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As part of a staff recognition program, the chief nursing officer decides that staff who demonstrate exceptional professional commitment will be recognized with a monetary award and a letter from the CNO. The outcome that the CNO wishes to achieve through this recognition program is:
- A. Increased professional accountability
- B. Increased staff retention
- C. Increased collaboration among staff
- D. Evidence of support for collective bargaining
Correct Answer: B
Rationale: The CNO's awards for commitment money and praise aim to boost staff retention, reinforcing loyalty to the organization's mission. Committed nurses stay, reducing turnover, a key goal in healthcare's staffing crisis. It's not directly about accountability, collaboration, or bargaining support, though it may foster those. Recognition ties effort to staying, as studies show appreciation cuts nurse exodus, aligning with the CNO's intent to keep dedicated talent.
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The nurse is assessing a client with suspected hyperphosphatemia. Which finding supports this diagnosis?
- A. Tetany
- B. Soft tissue calcification
- C. Muscle weakness
- D. Increased urine output
Correct Answer: B
Rationale: In suspected hyperphosphatemia, soft tissue calcification supports it, not tetany, weakness, or high output. High phosphate binds calcium deposits form, unlike hypocalcemia's tetany. Leadership notes this imagine stiffness; it guides treatment, aligning with electrolyte care effectively.
Which of the following statements concerning the rational and emotional aspects of leadership is false?
- A. Leaders can use rational techniques and/or emotional appeals in order to influence followers
- B. Leadership includes actions and influences based only on reason and logic
- C. Aroused feelings can be used either positively or negatively
- D. Good leadership involves touching others' feelings
Correct Answer: B
Rationale: Leadership isn't only rational (B is false, unlike A, C, D. Nurse leaders like motivating staff blend both, contrasting with logic alone. In healthcare, emotion sways, aligning leadership with human connection.
A nurse is assessing a 70-year-old client. What gastrointestinal abnormality does the nurse recognize is common in clients of this age?
- A. Diverticulosis
- B. Intestinal obstructions
- C. Appendicitis
- D. Diverticulitis
Correct Answer: A
Rationale: In a 70-year-old, diverticulosis pouches in the colon is common, unlike obstructions, appendicitis, or diverticulitis, which is inflammation of those pouches. Aging slows motility and weakens walls, raising diverticulosis risk; it's often asymptomatic but prevalent. Obstructions or appendicitis aren't age-specific, and diverticulitis requires infection. Leadership means knowing this imagine screening an elder with vague discomfort; recognizing diverticulosis guides diet advice, preventing complications. This reflects nursing's role in age-appropriate care, enhancing safety and health in geriatric populations effectively.
A client with recent stroke can understand the language but answers with incorrect words. Which communication problem is presenting?
- A. Aphasia
- B. Apraxia
- C. Dysarthria
- D. Dysphagia
Correct Answer: A
Rationale: Post-stroke, understanding language but using wrong words is aphasia, not apraxia, dysarthria, or dysphagia. Aphasia disrupts expression e.g., saying cat' for dog' while apraxia affects motor planning, dysarthria slurs speech, and dysphagia impairs swallowing. Leadership recognizes this imagine a frustrated patient; identifying aphasia guides therapy, enhancing recovery. This reflects nursing's role in neurological assessment, ensuring accurate communication support effectively.
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.