Nokea
A nurse is caring for clients on a surgical unit. Which nursing action(s) positively impacts the goal of healthcare cost containment? Select all that apply.
- A. Completing a nursing assessment and setting up a breakfast tray in an isolation client's room
- B. Teaching and encouraging the use of an incentive spirometer.
- C. Delegating the ambulation of a client three times daily in the hall
- D. Completing client wound dressing change prior to physician rounds
- E. Checking the completion of Foley catheter care with the nursing assistant.
- F. Initiating a turning protocol for a bedbound client
Correct Answer: A,B,C,E,F
Rationale: Cost-consciousness measures include prudent use of expensive supplies, careful monitoring of clients to reduce potential complications and lengths of stay, and reduction of waste of limited resources. Completing client wound dressing change prior to physician rounds is not an example of cost containment.
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Which of the following is the perceived advantage of authoritarian leadership styles?
- A. Staff members are invested in management's goals.
- B. Decisions are made without any input from staff.
- C. Communication is limited to memos.
- D. Decisions may not occur on time.
Correct Answer: B
Rationale: In the authoritarian leadership style, the lines of authority and policies are clear, and communication is directive and flows downward. In addition, decisions are made quickly, and staff members are not invested in management's goals.
Which of the following roles of a nurse is an example of legitimate power?
- A. Director of nursing
- B. Team leader making assignments
- C. Head nurse scheduling vacations
- D. Shift supervisor
Correct Answer: A
Rationale: Legitimate power is power by virtue of the management position. Director of nursing is an example of legitimate power. Team leader making assignments is an example of reward power. Head nurse scheduling vacations is an example of coercive power. Shift supervisor is an example of referent power.
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.
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.
Which of the following would be considered an indirect activity that may be delegated to unlicensed assistive personnel?
- A. Delivering meal trays
- B. Obtaining vital signs
- C. Ambulation
- D. Specimen collection
Correct Answer: A
Rationale: Indirect activities are focused on environmental tasks, such as cleaning equipment, emptying trash or soiled linen receptacles, and delivering meal trays. Direct activities are those that help clients meet basic needs, including vital signs, weights, specimen collection, and ambulation.