HESI Leadership and Management Quizlet

HESI Leadership and Management Quizlet Related

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To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict-resolution strategies is the nurse manager using?

  • A. Competing
  • B. Collaborating
  • C. Compromising
  • D. Cooperating
Correct Answer: A

Rationale: The nurse manager is utilizing the competing conflict-resolution strategy. Competing involves making decisions based on one's preferences without considering the opinions or feelings of others. In this scenario, the nurse manager is unilaterally implementing changes despite opposition, demonstrating a competitive approach. Collaborating involves working together to find a mutually beneficial solution, compromising involves finding a middle ground acceptable to both parties, and cooperating involves working together towards a shared goal. These options are not applicable in this situation as the nurse manager is imposing her preferred changes without regard for others' input.

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Which manifestation should the nurse expect to assess in a patient with fluid volume deficit?

  • A. Headache and muscle cramps
  • B. Dyspnea and respiratory crackles
  • C. Increased pulse rate and blood pressure
  • D. Orthostatic hypotension and flat neck veins
Correct Answer: D

Rationale: Orthostatic hypotension and flat neck veins are classic manifestations of fluid volume deficit. When the body loses fluid, blood volume decreases, leading to decreased venous return to the heart, resulting in orthostatic hypotension and flat neck veins. Choices A, B, and C are more indicative of other conditions such as dehydration, respiratory issues, or compensatory mechanisms in response to hypovolemia, respectively.

Which patient is exercising their right to autonomy in the context of patient rights?

  • A. An 86-year-old female who remains independent in terms of the activities of daily living.
  • B. An unemancipated 16-year-old who chooses to not have an intravenous line.
  • C. A 32-year-old who does not need the help of the nurse to bathe and groom themselves.
  • D. A 99-year-old who wants CPR despite the fact that the nurse and doctor do not think that it would be successful.
Correct Answer: D

Rationale: The correct answer is D. A 99-year-old exercising their right to autonomy in the context of patient rights by choosing CPR. Autonomy in healthcare refers to the patient's right to make their own decisions about their care, even if healthcare providers may disagree. In this scenario, the 99-year-old patient is exercising autonomy by making an informed choice about their medical treatment, despite healthcare professionals having a different opinion. Choices A, B, and C do not directly demonstrate the exercise of autonomy in decision-making regarding medical treatment, making them incorrect.

What is an episiotomy?

  • A. A surgical incision of the perineum to prevent tearing during delivery.
  • B. Releasing the red plug from the cervix just before crowning occurs.
  • C. An incision in the abdomen with which the baby can be delivered through.
  • D. The severance of the umbilical cord between mother and child.
Correct Answer: A

Rationale: An episiotomy is a surgical incision of the perineum to prevent tearing during delivery. This procedure is performed to widen the vaginal opening and facilitate childbirth. Choice B is incorrect as it describes the expulsion of the mucus plug, not an episiotomy. Choice C is incorrect as it refers to a different procedure, a cesarean section, where the baby is delivered through an incision in the abdomen. Choice D is incorrect as it pertains to cutting the umbilical cord, which is not related to an episiotomy.

A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first?

  • A. Inadequate food supply
  • B. Low pain tolerance
  • C. Limited social support
  • D. Decreased self-esteem
Correct Answer: A

Rationale: The nurse should address the inadequate food supply first as it directly impacts the client's health post-discharge. Proper nutrition is crucial for recovery after surgery, especially such as coronary artery bypass grafting. While low pain tolerance, limited social support, and decreased self-esteem are all important issues to address, addressing the client's nutritional needs is the priority in this scenario to ensure optimal recovery and healing.

A client with DM states, 'I cannot eat big meals; I prefer to snack throughout the day.' The nurse should carefully explain that the:

  • A. Regulated food intake is crucial for control
  • B. Restricting salt and sugar is the main concern
  • C. Opting for small, frequent meals aids digestion
  • D. Consuming large meals can contribute to weight issues
Correct Answer: A

Rationale: In clients with diabetes, regulated food intake is crucial for controlling blood glucose levels. Choice A is the correct answer because maintaining consistent meal sizes and timings helps in managing blood sugar levels effectively. Choice B is incorrect because while monitoring salt and sugar intake is important, it is not the primary consideration in this scenario. Choice C is incorrect as the focus is on regulating food intake rather than aiding digestion. Choice D is also incorrect because consuming large meals can indeed lead to fluctuations in blood glucose levels, but the primary concern in this case is the regulation of food intake for better control of diabetes.

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