Nokea
What type of conflict refers to when there are two or more opposing incompatible demands that arise and priority differences affect the resolution of the conflict?
- A. Interpersonal conflict
- B. Organizational conflict
- C. Intrapersonal conflict
- D. None of Above
Correct Answer: C
Rationale: Intrapersonal conflict involves internal demands, unlike interpersonal, organizational, or none. Nurse managers address this like duty vs. family contrasting with team clashes. It's key in healthcare for staff well-being, aligning leadership with personal support.
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You have recently been appointed as a unit manager. After 3 months, you notice that staff are not seeking your advice as frequently as they did during your first weeks as manager. This observation may suggest that:
- A. Staff no longer perceive you as an expert
- B. Staff have increasing confidence in their own decision making
- C. There has been erosion in your relationships with staff
- D. Staff are experiencing dissatisfaction with your leadership
Correct Answer: B
Rationale: Staff seeking less advice after three months likely signals growing confidence in their own decisions, a natural shift as they adjust to your leadership and rely on their skills. It's not necessarily expertise loss, eroded ties, or dissatisfaction context matters, but reduced dependence often marks autonomy, a positive outcome in a stable unit. New managers see this as staff adapt, suggesting your initial support built their competence, aligning with effective leadership fostering independence over time.
Nonstress test in a 36-week pregnancy is reported as reactive. What does the nurse anticipate should be required?
- A. The test has to be repeated for 20 minutes more
- B. An oxytocin drip will be initiated and the test repeated
- C. Reassurance can be offered
- D. The client has to be prepared for C-section
Correct Answer: C
Rationale: A reactive NST at 36 weeks means reassurance, not repeat testing, oxytocin, or C-section. Fetal heart accelerations show well-being no intervention needed, unlike nonreactive results. Leadership expects this imagine calm parents; it aligns with obstetric care effectively. This reflects nursing's role in fetal monitoring.
A nurse is assessing a 70-year-old client. What gastrointestinal abnormality does the nurse recognize is common in clients of this age?
- A. Diverticulosis
- B. Intestinal obstructions
- C. Appendicitis
- D. Diverticulitis
Correct Answer: A
Rationale: In a 70-year-old, diverticulosis pouches in the colon is common, unlike obstructions, appendicitis, or diverticulitis, which is inflammation of those pouches. Aging slows motility and weakens walls, raising diverticulosis risk; it's often asymptomatic but prevalent. Obstructions or appendicitis aren't age-specific, and diverticulitis requires infection. Leadership means knowing this imagine screening an elder with vague discomfort; recognizing diverticulosis guides diet advice, preventing complications. This reflects nursing's role in age-appropriate care, enhancing safety and health in geriatric populations effectively.
A recent nursing graduate in a busy Emergency Department triages a patient who has sustained a large, deep puncture wound in his foot while working at a construction site. He is bleeding and is in pain. The nurse enters the triage data that she has obtained from the patient into a computerized, standard emergency patient-classification system. After she enters the assessment data, she notices an alert on the computer screen that prompts her to ask the patient about the status of his tetanus immunization. What system of technology is involved in generating the alert?
- A. Clinical decision support
- B. WL technology
- C. Computerized provider order
- D. Electronic health record
Correct Answer: A
Rationale: The alert prompting the nurse to check the patient's tetanus status comes from a clinical decision support (CDS) system. CDS integrates patient data like the puncture wound details with evidence-based guidelines, flagging risks such as tetanus exposure from a dirty wound. This real-time guidance enhances decision-making, especially critical in a busy ED where a new graduate might overlook such details. Wireless technology supports connectivity, not decision prompts. Computerized provider order systems focus on ordering, not alerts. Electronic health records store data but don't inherently generate clinical prompts without CDS integration. Here, CDS actively supports the nurse by identifying a key intervention, improving patient safety.
Which describes an informal leader?
- A. Competencies and continuing education
- B. The leader of the team because of years of experience in the department
- C. The nurse has the responsibility for giving nursing care to the client from admission until discharge
- D. A team leader has the task of coordinating the total care of a group of patients
Correct Answer: B
Rationale: Informal leaders arise from experience, unlike competencies, care duty, or formal roles. Nurse managers like veteran RNs value these, contrasting with titles. They're key in healthcare for influence, aligning leadership with organic guidance.