EAQ - Leadership, delegation
Which statement best describes the mission of a community hospital?
To provide general medical and surgical services Each health care organization has a unique mission or purpose. The mission of a community hospital is to provide general medical and surgical services to the nearby community.
A nurse leader honors the team members who use new equipment effectively and ensure clients' safety. Which step of Kotter's eight-step change model does a nurse implement in this situation?
"Anchor the changes in the culture" Honoring a team member for effective implementation of the change indicates execution of the "anchor the changes in the culture" step of Kotter's eight-step change model.
The nurse leader is teaching about the role of followers to the nursing staff. Which statement made by the nursing staff is true regarding the followers' traits? Select all that apply.
A follower demonstrates collaborative behavior in daily practice. A follower cooperates with the leader and peers to reach the team goal. A follower demonstrates collaborative and cooperative behavior with staff, to help reach the team goals.
The registered nurse is delegating tasks for nursing assistants caring for a client who requires more attention. Which element should be considered when selecting the suitable nursing assistant for delegation of a task?
Critical thinking Critical thinking is of utmost importance for selecting a suitable nursing assistant for delegation of a task in a situation where a client requires more attention, as the delegatee should be able to perform the task effectively.
Which client's care is least likely to be delegated to unlicensed nursing personnel (UNP)? A- Paraplegia: home care B- Femur fracture in cast: extended care C- Alzheimer's disease: long-term care D- Accidental poisoning: emergency care
D In an emergency setting, the client with accidental poisoning should be kept under constant monitoring and any small detail of fluctuation should be noted. Therefore, client D cannot be safely delegated to UNP.
Which action of the nurse as a leader is supported by the Style theories of leadership?
Pursuing effective relationships with subordinates Style theories or group and exchange theories of leadership state that leaders should pursue effective relationships with their subordinates.
A client arrives in the emergency department in cardiac arrest. Which priority action indicates that the nurse is acting as a leader?
Resuscitating the client using clinical protocols An acute care setting requires the nurse to act immediately and autonomously; therefore using clinical protocols to resuscitate a client who is admitted with cardiac arrest indicates that the nurse is acting as a leader.
When assessing a client, the nurse notices that he or she has reached the action stage of health behavior change. What should the nurse expect to be the client's reaction after providing suggestions for change?
The client's previous habits may prevent taking action related to new behaviors In the action stage, the client's previous habits may prevent him or her from taking action to form new behaviors.
Which statement of the nurse is true regarding Hersey's Situational Leadership Model?
The situational leadership model provides a solid foundation for delegation decisions. Hersey's Situational Leadership Model describes the ability to diagnose the performance, competence, and commitment of others to be flexible and to collaborate for performance. Therefore, it provides a solid foundation for delegation decisions.
What would the nurse describe as "leadership" in nursing practice?
The use of individual traits to interpret the environment in an emerging situation to execute a plan Leadership is defined as the use of abilities and traits by an individual to interpret the environment in an emerging situation to execute a defined plan.
Which members of the health care team have dependent status under the registered nurse? Select all that apply.
Certified nursing aide Licensed practical nurse Licensed vocational nurse Unlicensed nursing personnel Certified nursing aides, licensed practical nurses, licensed vocational nurses, and unlicensed nursing personnel are members of the health care team who have dependent status and work under supervision or direction of a registered nurse or physician.
A registered nurse distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional?
When the task is given to another registered nurse (RN) When the registered nurse gives a task to another RN, the task can be assigned, but cannot be delegated. When any work is being assigned, the recipient is accountable and responsible for the work.
The nurse manager delegates client-care tasks to members of the health care team in the intensive care unit. Which element of the delegation may extend to direct corporate liability for the institution?
Failure of the nurse manager to delegate and supervise the task within acceptable standards Legally, delegation is a complex process. Failure of the nurse manager (delegator) to delegate and supervise the task performed by the delegatee may extend to direct corporate liability for the institution.
While providing the feedback to student nurses, the registered nurse provides specific information about positive performance. Which type of theory is the registered nurse applying practically as a leader?
Expectancy According to the expectancy theory, satisfying individual needs influences the behavior of those individuals. Therefore, when the nurse provides specific feedback about positive performance, the nurse is applying expectancy theory as a leader.
