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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.
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The receiver is also referred to as the
- A. Active listener
- B. Encoder
- C. Decoder
- D. Transmitter
Correct Answer: C
Rationale: Receiver is decoder , not listener, encoder, or transmitter. Nurse leaders like staff interpreting rely on this, contrasting with sending. In healthcare, understanding completes the loop, aligning leadership with reception.
In collective bargaining, the term 'fringe benefit' refers to:
- A. Health insurance
- B. Salary increases
- C. Shift differential
- D. Base salary
Correct Answer: A
Rationale: Fringe benefits in collective bargaining are perks beyond base salary, like health insurance, retirement plans, or paid leave non-wage compensations enhancing the employment package. Here, health insurance fits as a standard fringe benefit, vital in healthcare negotiations where staff value security amid demanding roles. Salary increases and base salary are direct pay, not fringes, while shift differential, though a pay adjustment, isn't typically classified as a fringe. Unions often prioritize these benefits to attract and retain nurses, reflecting their role in addressing broader worker needs beyond hourly rates.
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.
According the Path-Goal Theory, what leader is friendly and shows concern for the needs of followers?
- A. The achievement-oriented leader
- B. The directive leader
- C. The laissez-faire leader
- D. The supportive leader
Correct Answer: D
Rationale: Supportive leaders show concern, unlike achievement, directive, or laissez-faire. Nurse leaders like empathy fit this, contrasting with task focus. In healthcare, it boosts morale, aligning leadership with support.
A client with heart failure is prescribed furosemide. Which laboratory value should the nurse monitor closely?
- A. Sodium
- B. Potassium
- C. Calcium
- D. Magnesium
Correct Answer: B
Rationale: With furosemide in heart failure, potassium needs close watch, not sodium, calcium, or magnesium. This loop diuretic dumps potassium hypokalemia risks arrhythmias, critical in HF. Sodium shifts, but potassium's more acute. Leadership monitors this imagine a cramping patient; it guides replacement, ensuring safety. This reflects nursing's electrolyte oversight, aligning with cardiac care effectively.