Nokea
A democratic leadership style has which of the following characteristics
- A. Split power
- B. Dictatorial leader
- C. Genuine
- D. Answer A & B
Correct Answer: A
Rationale: Democratic style splits power A is correct. Nurse leaders share decisions, like shift planning with staff, contrasting with dictatorial rigidity. In healthcare, this boosts morale and input, fostering teamwork over top-down control. It aligns leadership with collaboration, enhancing patient care through collective effort.
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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.
The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must:
- A. analyze the root causes of a situation
- B. begin by solving the underlying problem
- C. choose between different courses of action
- D. prioritize the maximum good for the maximum number of people
Correct Answer: C
Rationale: In nursing, decision making involves selecting a course of action, as this nurse must do amidst a clinical challenge. Analyzing root causes or solving problems first are steps within problem solving a systematic subset of decision making but the core act is choosing, like opting for one treatment over another. Prioritizing the maximum good aligns with utilitarian ethics, but nursing often lacks the scope for such broad impact in single decisions. For instance, faced with a patient's deteriorating vitals, the nurse chooses between immediate intervention or monitoring, weighing options based on data and protocols. This choice-driven process, distinct from exhaustive analysis, empowers nurses to act decisively in dynamic settings, ensuring patient safety and care quality, a critical leadership skill in managing clinical uncertainties effectively.
A client with a history of atrial fibrillation is prescribed amiodarone. Which instruction should the nurse include?
- A. Avoid exposure to sunlight
- B. Take the medication with grapefruit juice
- C. Increase intake of potassium-rich foods
- D. Report any chest pain immediately
Correct Answer: D
Rationale: For amiodarone in AF, report chest pain is key, not sunlight, grapefruit, or potassium. Chest pain flags pulmonary toxicity or arrhythmia serious risks unlike photosensitivity (less urgent), juice interactions (not major), or potassium (unrelated). Leadership stresses this imagine dyspnea; it ensures safety, aligning with cardiac care effectively.
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.
When a student encounters problems while trying to reach a goal and then claims that she is a failure is an example of-
- A. Realistic thinking
- B. The best way to reach a goal
- C. Distortion of thinking
- D. Adjustment of thinking process
Correct Answer: C
Rationale: Failure claim is distortion , not realistic, best, or adjustment. Nurse leaders like reframing setbacks counter this, contrasting with negativity. In healthcare, resilience aids progress, aligning leadership with positive mindset.