Nokea
The ___ perspective suggests that people are motivated to maintain consistent beliefs about themselves, even when these beliefs are negative.
- A. Self-verification
- B. Self-esteem
- C. Self-enhancement
- D. Self-monitoring
Correct Answer: A
Rationale: Self-verification seeks consistency, unlike esteem, enhancement, or monitoring. Nurse leaders like honest self-view embody this, contrasting with boosting. In healthcare, it's authenticity, aligning leadership with truth.
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Stephanie delegates effectively if she has authority to act, which is BEST defined as:
- A. Having responsibility to direct others
- B. Being accountable to the organization
- C. Having legitimate right to act
- D. Telling others what to do
Correct Answer: C
Rationale: Authority, for Stephanie, is the legitimate right to act sanctioned power to delegate beyond just directing, accountability, or ordering. In her role, this means assigning orientation tasks with official backing, ensuring compliance. Leadership hinges on this, balancing responsibility with power in a hospital where clear authority prevents chaos, enabling her to guide new nurses effectively toward patient care goals within her educational mandate.
Which of the following is true about functional nursing?
- A. Concentrates on tasks and activities
- B. Emphasizes the use of group collaboration
- C. One-to-one nurse-patient ratio
- D. Provides continuous, coordinated, and comprehensive nursing services
Correct Answer: A
Rationale: Functional nursing, as Henry's team might assess, focuses on tasks e.g., one nurse medicates, another bathes unlike collaboration (Team), one-to-one (Primary), or comprehensive care (Primary). Efficient for high volumes, it risks missing holistic needs, possibly contributing to low satisfaction in Henry's unit. A nurse might excel at IVs but overlook patient fears, fragmenting care. Leadership here involves weighing this efficiency against patient-centered goals, guiding Henry to adapt systems that balance workload and empathy for better unit outcomes.
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.
The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must:
- A. analyze the root causes of a situation
- B. begin by solving the underlying problem
- C. choose between different courses of action
- D. prioritize the maximum good for the maximum number of people
Correct Answer: C
Rationale: In nursing, decision making involves selecting a course of action, as this nurse must do amidst a clinical challenge. Analyzing root causes or solving problems first are steps within problem solving a systematic subset of decision making but the core act is choosing, like opting for one treatment over another. Prioritizing the maximum good aligns with utilitarian ethics, but nursing often lacks the scope for such broad impact in single decisions. For instance, faced with a patient's deteriorating vitals, the nurse chooses between immediate intervention or monitoring, weighing options based on data and protocols. This choice-driven process, distinct from exhaustive analysis, empowers nurses to act decisively in dynamic settings, ensuring patient safety and care quality, a critical leadership skill in managing clinical uncertainties effectively.
A nurse is caring for a client who is postoperative following abdominal surgery and has a nasogastric (NG) tube to low intermittent suction. Which of the following findings should the nurse report to the provider?
- A. Absence of bowel sounds
- B. NG tube output of 200 mL in 4 hours
- C. Abdominal distension
- D. Gastric residual of 50 mL
Correct Answer: A
Rationale: Post-abdominal surgery, an NG tube to low intermittent suction decompresses the stomach, aiding recovery. Absence of bowel sounds indicates ileus paralysis of intestinal motility a potential complication like obstruction or peritonitis, requiring provider notification for imaging or intervention. NG output of 200 mL in 4 hours (50 mL/hr) is expected, removing fluid or gas, while distension may occur but isn't urgent unless worsening with other signs. Gastric residual of 50 mL is minimal, not concerning with suction. Absent bowel sounds signal a critical deviation, demanding prompt reporting to prevent escalation, reflecting the nurse's role in vigilant postoperative monitoring.