Nursing Leadership And Management Practice Questions

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After working at your job for 10 months and feeling unable to tolerate the tension and stress between staff nurses and the laissez-faire nurse manager who is not a leader, what is the best course of action?

  • A. Submit a resignation and leave within 30 days.
  • B. Complain to staff about the nurse manager.
  • C. Seek another position within the healthcare organization and apply for a transfer.
  • D. Inform the chief nursing officer that you are leaving and explain your dissatisfaction with the lack of leadership.
Correct Answer: C

Rationale: The correct answer is C because seeking another position within the healthcare organization and applying for a transfer allows you to address the issue of tension and stress while staying within the organization. This option demonstrates a proactive approach to resolving the conflict and shows a commitment to finding a solution rather than just quitting. By transferring to a different position, you can potentially avoid the negative environment while still utilizing your skills and experience within the organization.

Choices A, B, and D are incorrect because they do not address the underlying issue effectively. Option A of submitting a resignation and leaving within 30 days is a hasty decision without exploring potential solutions within the organization. Option B of complaining to staff about the nurse manager may create more conflict and worsen the situation. Option D of informing the chief nursing officer about leaving does not provide a constructive solution to the tension and stress between staff nurses and the nurse manager.

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Which of the following is true regarding health care systems today?

  • A. They are all managed care organizations.
  • B. They are all privately owned.
  • C. Only HMOs are profitable.
  • D. There are multiple types of organizations.
Correct Answer: D

Rationale: The correct answer is D because there are indeed multiple types of health care organizations today, including but not limited to managed care organizations, private entities, non-profit organizations, and government-funded systems. This diversity in health care systems allows for different models and approaches to delivering care, catering to the needs and preferences of various populations. Choices A, B, and C are incorrect because not all health care systems are managed care organizations, privately owned, or solely profitable for HMOs. It is essential to understand the complexity and variety in health care systems to provide comprehensive and efficient care to patients.

What is the primary purpose of clinical pathways in healthcare?

  • A. Reduce hospital readmissions
  • B. Standardize care
  • C. Provide individualized care
  • D. Streamline care processes
Correct Answer: C

Rationale: The correct answer is C: Provide individualized care. Clinical pathways aim to offer a structured approach to patient care while allowing customization based on individual patient needs. By providing a standardized outline of care steps, healthcare providers can tailor treatment plans to meet each patient's unique circumstances. This promotes more personalized and effective care delivery.

Incorrect choices:
A: Reduce hospital readmissions - Clinical pathways may help in reducing readmissions, but this is not their primary purpose.
B: Standardize care - While clinical pathways do standardize care to some extent, their main goal is to individualize care based on patient needs.
D: Streamline care processes - While clinical pathways can streamline care processes, the primary focus is on providing individualized care rather than solely on process efficiency.

Which of the following is an important aspect of note-taking?

  • A. Not specific and behavior-oriented
  • B. Forces the manager to deal with the problem
  • C. Records only undesirable events
  • D. Failure to give performance feedback
Correct Answer: B

Rationale: The correct answer is B because note-taking forces the manager to deal with the problem by documenting important information, actions, and decisions. This helps in tracking progress, identifying trends, and making informed decisions. It promotes accountability and ensures issues are addressed promptly.

A: Not specific and behavior-oriented - Incorrect. Note-taking should be specific and focus on behaviors to provide accurate and detailed information.
C: Records only undesirable events - Incorrect. Note-taking should capture both positive and negative events for a comprehensive view.
D: Failure to give performance feedback - Incorrect. Note-taking is a tool to provide feedback and track performance effectively.

A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory results would be a priority for the nurse to report to the provider?

  • A. BUN 21 mg/dL (10 to 20 mg/dL)
  • B. Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
  • C. Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL)
  • D. Sodium 132 mEq/L (136 to 145 mEq/L)
Correct Answer: B

Rationale: The correct answer is B: Potassium 5.8 mEq/L. In hypovolemia, there is a decrease in blood volume leading to electrolyte imbalances. Potassium levels outside the normal range can be life-threatening, causing cardiac arrhythmias. Therefore, a potassium level of 5.8 mEq/L is a priority to report to the provider for prompt intervention.

Rationale for why the other choices are incorrect:
A: BUN within the normal range. It may indicate dehydration but not immediately life-threatening.
C: Creatinine slightly elevated, indicating kidney function impairment but not as critical as potassium imbalance.
D: Sodium within acceptable range, not an immediate concern in hypovolemia.

Which of the following conditions would be well suited to the use of a nursing critical pathway?

  • A. Foreign object in the ear
  • B. Fever of unknown origin
  • C. Hip replacement surgery
  • D. Bacterial infection acquired in a foreign country
Correct Answer: C

Rationale: The correct answer is C: Hip replacement surgery. Nursing critical pathways are designed for standardized, evidence-based care plans for specific medical conditions or procedures. Hip replacement surgery is a well-defined process with clear guidelines for pre-op, intra-op, and post-op care, making it suitable for a critical pathway. Foreign object in the ear (A) requires immediate intervention but doesn't involve a complex care pathway. Fever of unknown origin (B) requires extensive diagnostic workup, making it less suitable for a standardized pathway. Bacterial infection acquired in a foreign country (D) may have variable presentations and treatment, not fitting a standardized pathway.

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