Nokea
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.
You may also like to solve these questions
A nurse is assisting with the informed consent process for a client who is scheduled for a below-the-knee amputation. The client asks the nurse, 'Why are they making me have this surgery today? I don't understand why they are doing this.' Which of the following actions should the nurse take?
- A. Explain the procedure in detail
- B. Notify the provider of the client's comments
- C. Reassure the client it's necessary
- D. Have the client sign the consent form
Correct Answer: B
Rationale: Informed consent hinges on the client's full understanding of the procedure, risks, and reasons, which the provider must ensure. When a client expresses confusion, as here with questions about the surgery's necessity, the nurse's role is to facilitate clarity by notifying the provider, who is responsible for explaining and obtaining consent. This action ensures the client receives accurate, authoritative answers, upholding autonomy and legal standards. Explaining the procedure herself exceeds the nurse's scope in this context, risking misinformation. Reassuring without addressing confusion dismisses the client's need for understanding, while forcing a signature without comprehension invalidates consent. Notifying the provider ensures the client's questions are resolved, protecting their rights and ensuring the process remains ethical and informed.
What is no longer a characteristic of an organizational chart?
- A. It shows the division of work
- B. It shows the workload of each personnel
- C. It reflects the type of work of each
- D. [Missing option]
Correct Answer: B
Rationale: Workload isn't typically shown, unlike division, type, or missing. Nurse managers use charts for roles, contrasting with staffing details. It's vital in healthcare for structure, aligning leadership with clarity (assumed B).
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 nurse manager is implementing a team nursing approach on his unit, hiring licensed practical nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions should the nurse manager take to facilitate acceptance of this change?
- A. Introduce the new approach and facilitate the development of a task force to plan implementation
- B. Announce the change and expect immediate compliance
- C. Train only the new staff on the approach
- D. Leave the staff to adapt on their own
Correct Answer: A
Rationale: Implementing a team nursing approach requires staff buy-in to ensure smooth adoption and effective collaboration. Introducing the new approach and creating a task force to plan its implementation actively involves the existing staff, giving them a sense of ownership and control over the change process. This strategy fosters acceptance by addressing concerns, encouraging input, and building a collaborative environment, which is critical in healthcare settings where teamwork directly impacts patient outcomes. Simply announcing the change without engagement risks resistance, as staff may feel blindsided or undervalued. Training only new staff excludes current employees, potentially creating resentment or confusion, while leaving staff to adapt independently neglects the need for structured guidance. Involving staff in planning leverages their expertise, reduces anxiety about the unknown, and aligns with leadership principles that prioritize communication and inclusion, ultimately enhancing the transition to a team-based model.
A client with a history of gastroesophageal reflux disease is prescribed pantoprazole. Which instruction should the nurse include?
- A. Take the medication before meals
- B. Take it only when heartburn occurs
- C. Increase intake of spicy foods
- D. Stop the medication once symptoms improve
Correct Answer: A
Rationale: For pantoprazole in GERD, take before meals, not PRN, spicy, or stop. PPIs block acid pre-meal PRN's ineffective, spices worsen, stopping risks rebound. Leadership teaches this imagine relief; it ensures efficacy, aligning with GI care effectively.