Answer to Question 1
4
Rationale 1: The process of implementing merit raises is long and would probably not be feasible until the next budget cycle; lobbying for merit raises would not address this concern immediately.
Rationale 2: Calling the nurse aside and agreeing with the complaint does not address the concern, but rather validates the concern.
Rationale 3: The nurse manager may wish to report the episode in order to support the need for a merit system, but that action also does not address the immediate concern.
Rationale 4: All of these options are possible strategies for dealing with this complaint, but the best one is to emphasize the practice development aspects of evaluation.
Global Rationale:
Answer to Question 2
4
Explanation: 1. Reflective inquiry is a process that enables a person to deal with facts and solutions in an
objective, scientific manner. Premature interpretation has the potential to alter ones ability to
deal with facts objectively and can introduce biases. Risky shift occurs when a decision is made
by a group as opposed to an individual. Dialectal inquiry formalizes conflict within group
decision making.
A, A nurse is adding a medication to an IV line as a piggyback
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Evaluation of a child for cystic fibrosis with a sweat chloride test. Sweat is being collected under
Nurse's hand over patients abdomen
To check pupillary reflexes the nurse first holds the penlight
Evaluation of sleep complaints and pertinent clinical history