LEADERSHIP HESI-EVOLVE
The leader nurse noticed that a staff nurse is unable to meet the responsibilities assigned, though the staff nurse is aware of the working requirements. What is the staff nurse experiencing? Role theory Role conflict Role ambiguity Role acquisition
Role conflict
A hospital is planning to implement the functional model of nursing. Which action performed by a nurse leader would be effective under this model? Assigning individual duties to different nurses and nursing students for different tasks Assigning duties to the nurse to take care of a single client for their entire work period Assigning the responsibility to a registered nurse for coordinating a group of nursing students Assigning the registered nurse to work alone as the client's primary nurse throughout their stay
Assigning individual duties to different nurses and nursing students for different tasks Rationale: In the functional model of nursing, different types of duties are assigned to different people and they work independently. A single nurse cares for a single client during the entire work period with the case method model of nursing. Assigning responsibility to a registered nurse for coordinating a group of nursing students is a type of team nursing. In primary nursing, a registered nurse is assigned to work autonomously as the client's primary nurse throughout their stay.
Which task followed by the executive nurse is a leadership development task? Maintaining balance Having a clear vision Listening to constituents Maintaining a positive attitude
Having a clear vision Rationale: Having a clear vision and seeing beyond where one is and where one is going is a leadership development task. Maintaining balance, listening to constituents, and maintaining a positive attitude are rules for a leader.
A 9-year-old child has a fractured tibia, and a full leg cast is applied. Which assessment findings should the nurse immediately report to the healthcare provider? Select all that apply. Increased urine output Inability to move the toes Pedal pulse of 90 beats/min Tingling sensation in the foot Fiberglass cast that is damp after 4 hours
Inability to move toes Tingling sensation in the foot fiberglass cast that is damp after 4 hours
A client with cardiac failure is admitted to the hospital. The primary nurse is unable to attend to the client. The nurse leader appoints the associate nurse in providing care to the client. Which strategy does the associate nurse implement in providing care to the client? To prepare a new plan for the client To wait for the primary nurse to implement the plan To work on the plan implemented by the primary nurse To solicit the help of the primary healthcare provider to work on the plan
To work on the plan implemented by the primary nurse Rationale: In the primary nursing model, the associate nurse has to take charge if the primary nurse is absent and should implement the plan according to the primary nurse's specifications. The associate nurse has no right to change a plan or to implement a new plan. Waiting for the primary nurse to implement the plan would not be appropriate. Soliciting the help of the primary care provider will not be appropriate in this situation because the associate nurse should work on the plan implemented by the primary nurse.
