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It is a managerial function that indicates leading the staff in the most applicable method.
- A. Planning
- B. Directing
- C. Organizing
- D. Controlling
Correct Answer: B
Rationale: Directing leads staff, unlike planning, organizing, or controlling. Nurse managers guide like assigning shifts contrasting with strategy or oversight. It's key in healthcare for real-time coordination, aligning leadership with operational flow.
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In addition to basic managerial functions of planning, organizing, staffing, directing, and controlling, leaders are ascribed:
- A. Procedural and external roles
- B. Procedural and internal roles
- C. Strategic and internal roles
- D. Strategic and external roles
Correct Answer: D
Rationale: Leaders handle strategic/external roles unlike procedural B) or internal. Nurse leaders like community outreach go beyond management, contrasting with routine. In healthcare, this expands influence, aligning leadership with broader impact.
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor?
- A. Potassium
- B. Calcium
- C. Magnesium
- D. Sodium
Correct Answer: A
Rationale: For hydrochlorothiazide in HTN, monitor potassium, not calcium, magnesium, or sodium. Thiazides dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with HTN care effectively.
A nurse is ambulating a client who has an IV with an infusion pump. After the nurse returns the client to his room and plugs in the infusion pump, the client reports a slight tingling in his hand. Which of the following actions should the nurse take?
- A. Turn off the pump
- B. Increase the infusion rate
- C. Tape the cord
- D. Notify maintenance only
Correct Answer: A
Rationale: Tingling in the hand after plugging in an IV pump suggests electrical malfunction possibly a short circuit or grounding issue posing shock or fire risks. Turning off the pump immediately halts potential harm, prioritizing client and staff safety, allowing assessment (e.g., cord damage) and tagging for repair. Increasing the rate ignores the symptom, worsening exposure, while taping the cord assumes a fix without evidence, delaying resolution. Notifying maintenance alone prolongs risk until they arrive. Shutting off aligns with safety-first principles, mitigating electrical hazards swiftly, critical in a clinical setting where equipment failure can escalate, ensuring protection until a full check confirms functionality.
A client with a history of hypertension is prescribed lisinopril. Which instruction should the nurse include?
- A. Monitor for a persistent dry cough
- B. Increase intake of potassium-rich foods
- C. Take the medication with meals
- D. Stop the medication if you feel dizzy
Correct Answer: A
Rationale: For lisinopril in HTN, monitor for dry cough, not potassium, meals, or stopping. ACE inhibitors cause cough potassium's risky, food's fine, dizziness needs MD. Leadership teaches this imagine hacking; it ensures awareness, aligning with HTN care effectively.
According the Path-Goal Theory, what leader is friendly and shows concern for the needs of followers?
- A. The achievement-oriented leader
- B. The directive leader
- C. The laissez-faire leader
- D. The supportive leader
Correct Answer: D
Rationale: Supportive leaders show concern, unlike achievement, directive, or laissez-faire. Nurse leaders like empathy fit this, contrasting with task focus. In healthcare, it boosts morale, aligning leadership with support.