Nokea
When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?
- A. Position the client in a side-lying position.
- B. Perform the irrigation using a 20-mL syringe.
- C. Instill 15 mL of irrigation fluid into the catheter with each flush.
- D. Measure and record the amount of irrigant used.
Correct Answer: B
Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system.
A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed.
C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition.
D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.
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A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
- A. Activate the emergency fire alarm.
- B. Extinguish the fire.
- C. Evacuate the client.
- D. Confine the fire.
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.
A nurse manager is using the nominal group technique to gather input from the staff on a new policy. What is the primary method of exchange in this technique?
- A. Oral presentations
- B. Email exchanges
- C. Written reports
- D. Group discussions
Correct Answer: C
Rationale: The correct answer is C: Written reports. In the nominal group technique, participants individually write down their ideas or suggestions on a given topic. These written reports are then collected and synthesized by the facilitator, ensuring each participant's input is considered equally. This method allows for unbiased aggregation of ideas and prevents dominant individuals from influencing the group. Oral presentations (A) may lead to groupthink, email exchanges (B) lack real-time interaction, and group discussions (D) may result in unequal participation. Written reports ensure all ideas are heard and valued, making it the primary method of exchange in this technique.
Behavioral leadership theory recognizes three styles of leadership. Which of the following best describes democratic leadership?
- A. The democratic leader communicates meaning and purpose.
- B. The democratic leader gives orders and makes decisions for the group.
- C. The democratic leader does little planning or decision making.
- D. The democratic leader makes plans and decisions with the team.
Correct Answer: D
Rationale: Step-by-step rationale:
1. Democratic leadership involves collaboration and shared decision-making.
2. Option D aligns with this as it states that the leader makes plans and decisions with the team.
3. This style empowers team members and fosters a sense of ownership and commitment.
4. Option A is incorrect as communication of meaning and purpose is not exclusive to democratic leadership.
5. Option B is incorrect as giving orders contradicts the collaborative nature of democratic leadership.
6. Option C is incorrect as doing little planning or decision-making goes against the essence of democratic leadership.
Politics is a means for influencing events and the decisions of others. The nurse manager who consistently reminds the staff that 'there is no I in team' and periodically brings treats for the staff is using:
- A. Image enhancement
- B. Political skills
- C. Reward power
- D. Expert power
Correct Answer: B
Rationale: The correct answer is B: Political skills. The nurse manager is using political skills by emphasizing teamwork and building relationships through treats to influence the staff. This demonstrates an understanding of social dynamics and power structures within the team. Image enhancement (A) focuses on improving one's personal or professional reputation, not team dynamics. Reward power (C) involves using rewards or incentives to influence behavior, which is not the case here. Expert power (D) is based on knowledge and expertise, but the scenario does not indicate that the nurse manager is leveraging expertise to influence the team.
You believe that you are working harder than other nurses and that you take care of patients that are more complex. You are angry that other staff nurses have less complex and lower acuity patients, but you __________ .
- A. Avoid discussing the situation because you do not want to be perceived as a complainer.
- B. Know that you need to discuss the inequity with the nurse manager because you are resenting the work and becoming more dissatisfied in your job
- C. A & B
- D. None of the above
Correct Answer: C
Rationale: The correct answer is C. This is because both options A and B are valid courses of action in this scenario. Option A suggests avoiding discussing the situation to prevent being seen as a complainer, which can be a mature approach to handle the situation diplomatically. Option B emphasizes the importance of addressing the inequity with the nurse manager to prevent increasing dissatisfaction with the job. By choosing option C, you can combine the benefits of both approaches, addressing the issue with the nurse manager while also maintaining professionalism and avoiding unnecessary conflict with colleagues.