Nokea
A nurse manager typically exhibits which type of power when using education and work experience?
- A. Referent
- B. Legitimate
- C. Coercive
- D. Expert
Correct Answer: D
Rationale: Expert power results from knowledge, expertise, or experience in a particular area. Referent power concerns the power a person has because of an association with others who are powerful. Legitimate power is obtained through a designated position. Coercive power is the ability to threaten or punish someone who fails to meet expectations.
You may also like to solve these questions
The LPN is caring for a full nursing assignment and delegates specific duties to the unlicensed assistive personnel (UAP). Which nursing action would best assess the competency of the UAP to complete the assignment?
- A. Ask the client if the assignments were completed.
- B. Review the documentation that the assignment was completed.
- C. Ask the UAP exactly how the assignment was completed.
- D. Observe the UAP during completion of the assignment.
Correct Answer: D
Rationale: Observing the UAP is the best way for the LPN/LVN to assess the competency of the UAP. All delegates must demonstrate knowledge and competency on how to perform a delegated responsibility. Reviewing the documentation or asking the UAP to explain how the assignment was completed will not demonstrate the UAP's competency. Asking the client if the assignment was completed may confirm its completion but does not address the UAP's competency.
The nurse is planning care for the day for a client with multiple diagnoses. Which of the following criteria should the nurse consider first when setting priorities for the care of the client?
- A. Consider the priority of maintaining vital signs.
- B. Consider the priority of symptom management.
- C. Consider the priority of management of pain.
- D. Consider the priority of preventing spread of disease.
Correct Answer: A
Rationale: When prioritizing, vital signs provide data on maintaining life and are considered first. All other options come after.
Staff is assembling for shift assignments. Which of the following nursing action(s) identifies the manager's responsibility on the clinical unit? Select all that apply.
- A. The manager assesses the clients on the clinical unit and updates the physician.
- B. The manager assures that adequate care is given by the staff and assesses the flow of activities on the clinical unit.
- C. The manager removes the physician prescriptions from the chart and notes completion.
- D. The manager attends facility meetings and set objectives.
- E. The manager completes the first medication pass of the shift.
Correct Answer: B,D
Rationale: The key feature of the manager's position is the individual responsibility and accountability for the accomplishment of tasks on the clinical unit. Part of this responsibility includes assuring that adequate care is given by the staff and assessing the flow of activities on the clinical unit. A manager attending faculty meeting and setting objectives also reflects manager and leadership duties. The other options are task oriented, and, although the manager may assist staff, it is not the focus of the manager's responsibility.
A nurse in the health care provider's office must provide care to the following clients. From first to last, in what order should the nurse provide needed care to the clients?
- A. A client in an examination room who reports flulike symptoms
- B. A client seated in the office reception area who reports chest heaviness
- C. A client on the phone inquiring about doubling a dose of medication because of a missed dose the day before
- D. A client requires a call back by the nurse for advice on a medication dosage change
- E. A client who stopped into the office to pick up sample medications
Correct Answer: B,A,C,D,E
Rationale: All nurses must manage multiple client needs in a timely manner. Nurses must prioritize to determine the proper order of response. Nurses should address issues critical to maintaining life first (airway, breathing, circulation). A client with chest heaviness potentially could be having a life-threatening condition requiring immediate attention. Next, the client in the exam room needs vital signs and a history of present illness before the health care provider enters. To maintain the flow of the office, this client is a priority. Next, the nurse would answer the question of the client on the phone who may otherwise incorrectly ingest a double dose of medication. Next, a client needs to be called with a medication dosage change. Last, the client in the office who has come to obtain sample medication needs medication instruction on dosage and side effects.
A new client charting system is in the education phase at a healthcare facility. Much discussion has been prompted regarding the new system. With which statement does the nurse best exhibit the integrated leader/manager traits?
- A. Let's look at the daily benefits of using the new technology on the clinical unit.'
- B. I am not used to the new technology, but if it better serves the client and enables easy sharing of client authorized records, I see a benefit.'
- C. New technology may be costly up front but will serve us well in the future.'
- D. I do not believe that this technology will be helpful in caring for a client because it often is down during peak use times and is difficult to train for.'
Correct Answer: B
Rationale: The traits of an integrated leader/manager combine understanding the daily operations on a clinical unit while seeing the big picture, thinking in the long term, and embracing change. Better serving the client and sharing records as needed demonstrates the willingness to think positively and take risks on improvement for the future. Focusing only on the daily benefits or only on the future impact of using the new technology each only look at one aspect of leadership and management. Stating that the new technology will not be helpful in client care is a negative statement and does not show that the manager is able to embrace change.