Nokea
The following tasks can be safely delegated by a nurse to a non-nurse health worker EXCEPT:
- A. Transfer a client from bed to chair
- B. Change IV infusions
- C. Irrigation of a nasogastric tube
- D. Take vital signs
Correct Answer: B
Rationale: The correct answer is B because changing IV infusions requires specialized training and knowledge that non-nurse health workers typically do not have. Step 1: IV infusions involve administering medications or fluids directly into the bloodstream, which can have serious consequences if done incorrectly. Step 2: Nurses are trained to monitor IV sites for signs of infection, complications, and to adjust the infusion rate as needed. Step 3: Non-nurse health workers may not have the expertise to assess and manage potential complications. Summary: Choices A, C, and D can be safely delegated as they are within the scope of practice for non-nurse health workers and do not involve the specialized knowledge and skills required for changing IV infusions.
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Quantum theory, developmental theory, and complexity theory support which view of leadership?
- A. Holistic
- B. Bureaucratic
- C. Industrial
- D. Newtonian
Correct Answer: A
Rationale: The correct answer is A: Holistic. Quantum theory emphasizes interconnectedness, developmental theory focuses on personal growth, and complexity theory considers the dynamic nature of systems. All these support a holistic view of leadership, where leaders consider the whole system, relationships, and individual development. Bureaucratic (choice B) focuses on rules and procedures, Industrial (choice C) emphasizes efficiency in production, and Newtonian (choice D) refers to a mechanistic view of leadership, all of which do not align with the comprehensive and interconnected approach of holistic leadership.
Which of the following statements refers to criteria?
- A. Agreed on level of nursing care
- B. Characteristics used to measure the level of nursing care
- C. Step-by-step guidelines
- D. Statement which guide the group in decision making and problem solving
Correct Answer: B
Rationale: Step 1: Criteria are specific characteristics used to evaluate or measure something.
Step 2: In this question, "Characteristics used to measure the level of nursing care" directly aligns with the definition of criteria.
Step 3: The correct answer, B, accurately describes the concept of criteria in nursing care evaluation.
Summary: Choices A, C, and D do not accurately define criteria and are therefore incorrect. Choice A refers to an agreed level of care, choice C refers to guidelines, and choice D refers to statements guiding decision making, none of which directly relate to criteria.
Sarah is a 17-year-old newly diagnosed with diabetes. Which statement reflects the medical model of care?
- A. Sarah will need a consultation with a dietitian.
- B. Sarah will need support from her family and friends.
- C. Sarah will need time to accept her diagnosis.
- D. Sarah will need reassurance that she can continue favorite activities.
Correct Answer: A
Rationale: The correct answer is A because consulting a dietitian aligns with the medical model of care, focusing on medical interventions to manage the condition. This step is crucial in managing diabetes as diet plays a significant role in controlling blood sugar levels. The other choices are incorrect because:
B: Support from family and friends is important but falls under the holistic approach, not specifically the medical model.
C: Acceptance of the diagnosis is essential for emotional well-being but is not solely medical in nature.
D: Reassurance for continuing favorite activities is important but does not directly address the medical management of diabetes.
When Lanie, a nurse, delegates aspects of client care to the nurse aide who is an unlicensed staff, Lanie:
- A. Makes the assignment to teach the staff member
- B. Is assigning the responsibility to the aide but not the accountability for those tasks
- C. Does not have to supervise nor evaluate the nurse aide
- D. Must know how to perform the delegated task
Correct Answer: D
Rationale: The correct answer is D because according to delegation principles, the delegator (Lanie) must have the knowledge and skill to perform the delegated task in order to properly delegate it. This ensures that the task is appropriate for delegation and allows the delegator to provide guidance and support if needed.
A: Incorrect - Making an assignment to teach is not the primary purpose of delegation.
B: Incorrect - While the responsibility is assigned to the aide, the delegator still holds accountability for the task outcomes.
C: Incorrect - The delegator must supervise and evaluate the nurse aide to ensure safe and effective care delivery.
leaders who are people oriented will increase employee satisfaction and performance when
- A. [Subordinates experience excessive pressure]
- B. [No other options provided]
- C. [No other options provided]
- D. [No other options provided]
Correct Answer: A
Rationale: The correct answer is A. People-oriented leaders focus on building positive relationships, fostering open communication, and supporting employees' well-being. When subordinates experience excessive pressure, a people-oriented leader can provide support, guidance, and understanding, leading to increased satisfaction and performance. This is because such leaders prioritize the needs and concerns of their team members, creating a supportive and nurturing work environment. Choices B, C, and D are incorrect as they do not address the impact of a people-oriented leadership style on employee satisfaction and performance.