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The chief nursing officer decided that the nurse managers need a series of staff-development programs on team building through communication and partnerships. She understood that the nurse managers needed to build confidence in ways of handling various situations. The greatest deterrent to confidence is:
- A. lack of clarity in the mission
- B. lack of control of the environment
- C. fear that one can't handle the consequences
- D. fear that the boss will not like one's work
Correct Answer: C
Rationale: Confidence in managing situations like team conflicts erodes most when nurse managers fear they can't handle outcomes, such as unresolved disputes or poor team performance. The CNO's focus on communication and partnerships aims to bolster this, as fear of consequences undermines competence and decision-making. Unclear missions or uncontrolled environments challenge leadership, but the personal dread of failure is more paralyzing. Fear of disapproval is less critical than managing tangible results. Building skills to navigate consequences directly boosts confidence, addressing the core barrier identified here.
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A democratic leadership style has which of the following characteristics
- A. Split power
- B. Dictatorial leader
- C. Genuine
- D. Answer A & B
Correct Answer: A
Rationale: Democratic style splits power A is correct. Nurse leaders share decisions, like shift planning with staff, contrasting with dictatorial rigidity. In healthcare, this boosts morale and input, fostering teamwork over top-down control. It aligns leadership with collaboration, enhancing patient care through collective effort.
A nurse is caring for a client who is postoperative following abdominal surgery and has a nasogastric (NG) tube to low intermittent suction. Which of the following findings should the nurse report to the provider?
- A. Absence of bowel sounds
- B. NG tube output of 200 mL in 4 hours
- C. Abdominal distension
- D. Gastric residual of 50 mL
Correct Answer: A
Rationale: Post-abdominal surgery, an NG tube to low intermittent suction decompresses the stomach, aiding recovery. Absence of bowel sounds indicates ileus paralysis of intestinal motility a potential complication like obstruction or peritonitis, requiring provider notification for imaging or intervention. NG output of 200 mL in 4 hours (50 mL/hr) is expected, removing fluid or gas, while distension may occur but isn't urgent unless worsening with other signs. Gastric residual of 50 mL is minimal, not concerning with suction. Absent bowel sounds signal a critical deviation, demanding prompt reporting to prevent escalation, reflecting the nurse's role in vigilant postoperative monitoring.
A recent nursing graduate in a busy Emergency Department triages a patient who has sustained a large, deep puncture wound in his foot while working at a construction site. He is bleeding and is in pain. The nurse enters the triage data that she has obtained from the patient into a computerized, standard emergency patient-classification system. After she enters the assessment data, she notices an alert on the computer screen that prompts her to ask the patient about the status of his tetanus immunization. What system of technology is involved in generating the alert?
- A. Clinical decision support
- B. WL technology
- C. Computerized provider order
- D. Electronic health record
Correct Answer: A
Rationale: The alert prompting the nurse to check the patient's tetanus status comes from a clinical decision support (CDS) system. CDS integrates patient data like the puncture wound details with evidence-based guidelines, flagging risks such as tetanus exposure from a dirty wound. This real-time guidance enhances decision-making, especially critical in a busy ED where a new graduate might overlook such details. Wireless technology supports connectivity, not decision prompts. Computerized provider order systems focus on ordering, not alerts. Electronic health records store data but don't inherently generate clinical prompts without CDS integration. Here, CDS actively supports the nurse by identifying a key intervention, improving patient safety.
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
- A. Poor skin turgor
- B. Increased urine output
- C. Bounding pulses
- D. Moist mucous membranes
Correct Answer: A
Rationale: In suspected dehydration, poor skin turgor supports it, not high output, strong pulses, or moist membranes (fluid excess signs). Low volume tents skin turgor flags need for fluids. Leadership notes this imagine dryness; it guides rehydration, aligning with hydration care effectively.
When your text says that interpersonal communication can be thought of as a constellation of behaviors, it means that
- A. It is important to understand the joint actions people perform when they are together
- B. It is important to understand how people label and evaluate relationships
- C. It is important to understand the opposing forces that pull communicators in different directions
- D. None of the above; interpersonal communication is not a constellation of behaviors
Correct Answer: A
Rationale: Constellation means joint actions , not labels, forces, or denial. Nurse leaders like team dynamics see this, contrasting with solo acts. In healthcare, it's collaborative, aligning leadership with interaction.