N390 Comfort quiz
The transformational leader demonstrates charismatic behavior and the careful consideration of the value of every individual in the organization. What might be the expected organizational outcomes with this type of leadership?
1) Increased loyalty 3) Increased performance Charismatic behavior and individual consideration are the behaviors of transformational leadership. A leader displaying this behavior would increase the loyalty and performance level of the followers. In transactional leadership, deadlines are typically met but followers have low-to-stable levels of commitment and the work needs to be supervised and completed according to the rules.
A 4-year-old child returns from cardiac catheterization that was performed through the groin area. In what position should the nurse place the child during the immediate postoperative period?
3) Supine, with the bed flat The child should be kept flat for 6 hours during the postprocedure period to avoid flexion at the hip, slowing blood flow and promoting clot formation in this area. If the vascular enclosure device (Angio-Seal) is implanted at the catheter insertion site, the postprocedure period is shortened to 2 hours. The semi-Fowler position should be avoided because the hips are flexed. There is no reason to put the child in Trendelenburg position. The side-lying position with knees flexed would flex the hips also.
Which objective is associated with creating urgency in Kotter's eight-step model?
4) To generate open dialogue about external and internal realities. The attribute of creating urgency is associated with generating open dialogue about external and internal realities. Short-term targets are created for creating short-term wins. Honoring the people who help complete the task anchors the changes in the culture. A culture created with continuous improvement builds on the change.
A nurse is reviewing the history, physical examination, and diagnostic test results of a client with colitis. What clinical findings are associated with this disorder? Select all that apply.
1) Anemia 2) Diarrhea 4) Abdominal cramps Ulceration of the intestinal mucosa commonly occurs, causing blood loss and anemia. The inflammatory process tends to increase peristalsis, causing diarrhea, electrolyte imbalances, and weight loss. The inflammatory process tends to increase peristalsis, causing abdominal cramping and diarrhea. Coughing up blood from the respiratory tract (hemoptysis) is not associated with colitis. A decreased number of white blood cells (leukopenia) is not associated with colitis.
The nurse is assessing a client reporting sharp abdominal pain who survived an earthquake. The client has decreased pulse pressure and level of consciousness along with cool, clammy skin and decreased urine output. Which primary interventions are most appropriate for the client?
1) Ensuring patent airway 2) Utilizing a non-rebreather mask 3) Inserting indwelling urinary catheter Initial interventions that need to be performed in a client with abdominal pain include ensuring the airway patency and administering a non-rebreather mask. This will ensure proper breathing in the client. The initial intervention also includes insertion of indwelling urinary catheter. Preparing the client for surgical intervention is the not the initial intervention. Assessing the quality and level of pain are ongoing monitoring interventions.
The nurse leader monitors the direct care nurse administering pain medication to the client. The leader tells the client "I will come back in 30 minutes to check your pain level." Which right of the client does the leader fulfill if the leader returns within 30 minutes?
1) Fidelity Fidelity addresses the nurse keeping promises or commitments. Veracity is concerned with telling the truth and demands that the truth be conveyed completely. Beneficence states that good actions should be promoted and is the basic obligation for assisting others. Confidentiality involves maintaining the privacy of the client's health records.
