Nursing Leadership And Management Practice Questions

Nursing Leadership And Management Practice Questions Related

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What is the main purpose of the NCLEX examination?

  • A. Ensure that individuals have passed nursing classes.
  • B. Provide assurance that nursing schools are part of the service agency.
  • C. Enable potential students to determine the best nursing schools.
  • D. Ensure the safety of the public.
Correct Answer: D

Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public. The exam assesses if a candidate has the knowledge and skills necessary to provide safe and effective nursing care. It is designed to protect the public by ensuring that only competent individuals are granted nursing licensure. This is crucial in maintaining high standards of healthcare and safeguarding patients' well-being.

Incorrect answers:
A: Ensuring that individuals have passed nursing classes is not the main purpose of the NCLEX. Passing nursing classes is a prerequisite for taking the exam but not its primary goal.
B: Providing assurance that nursing schools are part of the service agency is not the main purpose of the NCLEX. The exam focuses on individual competency rather than accrediting nursing schools.
C: Enabling potential students to determine the best nursing schools is not the main purpose of the NCLEX. The exam does not rank or rate nursing schools; its primary aim is to evaluate individual readiness for nursing practice.

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Which information is most important for the nurse to report to the health care provider before
a patient with type 2 diabetes is prepared for a coronary angiogram?

  • A. The patient’s most recent HbA1C was 6.5%
  • B. The patient’s admission blood glucose is 128 mg/dL.
  • C. The patient took the prescribed metformin (Glucophage) today
  • D. The patient took the prescribed captopril (Capoten) this morning.
Correct Answer: C

Rationale: The correct answer is C because metformin is typically held before a coronary angiogram due to the risk of lactic acidosis. This information is crucial for the health care provider to know to prevent potential complications during the procedure. Option A is not as urgent as the patient's current medication status. Option B is less relevant as it does not impact the procedure directly. Option D is important but not as critical as knowing the status of metformin intake. Reporting the patient's current medication, especially metformin, is vital for ensuring patient safety during the coronary angiogram.

What is the primary focus of a performance appraisal for nursing staff?

  • A. To identify areas for salary increases
  • B. To evaluate overall job performance
  • C. To provide feedback on clinical skills
  • D. To determine eligibility for promotions
Correct Answer: C

Rationale: The primary focus of a performance appraisal for nursing staff is to provide feedback on their clinical skills. This is crucial for ensuring quality patient care and professional development. Salary increases (A) are typically based on performance, but not the primary focus. Evaluating overall job performance (B) is important but not as specific as assessing clinical skills. Determining eligibility for promotions (D) may be a part of the appraisal process, but not the primary focus.

What is the primary goal of patient education?

  • A. To enhance clinical skills
  • B. To ensure patient safety
  • C. To empower patients to take control of their health
  • D. To improve patient compliance
Correct Answer: C

Rationale: The primary goal of patient education is to empower patients to take control of their health. This helps them make informed decisions, manage their conditions effectively, and improve their overall well-being. By educating patients, healthcare providers enable them to actively participate in their own care, leading to better health outcomes.

Choice A (To enhance clinical skills) is incorrect as patient education focuses on empowering patients rather than improving the skills of healthcare providers.

Choice B (To ensure patient safety) is also incorrect as while patient education contributes to patient safety, the primary goal is to empower patients to manage their health.

Choice D (To improve patient compliance) is not the primary goal of patient education, although improved compliance may be an outcome of patient empowerment.

In determining a way to make shift change more effective for the nurse and the client, a hospital implemented a course of action. After a week of implementation, the decision was deemed inappropriate. What step of Roger's diffusion of innovations is this?

  • A. Confirmation
  • B. Implementation
  • C. Knowledge
  • D. Persuasion
Correct Answer: A

Rationale: The correct answer is A: Confirmation. In Roger's diffusion of innovations theory, Confirmation is the stage where individuals evaluate the decision to adopt or reject an innovation after trying it out. In this scenario, the hospital implemented a course of action for shift change, and after a week, it was deemed inappropriate, indicating that the decision reached the Confirmation stage.

Summary:
- B: Implementation is incorrect as the hospital had already implemented the course of action.
- C: Knowledge is incorrect as this stage involves acquiring information about the innovation.
- D: Persuasion is incorrect as it focuses on influencing individuals to adopt the innovation, which is not the case in this scenario.

Which of the following is a characteristic of a well-written goal?

  • A. Goals should be vague
  • B. Goals should be unrealistic
  • C. Goals need to be measurable, realistic, and achievable
  • D. Goals should be easy to achieve
Correct Answer: C

Rationale: The correct answer is C because well-written goals need to be specific, measurable, achievable, relevant, and time-bound (SMART). Measurable goals allow for tracking progress, realistic goals are attainable, and achievable goals are within reach. Vague goals (A) lack clarity, unrealistic goals (B) may lead to frustration, and goals that are too easy to achieve (D) do not challenge individuals to grow and improve. Therefore, option C is the best choice for a well-written goal.

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