Nokea
A nurse is assessing a 70-year-old client. What gastrointestinal abnormality does the nurse recognize is common in clients of this age?
- A. Diverticulosis
- B. Intestinal obstructions
- C. Appendicitis
- D. Diverticulitis
Correct Answer: A
Rationale: In a 70-year-old, diverticulosis pouches in the colon is common, unlike obstructions, appendicitis, or diverticulitis, which is inflammation of those pouches. Aging slows motility and weakens walls, raising diverticulosis risk; it's often asymptomatic but prevalent. Obstructions or appendicitis aren't age-specific, and diverticulitis requires infection. Leadership means knowing this imagine screening an elder with vague discomfort; recognizing diverticulosis guides diet advice, preventing complications. This reflects nursing's role in age-appropriate care, enhancing safety and health in geriatric populations effectively.
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The major focus on self-awareness has been to emphasize the positive aspects that this can have. Self-awareness also has two negative extremes or traps. One of these traps is:
- A. Focusing on oneself can lead to increased self-esteem
- B. Focusing on the self can highlight shortcomings
- C. Focusing on oneself can lead to greater accuracy in evaluating oneself
- D. Focusing on the self can highlight ones strengths
Correct Answer: B
Rationale: Highlighting shortcomings is a trap, unlike esteem, accuracy, or strengths. Nurse leaders like over-criticism avoid this, contrasting with balance. In healthcare, it's constructive, aligning leadership with reflection.
The nurse is assessing a client with suspected hyperphosphatemia. Which finding supports this diagnosis?
- A. Tetany
- B. Soft tissue calcification
- C. Muscle weakness
- D. Increased urine output
Correct Answer: B
Rationale: In suspected hyperphosphatemia, soft tissue calcification supports it, not tetany, weakness, or high output. High phosphate binds calcium deposits form, unlike hypocalcemia's tetany. Leadership notes this imagine stiffness; it guides treatment, aligning with electrolyte care effectively.
As a new nurse manager who has 'inherited' a unit with high nurse turnover and complaints of patient dissatisfaction, your first course of action would be to:
- A. Determine levels of nurse engagement on the unit
- B. Review the personnel files of nurses who have resigned
- C. Interview upper management about their vision for the unit
- D. Meet with your staff to clarify your vision for the unit
Correct Answer: A
Rationale: High turnover and patient dissatisfaction often stem from low nurse engagement disconnection from work or leadership impacting care quality. As a new manager, assessing engagement through observation, surveys, or discussions reveals root causes, like poor morale or autonomy, guiding targeted improvements. Reviewing files offers historical data but not current dynamics. Interviewing management or sharing your vision comes later understanding staff engagement first grounds your strategy in the unit's reality. Studies (e.g., Aiken) show engaged nurses improve outcomes and retention, making this the critical starting point to address both issues effectively.
A nurse-manager has made a decision and is now preparing to evaluate the decision. What question should best guide the nurse's evaluation process?
- A. Is evaluation necessary when using a good decision-making model?
- B. Can evaluation be eliminated if the problem is resolved?
- C. Is every party happy with the outcomes of the decision?
- D. Did the outcomes align with the original objectives?
Correct Answer: D
Rationale: Evaluating a decision, this nurse-manager should ask if outcomes match objectives like reduced errors post-training not model necessity, problem closure, or universal happiness. In nursing leadership, comparing goals (e.g., better handoffs) to results (e.g., fewer incidents) reveals decision quality, refining future choices. Models don't skip evaluation, resolution doesn't end reflection, and satisfaction isn't the metric alignment is. This focus ensures a safe care environment, as seen when assessing a protocol's impact, guiding managers to tweak or sustain actions for patient benefit.
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.