There are ___ types of goal setting process.
- A. Two
- B. Three
- C. Four
- D. Five
Correct Answer: B
Rationale: Three types (assumed short/medium/long). Nurse leaders set varied goals, like daily tasks or yearly plans, contrasting with other counts. In healthcare, this structures achievement, aligning leadership with temporal planning.
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Clearly stated goals are the best if they are-
- A. Specific
- B. Realistic
- C. Written
- D. All of these
Correct Answer: D
Rationale: All D make goals best: specific, realistic, written. Nurse leaders set clear targets, like reducing wait times, ensuring they're achievable and documented, contrasting with vague aims. In healthcare, this clarity drives measurable outcomes, aligning leadership with precision and accountability.
What leadership style is used to maintain a strong control in the department?
- A. Laissez-faire
- B. Democratic
- C. Collegial
- D. Autocratic
Correct Answer: D
Rationale: Autocratic style enforces strong control, unlike laissez-faire, democratic, or collegial. Nurse managers like mandating protocols use this, contrasting with participative approaches. It's key in healthcare for order, though it may limit input, aligning leadership with authority in high-stakes settings.
He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to?
- A. Scalar chain
- B. Discipline
- C. Unity of command
- D. Order
Correct Answer: C
Rationale: Unity of command, per Fayol, ensures employees follow one superior Joey avoiding confusion from multiple directives. Scalar chain is the authority line, discipline obedience, and order placement. In his unit, this clarity prevents conflicting orders, like on patient protocols, streamlining care. Joey's leadership enforces this to maintain control, critical in a tertiary hospital where precision impacts outcomes, aligning staff under his vision for efficiency and accountability.
A client with a history of hypertension is prescribed lisinopril. Which instruction should the nurse include?
- A. Monitor for a persistent dry cough
- B. Increase intake of potassium-rich foods
- C. Take the medication with meals
- D. Stop the medication if you feel dizzy
Correct Answer: A
Rationale: For lisinopril in HTN, monitor for dry cough, not potassium, meals, or stopping. ACE inhibitors cause cough potassium's risky, food's fine, dizziness needs MD. Leadership teaches this imagine hacking; it ensures awareness, aligning with HTN care effectively.
A client with a history of congestive heart failure is prescribed digoxin. Which finding requires immediate intervention?
- A. Heart rate of 55 beats per minute
- B. Blood pressure of 130/80 mmHg
- C. Respiratory rate of 18 breaths per minute
- D. Client reports fatigue
Correct Answer: A
Rationale: With digoxin in CHF, HR 55 needs action, not BP 130/80, RR 18, or fatigue. Digoxin slows HR below 60 risks toxicity, especially with fatigue. Others are stable. Leadership acts imagine dizziness; it prevents arrest, aligning with cardiac care effectively.
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