Nokea
You have recently been appointed as a unit manager. After 3 months, you notice that staff are not seeking your advice as frequently as they did during your first weeks as manager. This observation may suggest that:
- A. Staff no longer perceive you as an expert
- B. Staff have increasing confidence in their own decision making
- C. There has been erosion in your relationships with staff
- D. Staff are experiencing dissatisfaction with your leadership
Correct Answer: B
Rationale: Staff seeking less advice after three months likely signals growing confidence in their own decisions, a natural shift as they adjust to your leadership and rely on their skills. It's not necessarily expertise loss, eroded ties, or dissatisfaction context matters, but reduced dependence often marks autonomy, a positive outcome in a stable unit. New managers see this as staff adapt, suggesting your initial support built their competence, aligning with effective leadership fostering independence over time.
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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.
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.
What best describes the leader-follower relationship?
- A. The relationship is a one-way street
- B. Leadership and followership are the same thing
- C. Leadership and followership merge and are linked concepts
- D. It is based on the idea of 'one-man leadership'
Correct Answer: C
Rationale: Leadership and followership link not one-way, same, or solo. Nurse leaders like team trust rely on this, contrasting with hierarchy. In healthcare, mutual influence thrives, aligning leadership with partnership.
A nurse manager is implementing a team nursing approach on his unit, hiring licensed practical nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions should the nurse manager take to facilitate acceptance of this change?
- A. Introduce the new approach and facilitate the development of a task force to plan implementation
- B. Announce the change and expect immediate compliance
- C. Train only the new staff on the approach
- D. Leave the staff to adapt on their own
Correct Answer: A
Rationale: Implementing a team nursing approach requires staff buy-in to ensure smooth adoption and effective collaboration. Introducing the new approach and creating a task force to plan its implementation actively involves the existing staff, giving them a sense of ownership and control over the change process. This strategy fosters acceptance by addressing concerns, encouraging input, and building a collaborative environment, which is critical in healthcare settings where teamwork directly impacts patient outcomes. Simply announcing the change without engagement risks resistance, as staff may feel blindsided or undervalued. Training only new staff excludes current employees, potentially creating resentment or confusion, while leaving staff to adapt independently neglects the need for structured guidance. Involving staff in planning leverages their expertise, reduces anxiety about the unknown, and aligns with leadership principles that prioritize communication and inclusion, ultimately enhancing the transition to a team-based model.
An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform?
- A. Administer IV fluids
- B. Assess for bowel sounds every 2 hours
- C. Monitor NG tube output
- D. Reposition the NG tube
Correct Answer: B
Rationale: The RN's scope of practice includes assessments requiring clinical judgment, such as evaluating bowel sounds to determine hypoactive, normal, or hyperactive states, which informs the care plan for a small bowel obstruction. This task demands interpretive skills beyond the LPN's role, which focuses on data collection (e.g., listening for sounds) rather than analysis. Administering IV fluids, monitoring NG tube output, and repositioning the tube are within the LPN's capabilities under RN supervision, as they involve technical execution rather than diagnostic reasoning. The RN's expertise ensures accurate assessment of bowel function, critical for detecting complications like perforation or resolution of the obstruction, guiding subsequent interventions, and maintaining client safety in a condition requiring precise monitoring and decision-making.