafeteria, the appropriate action for the nurse to take is to quietly tell the APs that the conversation is inappropriate. This will allow the nurse to address the issue in a respectful and professional manner and remind the APs of their responsibility to maintain client confidentiality.
Option A is incorrect because completing an incident report may be necessary, but it should not be the first action taken.
Option B is incorrect because reporting the incident to the provider is not an appropriate action in this situation.
Option C is incorrect because documenting the occurrence in the client's medical record is not an appropriate action in this situation.