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During which client-nurse interaction would the nurse most appropriately use the authoritarian leadership style?
- A. The nurse is assisting the client to the bathroom when wound dehiscence occurs.
- B. The nurse is presenting meal options to a resistant diabetic client.
- C. The nurse is instructing on how to obtain blood glucose readings.
- D. The nurse is preparing discharge instructions per physician's prescription.
Correct Answer: A
Rationale: During an emergency, such as when a wound dehiscence occurs, an authoritarian leadership style with one person in tight control of the situation is best. At this time, the focus is on accomplishing the tasks of client safety, wound care, and physician notification. All of the other interactions would best be managed with a therapeutic nurse client interaction.
You may also like to solve these questions
Which of the following is an advantage of democratic leadership?
- A. Tasks are accomplished without staff input.
- B. Leaders see themselves as coworkers.
- C. Quick decision making occurs.
- D. Managers provide support and freedom for employees.
Correct Answer: B
Rationale: Democratic leadership involves more participation in decision-making by the work group. Leaders with this style often see themselves as coworkers. Authoritarian leadership allows little input from staff for decisions. In laissez-faire leadership, the manager leaves the work group to set goals, make decisions, and take responsibility for their own management.
The LPN on the clinical unit is discussing client medication administration. The medication nurse states, 'I crushed the medication because the nurse on the prior shift told me to do it.' This statement indicates a lack of which of the following?
- A. Responsibility
- B. Management
- C. Accountability
- D. Leadership
Correct Answer: C
Rationale: Accountability means being answerable for one's actions. Following another's actions and using that as a rationale is not being accountable for the action taken. Responsibility is the duty or assignment to a specific task. Management entails assigning functions to meet particular objectives. Leadership provides guidance to achieve common goals.
A nurse manager who denies vacation time to an employee who failed to meet expectations is exhibiting what type of power?
- A. Legitimate
- B. Coercive
- C. Reward
- D. Referent
Correct Answer: B
Rationale: Coercive power is the ability to threaten or punish someone who fails to meet expectations. Legitimate power is obtained through a designated position. Reward power occurs when a person attains power through the ability to grant favors or rewards. Referent power is the power a person has because of an association with others who are powerful.
The manager of the surgical unit is presenting the benefits of a new computer documentation system on reducing the nurse's time documenting, thus increasing the time to care for clients at the bedside. Increasing nurse excitement in the changes within the system is a form of which type of power?
- A. Referent power
- B. Motivational power
- C. Legitimate power
- D. Authoritarian power
Correct Answer: B
Rationale: Motivational power refers to the ability to create enthusiasm for a collaborative project or achievement of a common goal. Referent power relates to being in or associating with someone who is in the position of power. Legitimate power is afforded to the management position but is not the best answer for this scenario. Authoritarian power relates to leadership styles.
Which of the following would not be considered one of the five rights of delegation?
- A. Educational level
- B. Task
- C. Circumstances
- D. Person
Correct Answer: A
Rationale: The NCSBN (2019) identified the five rights of delegation: right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. Educational level is not one of the five rights of delegation.