Question 1

A new graduate nurse feels that the staff nurses are not empathetic and do not provide reassurance or positive feedback.Which action by the graduate nurse is appropriate?&#10;A)Use an antagonistic approach to seek support from a nurse who is a mentor.&#10;B)Use a nonassertive approach to seek physical support from the staff nurses.&#10;C)Use an assertive approach to seek affective support from the nurse manager.&#10;D)Use an aggressive approach to seek cognitive support from other graduate nurses.

Accepted Answer

Using an assertive approach to seek affective support from the nurse manager is the most appropriate course of action in this scenario. It is important to communicate effectively with the staff nurses, but seeking support from the nurse manager can provide the reassurance and positive feedback that the graduate nurse feels is lacking. Using an antagonistic, nonassertive, or aggressive approach may create tension and further undermine the support system.

Question 2

Three emergency department (ED)nurses are interested in initiating a new policy related to family presence during cardiopulmonary resuscitation (CPR).The steps to request support for initiation of this policy are listed below.Arrange the steps in the correct order of use?

A)The nurses review literature and survey ED nurses about family presence during CPR.
B)The nurses practice their presentation to the nurse manager.
C)The nurses identify the need to gain support from the nurse manager for this policy.
D)The nurses decide to approach the nurse manager with their idea.
E)The nurses develop a specific strategy to present the information to the nurse manager.

C,D,A,E,B

Accepted Answer

C,D,A,E,B

Question 3

A nurse manager seeks to reduce staff nurses' stress and promote retention.It is most important for the nurse manager to take which action?&#10;A)Develop a mentoring program to provide cognitive and affective support.&#10;B)Focus on cognitive support instead of affective or physical support.&#10;C)Limit affective support to annual recognition of nurses' accomplishments.&#10;D)Place the highest priority on purchasing equipment to provide for physical support.

Accepted Answer

Developing a mentoring program to provide both cognitive (knowledge-based) and affective (emotional) support can help reduce stress and promote retention among staff nurses. A mentor can serve as a sounding board for the nurse to discuss work-related issues and offer guidance and support when needed. Mentoring has been found to improve job satisfaction, reduce burnout, and increase retention among nurses. Focusing solely on cognitive support or physical support (such as equipment) may not address the emotional needs of the staff nurses and may not be as effective in reducing stress and promoting retention. Limiting affective support to annual recognition of nurses' accomplishments is also not enough to provide ongoing support to staff nurses.

Question 4

A nurse is breastfeeding but has no private,sanitary area to pump breast milk while working;she also discovers that at least 10 other employees at the hospital have the same problem.Which action by the nurse would most likely result in acquiring a clean,private area to pump breast milk?

A)The nurse demands that the nursing director provide a private area within one week.
B)The nurse develops a clear,detailed plan and suggests several possible private areas.
C)The nurse sends an e-mail to the nursing supervisor with a description of the problem.
D)The nurse writes a letter to the nurse manager and asks others to add their signatures.

Accepted Answer

Developing a clear and detailed plan with several possible private areas is a proactive and constructive approach that shows the nurse is willing to work towards a solution. This approach is more likely to be well-received by management and can lead to a successful outcome. Simply demanding or complaining may come across as confrontational and could potentially harm the nurse's relationship with management. Sending an email or writing a letter without a clear plan or solution may result in no action being taken.

Question 5

The nurse manager decides to initiate a mentoring program for new graduate nurses on a medical unit.The nurse manager should consider asking which nurse(s)to serve as mentors? Select all that apply.&#10;A)A nurse who excels in nursing knowledge and skills and has a positive attitude.&#10;B)A nurse who has excellent communication skills and a positive outlook.&#10;C)A nurse who is certified in psychiatric care and works in a mental health setting.&#10;D)A nurse who excels as a manager and has an advanced degree in administration.&#10;E)A nurse who is warm,empathetic,and has a passion for nursing and helping others.

Accepted Answer

Nurses who excel in nursing knowledge and skills, have excellent communication skills, a positive attitude and outlook, and are warm, empathetic, and passionate about nursing and helping others are ideal candidates for mentoring new graduate nurses. These qualities ensure that the mentors can provide both the technical guidance and emotional support necessary for new nurses to thrive. Nurses with specific certifications or advanced degrees in areas not directly related to the medical unit's focus (like psychiatric care or administration) may not be as immediately relevant for mentoring roles focused on general medical nursing skills and integration into the unit.

Deck 17: Requesting Support