The mother of an infant complains to the nurse, "My child is rejecting the oral medication because it tastes bitter." What suggestion should the nurse give to the mother?
Mix the medication with a teaspoon of sherbet Oral medications should be mixed with a teaspoon of sherbet or jelly to mask the bitter taste and make it palatable.
Which component of delegation is considered a "two way process"?
Responsibility Responsibility is a two way process.
Which statement is true related to the role of the registered nurse in active delegation?
To direct an unlicensed practical nurse (UNP) to perform certain tasks In active delegation, the registered nurse assesses the situation to direct a UNP to perform certain tasks.
A registered nurse is caring for a client according to the total client care model of nursing. Which activity performed by the nurse manager would be appropriate in this situation? Select all that apply.
Weighing the expenses of a registered nurse (RN) vs. LPNs Deciding the type of care provided by nursing assistive personnel Weighing the expenses of RNs versus LPNs and unlicensed assistive personnel (UNP) are performed by the nurse manager in the total client care model of nursing.
The nurse manager shares experiences faced during the journey to leadership with other staff members. Which statement made by the nurse appropriately describes the barriers faced during the leadership journey? Select all that apply.
"It requires time commitment." "The title doesn't guarantee good leadership." Leadership requires commitments to be fulfilled within a time frame. It is a false assumption to think that the leadership position and the title are equivalent in nurse leadership; it should be considered an earned honor and an action-oriented responsibility.
The registered nurse is evaluating the statements of the student nurse after teaching about delegation. Which statement made by the student nurse indicates a need for correction?
"Professional aspects of care can also be delegated." Basic activities of daily living and personal hygiene can be delegated but professional aspects of care cannot be delegated and should be performed by the registered nurse only.
The nurse manager reviews the performance report of a direct care nurse and asks the nurse to focus on "emotional intelligence" in order to be promoted as the nurse leader. Which statement would the nurse leader most likely use while advising the nurse on areas for improvement?
"Try to be more sensitive to the experiences of others." Emotional intelligence is advising the nurse to be more sensitive to the experiences of others.
The registered nurse (RN) is communicating with a healthcare team regarding the delegation of tasks. Which factors can determine the quality of communication between the RN and healthcare team? Select all that apply.
Effectiveness Meaningfulness Understandability Effectiveness is a factor that determines the quality of the communication in delivering the appropriate information. The communication should be meaningful to improve the quality of the information. The communication should be understood by all the team members to perform a task properly.
What should a nurse manager as a leader do to provide a non-threatening and positive environment to the group members? Select all that apply.
Encourage group members to actively participate Create an environment conducive to solving problems Protect the members and their suggestions from attack Encouraging group members to actively participate may help elicit different ideas from different members. An environment conducive to solving problems helps in keeping the group focused on tasks and strategies. Protecting members and their suggestions from attack should be done for a healthy discussion and to create a non-threatening environment.
The nurse leader and the team received recognition because of a follower on the team. What could be the most important action of the nurse leader?
Sharing the appreciation with the team An effective leader generally is eager to share the rewards, appreciation, and recognition among the team. This increases team spirit and makes the followers follow eagerly.
The senior manager reviews the performance of the transformational leader on the basis of the feedback given by the nurse leader's team. Which statements describe the attributes of a transformational leader? Select all that apply.
"He/she is charismatic." "He/she is motivational." "He/she shows individualized consideration." A transformational leader has a charismatic behavior. The leader motivates and inspires his/her team. Individualized consideration is demonstrated by a transformational leader. A transactional leader has a punitive behavior. The act of rewarding for a good performance of the team member is the role of a transactional leader only.
The registered nurse (RN) is teaching a novice RN about delegating tasks to licensed practical nurses (LPN) and unlicensed assistive personnel (UAP). Which statement made by the novice RN indicates a need for further teaching?
"I will delegate the task of assisting the client with bathing to the LPN." Assisting the client with bathing is related to providing basic care, comfort, and hygiene and is a task better suited to unlicensed assistive personnel.
During the delegation process, which healthcare professional acts as a liaison between the team leader and healthcare provider?
Charge nurse The charge nurse is responsible for acting as a liaison between the team leaders and healthcare providers.
