Leadership Nursing Practice Questions

Leadership Nursing Practice Questions Related

Review Leadership Nursing Practice Questions related questions and content

The healthcare provider suspects the Somogyi effect in a 50-year-old patient whose 6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to take?

  • A. Avoid snacking at bedtime.
  • B. Increase the rapid-acting insulin dose.
  • C. Check the blood glucose during the night.
  • D. Administer a larger dose of long-acting insulin.
Correct Answer: C

Rationale: The correct answer is C: Check the blood glucose during the night. The Somogyi effect is rebound hyperglycemia that occurs in response to hypoglycemia during the night. By checking blood glucose levels during the night, the patient can identify if they are experiencing nighttime hypoglycemia leading to rebound hyperglycemia in the morning. This will help determine the need for adjusting insulin doses or carbohydrate intake.

Why the other choices are incorrect:
A: Avoid snacking at bedtime - does not address the underlying issue of nighttime hypoglycemia.
B: Increase the rapid-acting insulin dose - could potentially worsen the Somogyi effect by causing further hypoglycemia.
D: Administer a larger dose of long-acting insulin - also does not address the issue of nighttime hypoglycemia and may lead to further fluctuations in blood glucose levels.

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Many patient classification systems have some type of shortcoming. Among these are:

  • A. The client's condition changes before the next shift.
  • B. The staffing needs are predicted on a short-term basis.
  • C. The potential admissions cannot be accounted for.
  • D. The staffing mix changes because of illness.
Correct Answer: C

Rationale: The correct answer is C because patient classification systems often struggle to accurately predict potential admissions, leading to challenges in allocating appropriate staffing levels and resources. This is a crucial shortcoming as it can result in understaffing or overstaffing, impacting patient care quality and staff workload. Options A, B, and D are incorrect as they address different issues such as changes in patient conditions between shifts, short-term staffing needs prediction, and staffing mix changes due to illness, which are not directly related to the specific shortcoming of accounting for potential admissions.

Which of the following are effective strategies to become more resilient? (EXCEPT)

  • A. Exercising and avoiding high-fat foods.
  • B. Managing time effectively.
  • C. Becoming more self-aware.
  • D. Deciding that your career is not your highest priority.
Correct Answer: D

Rationale: The correct answer is D because prioritizing career over personal well-being can lead to burnout and reduced resilience. A is incorrect as exercising and healthy eating improve physical health, contributing to resilience. B is incorrect because effective time management reduces stress and enhances resilience. C is incorrect because self-awareness helps in understanding emotions and coping mechanisms, thus enhancing resilience.

In the grievance process, a nurse disagrees with statements made by a physician about performance and talks to the nurse manager. Which step in the process is this?

  • A. First
  • B. Second
  • C. Third
  • D. Fourth
Correct Answer: A

Rationale: The correct answer is A, the first step in the grievance process. When a nurse disagrees with a physician's statements, consulting the nurse manager is an initial step to address the issue informally. This step allows for clarification, communication, and resolution at a lower level before escalating to formal grievance procedures. Choices B, C, and D are incorrect because they pertain to subsequent steps in the process after the issue has become more formalized and escalated beyond the initial stage.

Construction is occurring in the Emergency Department, with equipment and sharp items being used by the contractors. As the charge nurse, you are concerned that agitated patients might use the equipment as weapons and you meet with staff to: (EXCEPT)

  • A. Notify the nursing supervisor.
  • B. Notify security.
  • C. Have them check patients to verify safety.
  • D. Ask construction workers to be responsible.
Correct Answer: D

Rationale: The correct answer is D because asking construction workers to be responsible for the equipment and sharp items used is not within the charge nurse's role or authority. The responsibility for ensuring safety and security in the Emergency Department lies with the healthcare staff (including the charge nurse) and security personnel. Construction workers may not have the training or expertise to handle agitated patients or prevent potential incidents.

A: Notifying the nursing supervisor (A) can help escalate the issue and involve higher authority in addressing the safety concern.
B: Notifying security (B) is essential to ensure that trained professionals are present to handle security-related issues.
C: Having staff check patients (C) is important to verify their safety, but it does not address the primary concern of preventing patients from accessing construction equipment as weapons.

Which of the following laws govern nursing practice?

  • A. Statutory laws
  • B. Common laws
  • C. Administrative laws
  • D. Constitutional laws
Correct Answer: A

Rationale: The correct answer is A: Statutory laws. Statutory laws are specific laws enacted by a legislative body, such as state Nurse Practice Acts, that regulate nursing practice. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common laws (B) are based on court decisions and may not specifically govern nursing practice. Administrative laws (C) deal with regulations set by administrative agencies, not specific to nursing. Constitutional laws (D) are related to the constitution and its interpretation, not directly governing nursing practice.

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