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As a nurse manager, you introduce a program that allows staff to participate in mock drills for emergency preparedness. Your rationale is that mock drills:
- A. Reduce staff accountability
- B. Increase staff confidence in emergencies
- C. Reduce patient safety
- D. Increase managerial control
Correct Answer: B
Rationale: Mock drills boost staff confidence practicing emergencies (e.g., codes) sharpens skills, cutting panic. They don't cut accountability, harm safety, or hike control readiness grows. In your unit, this preps for crises, aligning with safety where trained nurses act decisively, enhancing outcomes and team poise, a proactive step for high-stakes moments.
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A nurse is assisting with the informed consent process for a client who is scheduled for a below-the-knee amputation. The client asks the nurse, 'Why are they making me have this surgery today? I don't understand why they are doing this.' Which of the following actions should the nurse take?
- A. Explain the procedure in detail
- B. Notify the provider of the client's comments
- C. Reassure the client it's necessary
- D. Have the client sign the consent form
Correct Answer: B
Rationale: Informed consent hinges on the client's full understanding of the procedure, risks, and reasons, which the provider must ensure. When a client expresses confusion, as here with questions about the surgery's necessity, the nurse's role is to facilitate clarity by notifying the provider, who is responsible for explaining and obtaining consent. This action ensures the client receives accurate, authoritative answers, upholding autonomy and legal standards. Explaining the procedure herself exceeds the nurse's scope in this context, risking misinformation. Reassuring without addressing confusion dismisses the client's need for understanding, while forcing a signature without comprehension invalidates consent. Notifying the provider ensures the client's questions are resolved, protecting their rights and ensuring the process remains ethical and informed.
A client with a history of gastroesophageal reflux disease is prescribed pantoprazole. Which instruction should the nurse include?
- A. Take the medication before meals
- B. Take it only when heartburn occurs
- C. Increase intake of spicy foods
- D. Stop the medication once symptoms improve
Correct Answer: A
Rationale: For pantoprazole in GERD, take before meals, not PRN, spicy, or stop. PPIs block acid pre-meal PRN's ineffective, spices worsen, stopping risks rebound. Leadership teaches this imagine relief; it ensures efficacy, aligning with GI care effectively.
The receiver is also referred to as the
- A. Active listener
- B. Encoder
- C. Decoder
- D. Transmitter
Correct Answer: C
Rationale: Receiver is decoder , not listener, encoder, or transmitter. Nurse leaders like staff interpreting rely on this, contrasting with sending. In healthcare, understanding completes the loop, aligning leadership with reception.
In Hospital STV, senior administration is strongly oriented toward fiscal and social conservatism. The nursing department is deeply concerned with the provision of quality to the community, which includes a high number of poor and unemployed. To accomplish the goals of the nursing department, resources need to be allocated that administration is not able to allocate. Nursing and administration:
- A. Are engaged in shared governance
- B. Are involved in an irreconcilable conflict of interests
- C. Represent separate subcultures in the institution
- D. Represent union and nonunion conflict
Correct Answer: C
Rationale: Hospital STV's administration and nursing department reflect distinct subcultures administration's fiscal conservatism versus nursing's quality focus for a needy community. Subcultures within organizations have unique values and goals, here creating tension over resource allocation. This isn't shared governance (collaborative decision-making), irreconcilable conflict (not proven unresolvable), or union disputes (no union mentioned). These separate ideologies can coexist, potentially constructively, but currently highlight differing priorities, fitting the subculture concept where groups within an institution operate with distinct, sometimes clashing, perspectives.
The nurse manager generally uses a stepwise method to arrive at decisions that are logical and that is used to maximize the achievement of the desired objective. Which decision-making model does this manager use?
- A. Political decision-making model
- B. Experimentation process
- C. Rational decision-making model
- D. Trial-and-error method
Correct Answer: C
Rationale: The rational decision-making model uses a stepwise, logical approach to maximize objectives, unlike political, experimentation, or trial-and-error. Nurse managers employing this like scheduling staff to reduce overtime analyze options systematically, contrasting with intuitive methods. This ensures decisions align with goals, such as patient safety or resource efficiency, critical in healthcare's structured environment. Leadership here emphasizes evidence over politics or guesswork, fostering trust and consistency in high-stakes settings where errors impact lives.