Nokea
The staff nurse delegates AM care for two patients to the UAP (Unlicensed Assistive Person). What principle of delegation is the nurse following?
- A. Delegation requires a situation with clearly defined superiors.
- B. Delegation can only exist with a subordinate.
- C. Delegation is a tool used by various healthcare professionals.
- D. You can delegate only those tasks.
Correct Answer: D
Rationale: The correct answer is D because delegation involves transferring responsibility for a task while retaining accountability for the outcome. The nurse has delegated specific tasks (AM care) to the UAP, which aligns with the principle that only certain tasks can be delegated. Choice A is incorrect because delegation does not require clearly defined superiors, but rather defined tasks. Choice B is incorrect as delegation can also occur between peers or team members. Choice C is incorrect as delegation is not exclusive to healthcare professionals but is a common practice in various industries.
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Which of the following best describes the concept of evidence-based management?
- A. Using personal experience to make managerial decisions
- B. Combining managerial expertise with the latest research evidence
- C. Using intuition and experience to guide management decisions
- D. Relying on peer-reviewed literature to inform management practices
Correct Answer: B
Rationale: The correct answer is B because evidence-based management involves integrating managerial expertise with research evidence to make informed decisions. This approach ensures decisions are grounded in data and proven strategies, leading to more effective outcomes. Choice A is incorrect as it relies solely on personal experience, neglecting valuable external evidence. Choice C is incorrect as intuition alone may not always lead to optimal decisions. Choice D is incorrect as it focuses only on peer-reviewed literature, excluding the importance of combining it with managerial expertise.
When trying to facilitate change in the staff, it is necessary to build trust and recognize the need for change. This type of action is known as which of the following, according to Lewin's Force-Field Model?
- A. Moving the system to a new level
- B. Unfreezing the system
- C. Refreezing the system
- D. Institutionalization
Correct Answer: B
Rationale: The correct answer is B: Unfreezing the system. In Lewin's Force-Field Model, unfreezing refers to the process of preparing individuals and systems for change by breaking down existing mindsets and behaviors. Building trust and recognizing the need for change are essential steps in unfreezing. Moving the system to a new level (A) is not specific to the initial stage of change. Refreezing the system (C) occurs after change has been implemented, not before. Institutionalization (D) involves integrating the change into the organization's culture, which is a later stage in the change process.
Which of the following is likely to facilitate union activity?
- A. Managers communicating effectively with employees
- B. Managers listening to concerns of employees
- C. Belief that low wages cause job dissatisfaction
- D. Belief that supervisors are not understanding of unionizing
Correct Answer: C
Rationale: Step 1: Low wages may lead to job dissatisfaction, prompting employees to seek unionization for better pay.
Step 2: A direct correlation exists between low wages and union activity due to dissatisfaction.
Step 3: This belief can motivate employees to band together for collective bargaining.
Step 4: Effective communication or listening by managers does not directly facilitate union activity.
Step 5: The perception of supervisors' understanding is secondary to the root cause of dissatisfaction.
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
- A. Use the complete name of the medication magnesium sulfate.
- B. Delete the space between the numerical dose and the unit of measure.
- C. Use the abbreviation SC when indicating a subcutaneous injection.
- D. Write the letter U when noting the dosage of insulin.
Correct Answer: C
Rationale: The correct answer is C: Use the abbreviation SC when indicating a subcutaneous injection. This is important because using standardized abbreviations helps prevent medication errors. SC is the accepted abbreviation for subcutaneous injections, ensuring clear communication among healthcare providers.
Choice A is incorrect as using the complete name of medications can be time-consuming and unnecessary in documentation. Choice B is incorrect as spaces should be maintained between the numerical dose and the unit of measure for clarity. Choice D is incorrect as 'U' is not the standard abbreviation for insulin dosage; instead, units should be written in full to avoid confusion.
Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
- A. Glyburide decreases glucagon secretion from the pancreas.
- B. Glyburide stimulates insulin production and release from the pancreas.
- C. Glyburide should be taken even if the morning blood glucose level is low.
- D. Glyburide should not be used for 48 hours after receiving IV contrast media.
Correct Answer: B
Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas.
1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin.
2. This action helps to lower blood glucose levels in patients with type 2 diabetes.
3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body.
Incorrect choices:
A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production.
C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia.
D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.