Nokea
Which of the following leaders would be considered a transformational leader?
- A. The supervisor of a unit who requests staff to work overtime.
- B. The unit secretary who encourages staff to use the proper forms.
- C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
- D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.
Correct Answer: D
Rationale: The correct answer is D because a transformational leader inspires and motivates followers to achieve their full potential. In this scenario, the Advanced Practice Nurse is encouraging the staff nurse to pursue additional education, showing a commitment to individual growth and development. This aligns with the characteristics of a transformational leader.
Choice A is incorrect because simply requesting staff to work overtime does not demonstrate transformational leadership qualities. Choice B is incorrect as encouraging staff to use proper forms is more aligned with transactional leadership. Choice C is incorrect as reminding a CNA to work on time management skills is more about task-oriented leadership rather than transformational leadership.
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When a client experiences a major incident, what is the time frame for reporting the incident?
- A. 24 hours.
- B. 36 hours.
- C. 48 hours.
- D. 72 hours.
Correct Answer: A
Rationale: The correct answer is A: 24 hours. Reporting a major incident within 24 hours is crucial for prompt resolution and mitigation of potential impacts. This timeframe allows for timely assessment, communication, and implementation of necessary actions. Reporting within 24 hours enables the organization to adhere to regulatory requirements, maintain transparency, and initiate the incident management process effectively. Choices B, C, and D are incorrect as delaying reporting beyond 24 hours can result in increased risks, hinder the organization's ability to respond effectively, and may lead to non-compliance with regulations.
An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN’s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?
- A. Fidelity
- B. Confidentiality
- C. Veracity
- D. Accountability
Correct Answer: B
Rationale: The correct answer is B: Confidentiality. The RN should consider confidentiality when replying to his friends about the senator's condition. By maintaining confidentiality, the RN upholds the trust and privacy of the senator's medical information. Sharing such information breaches the ethical duty to protect patient privacy.
A: Fidelity pertains to being faithful and loyal to one's commitments, not directly related to this situation.
C: Veracity refers to truthfulness and honesty, but in this case, maintaining confidentiality takes precedence over disclosing the truth to friends.
D: Accountability involves taking responsibility for one's actions, which is not the primary ethical principle at play in this scenario.
A new nurse manager is attempting to solve a management issue by using one solution after another until she solves the problem. This would be known as what type of method?
- A. Decision making
- B. Trial and error
- C. Experimentation
- D. Analysis
Correct Answer: B
Rationale: The correct answer is B: Trial and error. This method involves attempting different solutions sequentially until the problem is solved. Decision making (A) refers to making choices based on available information. Experimentation (C) involves testing hypotheses through controlled trials. Analysis (D) is the process of examining data and information to understand a situation. In this scenario, the nurse manager is not systematically testing hypotheses (experimentation), analyzing data (analysis), or making informed decisions (decision making), but rather trying different solutions until finding the one that works, which aligns with the trial and error method.
A nurse recognizes which of the following as a primary goal of nursing?
- A. Assist patients to achieve a peaceful death.
- B. Improve personal knowledge and skills to enhance patient outcomes.
- C. Advocate for quality of life rather than quantity of life.
- D. Work to control costs to enhance patients' quality of life.
Correct Answer: A
Rationale: The correct answer is A: Assist patients to achieve a peaceful death. This is a primary goal of nursing as it involves providing comfort, dignity, and support to patients at the end of life. Nurses play a crucial role in ensuring that patients' physical, emotional, and spiritual needs are met during this challenging time.
Incorrect choices:
B: Improving personal knowledge and skills is important for nurses but not the primary goal of nursing.
C: Advocating for quality of life is essential, but the primary goal is to assist patients in achieving a peaceful death.
D: Controlling costs is important, but it is not the primary goal of nursing, which is to provide holistic care and support to patients.
The changes brought forth by the state boards of nursing are an example of which type of change agent?
- A. Resistance
- B. Empirical-rational
- C. Normative-reeducative
- D. Power-coercive
Correct Answer: D
Rationale: The correct answer is D: Power-coercive. State boards of nursing have the authority to enforce regulations and standards through legal power, making them a power-coercive change agent. They can mandate compliance and impose consequences for non-compliance, utilizing their regulatory power to drive change.
A: Resistance is incorrect as state boards of nursing do not resist change but rather implement and enforce it.
B: Empirical-rational is incorrect as this approach involves presenting data and information to persuade individuals to change, which may not align with the state boards' regulatory enforcement.
C: Normative-reeducative is incorrect as it focuses on changing beliefs and values through education and social influence, which is not the primary method used by state boards of nursing for implementing change.