HESI Leadership and Management - Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Decisional activities. A nurse manager conducting evaluations and reviewing staffing needs for the future involves making decisions related to resource allocation, planning, and problem-solving. These activities fall under the category of decisional activities in management.
Choice A, Interpersonal activities, would involve activities like communicating, motivating, and leading staff.
Choice C, Informational activities, would involve activities like gathering and disseminating information.
Choice D, Transformational activities, would involve inspiring and motivating staff to achieve organizational goals through vision and change.

Correct Answer: D

Rationale: For clients with Cushing's syndrome, they are at risk of developing hypokalemia due to increased excretion of potassium.
Therefore, it is essential to advise them to increase their potassium intake.

Choices A, B, and C are incorrect because:
A) Increasing sodium intake can worsen fluid retention and hypertension common in Cushing's syndrome.
B) Limiting protein intake is not necessary unless there are specific kidney issues that require protein restriction.
C) Limiting calcium intake is not typically recommended unless there are underlying conditions such as hypercalcemia.

Correct Answer: A

Rationale: The correct answer is A: Depression. Depression is a common psychological manifestation in clients with Cushing's syndrome. In this scenario, the client's symptoms of agitation, irritability, poor memory, loss of appetite, and disheveled appearance are indicative of depressive symptoms rather than neuropathy, hypoglycemia, or hyperthyroidism. Neuropathy typically presents with sensory changes and motor deficits, which are not described in the scenario. Hypoglycemia would manifest with symptoms such as diaphoresis, tremors, and confusion, which are not mentioned. Hyperthyroidism symptoms include weight loss, heat intolerance, and palpitations, which are not consistent with the client's presentation.

Correct Answer: B

Rationale: The most helpful advice for a new nurse manager is to understand that it can take up to 6 months to feel comfortable in a new position. This allows the individual to manage their expectations and give themselves time to adapt to their new role.
Choice A may be overwhelming and could cause conflicting priorities for the new nurse manager.
Choice C, while valuable, might not be the immediate focus for someone new to the role.
Choice D, although important, may not be as time-sensitive as the adjustment period in the new position.

Correct Answer: A

Rationale: Clients with Cushing's syndrome are at risk for hyperglycemia due to the effects of cortisol on glucose metabolism. Monitoring blood glucose levels is crucial to detect and manage hyperglycemia promptly. Restricting fluid intake (choice
B) is not necessary unless specifically indicated for another condition, as clients with Cushing's syndrome are prone to fluid imbalances. Administering potassium supplements (choice
C) is not appropriate as clients with Cushing's syndrome often have elevated potassium levels due to the effects of cortisol. Encouraging a high-protein diet (choice
D) is not recommended as clients with Cushing's syndrome should focus on a balanced diet to manage their condition effectively.