Question

A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

Answer 1

Correct Answers:

Establish a rewards program to recognize achievements of the staff

Rationale :

☀Recognition is a key motivational strategy in addressing job dissatisfaction and high turnover.

☀Establishing a rewards program acknowledges the efforts and achievements of LPNs and CNAs, leading to greater morale, engagement, and retention.

☀ When staff feel valued, they are more likely to take pride in their work and remain committed to the team.

☀Allowing staff to perform beyond their scope is unsafe, and although improving equipment and hiring more staff may help, they do not directly address motivation and recognition, which are central to satisfaction.

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Answer 2

Correct Answers:

Preventing fluid and electrolyte imbalance.

Rationale :

⭐In clients with anorexia nervosa, the most immediate concern is addressing physiological risks, particularly fluid and electrolyte imbalance, which can be life-threatening.

⭐Electrolyte disturbances, such as hypokalemia, can lead to cardiac arrhythmias and death.

⭐ While psychological therapy and self-esteem support are important, the priority is always physiological stability.

⭐Ensuring safety forms the foundation for subsequent interventions, such as counseling or group therapy.

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Answer 3

Correct Answers:

Encouraging the potential in all staff
Being conscious of the dynamics when culture interacts.
Conducting a cultural self-assessment.

Rationale :

✔ B. Encouraging the potential in all staff

🧨 A culturally competent nurse manager understands that each staff member, regardless of background, has unique strengths and capabilities.

🧨 Encouraging the potential in all staff helps promote an inclusive environment, where everyone feels valued and supported.

🧨This approach not only motivates employees but also ensures that their cultural contributions and individual talents are recognized.

🧨By fostering a growth-oriented culture, the manager promotes staff satisfaction, cohesion, and excellence in care delivery.

✔ C. Being conscious of the dynamics when culture interacts

🧨 Cultural competence includes recognizing that interpersonal and intergroup dynamics are influenced by cultural norms, beliefs, and communication styles.

🧨A manager who is aware of these dynamics can better mediate conflicts, prevent miscommunication, and promote teamwork among a diverse staff.

🧨Understanding how culture shapes behavior and relationships is essential to building culturally responsive leadership practices that respect and integrate diversity in the workplace.

✔ D. Conducting a cultural self-assessment

🧨 Self-assessment is a critical step for any leader striving for cultural competence. It involves reflecting on one’s own biases, assumptions, and areas for growth.

🧨Through this process, the nurse manager becomes better equipped to respond to the diverse needs of the team and clients.

🧨Self-assessment enhances self-awareness and leads to more effective, respectful interactions with culturally diverse individuals.

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Answer 4

Correct Answers:

Evaluate the quality of the research against the standards for that type of research_

Rationale :

🧩Appraising research involves critically evaluating its validity, reliability, and applicability.

🧩Comparing a study to recognized methodological standards helps determine if the evidence can be integrated into practice.

🧩It is not appropriate to judge studies solely by sample size or design type, as qualitative and observational studies can also provide valuable insights.

🧩Systematic reviews and meta-analyses are considered high levels of evidence, not the weakest.

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Answer 5

Correct Answers:

Soliciting input from staff members.

Rationale :

🍕To successfully implement an evidence-based practice (EBP) program, it is essential to engage those who will be carrying out the change.

🍕Soliciting input empowers nurses, promotes buy-in, and ensures the process is collaborative and practical.

🍕 Staff input can also uncover barriers and facilitate smoother implementation.

🍕Reviewing guidelines or incidents may help, but without staff involvement, EBP may face resistance or be inconsistently applied.

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Answer 6

Correct Answers:

Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions.

Rationale :

◼Evidence-based practice (EBP) is a foundational element of modern nursing care.

◼ It involves the integration of the best current research, clinical expertise, and the individual preferences, values, and circumstances of the patient.

◼This approach ensures that care is not only scientifically valid but also personalized and ethical.

◼ It is a collaborative and holistic decision-making process, not a replacement for quality improvement or interdisciplinary collaboration.

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Answer 7

Correct Answers:

acculturation.

Rationale :

❄Acculturation refers to the process by which individuals from one culture adopt practices, behaviors, or values of another culture—often the dominant one—while potentially maintaining aspects of their original culture.

❄In this scenario, Mary, a new graduate, modifies her practice to mirror that of her colleagues, showing she is adapting to the workplace culture.

❄ This is a natural phase of cultural adjustment, especially in a new professional environment.

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Answer 8

Correct Answers:

Instituting mandatory writing assignments discussing a chosen best- practice article.

Rationale :

🧠Mandatory writing assignments are often perceived as punitive or burdensome and may not effectively motivate nurses or foster interest in EBP.

🧠 Strategies that are voluntary, engaging, and collaborative, such as journal clubs or incentives for certification, are more likely to stimulate curiosity and promote professional development.

🧠 The goal is to encourage intrinsic motivation and active participation, not compliance through obligation.

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Answer 9

Correct Answers:

depersonalization

Rationale :

✅Depersonalization is a key symptom of burnout, characterized by emotional detachment, cynicism, and a lack of empathy toward patients.

✅ In high-stress environments like the ED, especially after prolonged exposure to trauma or understaffing, nurses may emotionally distance themselves from clients.

✅Rama’s dismissive and rude behavior suggests emotional exhaustion and a loss of connection to the human aspect of care, which compromises professionalism and patient satisfaction.

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Answer 10

Correct Answers:

Provide an in-service that informs nurses of the current, best practices of fall prevention.

Rationale :

🦠Education and training are proactive, systems-based strategies for reducing fall rates.

🦠In-services ensure that all staff are aware of evidence-based interventions, such as hourly rounding, risk assessment, and environment safety checks.

🦠Blaming staff or relying on restraints reflects outdated, punitive approaches that are both ineffective and ethically problematic.

🦠The best approach targets the system, not just individuals, to promote safe practices.

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RN Leadership and Ethics Nurs 252

No.

1 : A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

2 : A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

3 : As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

4 : Which of the following is an effective approach in the appraisal of research studies?

5 : A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

6 : Which of the following is most accurate regarding evidence- based practice?

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

8 : To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

10 : The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?

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