Nokea
Which of the following is expert power
- A. Leader can exercise power as a result of their position in the organisation
- B. Leader has power because of their expert knowledge
- C. Leader has power because subordinates trust him/her
- D. Leader can punish staff who do not comply with instructions
Correct Answer: B
Rationale: Expert power stems from knowledge not position, trust, or punishment. Nurse leaders like clinical specialists wield this, contrasting with formal authority. In healthcare, it builds credibility, aligning leadership with skill.
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A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor?
- A. Potassium
- B. Calcium
- C. Magnesium
- D. Sodium
Correct Answer: A
Rationale: For hydrochlorothiazide in HTN, monitor potassium, not calcium, magnesium, or sodium. Thiazides dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with HTN care effectively.
As a nurse manager, you introduce a program that allows staff to participate in mock drills for emergency preparedness. Your rationale is that mock drills:
- A. Reduce staff accountability
- B. Increase staff confidence in emergencies
- C. Reduce patient safety
- D. Increase managerial control
Correct Answer: B
Rationale: Mock drills boost staff confidence practicing emergencies (e.g., codes) sharpens skills, cutting panic. They don't cut accountability, harm safety, or hike control readiness grows. In your unit, this preps for crises, aligning with safety where trained nurses act decisively, enhancing outcomes and team poise, a proactive step for high-stakes moments.
The ___ perspective suggests that people are motivated to maintain consistent beliefs about themselves, even when these beliefs are negative.
- A. Self-verification
- B. Self-esteem
- C. Self-enhancement
- D. Self-monitoring
Correct Answer: A
Rationale: Self-verification seeks consistency, unlike esteem, enhancement, or monitoring. Nurse leaders like honest self-view embody this, contrasting with boosting. In healthcare, it's authenticity, aligning leadership with truth.
As a nurse manager, you introduce a program that enables staff nurses to recognize peers for teamwork and exceptional patient care with care awards.' Your rationale for this program is that peer recognition:
- A. Increases staff accountability
- B. Reduces organizational conflict
- C. Increases job satisfaction
- D. Reduces the need for managerial oversight
Correct Answer: C
Rationale: Peer care awards' for teamwork and care boost job satisfaction nurses feel valued by colleagues, lifting morale, as studies link recognition to engagement. It's not primarily about accountability, conflict, or less oversight, though it may ease tensions. In your unit, this fosters positivity amid stress, reinforcing good practice via peer praise, a low-cost, high-impact way to enhance fulfillment and retention, aligning with morale-building goals.
As a staff nurse, you notice that patients often wait extended periods for call light responses. You suggest to your nurse manager that staff review response times and propose a staffing adjustment plan. Your suggestion reflects:
- A. A need to increase managerial control
- B. Commitment to patient-centered care
- C. Evidence of staff resistance to change
- D. A desire to shift responsibility to the manager
Correct Answer: B
Rationale: Reviewing call light delays and adjusting staffing shows patient-centered care speeding responses to ease patient distress, a priority. It's not control, resistance, or shirking staff act. As a nurse, you focus on comfort, aligning with care quality, engaging peers to fix a bottleneck, boosting satisfaction, a direct response to patient needs rooted in empathy and action.