Leadership Nursing Practice Questions

Leadership Nursing Practice Questions Related

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Construction is occurring in the Emergency Department, with equipment and sharp items being used by the contractors. As the charge nurse, you are concerned that agitated patients might use the equipment as weapons and you meet with staff to: (EXCEPT)

  • A. Notify the nursing supervisor.
  • B. Notify security.
  • C. Have them check patients to verify safety.
  • D. Ask construction workers to be responsible.
Correct Answer: D

Rationale: The correct answer is D because asking construction workers to be responsible for the equipment and sharp items used is not within the charge nurse's role or authority. The responsibility for ensuring safety and security in the Emergency Department lies with the healthcare staff (including the charge nurse) and security personnel. Construction workers may not have the training or expertise to handle agitated patients or prevent potential incidents.

A: Notifying the nursing supervisor (A) can help escalate the issue and involve higher authority in addressing the safety concern.
B: Notifying security (B) is essential to ensure that trained professionals are present to handle security-related issues.
C: Having staff check patients (C) is important to verify their safety, but it does not address the primary concern of preventing patients from accessing construction equipment as weapons.

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What is the primary purpose of a nurse staffing committee?

  • A. To oversee patient safety initiatives
  • B. To develop staffing policies and procedures
  • C. To coordinate patient care
  • D. To manage nurse recruitment
Correct Answer: B

Rationale: The correct answer is B: To develop staffing policies and procedures. The primary purpose of a nurse staffing committee is to establish guidelines and protocols for nurse staffing levels to ensure safe and effective patient care. By developing staffing policies, the committee can address issues such as nurse-to-patient ratios, shift scheduling, and workload distribution. This helps maintain quality care and prevent burnout among nurses.

Incorrect options:
A: To oversee patient safety initiatives - While patient safety is a critical aspect of nursing care, the primary focus of the staffing committee is on developing policies related to nurse staffing, not overseeing patient safety initiatives.
C: To coordinate patient care - While coordinating patient care is essential, the primary role of the staffing committee is to focus on staffing policies rather than direct patient care coordination.
D: To manage nurse recruitment - Nurse recruitment is typically handled by human resources or a recruitment team, not the staffing committee. The staffing committee's main function is to determine appropriate staffing levels and guidelines.

12. A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?

  • A. 10:00 AM
  • B. 12:00 PM
  • C. 2:00 PM
  • D. 4:00 PM
Correct Answer: A

Rationale: The correct answer is A (10:00 AM) because aspart insulin typically peaks in around 1-3 hours after administration. Given that the patient received the insulin at 8:00 AM, the peak effect would most likely occur around 10:00 AM, making it crucial for the nurse to monitor for hypoglycemia symptoms. Choice B (12:00 PM) is not the best time as the peak effect would have already passed. Choices C (2:00 PM) and D (4:00 PM) are even further away from the expected peak time, making them less critical for monitoring hypoglycemia symptoms.

When communicating with a client who has a complaint, what principle is important to keep in mind?

  • A. Supervisors should always be involved.
  • B. The client's physician is often the cause of the problem.
  • C. Avoid discussion of complaints.
  • D. Clients and families should be treated with respect; communication should be open and honest.
Correct Answer: D

Rationale: The correct answer is D. It is important to treat clients and families with respect, practicing open and honest communication. This fosters trust, helps address concerns, and improves client satisfaction. Choice A is incorrect as involving supervisors may not always be necessary. Choice B is incorrect as the physician may not always be the cause of the problem. Choice C is incorrect as avoiding discussion can lead to unresolved issues. In summary, choice D promotes a positive and effective client-provider relationship, while the other choices do not address the core principles of effective communication and client-centered care.

Which of the following are essential components of strategic planning? (Select all that apply.)

  • A. Values
  • B. Vision & Mission statements
  • C. Reengineering
  • D. A & B
Correct Answer: D

Rationale: The correct answer is D because values and vision & mission statements are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & mission statements define the organization's purpose and goals, providing a roadmap for strategic direction. Reengineering, as mentioned in choice C, is a process improvement approach and not an inherent component of strategic planning. Therefore, choice D is the correct answer as it includes the key components necessary for effective strategic planning.

As a new graduate employed in a high-volume maternity unit that uses differentiated practice as its staffing model, what can the nurse expect?

  • A. Evidence-based practice guides risk management principles.
  • B. Client teaching is the responsibility of the team leader.
  • C. The initial level of practice responsibility will be limited.
  • D. Seniority is the main determinant of client assignments.
Correct Answer: C

Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety.

Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used.

Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader.

Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.

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