The nurse on third shift missed the last chance for the unit ...

[big1devin]

The nurse on third shift missed the last chance for the unit competency, stating, Oh well, it's not like I don't know what I'm doing.
 
  Which is the most accurate description of this nurse's behavior?
  A) Arrogance, which keeps the nurse from developing and from accurate assessment of her strengths and weaknesses
  B) Pessimism, which endangers the nurse's professionalism
  C) Optimism, which helps the nurse realize that things will turn out for the best
  D) Sarcasm, which threatens the nurse's job performance

Question 2

The nurse is working on a unit with unlicensed assistive personnel (UAP). One nurse refuses to utilize the UAP and is consistently leaving nursing tasks for the next shift that have yet to be completed.
 
  Which is the most likely reason the nurse is not utilizing the UAP to assist with client care?
  A) Avoidance of responsibility.
  B) Overdependence on others.
  C) The belief that no one else can perform a task as well as the nurse can.
  D) The state nurse practice act.

[patma1981]

Answer to Question 1

Answer: A

Arrogance, or excessive pride and a feeling of superiority, can be an extremely dangerous characteristic in the nurse, as it can lead to a false belief that the nurse is always right and does not need input from others. For example, when the unit begins using a new IV infusion pump, the arrogant nurse does not bother attending the in-service and believes that it is possible to figure things out independently. Accurate self-assessment of strengths and weaknesses, as well as acceptance of feedback from others, promote both safety and growth and are therefore abilities essential for the nurse.

Answer to Question 2

Answer: C

One barrier to delegation is the belief that nobody else is capable of getting the job done for the client. The state nurse practice act would be considered an environmental barrier. The nurse who refuses to delegate care is not being overly dependent. The nurse is accepting too much responsibility rather than too little.