Nokea
Politics is a means for influencing events and the decisions of others. The nurse manager who consistently reminds the staff that 'there is no I in team' and periodically brings treats for the staff is using:
- A. Image enhancement
- B. Political skills
- C. Reward power
- D. Expert power
Correct Answer: B
Rationale: The correct answer is B: Political skills. The nurse manager is using political skills by emphasizing teamwork and building relationships through treats to influence the staff. This demonstrates an understanding of social dynamics and power structures within the team. Image enhancement (A) focuses on improving one's personal or professional reputation, not team dynamics. Reward power (C) involves using rewards or incentives to influence behavior, which is not the case here. Expert power (D) is based on knowledge and expertise, but the scenario does not indicate that the nurse manager is leveraging expertise to influence the team.
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The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?
- A. Quantum
- B. Servant
- C. Autocratic
- D. Democratic
Correct Answer: A
Rationale: The correct answer is A: Quantum. Quantum leadership style emphasizes adaptability, innovation, and collaboration, which are essential in navigating the complexities of modern healthcare systems. This style encourages leaders to be flexible, open to change, and able to think holistically.
Servant leadership (B) focuses on serving others and may not provide the agility needed to address the rapidly evolving healthcare landscape. Autocratic leadership (C) is authoritative and may not foster the necessary collaboration and empowerment required in modern healthcare settings. Democratic leadership (D) involves shared decision-making but might not be as transformative and adaptable as quantum leadership in response to the complexities of healthcare delivery systems.
A client with limited mobility in their lower extremities is at risk for skin breakdown. Which of the following actions should the nurse take to prevent skin breakdown?
- A. Place the client in high-Fowler's position.
- B. Increase the client's intake of carbohydrates.
- C. Massage areas of skin that are darker than the surrounding skin tissue with unscented lotion.
- D. Have the client use a trapeze bar when changing position
Correct Answer: B
Rationale: The correct answer is B: Increase the client's intake of carbohydrates. Adequate nutrition, including carbohydrates, is essential for skin health and wound healing. Carbohydrates provide energy for the body's healing processes. Skin breakdown can be prevented by ensuring the client has a well-balanced diet.
A: Placing the client in high-Fowler's position is not directly related to preventing skin breakdown in this scenario.
C: Massaging areas of skin that are darker than the surrounding skin tissue with lotion may cause more harm than good, as it can increase the risk of skin breakdown.
D: Having the client use a trapeze bar when changing position is important for mobility but does not directly address the prevention of skin breakdown.
How has advanced technology in health care, such as integrated health records, benefited nurses?
- A. Skip the assessment step of the nursing process
- B. Order medications
- C. Take blood samples
- D. Track patients' vital signs
Correct Answer: D
Rationale: The correct answer is D: Track patients' vital signs. Advanced technology in health care, like integrated health records, allows nurses to efficiently monitor and analyze patients' vital signs in real-time. This helps them make informed decisions and provide timely interventions. Nurses still need to conduct thorough assessments (eliminating choice A), order medications (not solely technology-dependent like choice B), and take blood samples (a part of physical assessments, not solely technology-related like choice C). Tracking vital signs is crucial in patient care, as it provides continuous monitoring and early detection of any changes, allowing nurses to intervene promptly.
A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
- A. Activate the emergency fire alarm.
- B. Extinguish the fire.
- C. Evacuate the client.
- D. Confine the fire.
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.
Through which of the following methods are values learned?
- A. Reading books
- B. Formal degrees
- C. Continuous reinforcement
- D. Meeting diverse individuals
Correct Answer: C
Rationale: The correct answer is C: Continuous reinforcement. Values are typically learned through consistent reinforcement of behavior that aligns with those values. This reinforcement can come from various sources such as parents, teachers, peers, and societal norms. Continuous reinforcement ensures that the values are internalized and become part of one's belief system.
A: Reading books may expose individuals to different perspectives and values, but values are primarily learned through experiential and interpersonal interactions rather than just reading.
B: Formal degrees may provide education and knowledge but do not guarantee the internalization of values. Values are often shaped through personal experiences and interactions rather than academic qualifications.
D: Meeting diverse individuals can broaden one's perspective and expose them to different values, but values are not solely learned through interaction with others. Continuous reinforcement plays a more crucial role in internalizing values.