Leadership Nursing Practice Questions

Leadership Nursing Practice Questions Related

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A nurse is discussing the responsibility of caring for clients with clostridium difficile infection. Which of the following information should the nurse include in the teaching?

  • A. Have family members wear a gown and gloves when visiting.
  • B. Clean contaminated surfaces in the client's room with a bleach solution.
  • C. Use alcohol-based hand sanitizer when leaving the client's room.
  • D. Assign the client to a room with a private bathroom.
Correct Answer: A

Rationale: The correct answer is A because having family members wear a gown and gloves when visiting a client with C. difficile infection helps prevent the spread of the bacteria to others. This infection is highly contagious and can be transmitted through contact with contaminated surfaces or feces. By wearing protective gear, family members can reduce the risk of spreading the infection to themselves or others.

Choice B is incorrect because while cleaning contaminated surfaces with a bleach solution is important, it is not directly related to family members' responsibilities. Choice C is incorrect because alcohol-based hand sanitizers are not effective against C. difficile spores, so proper handwashing with soap and water is recommended. Choice D is incorrect because assigning the client to a room with a private bathroom is not directly related to the responsibility of family members visiting the client.

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A client is admitted to a medical-surgical unit after six hours in the emergency room. He requests that his AM care be delayed to allow him to rest. The nurse complies with his request. This is an example of which type of management philosophy?

  • A. Continuous quality improvement
  • B. Total quality management
  • C. Six Sigma
  • D. Quality management
Correct Answer: B

Rationale: The correct answer is B: Total quality management. This approach focuses on meeting customer needs and continuous improvement. By allowing the client to rest, the nurse is prioritizing the client's comfort and well-being, which aligns with the principles of total quality management. Continuous quality improvement (A) focuses on incremental improvements, Six Sigma (C) aims to reduce defects, and Quality management (D) is a broader term that encompasses various quality approaches.

Which of the following are essential components of strategic planning?

  • A. Values
  • B. Vision & Mission statements
  • C. Reengineering
  • D. A & B
Correct Answer: D

Rationale: The correct answer is D (Values and Vision & Mission statements) because they are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & Mission statements define the organization's purpose, goals, and direction, providing a roadmap for strategic decisions. Reengineering (choice C) is not a typical component of strategic planning as it focuses on process improvement rather than guiding the overall strategy. Choice A (Values) alone is not sufficient for strategic planning without a clear direction provided by Vision & Mission statements (B), making D the most comprehensive and accurate choice.

12. A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?

  • A. 10:00 AM
  • B. 12:00 PM
  • C. 2:00 PM
  • D. 4:00 PM
Correct Answer: A

Rationale: The correct answer is A (10:00 AM) because aspart insulin typically peaks in around 1-3 hours after administration. Given that the patient received the insulin at 8:00 AM, the peak effect would most likely occur around 10:00 AM, making it crucial for the nurse to monitor for hypoglycemia symptoms. Choice B (12:00 PM) is not the best time as the peak effect would have already passed. Choices C (2:00 PM) and D (4:00 PM) are even further away from the expected peak time, making them less critical for monitoring hypoglycemia symptoms.

A nurse supervisor is planning an educational session for her staff regarding improving teamwork among different generations. Which of the following recommendations will reduce potential generational conflicts?

  • A. Involve only millennials in technology decisions.
  • B. Focus on the team as a whole, rather than individual generations.
  • C. Involve only the baby boomers in technology decisions.
  • D. Practice active and assertive communication techniques.
Correct Answer: D

Rationale: The correct answer is D, practicing active and assertive communication techniques. This recommendation is effective in reducing potential generational conflicts because clear and direct communication helps bridge the gap between different generations by promoting understanding and mutual respect. By using active listening and assertively expressing thoughts and feelings, team members can communicate effectively and resolve conflicts efficiently.

Summary:
A: Involving only millennials in technology decisions can lead to exclusion of other generations, increasing conflicts.
B: Focusing on the team as a whole is important, but specific strategies for addressing generational differences are necessary.
C: Involving only baby boomers in technology decisions can create resentment and conflict among other generations.

Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)

  • A. At least 1,250 hours during the previous 12 months.
  • B. At least 12 months.
  • C. At least six months.
  • D. At a work site with 50 employees within a 75-mile radius.
Correct Answer: C

Rationale: The correct answer is C: At least six months. This is because eligibility for a leave of absence is typically based on the duration of employment, with many employers requiring a minimum of six months of service before being eligible. Choices A and B are common criteria for FMLA eligibility, but not for general leave of absence policies. Choice D is related to the Family and Medical Leave Act (FMLA) provision on worksite eligibility, not individual employee eligibility. Therefore, choice C is the most relevant and appropriate requirement for employees to take a leave of absence.

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