Nokea
Clearly stated goals are the best if they are-
- A. Specific
- B. Realistic
- C. Written
- D. All of these
Correct Answer: D
Rationale: All D make goals best: specific, realistic, written. Nurse leaders set clear targets, like reducing wait times, ensuring they're achievable and documented, contrasting with vague aims. In healthcare, this clarity drives measurable outcomes, aligning leadership with precision and accountability.
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A nurse is reviewing informed consent with a client who is scheduled for a cardiac catheterization. Which of the following is the responsibility of the nurse?
- A. Explaining the procedure's risks
- B. Obtaining the client's signature
- C. Verifying the client's understanding of the procedure being performed
- D. Scheduling the procedure
Correct Answer: C
Rationale: The nurse's role in informed consent is to ensure the client comprehends the procedure, supporting autonomy and legal standards. Verifying the client's understanding of the cardiac catheterization its purpose, process, and implications confirms they can articulate it, ensuring consent is truly informed, not just signed. Explaining risks is the provider's duty, as they perform the procedure and bear legal responsibility for disclosure. Obtaining the signature is procedural but secondary to comprehension, often a clerical task. Scheduling is logistical, unrelated to consent. Verification bridges provider explanation and client decision, empowering the client and protecting the healthcare team by validating that consent reflects genuine understanding, not coercion or confusion.
Which of the following is true about functional nursing?
- A. Concentrates on tasks and activities
- B. Emphasizes the use of group collaboration
- C. One-to-one nurse-patient ratio
- D. Provides continuous, coordinated, and comprehensive nursing services
Correct Answer: A
Rationale: Functional nursing, as Henry's team might assess, focuses on tasks e.g., one nurse medicates, another bathes unlike collaboration (Team), one-to-one (Primary), or comprehensive care (Primary). Efficient for high volumes, it risks missing holistic needs, possibly contributing to low satisfaction in Henry's unit. A nurse might excel at IVs but overlook patient fears, fragmenting care. Leadership here involves weighing this efficiency against patient-centered goals, guiding Henry to adapt systems that balance workload and empathy for better unit outcomes.
A client with heart failure is prescribed furosemide. Which laboratory value should the nurse monitor closely?
- A. Sodium
- B. Potassium
- C. Calcium
- D. Magnesium
Correct Answer: B
Rationale: With furosemide in heart failure, potassium needs close watch, not sodium, calcium, or magnesium. This loop diuretic dumps potassium hypokalemia risks arrhythmias, critical in HF. Sodium shifts, but potassium's more acute. Leadership monitors this imagine a cramping patient; it guides replacement, ensuring safety. This reflects nursing's electrolyte oversight, aligning with cardiac care effectively.
She reads about Path-Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?
- A. Recognizes staff for going beyond expectations by giving them citations
- B. Challenges the staff to take individual accountability for their own practice
- C. Admonishes staff for being laggards
- D. Reminds staff about the sanctions for non-performance
Correct Answer: A
Rationale: Path-Goal theory, per Ms. Caputo's study, involves leaders rewarding exceptional performance like citations to motivate staff toward goals. Challenging accountability aligns with Transformational leadership, admonishing reflects Authoritarian tendencies, and sanctions fit Transactional styles. In a unit, a Path-Goal leader might praise a nurse for swift triage, aligning individual effort with hospital aims. This positive reinforcement clears paths to success, a tactic Ms. Caputo could use to boost morale and productivity, contrasting punitive approaches that might alienate her team in her new managerial role.
He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to?
- A. Scalar chain
- B. Discipline
- C. Unity of command
- D. Order
Correct Answer: C
Rationale: Unity of command, per Fayol, ensures employees follow one superior Joey avoiding confusion from multiple directives. Scalar chain is the authority line, discipline obedience, and order placement. In his unit, this clarity prevents conflicting orders, like on patient protocols, streamlining care. Joey's leadership enforces this to maintain control, critical in a tertiary hospital where precision impacts outcomes, aligning staff under his vision for efficiency and accountability.