Leadership Nursing Practice Questions

Leadership Nursing Practice Questions Related

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A registered nurse (RN) is caring for a patient who is one of Jehovah’s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?

  • A. Autonomy
  • B. Nonmaleficence
  • C. Beneficence
  • D. Distributive justice
Correct Answer: A

Rationale: The correct answer is A: Autonomy. Autonomy is the ethical principle that emphasizes respecting the patient's right to make their own decisions about their healthcare. In this scenario, the RN respects the patient's autonomy by providing all necessary information and allowing the patient to choose whether or not to accept a blood transfusion, despite the potential risks. This decision-making process aligns with the patient's right to self-determination.

Summary of other choices:
B: Nonmaleficence - Focuses on avoiding harm to the patient, but in this case, the patient's autonomy takes precedence over nonmaleficence.
C: Beneficence - Involves acting in the patient's best interest, but in this scenario, the patient's autonomy to make decisions is the primary focus.
D: Distributive justice - Concerns fair distribution of resources, which is not directly relevant to the patient's right to autonomy in decision-making.

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As a new graduate employed in a high-volume maternity unit that uses differentiated practice as its staffing model, what can the nurse expect?

  • A. Evidence-based practice guides risk management principles.
  • B. Client teaching is the responsibility of the team leader.
  • C. The initial level of practice responsibility will be limited.
  • D. Seniority is the main determinant of client assignments.
Correct Answer: C

Rationale: The correct answer is C because in a high-volume maternity unit that uses differentiated practice, new graduates can expect their initial level of practice responsibility to be limited. This is because differentiated practice involves assigning tasks based on the individual nurse's skills and experience level. New graduates are typically assigned less complex tasks initially to ensure patient safety.

Choice A is incorrect because evidence-based practice and risk management principles are not directly related to the staffing model being used.

Choice B is incorrect because client teaching is typically a shared responsibility among all team members, not solely the team leader.

Choice D is incorrect because in differentiated practice, client assignments are based on individual skills and competencies, not seniority.

Which statement to a patient newly diagnosed with type 2 diabetes is correct?

  • A. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
  • B. Insulin is not used to control blood glucose in patients with type 2 diabetes.
  • C. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
  • D. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.
Correct Answer: C

Rationale: Step 1: In type 2 diabetes, the body either becomes resistant to insulin or doesn't produce enough insulin.
Step 2: Diet and exercise can help improve insulin sensitivity and control blood glucose levels in type 2 diabetes.
Step 3: Medications may also be prescribed if diet and exercise alone are not effective.
Step 4: Insulin therapy may be necessary in some cases but is not the first-line treatment for type 2 diabetes.
Step 5: Complications of type 2 diabetes can be serious and include cardiovascular issues, neuropathy, and kidney disease.
Step 6: Type 2 diabetes is typically diagnosed through blood tests, not by admission with a hyperglycemic coma.

Summary:
Choice A is incorrect because complications can be severe in type 2 diabetes. Choice B is incorrect as insulin may be used in some cases. Choice D is incorrect as type 2 diabetes is usually diagnosed through blood tests. Choice C is correct as diet and exercise play a

When preparing for a meeting to discuss the annual budget, what would be the best approach to ensure all relevant points are covered?

  • A. Prepare an agenda
  • B. Use visual aids
  • C. Invite only key stakeholders
  • D. Review previous budgets
Correct Answer: A

Rationale: The correct answer is A: Prepare an agenda. This approach ensures that all relevant points are covered by structuring the meeting topics in a logical sequence. Step 1: Identify key discussion points. Step 2: Organize them in a coherent order on the agenda. Step 3: Share the agenda with participants beforehand. This allows everyone to come prepared, promotes focus, and helps stay on track during the meeting. Visual aids (B) may enhance understanding but don't ensure all points are covered. Inviting only key stakeholders (C) limits perspectives. Reviewing previous budgets (D) is valuable but not sufficient for comprehensive coverage.

If a staff member does not respond to discipline, the manager must ______ employment.

  • A. Terminate
  • B. Confront
  • C. Describe the staff nurse's behavior that violated the policy
  • D. Determine the employee's awareness of the policy
Correct Answer: A

Rationale: The correct answer is A: Terminate. If a staff member is not responding to discipline, it indicates a serious issue with their behavior or performance. Terminating their employment may be necessary to maintain discipline and uphold organizational standards. Confronting (B) and describing behavior (C) are initial steps in addressing the issue but may not be effective if the staff member continues to be non-responsive. Determining awareness (D) of the policy is important but does not directly address the lack of response to discipline. Terminating employment may be a last resort to maintain the integrity of the organization.

Which of the following should be included in a discussion of advance directives with new nurse graduates?

  • A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
  • B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
  • C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
  • D. The advance directive designates a health-care surrogate who will make known the client’s wishes regarding medical treatment if the client is unable to do so.
Correct Answer: A

Rationale: Step 1: The Patient Self-Determination Act requires healthcare providers, including nurses, to inform clients of their right to create an advance directive.
Step 2: New nurse graduates need to understand this legal requirement to comply with ethical and legal standards.
Step 3: By discussing this requirement with new nurse graduates, they will be better equipped to provide information and support to clients regarding advance directives.
Step 4: This step is crucial in ensuring that clients' autonomy and right to self-determination are respected.
Step 5: Option A is the correct answer as it directly relates to the legal obligation of nurses in discussing advance directives with clients.
Summary: Options B, C, and D are incorrect as they do not address the specific legal requirement outlined in the Patient Self-Determination Act for informing clients about their right to create an advance directive.

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