Nursing Elites

1. What are the advantages of using internal pools of nurses for staffing purposes?

• A. Familiarity with the hospital & Lower cost
• B. Centralization
• C. Staffing mix
• D. Staff satisfaction

Correct answer: A

Rationale: The correct answer is A: Familiarity with the hospital & Lower cost. Internal float pools of nurses offer advantages such as being familiar with the hospital environment and staff, which can enhance communication and collaboration. Additionally, utilizing internal nurses is more cost-effective compared to hiring agency nurses, contributing to financial savings for the healthcare facility. Choice B, Centralization, is not a direct advantage of using internal pools of nurses. Choice C, Staffing mix, is a broader concept that does not specifically address the advantages of internal nurse pools. Choice D, Staff satisfaction, is important but not directly related to the specific advantages of utilizing internal nurse pools for staffing purposes.

2. A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses?

• A. Moral suffering
• B. Moral distress
• C. Ethical dilemma
• D. Veracity

Correct answer: A

Rationale: Moral suffering occurs when a situation results in a feeling of uneasiness or concern because of behaviors or circumstances that challenge one’s own morals and beliefs.

3. Construction is occurring in the Emergency Department, with equipment and sharp items being used by the contractors. As the charge nurse, you are concerned that agitated patients might use the equipment as weapons and you meet with staff to: (EXCEPT)

• A. Notify the nursing supervisor.
• B. Notify security.
• C. Have them check patients to verify safety.
• D. Ask construction workers to be responsible.

Correct answer: D

Rationale: When construction is ongoing in a healthcare setting, it is essential to address safety concerns promptly. While it is crucial to notify the nursing supervisor and security to manage potential risks, having staff check patients for safety is also a valid precautionary measure. However, asking construction workers to be responsible is not a proper action to address the safety concerns posed by the equipment. Construction workers are professionals responsible for their tasks; it is the healthcare facility's responsibility to ensure patient and staff safety in such situations.

4. Which of the following may be considered an absenteeism management strategy?

• A. Holding regular meetings to address absenteeism
• B. Limiting career growth opportunities
• C. Reducing job stress
• D. Neglecting the issue

Correct answer: C

Rationale: Reducing job stress is an effective absenteeism management strategy because it creates a positive work environment, potentially decreasing the number of sick days taken by employees. Holding regular meetings to address absenteeism is not a strategy to reduce absenteeism but may add to the stress levels of employees. Limiting career growth opportunities is not a recommended strategy and can lead to employee dissatisfaction and higher absenteeism rates. Neglecting the issue of absenteeism by ignoring it can exacerbate the problem and create a negative work culture.

5. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation?

• A. Urine is positive for ketones
• B. Urine has an unusual odor
• C. Urine specific gravity is 1.035 (normal range: 1.010 to 1.025)
• D. Bladder scan shows 525 mL of urine

Correct answer: A

Rationale: The correct answer is A. Ketones in the urine may indicate infection or blockage in the urinary catheter, necessitating irrigation to ensure proper drainage. Choice B, an unusual odor in the urine, may suggest infection but does not directly indicate the need for catheter irrigation. Choice C, a high urine specific gravity, is indicative of concentrated urine but does not specifically point to the need for catheter irrigation. Choice D, a bladder scan showing 525 mL of urine, indicates urine retention, which may require catheterization or further assessment but not necessarily irrigation.

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