A nurse is focusing on improving the ability to multitask without losing focus and to turn problems into opportunities. Which of the following leadership theories describes the nurse’s focus?

Correct Answer: D

Rationale: The correct answer is D: Transformational leadership theory. This theory emphasizes inspiring and motivating followers to achieve extraordinary outcomes by focusing on change, innovation, and growth. In this scenario, the nurse's focus on multitasking, problem-solving, and turning problems into opportunities aligns with the key principles of transformational leadership. This theory encourages individuals to think creatively, adapt to challenges, and continuously improve. Emotional intelligence (A) focuses on understanding and managing emotions, motivation theory (B) centers on factors that drive behavior, and situational leadership theory (C) emphasizes adapting leadership style based on the situation, none of which fully capture the nurse's focus on multitasking, problem-solving, and turning challenges into opportunities.

Correct Answer: A

Rationale: The correct answer is A because it provides positive feedback on a specific behavior (timely response to call lights) and encourages the desired behavior to continue. This approach aligns with the coaching role of a nurse manager by recognizing and reinforcing good performance. Choice B is incorrect as it focuses on appearance, not coaching. Choice C is incorrect as it uses a threat of discipline, which is not a coaching technique. Choice D is incorrect as it uses a negative, absolute statement without offering guidance on improvement, which is not coaching.

Correct Answer: D

Rationale: The correct answer is D: Have a tongue depressor available at the client's bedside. This is crucial for maintaining airway patency during a seizure. Placing a tongue depressor can prevent the client from aspirating secretions or biting their tongue. A: Ensuring blankets are placed on all four sides of the bed is not directly related to managing seizures. B: Refraining from using restraints during seizure activity is important as restraints can cause injury, but it is not the best action to add to the care plan. C: Positioning the client laterally during seizure activity is important for safety, but having a tongue depressor available takes precedence in maintaining airway patency.

Correct Answer: A

Rationale: The correct answer is A because interprofessional collaboration in healthcare involves multiple healthcare professionals working together to improve patient outcomes. This teamwork allows for diverse perspectives, expertise, and skills to be integrated for comprehensive patient care. Choice B is incorrect as it describes independence rather than collaboration. Choice C is incorrect as it focuses on protocols rather than teamwork. Choice D is incorrect as it pertains to information sharing, not collaboration. In summary, interprofessional collaboration emphasizes teamwork and coordination among healthcare professionals to enhance patient care outcomes.

Correct Answer: C

Rationale: The main focus of Six Sigma methodology in healthcare is enhancing clinical decision making. This is because Six Sigma aims to reduce variation and defects in processes, leading to improved quality and outcomes. By focusing on clinical decision making, healthcare providers can ensure that the most effective and evidence-based decisions are made, ultimately leading to better patient care. Explanation for other choices: A: Reducing healthcare costs - While Six Sigma can lead to cost reduction by optimizing processes, its primary focus is on quality improvement. B: Improving patient satisfaction - Although important, patient satisfaction is not the main focus of Six Sigma in healthcare. D: Increasing healthcare access - Six Sigma is more concerned with improving the quality and efficiency of healthcare delivery rather than increasing access to healthcare services.

Correct Answer: D

Rationale: The correct answer is D because maintaining respect, open, and honest communication is crucial in addressing client complaints effectively. By treating clients and families with respect, it shows empathy and builds trust. Open and honest communication helps to address issues transparently and find solutions collaboratively. It also shows accountability and a willingness to listen to the client's concerns. Choice A is incorrect because not all complaints require supervisor involvement; frontline staff can often resolve issues effectively. Choice B is incorrect as blaming the physician is not productive and may escalate the situation. Choice C is incorrect as avoiding discussion can lead to unresolved issues and dissatisfaction.

Correct Answer: A

Rationale: The correct answer is A: Arrange food in a consistent pattern on the client's plate. This intervention is important for a client with vision loss because it allows them to easily locate and identify different foods on their plate. Placing food in a consistent pattern helps the client establish a mental map of where each food item is located. Thicken liquids (choice B) may not be necessary unless the client has swallowing difficulties. Providing small-handled utensils (choice C) may not be helpful if the client has difficulty identifying the food on the plate. Assigning a staff member to feed the client (choice D) may not promote independence and can be impractical in certain healthcare settings.

Correct Answer: A

Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. Engaging the client directly allows for open communication and addresses their concerns. Asking why they want to discuss advance directives without their partner present respects their privacy and individual decision-making. B is incorrect because it assumes providing information is the immediate need. C is incorrect because it does not address the client's immediate concerns. D is incorrect because it delays addressing the client's request.

Correct Answer: C

Rationale: The correct answer is C because in a high-volume maternity unit using differentiated practice, new graduates are typically assigned tasks based on their level of experience and competence. This ensures that they start with a limited level of practice responsibility to build their skills gradually. This approach promotes patient safety and allows new nurses to gain confidence. Explanation of why other choices are incorrect: A: Evidence-based practice guides risk management principles - While evidence-based practice is important, it is not specifically related to differentiated practice or new graduate responsibilities. B: Client teaching is the responsibility of the team leader - Client teaching is typically a shared responsibility among team members, not solely the team leader's responsibility. D: Seniority is the main determinant of client assignments - Differentiated practice focuses on skill level rather than seniority, so this statement is not accurate in this context.