Nokea
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hour. Which of the following actions should the nurse take next?
- A. Document the surgeon's instructions in the client's medical record.
- B. Complete an incident report.
- C. Consult the charge nurse.
- D. Notify the nursing manager.
Correct Answer: D
Rationale: The correct answer is D: Notify the nursing manager. The nurse should escalate the situation to the nursing manager because the surgeon's instructions may not be appropriate for a client in hemorrhagic shock. The nurse needs to advocate for the client's safety and ensure prompt and appropriate intervention. Consulting the charge nurse may not be sufficient, and documenting the instructions or completing an incident report does not address the immediate need for proper medical intervention.
You may also like to solve these questions
How will working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims affect staff?
- A. Feelings of extreme overload.
- B. Fear of failure.
- C. A pessimistic sense about the world.
- D. Inability to separate intense work situations from personal situations.
Correct Answer: B
Rationale: The correct answer is B: Fear of failure. Working in a high-volume, noisy emergency room with a high incidence of assault victims can lead to staff experiencing fear of failure due to the intense and high-pressure nature of the work environment. Staff may feel overwhelmed by the constant influx of critical cases and the need to make quick decisions, which can contribute to a fear of not being able to save every patient. This fear can impact their confidence and increase stress levels.
Incorrect choices:
A: Feelings of extreme overload - While staff may feel overwhelmed, the specific impact mentioned in this choice is not directly related to the work environment described.
C: A pessimistic sense about the world - This choice is too broad and not necessarily tied to the specific challenges of working in this type of emergency room.
D: Inability to separate intense work situations from personal situations - While this can be a challenge, it is not the primary effect discussed in the question stem.
Which of the following is a key aspect of transformational leadership?
- A. Maintaining the status quo
- B. Encouraging innovation
- C. Focus on short-term goals
- D. Top-down communication
Correct Answer: B
Rationale: The correct answer is B: Encouraging innovation. Transformational leadership involves inspiring and motivating followers to think creatively, embrace change, and strive for continuous improvement. By encouraging innovation, transformational leaders empower their team to challenge the status quo, adapt to new situations, and drive growth and success. This approach fosters a culture of creativity and openness to new ideas, leading to organizational transformation and long-term success.
Now, let's analyze why the other choices are incorrect:
A: Maintaining the status quo goes against the essence of transformational leadership, which is about driving change and growth.
C: Focus on short-term goals is more aligned with transactional leadership, where the emphasis is on achieving immediate results rather than long-term vision and innovation.
D: Top-down communication is characteristic of traditional, hierarchical leadership styles, whereas transformational leadership emphasizes open and collaborative communication to inspire and engage followers.
A Manager decides that setting goals will assist her in better utilizing her time. Which of the following are true regarding goal setting in the Manager role?
- A. Goals need to be measurable, realistic, and achievable to be effective.
- B. Writing goals will increase the stress level of the Manager.
- C. Goals should be vague, so they are more likely to be met.
- D. Setting goals is a time waster in the Manager role.
Correct Answer: A
Rationale: The correct answer is A: Goals need to be measurable, realistic, and achievable to be effective. This is because measurable goals provide clarity on progress, realistic goals are attainable, and achievable goals boost motivation.
Incorrect answers:
B: Writing goals will increase the stress level of the Manager - This is incorrect as goal setting helps in organizing tasks and reducing stress.
C: Goals should be vague, so they are more likely to be met - Vague goals lack clarity and direction, making them less likely to be achieved.
D: Setting goals is a time waster in the Manager role - Setting goals helps in prioritizing tasks and improving efficiency, making it a valuable time management tool.
Which of the following is an example of a primary prevention strategy in public health?
- A. Screening for diabetes
- B. Vaccination programs
- C. Emergency response planning
- D. Chronic disease management
Correct Answer: B
Rationale: The correct answer is B: Vaccination programs. Primary prevention aims to prevent the onset of disease before it occurs. Vaccination programs are a classic example as they protect individuals from contracting infectious diseases, thus preventing the occurrence of the disease in the first place. Screening for diabetes (A) is a form of secondary prevention, aiming to detect the condition early to prevent complications. Emergency response planning (C) focuses on preparedness for disasters rather than preventing diseases. Chronic disease management (D) involves managing existing conditions rather than preventing their occurrence.
After working at your job for 10 months and feeling unable to tolerate the tension and stress between staff nurses and the laissez-faire nurse manager who is not a leader, what is the best course of action?
- A. Submit a resignation and leave within 30 days.
- B. Complain to staff about the nurse manager.
- C. Seek another position within the healthcare organization and apply for a transfer.
- D. Inform the chief nursing officer that you are leaving and explain your dissatisfaction with the lack of leadership.
Correct Answer: C
Rationale: The correct answer is C because seeking another position within the healthcare organization and applying for a transfer allows you to address the issue of tension and stress while staying within the organization. This option demonstrates a proactive approach to resolving the conflict and shows a commitment to finding a solution rather than just quitting. By transferring to a different position, you can potentially avoid the negative environment while still utilizing your skills and experience within the organization.
Choices A, B, and D are incorrect because they do not address the underlying issue effectively. Option A of submitting a resignation and leaving within 30 days is a hasty decision without exploring potential solutions within the organization. Option B of complaining to staff about the nurse manager may create more conflict and worsen the situation. Option D of informing the chief nursing officer about leaving does not provide a constructive solution to the tension and stress between staff nurses and the nurse manager.