According to chaos theory, what is the most important factor contributing to a successful organization?
Readiness to accept change The most important characteristic of an organization according to chaos theory is the ability to adapt to change, which is important for survival in the face of instability and provides stability.
Which work is automatically increased for the delegator when there is a decrease in direct client care?
Supervision After delegating tasks to other members of the health care team, the delegator's care towards the client in a direct way decreases, and the supervisory work of the delegator increases.
A nurse needs to obtain consent for the medical treatment of a child whose parent is a minor. What appropriate step should the nurse take to obtain consent?
The nurse should ask the minor to give consent. The nurse obtains the consent from the minor whose child needs medical treatment.
Which individuals will the emergency department (ED) charge nurse collaborate with during an actual disaster to organize nursing and ancillary services to meet client needs? Select all that apply.
Triage officer Trauma program manager Medical command physician During an actual disaster, the ED charge nurse, trauma program manager, and other ED nursing leadership personnel act in collaboration with the medical command physician and triage officer to organize nursing and ancillary services to meet client needs.
A nurse is assisting another registered nurse in the intensive care unit who is caring for a client with uncontrolled blood pressure. Which action on the part of the nurse indicates "offering" during delegation decisions?
You can use this stethoscope and sphygmomanometer to take the blood pressure." Offering involves making a suggestion to facilitate the achievement of a desirable client care outcome. The statement, "You can use this stethoscope and sphygmomanometer to take the blood pressure," is an example of offering.
The RN caring for a postoperative hysterectomy client is delegating tasks to the licensed practical nurse (LPN). Which statement made by the RN indicates the principle of right communication of delegation?
"Does the LPN understand when to report the vital signs?" The principle of right communication of delegation includes the qualities of the delegatee understanding when and how to report to the delegator.
Hospital management has replaced some equipment to provide more effective treatment. The nurse, as a leader, wants the team to support and implement this change successfully. Which actions of the nurse leader are effective in this situation? Select all that apply.
Conducting a dialogue with the team members Encouraging the team members to develop new skills Encouraging the team members to increase competency in different areas Dialogue allows the team members with different perspectives to come together and find common goals. Discussing the new equipment, developing new skills, and increasing competency in different areas ensure effective action of the leader to bring a change in an organization.
The nurse leader mentors the staff on types of conflict. Which statement of the leader describes intrapersonal conflict?
It arises due to imbalances between the nurse's personal and professional priorities. Intrapersonal conflict arises due to imbalance between the nurse's personal and professional priorities.
Who undertakes the responsibility of identifying the need for and calling of different specialty-trained providers to care for clients in a disaster?
Medical command physician The medical command physician focuses on determining the number, acuity, and medical resource needs available for the clients in a disaster event. They are responsible for identifying the need for and calling specialty-trained providers to care for clients in the hospital.
Which behavior from the nurse leader exhibits charismatic leadership qualities?
Possesses an inspirational quality that makes team members attracted to him or her Charismatic behavior is seen in the transformational leadership style; this inspiring quality attracts team members. By sharing a vision the leader is not attracting team members; therefore this may not be a charismatic leadership behavior. Encouraging innovation and creativity in problem-solving will exhibit a quality of intellectual stimulation and is a transformational leadership behavior. Charismatic behavior is not seen in the transactional leader.
A nurse manager is helping staff reach optimal functioning to enhance organizational functions. Which Gardner's task is reflected in this leadership behavior?
Achieving workable unity Achieving workable unity is one of Gardner's tasks for leading and managing. Nurse managers should help staff reach optimal functioning to enhance organizational functions.
Which action would a nurse leader specifically take to promote a health care climate where curiosity, reflection, and change are embraced?
Empowering staff to be life-long learners and risk takers A nurse leader who empowers staff to be life-long learners and risk takers is promoting a health care environment where questioning the status quo, reflecting on processes and advocating for change when appropriate is welcome and encouraged.
Which statement is correct regarding delegation? Select all that apply.
It involves transfer of authority. The delegator retains accountability for the outcome. Principles of delegation outline what nurses need to know about the task. Delegation involves two people—delegator and delegatee—with the transfer of authority to perform the task. The delegator retains accountability for the outcome of the task delegated. Principles of delegation outline what nurses need to know and do in relation to completing the task.
