Nokea
Stephanie delegates effectively if she has authority to act, which is BEST defined as:
- A. Having responsibility to direct others
- B. Being accountable to the organization
- C. Having legitimate right to act
- D. Telling others what to do
Correct Answer: C
Rationale: Authority, for Stephanie, is the legitimate right to act sanctioned power to delegate beyond just directing, accountability, or ordering. In her role, this means assigning orientation tasks with official backing, ensuring compliance. Leadership hinges on this, balancing responsibility with power in a hospital where clear authority prevents chaos, enabling her to guide new nurses effectively toward patient care goals within her educational mandate.
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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.
She reads about Path-Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?
- A. Recognizes staff for going beyond expectations by giving them citations
- B. Challenges the staff to take individual accountability for their own practice
- C. Admonishes staff for being laggards
- D. Reminds staff about the sanctions for non-performance
Correct Answer: A
Rationale: Path-Goal theory, per Ms. Caputo's study, involves leaders rewarding exceptional performance like citations to motivate staff toward goals. Challenging accountability aligns with Transformational leadership, admonishing reflects Authoritarian tendencies, and sanctions fit Transactional styles. In a unit, a Path-Goal leader might praise a nurse for swift triage, aligning individual effort with hospital aims. This positive reinforcement clears paths to success, a tactic Ms. Caputo could use to boost morale and productivity, contrasting punitive approaches that might alienate her team in her new managerial role.
A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take?
- A. Suction for no longer than 10 to 15 seconds
- B. Use a clean catheter each time
- C. Apply suction while inserting the catheter
- D. Hyperoxygenate the client after suctioning
Correct Answer: A
Rationale: Tracheostomy suctioning clears secretions but risks hypoxia if prolonged. Suctioning for no longer than 10-15 seconds limits oxygen deprivation per guidelines allowing recovery between passes, critical for a client reliant on a patent airway. Using a clean catheter each time compromises sterility, risking infection sterile is standard. Applying suction while inserting spreads secretions, clogging the tube, while hyperoxygenation post-suctioning helps but pre-suctioning is key to preload oxygen. The time limit balances efficacy and safety, reflecting the nurse's skill in preventing hypoxia or trauma, ensuring effective airway management in a procedure vital for respiratory stability.
A client with a history of asthma is prescribed fluticasone. Which instruction should the nurse include?
- A. Rinse your mouth after each use
- B. Use it only during an asthma attack
- C. Shake the inhaler well before use
- D. Take deep breaths and hold for 5 seconds
Correct Answer: A
Rationale: For fluticasone in asthma, rinse mouth, not PRN, shake, or 5-second hold. Steroids risk thrush rinsing prevents, PRN's rescue, hold's 10 seconds. Leadership teaches this imagine white patches; it ensures safety, aligning with asthma care 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.