An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?

Correct Answer: B

Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations in nursing documentation helps ensure clarity, accuracy, and consistency, which are crucial for legal credibility. Abbreviations can lead to misunderstandings or errors if not standardized. Explanation for other choices: A: Using shortcuts in documentation can compromise accuracy and lead to incomplete or unclear information, which could result in legal issues. C: Documentation should be objective, not subjective, to provide an accurate portrayal of the patient's condition and care. Subjective documentation can be challenged legally. D: Documenting after care is provided is important, but documenting in a timely manner is crucial for legal credibility. Delayed documentation can raise questions about the accuracy and reliability of the information.

Correct Answer: B

Rationale: The correct answer is B: Balance. This unit manager is displaying the leadership trait of balance by recognizing the importance of taking time off after working hard to improve the unit's performance. This demonstrates an understanding of self-care and the need to maintain a healthy work-life balance. It shows that the manager values personal well-being and is able to prioritize both work responsibilities and personal needs. Choice A: Perseverance is not the best fit here as the situation does not involve overcoming obstacles or persisting through challenges. Choice C: Generosity is not relevant to the scenario as there is no indication of the manager being generous. Choice D: Ability to handle stress is also not the most appropriate choice as the scenario does not directly involve stress management.

Correct Answer: A

Rationale: The correct answer is A: The hierarchy of authority and responsibility. 1. 'Chain of command' refers to the structure where authority flows downwards and responsibility flows upwards. 2. It establishes the order in which decisions are made and instructions are passed down. 3. It ensures clear communication and accountability within an organization. 4. The other choices are incorrect because B talks about a relationship without authority, C refers to linear authority, and D mentions the tendency of people to perform as expected, which are not related to the concept of chain of command.

Correct Answer: B

Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately. A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients. C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients. D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.

Correct Answer: A

Rationale: The correct answer is A: Trait theories. This is because the nurse's description of the unit manager as 'a born leader' aligns with the trait approach to leadership that focuses on inherent qualities and characteristics of individuals that make them effective leaders. Trait theories suggest that certain traits such as intelligence, charisma, and decisiveness are inherent in effective leaders. The other choices are incorrect because B: Behavioral theories focus on the actions and behaviors of leaders, C: Formal leadership theories emphasize organizational structures and roles, and D: Democratic leadership theories pertain to leadership styles rather than inherent traits.