A chief nurse officer (CNO) of a rural hospital is meeting with ...

[sheilaspns]

A chief nurse officer (CNO) of a rural hospital is meeting with department directors and the human resources officer to discuss the hospital's recruitment strategies.
 
  A newly promoted director suggests a recruitment fair at a metropolitan city 100 miles away. The CNO rejects this proposal. Which option is likely the CNO's rationale for this decision? 1. The CNO would prefer to focus on the local area initially.
  2. A metropolitan area is not a good area in which to recruit for a rural hospital.
  3. Metropolitan nurses' skills are too advanced for a rural hospital.
  4. The director is new to the role and the CNO does not respect the nurse's opinion.

Question 2

The administration of a health care system advertises that it promotes a healthy work environment.
 
   Which events would cause a nurse working in this system to question this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The nurse collaborating with physical therapy to establish mutually agreeable treatment schedules lobbies physicians to support nursing's position in any disagreements.
  2. When staff nurses ask for the nurse manager's opinion on client care issues, the response is frequently, I'll leave that decision up to you.
  3. Administration has developed a plan in which each week two nurses from each unit are recognized as best nurse of the week.
  4. The nurse managers of each unit make a true effort to provide adequate staffing on each shift.
  5. The nurse executive communicates with managers mostly by email.

[Athena23]

Answer to Question 1

1
Rationale 1: A hospital should focus on their local area initially and then extend to other geographical areas.
Rationale 2: Rural hospitals do recruit in metropolitan areas but typically focus on the local area as priority.
Rationale 3: Metropolitan nurses' skills and rural hospital nurses' skills are similar. Their client populations are different but rural hospital nurses have similar nursing skills, especially when stabilizing clients for transfer to tertiary hospitals.
Rationale 4: There is no indication that the CNO does not respect this director, who may have fresh ideas and new perspective when addressing recruitment.
Global Rationale:

Answer to Question 2

1,2,3,5
Rationale 1: The collaboration characteristic of a healthy work environment is true collaboration. Lobbying for physician support is not true collaboration.
Rationale 2: Effective decision making is a characteristic of a healthy work environment. If the staff nurse was comfortable making a decision without input, the nurse would not ask for help.
Rationale 3: Recognition should be meaningful. Recognizing two nurses from each unit each week is not meaningful.
Rationale 4: Appropriate staffing is a tenet of a healthy work environment.
Rationale 5: While email is a convenient method of communication, it should not be the only method employed.
Global Rationale:

[sheilaspns]

Excellent

[Bigfoot1984]

TYSM