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What is a benefit of effective delegation?
- A. It increases the manager's workload
- B. It allows the manager to make all the decisions
- C. It empowers staff to make decisions
- D. It decreases staff involvement
Correct Answer: C
Rationale: The correct answer is C: It empowers staff to make decisions. Effective delegation involves assigning tasks and responsibilities to employees while providing them with the authority and autonomy to make decisions within their scope of work. This benefits the organization by empowering staff, improving morale, fostering skill development, and increasing productivity. By delegating effectively, managers can focus on strategic tasks, reduce micromanagement, and promote a culture of trust and collaboration within the team.
The other choices are incorrect because:
A: It increases the manager's workload - Effective delegation should actually decrease the manager's workload by distributing tasks among team members.
B: It allows the manager to make all the decisions - This goes against the concept of delegation, which involves sharing decision-making authority with staff.
D: It decreases staff involvement - Effective delegation should increase staff involvement by giving them responsibilities and decision-making power.
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An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?
- A. Use shortcuts in documentation.
- B. Only use approved abbreviations.
- C. Documentation should be subjective.
- D. Document after care is provided.
Correct Answer: B
Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations in nursing documentation helps ensure clarity, accuracy, and consistency, which are crucial for legal credibility. Abbreviations can lead to misunderstandings or errors if not standardized.
Explanation for other choices:
A: Using shortcuts in documentation can compromise accuracy and lead to incomplete or unclear information, which could result in legal issues.
C: Documentation should be objective, not subjective, to provide an accurate portrayal of the patient's condition and care. Subjective documentation can be challenged legally.
D: Documenting after care is provided is important, but documenting in a timely manner is crucial for legal credibility. Delayed documentation can raise questions about the accuracy and reliability of the information.
Which of the following indicators is viewed as important by the nurse manager in relation to a performance model?
- A. Patient outcomes
- B. Rapport with staff
- C. Daily job performance
- D. Flexibility
Correct Answer: A
Rationale: The correct answer is A: Patient outcomes. Nurse managers are responsible for overseeing the quality of care provided by their staff. Patient outcomes directly reflect the effectiveness of care delivery. Monitoring patient outcomes helps nurse managers identify areas for improvement, implement changes, and ensure high-quality care.
Rapport with staff (B) is important for team cohesion but may not directly impact performance model evaluation. Daily job performance (C) reflects individual staff performance, not the overall performance model. Flexibility (D) is a valuable trait but is not a specific indicator in relation to a performance model.
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.
Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
- A. Glyburide decreases glucagon secretion from the pancreas.
- B. Glyburide stimulates insulin production and release from the pancreas.
- C. Glyburide should be taken even if the morning blood glucose level is low.
- D. Glyburide should not be used for 48 hours after receiving IV contrast media.
Correct Answer: B
Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas.
1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin.
2. This action helps to lower blood glucose levels in patients with type 2 diabetes.
3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body.
Incorrect choices:
A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production.
C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia.
D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.
Which of the following best describes the concept of total quality management (TQM)?
- A. Top-down management
- B. Employee-centered approach
- C. Continuous improvement
- D. Quality control
Correct Answer: C
Rationale: The correct answer is C: Continuous improvement. Total Quality Management (TQM) focuses on constantly improving processes, products, and services to meet or exceed customer expectations. TQM involves all employees in identifying and solving problems, emphasizing continuous learning and innovation.
A: Top-down management is incorrect because TQM encourages involvement and empowerment of employees at all levels, not just top management.
B: Employee-centered approach is incorrect because while TQM values employees and their contributions, it is primarily focused on improving overall quality and processes, not solely centered on employees.
D: Quality control is incorrect because TQM goes beyond traditional quality control methods to encompass a holistic approach to quality management through continuous improvement efforts.