Nokea
A new client charting system is in the education phase at a healthcare facility. Much discussion has been prompted regarding the new system. With which statement does the nurse best exhibit the integrated leader/manager traits?
- A. Let's look at the daily benefits of using the new technology on the clinical unit.'
- B. I am not used to the new technology, but if it better serves the client and enables easy sharing of client authorized records, I see a benefit.'
- C. New technology may be costly up front but will serve us well in the future.'
- D. I do not believe that this technology will be helpful in caring for a client because it often is down during peak use times and is difficult to train for.'
Correct Answer: B
Rationale: The traits of an integrated leader/manager combine understanding the daily operations on a clinical unit while seeing the big picture, thinking in the long term, and embracing change. Better serving the client and sharing records as needed demonstrates the willingness to think positively and take risks on improvement for the future. Focusing only on the daily benefits or only on the future impact of using the new technology each only look at one aspect of leadership and management. Stating that the new technology will not be helpful in client care is a negative statement and does not show that the manager is able to embrace change.
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The nurse is planning care for the day for a client with multiple diagnoses. Which of the following criteria should the nurse consider first when setting priorities for the care of the client?
- A. Consider the priority of maintaining vital signs.
- B. Consider the priority of symptom management.
- C. Consider the priority of management of pain.
- D. Consider the priority of preventing spread of disease.
Correct Answer: A
Rationale: When prioritizing, vital signs provide data on maintaining life and are considered first. All other options come after.
A parent of a 10-year-old client, newly diagnosed with diabetes, expresses concern that the child will not follow through with the diabetic regimen. The nurse suggests developing a calendar of daily requirements with a weekly prize for completion. Which type of power is the nurse suggesting the parent use?
- A. Coercive power
- B. Expert power
- C. Legitimate power
- D. Reward power
Correct Answer: D
Rationale: Reward power is using rewards and favors to obtain a particular action. In this case, the parent rewards the child when the child completes the prescribed diabetic regimen. Coercive power is when a threat or punishment is used to meet expectations. Expert power results from the respected knowledge in a particular situation. It could be said that parents exert legitimate power through their position as caregivers; however, in this case, the parent is providing a reward for the child completing the daily tasks.
Which of the following would not be considered one of the five rights of delegation?
- A. Educational level
- B. Task
- C. Circumstances
- D. Person
Correct Answer: A
Rationale: The NCSBN (2019) identified the five rights of delegation: right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. Educational level is not one of the five rights of delegation.
The manager of the surgical unit is presenting the benefits of a new computer documentation system on reducing the nurse's time documenting, thus increasing the time to care for clients at the bedside. Increasing nurse excitement in the changes within the system is a form of which type of power?
- A. Referent power
- B. Motivational power
- C. Legitimate power
- D. Authoritarian power
Correct Answer: B
Rationale: Motivational power refers to the ability to create enthusiasm for a collaborative project or achievement of a common goal. Referent power relates to being in or associating with someone who is in the position of power. Legitimate power is afforded to the management position but is not the best answer for this scenario. Authoritarian power relates to leadership styles.
A nurse in the health care provider's office must provide care to the following clients. From first to last, in what order should the nurse provide needed care to the clients?
- A. A client in an examination room who reports flulike symptoms
- B. A client seated in the office reception area who reports chest heaviness
- C. A client on the phone inquiring about doubling a dose of medication because of a missed dose the day before
- D. A client requires a call back by the nurse for advice on a medication dosage change
- E. A client who stopped into the office to pick up sample medications
Correct Answer: B,A,C,D,E
Rationale: All nurses must manage multiple client needs in a timely manner. Nurses must prioritize to determine the proper order of response. Nurses should address issues critical to maintaining life first (airway, breathing, circulation). A client with chest heaviness potentially could be having a life-threatening condition requiring immediate attention. Next, the client in the exam room needs vital signs and a history of present illness before the health care provider enters. To maintain the flow of the office, this client is a priority. Next, the nurse would answer the question of the client on the phone who may otherwise incorrectly ingest a double dose of medication. Next, a client needs to be called with a medication dosage change. Last, the client in the office who has come to obtain sample medication needs medication instruction on dosage and side effects.