Which behavior of the nurse as a leader indicates Gardner's task of renewing at an executive level?
Providing self-care to enhance the ability to care for clients, families, staff, and the organization When the nurse as a leader provides self-care to enhance his or her ability to care for clients, families, staff, and the organization, it indicates Gardner's task of renewing in an executive position.
The client is admitted with sinus tachycardia. To treat the dysrhythmia, the nurse will look for potential causes. Which causes will the nurse look for in this client? Select all that apply.
Anxiety Caffeine Exercise Anemia The dysrhythmia itself is not treated, but the cause is identified and treated appropriately. Causes of sinus tachycardia include hypovolemia, heart failure, anemia, exercise, use of stimulants, fever, sympathetic response to fear or pain.
Which of the following characteristics exemplified by a registered nurse is a leader trait?
Endorsing and thriving on taking risks that bring about change Endorsing and thriving on taking risks that bring about change is a leader trait.
Which primary task is achieved by a delegator when delegating a task to a delegatee for an effective outcome?
Motivating Inspiring the delegatee by motivation is the primary task to be achieved by the delegator to reach an effective outcome.
A client is admitted to the hospital with severe backache and chest discomfort. After reviewing the client's condition, there is a need for 24-hour client care by the registered nurse (RN). Which healthcare professional is responsible for assigning the task to a registered nurse when 24-hour client care is needed?
Nurse manager When the client requires 24-hour care, the nurse manager is responsible for deciding oversight of RN supervised care to the client.
Which behavior is an example of the nurse's role as an executive in the Gardner task of leadership?
Representing the organization and client care services on councils Representing the organization and client care services on councils are activities of an executive position, according to Gardner's task of leadership.
The registered nurse assigns a task to a newly hired licensed practical nurse (LPN) to monitor a client's blood pressure. Which is relevant to the delegator in this situation?
Requires more guidance When the task is assigned to a newly hired LPN, the registered nurse should provide more guidance to the LPN
Which action on the part of the nurse constitutes transactional leadership?
Rewarding the licensed practitioner nurse for high performance Transactional leadership depends on the power of organizational position and formal authority to reward and punish performance. Therefore rewarding the licensed practitioner nurse for high performance indicates transactional leadership.
What does a nurse understand by the quality improvement competency, according to Quality and Safety Education (QSEN)?
Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems The quality improvement competency states that a nurse should use data to monitor the outcomes of healthcare processes and use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems.
The registered nurse (RN) is caring for a client who was admitted to the hospital due to severe diarrhea. The RN assigns the unlicensed assistive personnel (UAP) to check on the client hourly and perform hygiene care as needed. Which concept best explains this situation?
Delegation Delegation involves transfer of responsibility for the performance of tasks and skills for the ultimate outcome. Here the registered nurse (RN) is delegating a task to the unlicensed assistive personnel (UAP).
Which decision-making strategy involves systematic collection and summarization of opinions and judgments on a particular issue from the respondents?
Delphi technique The Delphi technique is a decision-making strategy that involves systematic collection and summarization of opinions and judgments on a particular issue from respondents in order to achieve consensus among the team members and the leader.
The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching?
"A leader has a formal position." A leader does not necessarily have a formal position to indicate that he or she is a leader; rather, leadership refers to the performance.
A client presents to the physician with a rash. The physician orders the application of a topical medication. Which healthcare team member will most likely carry out this order?
LPN The LPN administers oral and topical medications and monitors all vital signs.
The registered nurse (RN) who delegates work to a newly hired licensed practical nurse (LPN) says, "Please tell me how you will go about performing this procedure, and I will share my expectations with you." Which behavior strategy of Hersey's model is being applied?
Participating When the LPN has the willingness and ability to perform a task, but the relationship is new, the RN will share his or her expectations and conditions with the LPN. This is a clinical example of participating. Participating is encouraging the delegatee to perform the task and taking an active part in problem solving, which may occur during the execution of a given task.
The nurse is teaching a student nurse about Covey's eight characteristics of effective leaders. Which statement of the student nurse indicates the need for further teaching?
"Effective leaders are self-oriented and engage in implementing tasks for followers." Effective leaders should not be self-oriented; instead they should be service-oriented and involved in performing tasks along with their followers.
