Nokea
Managers who exhibit an authoritative behavioral style are most likely to use which source of power?
- A. Informal
- B. Expert
- C. Coercive
- D. Reward
Correct Answer: C
Rationale: The correct answer is C: Coercive. Managers with an authoritative behavioral style tend to use coercive power, which involves the ability to influence others through threats or punishment. This style relies on fear and control to achieve compliance. Informal power (A) is based on relationships and influence, expert power (B) is derived from knowledge and expertise, and reward power (D) is based on the ability to provide incentives. However, coercive power aligns most closely with an authoritative style as it emphasizes control and dominance over subordinates.
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The emergency response team responded to a terrorist attack where hundreds of people died following symptoms of chest tightness, palpations, seizures, and finally paralysis. A colorless odorless liquid known as Sarin (GB) was the agent, which is primarily inhaled with limited exposure through the skin. The concentration of Sarin has not been measured. What level is the minimum level of personal protection and safety equipment (PPE) that would be needed?
- A. Level A
- B. Level B
- C. Level C
- D. Level D
Correct Answer: B
Rationale: The correct answer is B: Level B. In a scenario involving Sarin, a highly toxic nerve agent primarily inhaled, Level B protective equipment is required. Level B PPE includes a chemical-resistant suit, chemical-resistant gloves, chemical-resistant boots, and a full-face respirator with appropriate filter cartridges. The choice of Level B is based on the fact that Sarin is primarily inhaled, indicating the need for respiratory protection. Level A is typically used for the highest level of protection, including protection against highly toxic chemicals in both the air and on the skin, which is not necessary in this scenario. Level C and D do not provide adequate protection against a highly toxic chemical like Sarin.
A nurse asks, "What is meant by 'internal' customers?" The correct response is: (select all that apply)
- A. insurance companies
- B. accreditors such as The Joint Commission
- C. X-ray technicians
- D. clinical pharmacist
Correct Answer: C
Rationale: The correct answer is C: X-ray technicians. Internal customers refer to individuals or departments within the same organization who rely on each other's services to fulfill their roles effectively. X-ray technicians work within the healthcare facility and depend on other staff like nurses for patient care coordination. Insurance companies (A) and accreditors (B) are external entities. Clinical pharmacists (D) are also internal, but X-ray technicians have a direct service-dependency relationship with nurses in healthcare settings, making them the most relevant internal customers in this context.
A nurse is concerned about safe staffing levels at a facility and observes that several units have no RN coverage but instead have RNs who float among several units. In determining whether this staffing concern should be reported to an outside agency, the nurse understands that, with whistle-blowing:
- A. reporting unsafe staffing levels to The Joint Commission provides protection from the employer.
- B. keeping copies of documented inappropriate staffing patterns in the nurse's personal file is illegal.
- C. when observing inappropriate staffing, the nurse should record her personal thoughts concerning the outcomes.
- D. one should seek guidance from a trusted individual who can provide an objective point of view.
Correct Answer: A
Rationale: The correct answer is A because reporting unsafe staffing levels to The Joint Commission is an appropriate course of action for addressing concerns about patient safety. The Joint Commission is an independent organization that accredits healthcare facilities and promotes high-quality care standards. Whistleblower protection laws safeguard employees who report violations of laws, regulations, or standards that threaten public health or safety. Reporting to The Joint Commission can lead to an investigation and potential improvement in staffing levels to ensure patient safety.
Incorrect answers:
B: Keeping copies of documented inappropriate staffing patterns in the nurse's personal file is not illegal, but it may not be the most effective way to address the issue.
C: Recording personal thoughts on outcomes is not as effective as taking action to report concerns to the appropriate regulatory body.
D: Seeking guidance is important, but in cases of unsafe staffing levels, it is crucial to report the issue to the appropriate regulatory agency for resolution.
A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following?
- A. All candidates wishing to take the licensure examination must pass a drug screen.
- B. Candidates must not have a felony conviction.
- C. To practice as an RN, the nurse must be licensed as an RN.
- D. An impaired nurse must sign a legal document to acknowledge limitations on his or her practice.
Correct Answer: C
Rationale: The correct answer is C because compulsory licensure means that in order to practice as an RN, the nurse must be licensed as an RN. This is a fundamental requirement for anyone wanting to work as a registered nurse to ensure they meet the necessary qualifications and standards set by the licensing board.
Choice A is incorrect as passing a drug screen is not the definition of compulsory licensure. Choice B is incorrect as having a felony conviction may impact eligibility for licensure but is not the definition of compulsory licensure. Choice D is incorrect as acknowledging limitations due to impairment is related to professional conduct but not specifically about licensure requirements.
A student nurse is concerned about delegation practices and wonders why hospitals employ unlicensed assistive personnel (UAP) and LPN/LVNs. The student nurse refers to the National Council of State Boards of Nursing and learns that the role of these personnel is to:
- A. supplement the staffing pattern when an RN is not available.
- B. aid the RN by performing appropriately delegated care tasks.
- C. replace the RN when the health care facility provides long-term care.
- D. provide patient teaching, allowing more direct care to be provided by the RN.
Correct Answer: B
Rationale: The correct answer is B: aid the RN by performing appropriately delegated care tasks. UAP and LPN/LVNs are crucial in supporting the RN by carrying out tasks within their scope of practice under the RN's supervision. This is essential to ensure efficient patient care delivery and allow the RN to focus on more complex nursing assessments and interventions.
A: Supplementing the staffing pattern when an RN is not available is incorrect because UAP and LPN/LVNs work alongside RNs, not as substitutes for them.
C: Replacing the RN in long-term care settings is incorrect as UAP and LPN/LVNs provide valuable assistance but do not replace the RN's role.
D: Providing patient teaching to allow more direct care by the RN is incorrect as UAP and LPN/LVNs focus on task-based care rather than patient education, which is typically within the RN's scope of practice.