Nokea
The nursing staff on an oncology unit is interviewing applicants for the unit manager position. Which type of organizational structure does this represent?
- A. Centralized decision making.
- B. Decentralized decision making.
- C. Shared governance.
- D. Pyramid with filtered-down decisions.
Correct Answer: C
Rationale: Staff interviewing for a manager (C) reflects shared governance, empowering nurses in decisions. Centralized (A), decentralized (B), and pyramid (D) involve top-down structures.
You may also like to solve these questions
During suctioning of a tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?
- A. Release the suction by opening the vent
- B. Continue suctioning to remove the obstruction
- C. Increase the pressure
- D. Suction deeper
Correct Answer: A
Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall.
The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client problem 'altered communication.' Which intervention should the nurse implement?
- A. Instruct the client to drink a mixture of brandy and honey several times a day.
- B. Encourage the client to whisper instead of trying to speak at a normal level.
- C. Provide the client with a blank note pad for writing any communication.
- D. Explain that the client's aphonia may become a permanent condition.
Correct Answer: C
Rationale: A note pad (C) facilitates communication during laryngitis-related voice loss. Brandy/honey (A) is unproven, whispering (B) strains vocal cords, and permanent aphonia (D) is unlikely.
Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?
- A. If I lose weight I may not need treatment for sleep apnea.
- B. The CPAP machine holds my airway open with pressure.
- C. The CPAP will help me stay awake during the day while I am at work.
- D. It is all right to have a couple of beers because I have this CPAP machine.
Correct Answer: D
Rationale: Alcohol (D) worsens sleep apnea by relaxing airway muscles, contradicting effective CPAP use. Weight loss (A) can reduce sleep apnea severity. CPAP maintaining airway patency (B) and improving daytime alertness (C) are correct.
What is the best way to determine whether a client with a tracheostomy is becoming hypoxemic during suctioning?
- A. Monitoring level of consciousness
- B. Assessing skin color and temperature
- C. Auscultating the respiratory rate
- D. Counting the respiratory rate
Correct Answer: C
Rationale: Auscultating the respiratory rate detects changes in breathing patterns, indicating potential hypoxemia during suctioning.
The client is three (3) days post-partial laryngectomy. Which type of nutrition should the nurse offer the client?
- A. Total parenteral nutrition.
- B. Soft, regular diet.
- C. Partial parenteral nutrition.
- D. Clear liquid diet.
Correct Answer: D
Rationale: Clear liquids (D) are safest 3 days post-laryngectomy to prevent aspiration. TPN (A), soft diet (B), and partial PN (C) are premature or unnecessary.