Which activity indicates improper follow-through on the part of the delegatee?
Failure to report results Failure to report the results and findings to the delegator indicates improper follow-through on the part of delegatee.
The nurse is teaching breathing exercises to a client who underwent surgery. Which member of the healthcare team is most suitable for reinforcement of teaching in the client?
LVN The licensed practical nurses (LPN) are most suitable to be delegated the task of reinforcement teaching.
A hospital management team has conducted a randomized controlled trial to decrease the occurrence of ventilator-associated pneumonia .The trial was successful and had positive outcomes. The nurse manager, in collaboration with other hospital management staff, conducted the same trial in another hospital, but the results were different. Which research strategy implementation would the nurse manager consider to be beneficial in preventing dramatic differences in trial results?
Practice-based evidence (PBE) PBE is a research methodology that helps inform practice. It uses an observational cohort study design that compares clinically relevant interventions, includes diverse study participants, uses heterogeneous practice settings, collects data on a broad range of health outcomes, and includes frontline clinicians in study development.
A direct care nurse leader is communicating with four followers on the team. The nurse leader then assumes that one of the followers has potential to become a leader. Which statement illustrates the direct care nurse's leadership potential?
"I have an idea to share with the team for the future development of our organization." Generally, a leader inspires and a manager controls. The nurses who believe that they have good ideas for future improvements should volunteer for opportunities to lead and can become effective leaders. Therefore Follower A has the most leadership potential.
Which nursing actions indicate effective implementation of systems thinking theory principle with respect to "thinking of the Big Picture"? Select all that apply.
Focusing on the needs of all the residents in a long-term care facility Knowing about the complications of emergency department overcrowding in an urban setting Focusing on the needs of all residents in a long-term care facility and knowing about the complications of emergency department overcrowding in an urban setting are actions that indicate effective implementation of the "Big Picture" principle by helping the nurse envision his/her work beyond the immediate tasks.
The nurse is assigned to work with a 20-year-old client on an inpatient unit. In assessing the woman, the nurse notes that she is mute, does not show any type of movement, is unresponsive, and appears unaware of her surroundings. What is the best term for the nurse to use to describe these symptoms?
Catatonia Catatonia is the term to describe stupor, rigidity, or extreme flexibility of the limbs; excitability; confusion; and lack of verbal expression.
As a part of informed consent, a surgeon explains to the client who is scheduled for surgery the details of the surgery and the related care. The nurse as a leader witnesses the complete procedure. What information does the nurse leader ensure was provided to the client? Select all that apply.
Surgery procedures Name of the surgeon Description of the risks Informed consent must be done according to legal guidelines. It is an authorization by the client to perform a surgery or procedure on them. Therefore the detail about the procedure of the surgery must be provided. It also informs the client about the name of the person who is performing the procedure. A description of the possible risks of the procedure is conveyed through informed consent.
While having a group discussion in an organization, one of the team members criticizes an idea of another team member. Which strategy should the leader apply to resolve the issue?
Brainstorming Brainstorming can be an effective method of generating a large volume of creative and innovative ideas. The leader should apply this strategy to encourage ideas of all the team members, irrespective of any criticism, to resolve the issue. The purpose of focus group strategy is to explore issues, identify problems, and generate information. Delphi technique is a decision-making strategy that involves systematically collecting and summarizing opinions and judgments on a particular issue from followers. Nominal group technique strategy allows group members the opportunity to provide input into the decision-making process.
A nurse leader wants to implement the principle of non-maleficence while evaluating the staff. What is an effective way to perform this action?
Emphasizing the good qualities of the staff and giving positive direction for growth The principle of non-maleficence states that one should not do harm. Therefore the approach towards this while evaluating the performance of staff includes emphasizing the staff's good qualities and giving positive direction for growth.
The nurse manager is implementing a change in evening care for clients to include back rubs to promote sleep. The nurse manager convinces the managers of various nursing units and also supports nursing staff who are willing to implement the change. Which component of Kotter's eight step model is involved in this scenario?
