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As a staff nurse, you notice that patients often wait extended periods for call light responses. You suggest to your nurse manager that staff review response times and propose a staffing adjustment plan. Your suggestion reflects:
- A. A need to increase managerial control
- B. Commitment to patient-centered care
- C. Evidence of staff resistance to change
- D. A desire to shift responsibility to the manager
Correct Answer: B
Rationale: Reviewing call light delays and adjusting staffing shows patient-centered care speeding responses to ease patient distress, a priority. It's not control, resistance, or shirking staff act. As a nurse, you focus on comfort, aligning with care quality, engaging peers to fix a bottleneck, boosting satisfaction, a direct response to patient needs rooted in empathy and action.
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The major focus on self-awareness has been to emphasize the positive aspects that this can have. Self-awareness also has two negative extremes or traps. One of these traps is:
- A. Focusing on oneself can lead to increased self-esteem
- B. Focusing on the self can highlight shortcomings
- C. Focusing on oneself can lead to greater accuracy in evaluating oneself
- D. Focusing on the self can highlight ones strengths
Correct Answer: B
Rationale: Highlighting shortcomings is a trap, unlike esteem, accuracy, or strengths. Nurse leaders like over-criticism avoid this, contrasting with balance. In healthcare, it's constructive, aligning leadership with reflection.
You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace. To address deficits that may already be present in nursing curricula related to the workplace, you include more content and skills development related to:
- A. therapeutic communication with patients
- B. effective communication in the workplace
- C. increased emphasis on sender-receiver dyads
- D. generational differences in communication
Correct Answer: B
Rationale: Nursing curricula often emphasize patient-focused therapeutic communication, but workplace dynamics like team conflicts demand effective communication skills among colleagues. Your curriculum shift addresses this gap, vital for team cohesion and care delivery, as seen in staff disputes. Sender-receiver focus or generational differences are subsets, not the core need. Workplace communication equips nurses to navigate professional relationships, enhancing collaboration and reducing friction, aligning with profession and workplace realities.
What best describes the leader-follower relationship?
- A. The relationship is a one-way street
- B. Leadership and followership are the same thing
- C. Leadership and followership merge and are linked concepts
- D. It is based on the idea of 'one-man leadership'
Correct Answer: C
Rationale: Leadership and followership link not one-way, same, or solo. Nurse leaders like team trust rely on this, contrasting with hierarchy. In healthcare, mutual influence thrives, aligning leadership with partnership.
Target audiences for health care organizations are:
- A. nurses and physicians
- B. clients, physicians, payer, and employees
- C. regulatory agencies such as The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS)
- D. insurance companies
Correct Answer: B
Rationale: Clients, physicians, payers, and employees are targets, not just staff, regulators, or insurers. Nurse leaders address these like payer contracts contrasting with narrow foci. It's crucial in healthcare for broad engagement, aligning leadership with stakeholder needs.
The nurse is preparing to administer a dose of gentamicin to a client with a wound infection. Which laboratory value should the nurse review prior to administration?
- A. Serum creatinine
- B. White blood cell count
- C. Blood glucose
- D. Potassium
Correct Answer: A
Rationale: Before gentamicin for infection, review serum creatinine, not WBC, glucose, or potassium. Aminoglycosides are nephrotoxic creatinine flags kidney function, guiding dosing. Others track infection or unrelated issues. Leadership checks this imagine renal strain; it prevents toxicity, aligning with antibiotic care effectively.