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When your text says that interpersonal communication can be thought of as a constellation of behaviours, it means that
- A. It is important to understand the joint actions people perform when they are together
- B. It is important to understand how people label and evaluate relationships
- C. It is important to understand the opposing forces that pull communicators in different directions
- D. None of the above; interpersonal communication is not a constellation of behaviours
Correct Answer: A
Rationale: Constellation means joint actions not labels, forces, or denial. Nurse leaders like team talks see this, contrasting with isolation. In healthcare, it's collaborative, aligning leadership with interaction.
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Target audiences for health care organizations are:
- A. nurses and physicians
- B. clients, physicians, payer, and employees
- C. regulatory agencies such as The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS)
- D. insurance companies
Correct Answer: B
Rationale: Clients, physicians, payers, and employees are targets, not just staff, regulators, or insurers. Nurse leaders address these like payer contracts contrasting with narrow foci. It's crucial in healthcare for broad engagement, aligning leadership with stakeholder needs.
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
- A. Poor skin turgor
- B. Increased urine output
- C. Bounding pulses
- D. Moist mucous membranes
Correct Answer: A
Rationale: In suspected dehydration, poor skin turgor supports it, not high output, strong pulses, or moist membranes (fluid excess signs). Low volume tents skin turgor flags need for fluids. Leadership notes this imagine dryness; it guides rehydration, aligning with hydration care effectively.
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.
As part of a staff recognition program, the chief nursing officer decides that staff who demonstrate exceptional professional commitment will be recognized with a monetary award and a letter from the CNO. The outcome that the CNO wishes to achieve through this recognition program is:
- A. Increased professional accountability
- B. Increased staff retention
- C. Increased collaboration among staff
- D. Evidence of support for collective bargaining
Correct Answer: B
Rationale: The CNO's awards for commitment money and praise aim to boost staff retention, reinforcing loyalty to the organization's mission. Committed nurses stay, reducing turnover, a key goal in healthcare's staffing crisis. It's not directly about accountability, collaboration, or bargaining support, though it may foster those. Recognition ties effort to staying, as studies show appreciation cuts nurse exodus, aligning with the CNO's intent to keep dedicated talent.
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.