Nokea
The clearly stated goal looks at
- A. What you want
- B. When you want to get it
- C. How will you get it
- D. All the above
Correct Answer: D
Rationale: All what, when, how define goals. Nurse leaders like care plans cover this, contrasting with ambiguity. In healthcare, it's structure, aligning leadership with intent.
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As a staff nurse, you notice that patients often wait extended periods for call light responses. You suggest to your nurse manager that staff review response times and propose a staffing adjustment plan. Your suggestion reflects:
- A. A need to increase managerial control
- B. Commitment to patient-centered care
- C. Evidence of staff resistance to change
- D. A desire to shift responsibility to the manager
Correct Answer: B
Rationale: Reviewing call light delays and adjusting staffing shows patient-centered care speeding responses to ease patient distress, a priority. It's not control, resistance, or shirking staff act. As a nurse, you focus on comfort, aligning with care quality, engaging peers to fix a bottleneck, boosting satisfaction, a direct response to patient needs rooted in empathy and action.
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.
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.
Nurse receives four phone calls from pregnant women in their last trimester of pregnancy. Which call should be answered first?
- A. Client can't sleep supine because shortness of breath
- B. Client with frequent heartburn
- C. Client who can't remove wedding ring
- D. Client with frequent non-painful uterine contractions
Correct Answer: A
Rationale: The nurse must prioritize the client with shortness of breath when supine, a potential sign of late-pregnancy complications like preeclampsia or heart strain, over heartburn, ring tightness, or non-painful contractions. Dyspnea signals respiratory or cardiac distress say, from fluid overload needing urgent assessment to prevent maternal-fetal harm. Heartburn's common, ring issues suggest edema (less acute), and contractions could be Braxton Hicks, not immediate labor. In nursing leadership, triaging this call first ensures safety; a delay might miss hypoxia, risking oxygen delivery to the fetus. Picture a 38-week pregnant woman gasping this demands swift action, guiding care prioritization in high-stakes obstetric settings effectively.
A nurse is planning care for several clients. Which of the following clients should the nurse refer to a case manager?
- A. A client who has neurological deficits following a stroke
- B. A client with a minor sprain
- C. A client with a resolved infection
- D. A client needing a one-time dressing change
Correct Answer: A
Rationale: Case managers coordinate complex, long-term care needs, making a client with neurological deficits post-stroke an ideal referral. Strokes often result in ongoing rehabilitation, therapy, and resource needs physical, occupational, or home health requiring sustained planning and cost management beyond acute care. A minor sprain, resolved infection, or one-time dressing change involves short-term, straightforward interventions, manageable by bedside staff without case management's scope. The stroke client's deficits demand interdisciplinary coordination, monitoring, and advocacy, aligning with the case manager's role to optimize recovery, reduce readmissions, and navigate healthcare systems, ensuring comprehensive support for a condition with lasting impact.