Nokea
The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following leadership styles would be most effective in this environment?
- A. Autocratic leadership
- B. Laissez-faire leadership
- C. Transactional leadership
- D. Transformational leadership
Correct Answer: D
Rationale: The correct answer is D: Transformational leadership. In the current health care environment, transformational leadership is most effective as it focuses on inspiring and motivating individuals to achieve a common goal through innovation and vision. This style encourages creativity, adaptability, and collaboration, which are essential in navigating the complexities of the health care delivery systems. Transformational leaders empower their team members, foster a culture of continuous improvement, and drive positive change. Autocratic leadership (A) is too controlling, Laissez-faire leadership (B) lacks direction and accountability, and Transactional leadership (C) focuses on rewards and punishments rather than inspiring and developing individuals.
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1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?
- A. Blood pressure
- B. Serum creatinine
- C. Chest x-ray
- D. Urine for microalbuminuria
Correct Answer: C
Rationale: Step-by-step rationale for correct answer (C):
1. Chest x-ray is not routinely recommended for monitoring complications of type 2 diabetes.
2. Annual blood pressure monitoring is crucial for assessing cardiovascular risk in diabetic patients.
3. Serum creatinine test helps evaluate kidney function, which is often impaired in diabetes.
4. Urine microalbuminuria test detects early signs of kidney damage, common in diabetes.
Summary of incorrect choices:
A: Blood pressure monitoring is essential for assessing cardiovascular risk in diabetes.
B: Serum creatinine test is important for evaluating kidney function in diabetic patients.
D: Urine microalbuminuria test helps detect early kidney damage in diabetes.
Which question during the assessment of a diabetic patient will help the nurse identify
autonomic neuropathy?
- A. “Do you feel bloated after eating?”
- B. “Have you seen any skin changes?”
- C. “Do you need to increase your insulin dosage when you are stressed?”
- D. “Have you noticed any painful new ulcerations or sores on your feet?”
Correct Answer: A
Rationale: Rationale: Autonomic neuropathy affects digestion, leading to bloating after eating. This symptom is related to the dysfunction of the autonomic nervous system. Skin changes, insulin dosage changes due to stress, and new ulcerations are not specific to autonomic neuropathy. Bloated feeling after eating is a classic symptom of autonomic neuropathy due to impaired gastrointestinal motility.
Which of the following behaviors would be an early warning sign that you are not handling job stress in a healthy way?
- A. Focusing excessively on patient outcomes
- B. Needing to spend more time alone
- C. Juggling work, studies, and family responsibilities
- D. Awakening in the morning feeling unrested
Correct Answer: D
Rationale: The correct answer is D: Awakening in the morning feeling unrested. This behavior indicates potential poor sleep quality due to stress, impacting physical and mental well-being. Restful sleep is crucial for managing stress. A: Focusing excessively on patient outcomes may indicate dedication but not necessarily unhealthy stress management. B: Needing to spend more time alone could be a coping mechanism and not inherently unhealthy. C: Juggling work, studies, and family responsibilities may show a busy lifestyle but doesn't directly correlate with unhealthy stress management.
Which of the following factors contributes to conflicts in professional nursing today?
- A. Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation
- B. Balancing state practice acts, codes of ethics, and standards of practice
- C. Advances in technology
- D. Multiple generations in the workforce
Correct Answer: D
Rationale: The correct answer is D: Multiple generations in the workforce. This factor contributes to conflicts in professional nursing today because different generations may have different communication styles, work preferences, and values, leading to misunderstandings and tension in the workplace. For example, older nurses may prefer traditional methods of communication, while younger nurses may be more tech-savvy and prefer digital communication. This generation gap can result in conflicts and challenges in collaboration and teamwork.
A: Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation - While this may contribute to workforce dynamics, it is not a primary factor in conflicts among nurses.
B: Balancing state practice acts, codes of ethics, and standards of practice - This is important for maintaining professionalism but does not directly contribute to conflicts among nurses.
C: Advances in technology - While technology can impact nursing practice, it is not a primary factor in conflicts among nurses compared to the generational differences.
Achieving Magnet Hospital designation offers hospitals the following advantages: (Select all that apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct Answer: C
Rationale: The correct answer is C: Greater client workload. Magnet Hospitals are known for their commitment to nursing excellence, which leads to improved patient outcomes and increased demand for their services. This higher demand can result in a greater client workload for the hospital. The other choices are incorrect because A (Greater client satisfaction) and B (Improved nursing recruitment) are potential benefits of Magnet Hospital designation, but they are not guaranteed advantages. Choice D (Nurses who are independent decision makers) is not directly related to the advantages of achieving Magnet Hospital designation. Therefore, the correct answer is C as it aligns with the core principles of Magnet Hospitals.