Zerwekh: Nursing Today: Transition and Trends, 10th Edition

ANS: D Lack of membership of the majority of practicing nurses decreases the power of both types . of collective bargaining models. Most people join an organization in response to a particular need. Almost 80% of nurses do not belong to any professional nursing organization. The traditional union-based model is more adversarial than the nontraditional model. The . American Hospital Association’s political influence does not decrease or increase power in either model. The other options do not accurately show the primary problem that decreases the power of the collective bargaining models.

ANS: A One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with your mental and physical health being the highest priority. Learning to say “no” to extra shifts is a positive means of coping of avoiding burnout. “Going native” is the term that . describes how recent graduates begin to copy and identify the reality of their role-transition experience by rejecting the values from nursing school and functioning more like a team member at their place of employment. Withdrawing from peer support groups, “going native,” . and changing jobs every 6 to 12 months would increase the chance of the nurse experiencing burnout. The nurse should instead focus on his/her practice and seek out support from other nurses.

ANS: B Examples of nursing advocacy include questioning doctors’ orders; promoting patient . comfort; and supporting patient decisions regarding health care choices, which would include the example here of informed consent. It would not be appropriate for the nurse to assume the role of the physician and explain the surgery and possible outcomes to the patient, reassure the patient that there will be no complications, or complete the preoperative teaching plan. . Although important, the preoperative teaching plan is not the nurse’s first priority. Reassurance is a nontherapeutic communication strategy because it provides a false sense of security.

ANS: A, B, C The nurse should contact interpreter services and request a German-speaking interpreter. The . nurse should provide all discharge instructions with the help of the interpreter and ask the patient to repeat back what he has heard. By using a Team STEPPS strategy “check back,” the nurse can ensure that the patient understands the discharge instructions what he needs to do . for himself when he leaves.