Nurse Leadership Questions

Nurse Leadership Questions Related

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In Hospital STV, senior administration is strongly oriented toward fiscal and social conservatism. The nursing department is deeply concerned with the provision of quality to the community, which includes a high number of poor and unemployed. To accomplish the goals of the nursing department, resources need to be allocated that administration is not able to allocate. Nursing and administration:

  • A. Are engaged in shared governance
  • B. Are involved in an irreconcilable conflict of interests
  • C. Represent separate subcultures in the institution
  • D. Represent union and nonunion conflict
Correct Answer: C

Rationale: Hospital STV's administration and nursing department reflect distinct subcultures administration's fiscal conservatism versus nursing's quality focus for a needy community. Subcultures within organizations have unique values and goals, here creating tension over resource allocation. This isn't shared governance (collaborative decision-making), irreconcilable conflict (not proven unresolvable), or union disputes (no union mentioned). These separate ideologies can coexist, potentially constructively, but currently highlight differing priorities, fitting the subculture concept where groups within an institution operate with distinct, sometimes clashing, perspectives.

You may also like to solve these questions

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 limited to reason and logic B is false. Nurse leaders blend rational scheduling with emotional motivation, like rallying staff during a crisis, contrasting with purely logical approaches. Effective leadership in healthcare requires touching emotions to inspire trust and action, not just issuing directives. This duality drives patient care and team cohesion, aligning leadership with both mind and heart.

The nurse is working with a group of students who are learning a high-risk procedure. How should the nurse best ensure learning while protecting the safety of clients?

  • A. Create an unfolding case study featuring the procedure
  • B. Use simulation for the students to practice the skill
  • C. Help the students use a decision-making model to choose the safest technique
  • D. Teach the students about the traditional problem-solving process before they practice the procedure
Correct Answer: B

Rationale: Simulation lets students master a high-risk procedure like intubation safely, unlike case studies, decision models, or problem-solving lessons. In nursing, hands-on practice in a controlled setting minimizes patient risk while building skill confidence. Case studies inform, models guide choices, and problem-solving teaches theory none replace real-time rehearsal. Leadership prioritizes this, ensuring novices like these students refine techniques (e.g., catheter insertion) without harm, safeguarding care quality in clinical training environments effectively.

A client with a history of congestive heart failure is prescribed digoxin. Which finding requires immediate intervention?

  • A. Heart rate of 55 beats per minute
  • B. Blood pressure of 130/80 mmHg
  • C. Respiratory rate of 18 breaths per minute
  • D. Client reports fatigue
Correct Answer: A

Rationale: With digoxin in CHF, HR 55 needs action, not BP 130/80, RR 18, or fatigue. Digoxin slows HR below 60 risks toxicity, especially with fatigue. Others are stable. Leadership acts imagine dizziness; it prevents arrest, aligning with cardiac care effectively.

A nurse is preparing to attend a care plan conference for a client who has severe burns. Which of the following criteria should the nurse identify as part of an effective conference?

  • A. The nurse leads all discussions
  • B. Other health care professionals are in attendance at the conference
  • C. The client is excluded from planning
  • D. Only nursing goals are set
Correct Answer: B

Rationale: An effective care plan conference for a severe burns client requires interdisciplinary input due to the condition's complexity skin integrity, infection risk, mobility, nutrition, and psychological impact. Identifying that other healthcare professionals (e.g., physical therapists, dieticians, psychologists) attend ensures diverse expertise shapes a comprehensive plan, setting realistic, client-centered goals for recovery. The nurse leading all discussions limits collaboration, while excluding the client ignores their input and autonomy, reducing efficacy. Focusing only on nursing goals neglects broader needs like rehabilitation or dietary support. Multidisciplinary attendance fosters holistic planning, leverages specialized knowledge, and enhances outcomes, aligning with best practices for complex cases like burns, where teamwork drives success.

You have recently been appointed as a unit manager. After 3 months, you notice that staff are not seeking your advice as frequently as they did during your first weeks as manager. This observation may suggest that:

  • A. Staff no longer perceive you as an expert
  • B. Staff have increasing confidence in their own decision making
  • C. There has been erosion in your relationships with staff
  • D. Staff are experiencing dissatisfaction with your leadership
Correct Answer: B

Rationale: Staff seeking less advice after three months likely signals growing confidence in their own decisions, a natural shift as they adjust to your leadership and rely on their skills. It's not necessarily expertise loss, eroded ties, or dissatisfaction context matters, but reduced dependence often marks autonomy, a positive outcome in a stable unit. New managers see this as staff adapt, suggesting your initial support built their competence, aligning with effective leadership fostering independence over time.

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