Forming a powerful coalition Building momentum and supporting individuals in an organization is achieved by developing a core group of advocates who bring about the change. According to Kotter's eight-step model, the component that reflects this principle is formation of powerful coalition of nurse managers who support the change and the staff who are willing to implement the change. Creating short-term wins involves the leader creating short-term targets to accomplish certain tasks. Creating a vision for change involves creating small alterations connected to a larger, inspiring vision. Anchoring the changes in the culture involves reporting the differences the change is making and honoring the people who make it happen.
What is a basic concept associated with rehabilitation that the nurse should consider when formulating discharge plans for clients?
Immediate or potential rehabilitation needs are exhibited by clients with health problems Rehabilitation refers to a process that assists clients to obtain optimal functioning. Care should be initiated immediately when a health problem exists to prevent complications and facilitate recuperation. All resources that can be beneficial to client rehabilitation, including the primary healthcare provider and acute care facilities, should be used. Rehabilitation is a commonality in all areas of nursing practice. Rehabilitation is necessary to help clients return to a previous or optimal level of functioning.
Which characteristics should a nurse focus on to become an effective transformational leader? Select all that apply.
Inspiring a shared vision Improving interpersonal skills Being able to motivate the nursing staff Having a shared vision helps effective transformational leaders and their teams become inspired and committed to a shared goal. Being an effective transformational leader depends on one's interpersonal skills; improving these can help in interactions with the staff. The ability to motivate the nursing staff is also important for a transformational leader because this helps one reach desired goals and improve performance.
Which strategy should be implemented by the registered nurse (RN) to achieve desirable client outcomes?
Offering The registered nurse (RN) assists other nurses with delegation decisions by using three main strategies. Offering involves making a suggestion to facilitate the achievement of a desirable client outcome.
After communicating with the follower of a nurse leader, the senior nurse assumes that the nurse leader is following the transactional leadership approach. Which statements of the follower support the senior nurse's assumption? Select all that apply.
"I have to face penalties for poor performance." "I have to meet the deadlines of my work at any cost." "I am getting my errors corrected in a reactive manner." The transactional leader penalizes his or her followers for poor performance and gives rewards for good performance. The transactional leader monitors work deadlines and corrects followers' errors in a reactive manner. Under a transactional leader, the followers have limited job satisfaction.
Which organizational outcomes are expected in followers under transformational leadership? Select all that apply.
Increased morale Increased performance Followers under a transformational leader have increased morale and performance.
What does the nurse say is the advantage of an appropriate delegation?
Reduced stress Appropriate delegation reduces stress and increases time efficiency by providing timely care to the client.
Which action by the nurse leader is indicative of transactional leadership?
Motivating the self-interest of the employees by offering external rewards Transactional leadership relies on the power of organizational position and formal authority to reward and punish performance. Therefore offering external rewards to motivate the self-interest of employees is a type of transactional leadership.
Which interventions are in the scope of a licensed practical nurse (LPN)? Select all that apply.
Ambulating the client Assisting the client with bathing Administering intramuscular medications Ambulating the client and assisting with bathing are within the scope of UAPs, RNs, and LPNs. The LPN may administer intramuscular injections per their scope of practice as well.
The nurse as a leader assists multidisciplinary leaders to achieve optimal functioning to benefit client care delivery. Which Gardner's task is the nurse applying?
Achieving workable unity When the nurse assists multidisciplinary leaders to achieve optimal functioning to benefit client care delivery, it indicates the Gardner's task of achieving workable unity.
When assigning a task, the delegator should understand the delegatee's personal values and align them with the organizational values. Which task can be achieved from this delegation?
Affirming In the task of affirming values, sharing the personal values of the delegatee and aligning them with organizational values enables the delegatee to achieve an outcome.
The registered nurse delegates a task to the unlicensed nursing personnel (UNP). Which client care is suitable for UNP? A- Severe burns- monitoring BP B- DI- administration of IV medications C- Undergone ileostomy- monitoring wound discharge D- Cardiogenic shock- monitoring vitals
C The task of delivering care to client C is delegated to the UNP because the UNP can monitor the wound discharge in clients who have undergone surgery.
The charge nurse is delegating tasks for the nursing assistants regarding the postpartum care of a client. Which task is appropriate to be delegated to an unlicensed assistive personnel (UAP) to provide effective client care? Select all that apply.
