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The nurse is working with a group of students who are learning a high-risk procedure. How should the nurse best ensure learning while protecting the safety of clients?
- A. Create an unfolding case study featuring the procedure
- B. Use simulation for the students to practice the skill
- C. Help the students use a decision-making model to choose the safest technique
- D. Teach the students about the traditional problem-solving process before they practice the procedure
Correct Answer: B
Rationale: Simulation lets students master a high-risk procedure like intubation safely, unlike case studies, decision models, or problem-solving lessons. In nursing, hands-on practice in a controlled setting minimizes patient risk while building skill confidence. Case studies inform, models guide choices, and problem-solving teaches theory none replace real-time rehearsal. Leadership prioritizes this, ensuring novices like these students refine techniques (e.g., catheter insertion) without harm, safeguarding care quality in clinical training environments effectively.
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A nurse is assessing a 70-year-old client. What gastrointestinal abnormality does the nurse recognize is common in clients of this age?
- A. Diverticulosis
- B. Intestinal obstructions
- C. Appendicitis
- D. Diverticulitis
Correct Answer: A
Rationale: In a 70-year-old, diverticulosis pouches in the colon is common, unlike obstructions, appendicitis, or diverticulitis, which is inflammation of those pouches. Aging slows motility and weakens walls, raising diverticulosis risk; it's often asymptomatic but prevalent. Obstructions or appendicitis aren't age-specific, and diverticulitis requires infection. Leadership means knowing this imagine screening an elder with vague discomfort; recognizing diverticulosis guides diet advice, preventing complications. This reflects nursing's role in age-appropriate care, enhancing safety and health in geriatric populations effectively.
According the Path-Goal Theory, what leader is friendly and shows concern for the needs of followers?
- A. The achievement-oriented leader
- B. The directive leader
- C. The laissez-faire leader
- D. The supportive leader
Correct Answer: D
Rationale: Supportive leaders show concern, unlike achievement, directive, or laissez-faire. Nurse leaders like empathy fit this, contrasting with task focus. In healthcare, it boosts morale, aligning leadership with support.
A client with recent stroke can understand the language but answers with incorrect words. Which communication problem is presenting?
- A. Aphasia
- B. Apraxia
- C. Dysarthria
- D. Dysphagia
Correct Answer: A
Rationale: Post-stroke, understanding language but using wrong words is aphasia, not apraxia, dysarthria, or dysphagia. Aphasia disrupts expression e.g., saying cat' for dog' while apraxia affects motor planning, dysarthria slurs speech, and dysphagia impairs swallowing. Leadership recognizes this imagine a frustrated patient; identifying aphasia guides therapy, enhancing recovery. This reflects nursing's role in neurological assessment, ensuring accurate communication support effectively.
It is a managerial function that indicates leading the staff in the most applicable method.
- A. Planning
- B. Directing
- C. Organizing
- D. Controlling
Correct Answer: B
Rationale: Directing leads staff, unlike planning, organizing, or controlling. Nurse managers guide like assigning shifts contrasting with strategy or oversight. It's key in healthcare for real-time coordination, aligning leadership with operational flow.
As a nurse manager, you want to institute point-of-care devices on your unit. The rationale that you provide to support the point-of-care devices includes:
- A. reduction in incidents of medication error
- B. immediate documentation of care
- C. comparison of patient data with previous data
- D. immediate access to staffing schedules
Correct Answer: A
Rationale: Point-of-care devices, like bedside scanners or tablets, enhance care by enabling real-time actions. A primary rationale is reducing medication errors e.g., through bar-code scanning to verify drugs and patient identity before administration, catching mistakes instantly. This directly improves safety, a compelling argument for adoption. Immediate documentation and data comparison are benefits, streamlining workflow and informing decisions, but error reduction is a stronger, more urgent driver tied to patient outcomes. Access to staffing schedules is unrelated to clinical care delivery. Emphasizing medication error reduction highlights a tangible, evidence-supported impact, aligning with safety priorities and likely securing support for implementation.