After several months of heavy patient loads in the Emergency Department and inability to secure sufficient and experienced staff, the department is especially taxed by a train accident that brings in many seriously injured individuals. You observe that Rama ignores the requests of several of the injured, even when time is available to care for them and is rude to two older adult patients. You are concerned that Rama is evidencing which state?

depersonalization

role ambiguity

depression

hardiness

Answer and Explanation

The Correct Answer is A

A. Depersonalization: Depersonalization involves feeling detached from one’s work and treating patients as objects rather than individuals, which matches Rama's behavior of ignoring patient requests and being rude.
B. Role ambiguity: Role ambiguity occurs when there is a lack of clarity about job responsibilities and expectations, which does not align with the described behaviors.
C. Depression: Depression involves persistent sadness and loss of interest in activities, which may not directly explain the specific behaviors of ignoring and being rude to patients.
D. Hardiness: Hardiness is a personality trait that involves resilience and the ability to endure stressful situations, which contrasts with Rama's negative behaviors.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Evaluate how well employees were able to perform duties outside of their job description. B. Conduct the performance appraisal in a public setting to ease tension. C. Provide the staff member the opportunity to disagree with the evaluation. D. Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member.

Correct Answer is C

Explanation

A. Evaluate how well employees were able to perform duties outside of their job description: Performance appraisals should focus on the duties and responsibilities outlined in the employee’s job description.
B. Conduct the performance appraisal in a public setting to ease tension: Conducting appraisals in a public setting can lead to discomfort and should instead be done privately to respect confidentiality and ensure a constructive conversation.
C. Provide the staff member the opportunity to disagree with the evaluation: Allowing the staff member to provide their perspective or disagreement is an important part of a fair and balanced performance appraisal process.
D. Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member: Performance appraisals should be scheduled and communicated in advance to allow for preparation and a constructive dialogue, not conducted randomly.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?

A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?

Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:

During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?

A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

With regard to nursing practice, nurse managers are held responsible for: (Select all that apply.)

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following does NOT correspond with the five rights of delegation?