Nokea
When a student encounters problems while trying to reach a goal and then claims that she is a failure is an example of-
- A. Realistic thinking
- B. The best way to reach a goal
- C. Distortion of thinking
- D. Adjustment of thinking process
Correct Answer: C
Rationale: Failure claim is distortion , not realistic, best, or adjustment. Nurse leaders like reframing setbacks counter this, contrasting with negativity. In healthcare, resilience aids progress, aligning leadership with positive mindset.
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As a member of a hospital committee, you advocate for a policy that allows staff nurses to request additional staffing during unexpected increases in patient acuity. Your advocacy reflects concerns about:
- A. Staff satisfaction
- B. Patient safety
- C. Cost containment
- D. Staff authority
Correct Answer: B
Rationale: Pushing for staffing boosts during acuity spikes like a trauma surge prioritizes patient safety, ensuring care matches need, cutting risks like errors or delays. Satisfaction may rise, costs shift, and authority isn't the focus safety is. On the committee, you address workload stress, as in fall or error trends, aligning with nursing's duty to protect patients, a proactive policy to maintain quality under pressure.
What is no longer a characteristic of an organizational chart?
- A. It shows the division of work
- B. It shows the workload of each personnel
- C. It reflects the type of work of each
- D. [Missing option]
Correct Answer: B
Rationale: Workload isn't typically shown, unlike division, type, or missing. Nurse managers use charts for roles, contrasting with staffing details. It's vital in healthcare for structure, aligning leadership with clarity (assumed B).
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
- A. Ask the client to look upward while instilling the drops
- B. Place the drops directly onto the cornea
- C. Wipe the eye from outer to inner canthus
- D. Hold the dropper 5 cm (2 in) above the eye
Correct Answer: A
Rationale: Administering eye drops requires technique to ensure delivery and comfort. Asking the client to look upward while instilling drops positions the cornea away from the dropper, allowing medication to pool in the lower conjunctival sac, minimizing irritation and maximizing absorption per standard protocol. Placing drops on the cornea risks injury and reflex blinking, wiping outer to inner spreads contaminants toward the tear duct, and holding 5 cm (2 in) above is excessive 1-2 cm avoids splashing. Looking upward is safe, effective, and client-friendly, aligning with nursing practice to deliver ocular meds accurately, preventing complications like infection or trauma in a delicate area.
Stephanie delegates effectively if she has authority to act, which is BEST defined as:
- A. Having responsibility to direct others
- B. Being accountable to the organization
- C. Having legitimate right to act
- D. Telling others what to do
Correct Answer: C
Rationale: Authority, for Stephanie, is the legitimate right to act sanctioned power to delegate beyond just directing, accountability, or ordering. In her role, this means assigning orientation tasks with official backing, ensuring compliance. Leadership hinges on this, balancing responsibility with power in a hospital where clear authority prevents chaos, enabling her to guide new nurses effectively toward patient care goals within her educational mandate.
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.