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PPL EXAM 1 |246 QUESTIONS | WITH SOLVED ANSWERS 100% CORRECT!!
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PPL EXAM 1 |246 QUESTIONS | WITH SOLVED ANSWERS 100% CORRECT!!
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PPL EXAM 1 |246QUESTIONS | WITH
SOLVED ANSWERS
100% CORRECT!!
PPL
Evatee 9/7/24 PPL
,PPL EXAM 1 |246 QUESTIONS | WITH
SOLVED ANSWERS 100% CORRECT!!
A nurse manager of a 20-bed medical unit finds that 80% of the patients are
older adults. She is asked to assess and adapt the unit to better meet the
unique needs of the older adult patient. Using complexity principles, what
would be the best approach to take in making this change?
a. Leverage the hierarchical management position to get unit staff involved in
assessment and planning.
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit, and omit the hospital and community
environment.
d. Hire a geriatric specialist to oversee and control the project. Answer - B.
A unit manager of a 25-bed medical/surgical area receives a phone call from a
nurse who has called in sick five times in the past month. He tells the manager
that he very much wants to come to work when scheduled but must often care
for his wife, who is undergoing treatment for breast cancer. According to
Maslow's need hierarchy theory, what would be the best approach to satisfying
the needs of this nurse, other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wife's treatment.
c. Sympathize with the nurse's dilemma and let the charge nurse know that this
nurse may be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his
scheduled days off around his wife's treatments. Answer - D.
,A grievance brought by a staff nurse against the unit manager requires
mediation. At the first mediation session, the staff nurse repeatedly calls the
unit manager's actions unfair, and the unit manager continues to reiterate the
reasons for her actions. What would be the best course of action at this time?
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion so as to clarify issues.
c. Ask each party to examine her own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the
conflict. Answer - C.
At a second negotiation session, the unit manager and staff nurse are unable to
reach a resolution. It would now be best to:
a. Arrange another meeting in a week's time so as to allow a cooling-off period.
b. Turn the dispute over to the director of nursing.
c. Insist that participants continue to talk until a resolution has been reached.
d. Back the unit manager's actions and end the dispute. Answer - A.
The manager of a surgical area has a vision for the future that requires the
addition of RN assistants or unlicensed persons to feed, bathe, and walk
patients. The RNs on the staff have always practiced in a primary nursing-
delivery system and are very resistant to this idea. The best initial strategy in
this situation would include:
a. Exploring the values and feelings of the RN group in relationship to this
change.
b. Leaving the RNs alone for a time so they can think about the change before
it is implemented.
c. Dropping the idea and trying for the change in a year or so when some of the
present RNs have retired.
, d. Hiring the assistants and allowing the RNs to see what good additions they
are. Answer - A.
As the RN charge nurse on the night shift in a small long-term care facility,
you've found that there is little turnover among your LPN and nursing assistant
(NA) staff members, but they are not very motivated to go beyond their job
descriptions in their work. Which of the following strategies might motivate the
staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work
for the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of
their positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care
and individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having
them sign contracts that guarantee work. Answer - B.
As the nurse manager who wants to increase motivation by providing
motivating factors, which action would you select?
a. Collaborate with the human resource/personnel department to develop on-
site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package. Answer - C.
A charge nurse on a busy 40-bed medical/surgical unit is approached by a
family member who begins to complain loudly about the quality of care his
mother is receiving. His behavior is so disruptive that it is overheard by staff,
physicians, and other visitors. The family member rejects any attempt to
intervene therapeutically to resolve the issue. He leaves the unit abruptly, and
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