Nokea
A client with a history of asthma is prescribed fluticasone. Which instruction should the nurse include?
- A. Rinse your mouth after each use
- B. Use it only during an asthma attack
- C. Shake the inhaler well before use
- D. Take deep breaths and hold for 5 seconds
Correct Answer: A
Rationale: For fluticasone in asthma, rinse mouth, not PRN, shake, or 5-second hold. Steroids risk thrush rinsing prevents, PRN's rescue, hold's 10 seconds. Leadership teaches this imagine white patches; it ensures safety, aligning with asthma care effectively.
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A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from:
- A. group decision-making options
- B. perceptions of incompatibility
- C. increases in group cohesiveness
- D. debates, negotiations, and compromises
Correct Answer: B
Rationale: Conflict here stems from perceived incompatibility staff clinging to familiar procedures versus the manager's new ideas creating a values clash. This interdependence, where change threatens established norms, sparks resistance, not group decision-making, cohesiveness (which it disrupts), or negotiation (not yet engaged). The staff's pushback reflects a belief that the new approach interferes with their comfort, a classic conflict trigger needing resolution to align goals.
As a nurse manager, you introduce a program that allows staff to participate in mock drills for emergency preparedness. Your rationale is that mock drills:
- A. Reduce staff accountability
- B. Increase staff confidence in emergencies
- C. Reduce patient safety
- D. Increase managerial control
Correct Answer: B
Rationale: Mock drills boost staff confidence practicing emergencies (e.g., codes) sharpens skills, cutting panic. They don't cut accountability, harm safety, or hike control readiness grows. In your unit, this preps for crises, aligning with safety where trained nurses act decisively, enhancing outcomes and team poise, a proactive step for high-stakes moments.
Which of the following is expert power
- A. Leader can exercise power as a result of their position in the organisation
- B. Leader has power because of their expert knowledge
- C. Leader has power because subordinates trust him/her
- D. Leader can punish staff who do not comply with instructions
Correct Answer: B
Rationale: Expert power stems from knowledge not position, trust, or punishment. Nurse leaders like clinical specialists wield this, contrasting with formal authority. In healthcare, it builds credibility, aligning leadership with skill.
In collective bargaining, the term 'fringe benefit' refers to:
- A. Health insurance
- B. Salary increases
- C. Shift differential
- D. Base salary
Correct Answer: A
Rationale: Fringe benefits in collective bargaining are perks beyond base salary, like health insurance, retirement plans, or paid leave non-wage compensations enhancing the employment package. Here, health insurance fits as a standard fringe benefit, vital in healthcare negotiations where staff value security amid demanding roles. Salary increases and base salary are direct pay, not fringes, while shift differential, though a pay adjustment, isn't typically classified as a fringe. Unions often prioritize these benefits to attract and retain nurses, reflecting their role in addressing broader worker needs beyond hourly rates.
What type of conflict refers to when there are two or more opposing incompatible demands that arise and priority differences affect the resolution of the conflict?
- A. Interpersonal conflict
- B. Organizational conflict
- C. Intrapersonal conflict
- D. None of Above
Correct Answer: C
Rationale: Intrapersonal conflict involves internal demands, unlike interpersonal, organizational, or none. Nurse managers address this like duty vs. family contrasting with team clashes. It's key in healthcare for staff well-being, aligning leadership with personal support.