Nokea
The nurse is planning care for the day for a client with multiple diagnoses. Which of the following criteria should the nurse consider first when setting priorities for the care of the client?
- A. Consider the priority of maintaining vital signs.
- B. Consider the priority of symptom management.
- C. Consider the priority of management of pain.
- D. Consider the priority of preventing spread of disease.
Correct Answer: A
Rationale: When prioritizing, vital signs provide data on maintaining life and are considered first. All other options come after.
You may also like to solve these questions
A nurse manager who denies vacation time to an employee who failed to meet expectations is exhibiting what type of power?
- A. Legitimate
- B. Coercive
- C. Reward
- D. Referent
Correct Answer: B
Rationale: Coercive power is the ability to threaten or punish someone who fails to meet expectations. Legitimate power is obtained through a designated position. Reward power occurs when a person attains power through the ability to grant favors or rewards. Referent power is the power a person has because of an association with others who are powerful.
The LPN is caring for a full nursing assignment and delegates specific duties to the unlicensed assistive personnel (UAP). Which nursing action would best assess the competency of the UAP to complete the assignment?
- A. Ask the client if the assignments were completed.
- B. Review the documentation that the assignment was completed.
- C. Ask the UAP exactly how the assignment was completed.
- D. Observe the UAP during completion of the assignment.
Correct Answer: D
Rationale: Observing the UAP is the best way for the LPN/LVN to assess the competency of the UAP. All delegates must demonstrate knowledge and competency on how to perform a delegated responsibility. Reviewing the documentation or asking the UAP to explain how the assignment was completed will not demonstrate the UAP's competency. Asking the client if the assignment was completed may confirm its completion but does not address the UAP's competency.
A nurse manager typically exhibits which type of power when using education and work experience?
- A. Referent
- B. Legitimate
- C. Coercive
- D. Expert
Correct Answer: D
Rationale: Expert power results from knowledge, expertise, or experience in a particular area. Referent power concerns the power a person has because of an association with others who are powerful. Legitimate power is obtained through a designated position. Coercive power is the ability to threaten or punish someone who fails to meet expectations.
A new client charting system is in the education phase at a healthcare facility. Much discussion has been prompted regarding the new system. With which statement does the nurse best exhibit the integrated leader/manager traits?
- A. Let's look at the daily benefits of using the new technology on the clinical unit.'
- B. I am not used to the new technology, but if it better serves the client and enables easy sharing of client authorized records, I see a benefit.'
- C. New technology may be costly up front but will serve us well in the future.'
- D. I do not believe that this technology will be helpful in caring for a client because it often is down during peak use times and is difficult to train for.'
Correct Answer: B
Rationale: The traits of an integrated leader/manager combine understanding the daily operations on a clinical unit while seeing the big picture, thinking in the long term, and embracing change. Better serving the client and sharing records as needed demonstrates the willingness to think positively and take risks on improvement for the future. Focusing only on the daily benefits or only on the future impact of using the new technology each only look at one aspect of leadership and management. Stating that the new technology will not be helpful in client care is a negative statement and does not show that the manager is able to embrace change.
A parent of a 10-year-old client, newly diagnosed with diabetes, expresses concern that the child will not follow through with the diabetic regimen. The nurse suggests developing a calendar of daily requirements with a weekly prize for completion. Which type of power is the nurse suggesting the parent use?
- A. Coercive power
- B. Expert power
- C. Legitimate power
- D. Reward power
Correct Answer: D
Rationale: Reward power is using rewards and favors to obtain a particular action. In this case, the parent rewards the child when the child completes the prescribed diabetic regimen. Coercive power is when a threat or punishment is used to meet expectations. Expert power results from the respected knowledge in a particular situation. It could be said that parents exert legitimate power through their position as caregivers; however, in this case, the parent is providing a reward for the child completing the daily tasks.