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 nurse is reviewing informed consent with a client who is scheduled for a cardiac catheterization. Which of the following is the responsibility of the nurse?
- A. Explaining the procedure's risks
- B. Obtaining the client's signature
- C. Verifying the client's understanding of the procedure being performed
- D. Scheduling the procedure
Correct Answer: C
Rationale: The nurse's role in informed consent is to ensure the client comprehends the procedure, supporting autonomy and legal standards. Verifying the client's understanding of the cardiac catheterization its purpose, process, and implications confirms they can articulate it, ensuring consent is truly informed, not just signed. Explaining risks is the provider's duty, as they perform the procedure and bear legal responsibility for disclosure. Obtaining the signature is procedural but secondary to comprehension, often a clerical task. Scheduling is logistical, unrelated to consent. Verification bridges provider explanation and client decision, empowering the client and protecting the healthcare team by validating that consent reflects genuine understanding, not coercion or confusion.
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.
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.
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.
Which of the following is true about functional nursing?
- A. Concentrates on tasks and activities
- B. Emphasizes the use of group collaboration
- C. One-to-one nurse-patient ratio
- D. Provides continuous, coordinated, and comprehensive nursing services
Correct Answer: A
Rationale: Functional nursing, as Henry's team might assess, focuses on tasks e.g., one nurse medicates, another bathes unlike collaboration (Team), one-to-one (Primary), or comprehensive care (Primary). Efficient for high volumes, it risks missing holistic needs, possibly contributing to low satisfaction in Henry's unit. A nurse might excel at IVs but overlook patient fears, fragmenting care. Leadership here involves weighing this efficiency against patient-centered goals, guiding Henry to adapt systems that balance workload and empathy for better unit outcomes.