Nokea
A nurse at a long-term care facility is receiving an admission to a skilled medical unit with a full census. Which nursing situation is the best example of a nurse demonstrating appropriate time management skills in the care of a client?
- A. The nurse is arranging the room to best accommodate the client's medical equipment.
- B. The nurse is obtaining the needed paperwork to begin the admission process.
- C. The nurse is delegating client orientation to the room while obtaining contact information from the family.
- D. The nurse is obtaining a urinary collection hat for the toilet.
Correct Answer: C
Rationale: The best example of time management is for the nurse to delegate orientation to the room while the nurse obtains information from the family. Arranging the room to accommodate medical equipment, obtaining paperwork, or obtaining a urinary collection hat are tasks that can be delegated to unlicensed assistive personnel allowing the nurse time for something that cannot be delegated, such as an assessment or obtaining information from the client's family.
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Which statement best demonstrates a combination of leadership and management skills when teaching a client with uncontrolled diabetes?
- A. Although you have learned to check your blood sugar every morning, it is also important to recognize its overall effect on your health.'
- B. Once you have the lancet in the device, hold it against the finger and press the button.'
- C. Because Thanksgiving is next week, evaluate the amount of simple sugars in the desserts and eat those in moderation.'
- D. I will notify your health care provider of your blood glucose reading and request a referral for a dietitian to improve your knowledge of calorie-controlled diets.'
Correct Answer: A
Rationale: It is important for the nurse to acknowledge that the client has learned to check their blood sugar but also to stress the importance of recognizing the blood sugar level's overall effect on the client's health. Teaching the client how to obtain a glucose level and providing feedback uses management but not leadership. Providing teaching about simple sugars, notifying the client's health care provider, and requesting a referral for a dietitian are all examples of managing the client's care but do not address seeing the big picture, which is characteristic of leadership.
The nurse is caring for pediatric clients on an oncology unit. The unit is experiencing a renovation, and the nurse manager is requesting suggestions for placement of the nurse's station with the goal of close pediatric client access. Which type of leadership style is the nurse manager employing?
- A. Political leadership style
- B. Democratic leadership style
- C. Laissez-faire leadership style
- D. Authoritarian leadership style
Correct Answer: B
Rationale: When a manager uses the democratic leadership style, the manager welcomes participation in decision making with a goal of consensus and teamwork. Political leadership is not a nursing leadership style. Laissez-faire leadership is a leadership style that involves little structure and guidance. Authoritarian leadership is a leadership style in which the manager has strong control over the work group.
An LPN, serving as team leader to a team consisting of LPNs and nursing assistants, is making client assignments. Which client situation should prompt the team leader to use acuity measures to reduce an LPN's assignment?
- A. A client who demonstrates oxygen desaturation with minimal exertion
- B. A client with dementia who is combative during medication administration
- C. A client who requires the assistance of two for ambulation
- D. A client who requires several intravenous antibiotics to treat a septic infection
Correct Answer: A
Rationale: Acuity refers to the severity of the illness and the rapidity of change in the client, and thus the intensity of medical and nursing care and other therapies required. A client who desaturates with minimal exertion is at risk for respiratory compromise and respiratory arrest. This will require careful and frequent assessment that will limit the time the nurse will have for other client interactions. Dementia is a chronic condition making daily activities such as medication administration, but it does not require the frequent assessment that the client who demonstrates oxygen desaturation requires. The client who requires assistance with ambulation also is not at risk for severe complications like the client with oxygen desaturation. A client with multiple intravenous antibiotics should improve as treatment progresses and does not require the level of assessment and care that the client with oxygen desaturation will require.
The LPN on the clinical unit is discussing client medication administration. The medication nurse states, 'I crushed the medication because the nurse on the prior shift told me to do it.' This statement indicates a lack of which of the following?
- A. Responsibility
- B. Management
- C. Accountability
- D. Leadership
Correct Answer: C
Rationale: Accountability means being answerable for one's actions. Following another's actions and using that as a rationale is not being accountable for the action taken. Responsibility is the duty or assignment to a specific task. Management entails assigning functions to meet particular objectives. Leadership provides guidance to achieve common goals.
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.