Feeding the client Providing basic hygiene Encouraging breastfeeding The UAP can feed the client in postpartum care, provide basic hygiene by assisting in changing sanitary napkins, and provide encouragement for breastfeeding.
An alcohol-intoxicated client is found near drowning. What is the emergency care provided to the client by the nurse in the order of priority?
Safely rescue the client. Stabilize the spine with a board. Perform cardiopulmonary resuscitation. Perform gastric decompression with a nasogastric tube. The immediate emergency care for a drowning client is focused on safe rescue of the client. After rescuing the client, the spine is stabilized with a board because the client is alcohol-intoxicated and is at high risk for spine trauma. Then, cardiopulmonary support resuscitation is performed. Next, in the clinical setting, gastric decompression with a nasogastric tube is performed to prevent aspiration of gastric contents and improve ventilator function.
A nurse manager in a surgical unit finds that many clients are developing urinary tract infections post-operatively and wants to discuss the measures to prevent it with the team. Which action of the nurse manager reflects good communication practice?
Calling the team for a brief meeting Communication is a very important aspect of any leader. Solving a client care-related issue such as increasing incidences of urinary tract infections may require discussion with team and input from the team members to arrive at any decision. Therefore a face-to-face meeting with the team would be the best communication practice.
Which healthcare team member would the nurse expect can be delegated with the task of administering oral medication to a client per the functional model?
LPN The licensed practical nurse can give oral medication to a client.
A group member states "Administration won't go for it" while making a decision for a critical issue. Which strategy should a nurse leader implement to deal effectively with this situation?
Brainstorming Brainstorming is required in this situation to encourage people to build upon or spin off ideas from ones already suggested. The nurse leader needs to list all the ideas without critique or discussion to effectively deal with what the group member has said. The purpose of focus groups is to explore issues and generate new and innovative information. The Delphi technique involves systematically collecting and summarizing opinions and judgment on a particular issue from respondents. The nominal group technique provides group members with the opportunity to offer input into the decision-making process.
A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team decides to promote the nurse to a managerial position. Which actions by the nurse would justify the decision of the panel? Select all that apply.
Inspiring new ideas Establishing short-term goals Demonstrating positive feelings Maximizing results from existing resources The leader provides new ideas with a long-term effect on the progress of the organization. He or she should also provide a positive atmosphere by giving an equal importance to the followers. Providing short-term goals and maximizing results from existing resources are the job responsibilities of a manager.
Which client is most appropriate to be delegated to unlicensed assistive personnel (UAP) based on the given data? A- 14 mo old with severe diarrhea- acute care B- 12 years old with a hand fracture- extended care C- 30 years old with bronchitis- acute care D- 50 years old with dementia- long-term care
D The unlicensed assistive personnel (UAP) is delegated to work in long-term care settings and extended-care settings as the clients are more stable. In dementia, the client experiences confusion, so long-term care is essential for this client. Since UAPs generally work in long-term care, client D is most appropriate to be delegated to a UAP.
During a status meeting for a research project, the project leader asks the team members for feedback. What leadership theory is represented by the action of the leader?
Style theory In style theory, it is important for leaders seek feedback from followers, peers, or higher authorities in order to understand their style. These leaders are employee-centered and tend to foster an effective, productive work environment.
What is the correct order of steps that should be followed by a leader to create a vision and foster major organizational transformation?
Generate an open dialogue about external and internal realities. Develop a core group of change advocates. Create a vision for change Communicate the change vision regularly and consistently. Keep an alert for barriers in structure and processes. Report differences and honor the people who implement. According to the Kotter's eight-step change model, the first step towards creating a vision and fostering major organizational transformation is creating urgency. Generating open dialogue about external and internal realities will impact the need to change. The next step is forming a powerful coalition. Developing a core group of change advocates will help build momentum as well as support individuals through the change experience. Next, creating a vision for change may involve lots of small alterations, and may or may not be a larger or inspiring vision. Communicating the change vision to people is the next step. People tend to pay attention to what is reinforced, so communicating regularly and consistently is required to sustain the effort. The next step is removing obstacles. This includes having alerts for barriers in the structure and processes that limit the ability to change and removing these barriers. The last step is to report the changes and honor the people who helped make it happen, in order to inspire others.
