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A staff nurse describes the unit manager as 'a born leader.' The nurse ascribes to which theory of leadership?
- A. Trait theories
- B. Behavioral theories
- C. Formal leadership theories
- D. Democratic leadership theories
Correct Answer: A
Rationale: The correct answer is A: Trait theories. This is because the nurse's description of the unit manager as 'a born leader' aligns with the trait approach to leadership that focuses on inherent qualities and characteristics of individuals that make them effective leaders. Trait theories suggest that certain traits such as intelligence, charisma, and decisiveness are inherent in effective leaders. The other choices are incorrect because B: Behavioral theories focus on the actions and behaviors of leaders, C: Formal leadership theories emphasize organizational structures and roles, and D: Democratic leadership theories pertain to leadership styles rather than inherent traits.
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When a client who is in pain refuses to be repositioned, what should the nurse consider first in making a decision about what to do?
- A. Why a decision is needed.
- B. Who actually gets to make the decision?
- C. What are the alternatives?
- D. When a decision is needed.
Correct Answer: A
Rationale: Step-by-step rationale:
1. Understanding why a decision is needed is crucial in this situation to prioritize the client's well-being.
2. The nurse needs to assess the reasons behind the client's refusal to be repositioned, considering factors such as pain level and potential harm.
3. By determining the underlying cause, the nurse can make an informed decision on the best course of action to address the client's needs promptly.
4. Considering the alternatives (choice C) is important but secondary to understanding the urgency and necessity of the decision (choice A).
5. Who makes the decision (choice B) and when it is needed (choice D) are not as critical as the rationale behind the decision-making process.
Summary:
Choice A is correct because understanding the reason for the decision is essential for prioritizing the client's well-being. Choices B, C, and D are incorrect as they do not directly address the immediate need to assess the situation and make an informed decision based on the client's condition
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
- A. Use the complete name of the medication magnesium sulfate.
- B. Delete the space between the numerical dose and the unit of measure.
- C. Use the abbreviation SC when indicating a subcutaneous injection.
- D. Write the letter U when noting the dosage of insulin.
Correct Answer: C
Rationale: The correct answer is C: Use the abbreviation SC when indicating a subcutaneous injection. This is important because using standardized abbreviations helps prevent medication errors. SC is the accepted abbreviation for subcutaneous injections, ensuring clear communication among healthcare providers.
Choice A is incorrect as using the complete name of medications can be time-consuming and unnecessary in documentation. Choice B is incorrect as spaces should be maintained between the numerical dose and the unit of measure for clarity. Choice D is incorrect as 'U' is not the standard abbreviation for insulin dosage; instead, units should be written in full to avoid confusion.
What is the primary advantage of utilizing a modular nursing model?
- A. Improved patient satisfaction
- B. Enhanced teamwork
- C. Cost reduction
- D. Improved communication
Correct Answer: B
Rationale: The primary advantage of utilizing a modular nursing model is enhanced teamwork. This is because modular nursing promotes collaboration among healthcare professionals, leading to better coordination of care and improved patient outcomes. It allows for flexibility and efficiency in assigning roles and responsibilities based on individual strengths and expertise. Improved teamwork fosters effective communication, enhances job satisfaction, and ultimately benefits patient care. Patient satisfaction, cost reduction, and communication are important aspects but not the primary advantage of a modular nursing model.
In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?
- A. Avoidance
- B. Withdrawal
- C. Suppression
- D. Competition
Correct Answer: C
Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.
One of the most useful tools to determine reasons for turnover is:
- A. Questioning.
- B. Surveys.
- C. Employee forums.
- D. Telephone calls.
Correct Answer: B
Rationale: The correct answer is B: Surveys. Surveys are structured tools that allow for systematic collection of feedback from employees, providing quantitative and qualitative data on reasons for turnover. They offer anonymity, encouraging honest responses. Questioning (choice A) may not provide a comprehensive view, as it relies on informal conversations. Employee forums (choice C) may not capture individual perspectives effectively. Telephone calls (choice D) are not scalable for large organizations and lack the anonymity of surveys. In summary, surveys are the most effective tool for gathering in-depth insights into reasons for turnover.