Which of the following statements concerning the rational and emotional aspects of leadership is false?
- A. Leaders can use rational techniques and/or emotional appeals in order to influence followers
- B. Leadership includes actions and influences based only on reason and logic
- C. Aroused feelings can be used either positively or negatively
- D. Good leadership involves touching others' feelings
Correct Answer: B
Rationale: Leadership isn't only rational (B is false, unlike A, C, D. Nurse leaders like motivating staff blend both, contrasting with logic alone. In healthcare, emotion sways, aligning leadership with human connection.
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The chief nursing officer decided that the nurse managers need a series of staff-development programs on team building through communication and partnerships. She understood that the nurse managers needed to build confidence in ways of handling various situations. The greatest deterrent to confidence is:
- A. lack of clarity in the mission
- B. lack of control of the environment
- C. fear that one can't handle the consequences
- D. fear that the boss will not like one's work
Correct Answer: C
Rationale: Confidence in managing situations like team conflicts erodes most when nurse managers fear they can't handle outcomes, such as unresolved disputes or poor team performance. The CNO's focus on communication and partnerships aims to bolster this, as fear of consequences undermines competence and decision-making. Unclear missions or uncontrolled environments challenge leadership, but the personal dread of failure is more paralyzing. Fear of disapproval is less critical than managing tangible results. Building skills to navigate consequences directly boosts confidence, addressing the core barrier identified here.
According the Path-Goal Theory, what leader is friendly and shows concern for the needs of followers?
- A. The achievement-oriented leader
- B. The directive leader
- C. The laissez-faire leader
- D. The supportive leader
Correct Answer: D
Rationale: Supportive leaders show concern, unlike achievement, directive, or laissez-faire. Nurse leaders like empathy fit this, contrasting with task focus. In healthcare, it boosts morale, aligning leadership with support.
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
- A. Ask the client to look upward while instilling the drops
- B. Place the drops directly onto the cornea
- C. Wipe the eye from outer to inner canthus
- D. Hold the dropper 5 cm (2 in) above the eye
Correct Answer: A
Rationale: Administering eye drops requires technique to ensure delivery and comfort. Asking the client to look upward while instilling drops positions the cornea away from the dropper, allowing medication to pool in the lower conjunctival sac, minimizing irritation and maximizing absorption per standard protocol. Placing drops on the cornea risks injury and reflex blinking, wiping outer to inner spreads contaminants toward the tear duct, and holding 5 cm (2 in) above is excessive 1-2 cm avoids splashing. Looking upward is safe, effective, and client-friendly, aligning with nursing practice to deliver ocular meds accurately, preventing complications like infection or trauma in a delicate area.
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.
A client with a history of atrial fibrillation is prescribed amiodarone. Which instruction should the nurse include?
- A. Avoid exposure to sunlight
- B. Take the medication with grapefruit juice
- C. Increase intake of potassium-rich foods
- D. Report any chest pain immediately
Correct Answer: D
Rationale: For amiodarone in AF, report chest pain is key, not sunlight, grapefruit, or potassium. Chest pain flags pulmonary toxicity or arrhythmia serious risks unlike photosensitivity (less urgent), juice interactions (not major), or potassium (unrelated). Leadership stresses this imagine dyspnea; it ensures safety, aligning with cardiac care effectively.