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According the Path-Goal Theory, what leader is friendly and shows concern for the needs of followers?
- A. The achievement-oriented leader
- B. The directive leader
- C. The laissez-faire leader
- D. The supportive leader
Correct Answer: D
Rationale: Supportive leaders show concern, unlike achievement, directive, or laissez-faire. Nurse leaders like empathy fit this, contrasting with task focus. In healthcare, it boosts morale, aligning leadership with support.
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Nurse receives four phone calls from pregnant women in their last trimester of pregnancy. Which call should be answered first?
- A. Client can't sleep supine because shortness of breath
- B. Client with frequent heartburn
- C. Client who can't remove wedding ring
- D. Client with frequent non-painful uterine contractions
Correct Answer: A
Rationale: The nurse must prioritize the client with shortness of breath when supine, a potential sign of late-pregnancy complications like preeclampsia or heart strain, over heartburn, ring tightness, or non-painful contractions. Dyspnea signals respiratory or cardiac distress say, from fluid overload needing urgent assessment to prevent maternal-fetal harm. Heartburn's common, ring issues suggest edema (less acute), and contractions could be Braxton Hicks, not immediate labor. In nursing leadership, triaging this call first ensures safety; a delay might miss hypoxia, risking oxygen delivery to the fetus. Picture a 38-week pregnant woman gasping this demands swift action, guiding care prioritization in high-stakes obstetric settings effectively.
Types of stress include
- A. OM' mantra
- B. Daily chores
- C. Internal factors
- D. Psychological stress
Correct Answer: D
Rationale: Psychological stress is a type, unlike mantra, chores, or factors. Nurse leaders like addressing anxiety tackle this, contrasting with tasks. In healthcare, recognizing mental stress is key, aligning leadership with emotional health.
What is no longer a characteristic of an organizational chart?
- A. It shows the division of work
- B. It shows the workload of each personnel
- C. It reflects the type of work of each
- D. [Missing option]
Correct Answer: B
Rationale: Workload isn't typically shown, unlike division, type, or missing. Nurse managers use charts for roles, contrasting with staffing details. It's vital in healthcare for structure, aligning leadership with clarity (assumed B).
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
- A. Ask the client to look upward while instilling the drops
- B. Place the drops directly onto the cornea
- C. Wipe the eye from outer to inner canthus
- D. Hold the dropper 5 cm (2 in) above the eye
Correct Answer: A
Rationale: Administering eye drops requires technique to ensure delivery and comfort. Asking the client to look upward while instilling drops positions the cornea away from the dropper, allowing medication to pool in the lower conjunctival sac, minimizing irritation and maximizing absorption per standard protocol. Placing drops on the cornea risks injury and reflex blinking, wiping outer to inner spreads contaminants toward the tear duct, and holding 5 cm (2 in) above is excessive 1-2 cm avoids splashing. Looking upward is safe, effective, and client-friendly, aligning with nursing practice to deliver ocular meds accurately, preventing complications like infection or trauma in a delicate area.
As a member of a hospital committee, you advocate for a policy that allows staff nurses to request additional staffing during unexpected increases in patient acuity. Your advocacy reflects concerns about:
- A. Staff satisfaction
- B. Patient safety
- C. Cost containment
- D. Staff authority
Correct Answer: B
Rationale: Pushing for staffing boosts during acuity spikes like a trauma surge prioritizes patient safety, ensuring care matches need, cutting risks like errors or delays. Satisfaction may rise, costs shift, and authority isn't the focus safety is. On the committee, you address workload stress, as in fall or error trends, aligning with nursing's duty to protect patients, a proactive policy to maintain quality under pressure.