Nokea
A nurse manager who tells the staff to 'come to me with any problem' but then keeps the office door closed is using what type of communication?
- A. Intrasender conflict
- B. Diagonal communication
- C. Metacommunication
- D. Upward communication
Correct Answer: A
Rationale: The correct answer is A: Intrasender conflict. This is when the message sent conflicts with the nonverbal cues. In this scenario, the nurse manager's verbal message of being approachable conflicts with the nonverbal cue of keeping the office door closed. This creates confusion for the staff, leading to intrasender conflict.
B: Diagonal communication refers to communication between individuals at different levels or departments.
C: Metacommunication involves the underlying message or context of the communication.
D: Upward communication is when employees communicate with their superiors.
In this case, the closed door contradicts the verbal message, indicating intrasender conflict.
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The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia)
through a restricted access medication program. What is most important for the nurse to report
immediately to the health care provider?
- A. The patient's blood pressure is 154/92.
- B. The patient has a history of emphysema
- C. The patient's blood glucose is 86 mg/dL.
- D. The patient has chest pressure when walking
Correct Answer: D
Rationale: The correct answer is D: The patient has chest pressure when walking. This symptom could indicate cardiac issues, a known side effect of rosiglitazone. Reporting this immediately is crucial to prevent potential serious complications.
A: The patient's blood pressure is 154/92. While high, it is not an immediate concern unless accompanied by other symptoms.
B: The patient has a history of emphysema. Relevant but not urgent in this scenario.
C: The patient's blood glucose is 86 mg/dL. Within the normal range and not a priority compared to chest pressure.
In summary, choice D is correct as it addresses a potentially severe side effect of the medication that requires immediate attention. Choices A, B, and C are not as urgent or directly related to the medication's side effects.
A group of physicians comes into conflict with the nursing staff of a unit over when AM vital signs are recorded. What type of technique might be used that respects the professionalism of both parties?
- A. Accommodating
- B. Collaboration
- C. Avoiding
- D. Competing
Correct Answer: B
Rationale: The correct answer is B: Collaboration. Collaboration involves both parties working together to find a mutually beneficial solution. In this scenario, collaborating with the physicians and nursing staff allows for open communication, respect for each other's expertise, and finding a compromise on when to record vital signs. Accommodating (A) involves giving in to one party's preferences, while avoiding (C) involves ignoring the conflict altogether. Competing (D) focuses on one party winning at the expense of the other, which does not respect the professionalism of both parties. Collaboration is the most effective technique as it values input from all parties and fosters a positive working relationship.
The decades between the 1960s and 1980s brought about many changes in nursing. Which of the following contributed to advances in nursing?
- A. Decreased demand for health care
- B. Development of specialty care disciplines
- C. Gender discrimination
- D. Advances in technology leading to more generalized care
Correct Answer: B
Rationale: The correct answer is B: Development of specialty care disciplines. During the 1960s-1980s, nursing saw significant advancements as specialty care disciplines emerged, leading to improved patient care and enhanced skills among nurses. Specialty care disciplines expanded nursing knowledge and expertise, allowing for tailored and specialized care for specific patient populations. This shift towards specialization elevated the status of nursing and promoted better outcomes for patients.
Summary:
- A: Decreased demand for health care is incorrect as the period actually saw an increased demand due to population growth and advancements in medical treatments.
- C: Gender discrimination, while a significant issue in nursing history, did not directly contribute to advances in nursing during this specific time period.
- D: Advances in technology did impact nursing care, but it did not lead to more generalized care; instead, it often facilitated the development of specialized care disciplines.
A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
- A. Activate the emergency fire alarm.
- B. Extinguish the fire.
- C. Evacuate the client.
- D. Confine the fire.
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.
The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?
- A. Quantum
- B. Servant
- C. Autocratic
- D. Democratic
Correct Answer: A
Rationale: The correct answer is A: Quantum. Quantum leadership style emphasizes adaptability, innovation, and collaboration, which are essential in navigating the complexities of modern healthcare systems. This style encourages leaders to be flexible, open to change, and able to think holistically.
Servant leadership (B) focuses on serving others and may not provide the agility needed to address the rapidly evolving healthcare landscape. Autocratic leadership (C) is authoritative and may not foster the necessary collaboration and empowerment required in modern healthcare settings. Democratic leadership (D) involves shared decision-making but might not be as transformative and adaptable as quantum leadership in response to the complexities of healthcare delivery systems.