Nurse Leadership Questions

Nurse Leadership Questions Related

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An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform?

  • A. Administer IV fluids
  • B. Assess for bowel sounds every 2 hours
  • C. Monitor NG tube output
  • D. Reposition the NG tube
Correct Answer: B

Rationale: The RN's scope of practice includes assessments requiring clinical judgment, such as evaluating bowel sounds to determine hypoactive, normal, or hyperactive states, which informs the care plan for a small bowel obstruction. This task demands interpretive skills beyond the LPN's role, which focuses on data collection (e.g., listening for sounds) rather than analysis. Administering IV fluids, monitoring NG tube output, and repositioning the tube are within the LPN's capabilities under RN supervision, as they involve technical execution rather than diagnostic reasoning. The RN's expertise ensures accurate assessment of bowel function, critical for detecting complications like perforation or resolution of the obstruction, guiding subsequent interventions, and maintaining client safety in a condition requiring precise monitoring and decision-making.

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The ___ perspective suggests that people are motivated to maintain consistent beliefs about themselves, even when these beliefs are negative.

  • A. Self-verification
  • B. Self-esteem
  • C. Self-enhancement
  • D. Self-monitoring
Correct Answer: A

Rationale: Self-verification seeks consistency, unlike esteem, enhancement, or monitoring. Nurse leaders like honest self-view embody this, contrasting with boosting. In healthcare, it's authenticity, aligning leadership with truth.

When the group has reached socio-emotional maturity, which types of behaviors will predominate?

  • A. Interpersonal behaviors
  • B. Intrapersonal behaviors
  • C. Task behaviors
  • D. Relational behaviors
Correct Answer: D

Rationale: Relational behaviors dominate maturity, unlike interpersonal, intrapersonal, or task. Nurse managers see this like support contrasting with early focus. It's key in healthcare for collaboration, aligning leadership with team strength.

A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from:

  • A. group decision-making options
  • B. perceptions of incompatibility
  • C. increases in group cohesiveness
  • D. debates, negotiations, and compromises
Correct Answer: B

Rationale: Conflict here stems from perceived incompatibility staff clinging to familiar procedures versus the manager's new ideas creating a values clash. This interdependence, where change threatens established norms, sparks resistance, not group decision-making, cohesiveness (which it disrupts), or negotiation (not yet engaged). The staff's pushback reflects a belief that the new approach interferes with their comfort, a classic conflict trigger needing resolution to align goals.

In order to understand verbal and nonverbal communication which of the following things should we do?

  • A. Accept cultural differences
  • B. Studying your own culture
  • C. Learn about other cultures
  • D. All of the above
Correct Answer: D

Rationale: D all aid understanding. Nurse leaders learn cultures for better care, contrasting with ignorance. In healthcare, it bridges gaps, aligning leadership with inclusive communication.

The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:

  • A. No problem. Just log me off when you're done.'
  • B. I'll put the note in for you. What do you want to say?'
  • C. Just make sure that you sign your note because it's under my log in ID.'
  • D. I'm sorry, but you will have to enter the information using your own log in ID.'
Correct Answer: D

Rationale: Patient privacy and data security are paramount in healthcare, governed by laws like HIPAA. Allowing the resident to use the nurse's login violates these principles, as each provider must use their own credentials to access and modify patient records. This ensures accountability every action is traceable to the individual who performed it and protects the nurse from liability for entries she didn't make. Offering to log off after the resident's use or adding the note herself compromises this accountability, potentially leading to errors or legal issues if the resident's input is inaccurate. Asking the resident to sign the note under her ID still ties her login to his actions, which is insufficient. Requiring the resident to use his own login upholds professional standards, safeguards patient information, and maintains clear responsibility for chart entries.

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