As a new nurse manager, you inherit a unit with low staff morale and high turnover. In an effort to retain staff, you introduce self-scheduling and include staff in supply and equipment decisions. Your actions reflect:

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Nursing Leadership and Management NCLEX Questions Quizlet Questions

Question 1 of 9

As a new nurse manager, you inherit a unit with low staff morale and high turnover. In an effort to retain staff, you introduce self-scheduling and include staff in supply and equipment decisions. Your actions reflect:

Correct Answer: A

Rationale: Self-scheduling and staff input on supplies reflect democratic leadership empowering nurses in decisions affecting their work, boosting morale and retention. It's not evidence-based (research-driven), bargaining (union-led), or just team building (unity-focused), though it aids that. In a low-morale unit, this participative style counters turnover by valuing voices, a proven approach to re-engage staff and stabilize the team, fitting your new role's challenge.

Question 2 of 9

The nurse is applying the traditional problem-solving model when mediating in a conflict between two colleagues. When applying this model, the nurse should prioritize what task?

Correct Answer: A

Rationale: The traditional problem-solving model, used here in colleague mediation, prioritizes pinpointing the root cause say, a scheduling dispute over hasty solutions, external input, or reflection, which aren't model-specific. In nursing leadership, understanding why conflict arises (e.g., miscommunication) allows targeted resolution, preventing recurrence and fostering team cohesion. Quick fixes might mask issues, while soliciting opinions or reflection, though valuable, dilutes focus on cause analysis. Imagine two nurses clashing over patient assignments; identifying workload imbalance as the root guides a fair reassignment, enhancing care delivery. This methodical approach equips the nurse to manage conflicts systematically, a vital skill in maintaining a safe, effective care environment where staff harmony directly impacts patient outcomes.

Question 3 of 9

A client with a history of heart failure is prescribed bumetanide. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: For bumetanide in HF, monitor potassium, not calcium, magnesium, or sodium. Loop diuretics excrete potassium hypokalemia risks arrhythmias, others shift less. Leadership watches this imagine weakness; it ensures safety, aligning with cardiac care effectively. This reflects nursing's focus on electrolyte balance.

Question 4 of 9

Which among the following is not a stress buster

Correct Answer: C

Rationale: Workaholic isn't a stress buster, unlike gathering, meditation, or missing. Nurse leaders like relaxation promote relief, contrasting with overwork. In healthcare, balance aids, aligning leadership with health (D assumed missing).

Question 5 of 9

What is no longer a characteristic of an organizational chart?

Correct Answer: B

Rationale: Workload isn't typically shown, unlike division, type, or missing. Nurse managers use charts for roles, contrasting with dynamic staffing. It's critical in healthcare for clarity, aligning leadership with structural transparency.

Question 6 of 9

The following are characteristics of supporters except

Correct Answer: C

Rationale: Callous doesn't fit supporters, unlike nurturing, sensitive, or caring. Nurse managers like empathetic RNs value supporters, contrasting with harshness. It's critical in healthcare for morale, aligning leadership with support (assumed C).

Question 7 of 9

A diabetic client has been diagnosed with gastroparesis. Which medication does the nurse expect to be prescribed?

Correct Answer: B

Rationale: For a diabetic with gastroparesis, the nurse expects metoclopramide, a prokinetic that speeds gastric emptying, addressing delayed motility from neuropathy unlike omeprazole or ranitidine for acid reflux, or metronidazole for infections. Gastroparesis causes nausea and poor glucose control; metoclopramide enhances peristalsis, aligning food digestion with insulin timing. In nursing leadership, anticipating this ensures patient comfort and metabolic stability, critical when diabetes complicates digestion. Imagine a patient with bloating and erratic sugars metoclopramide targets the root, not just symptoms, showcasing how nurses advocate for tailored therapy, optimizing care in chronic illness management effectively.

Question 8 of 9

As a nurse manager, you note that staff struggle to use a new electronic health record (EHR) system, leading to documentation errors. You arrange a training session with IT and ask staff for feedback on system usability. Your approach reflects:

Correct Answer: B

Rationale: Training and feedback on EHR struggles build a safety culture fixing errors (e.g., missed meds) protects patients, not punishes staff. It's not discipline, performance bashing, or autonomy cuts collaboration drives. In your unit, this ensures accurate records, aligning with safety goals where tech supports care, cutting risks through skill and input, a systemic solution to a pressing issue.

Question 9 of 9

Ideal leaders according to a survey were commonly characterized as all of the following except

Correct Answer: D

Rationale: Ideal leaders lack cooperative' unlike honest, competent, or forward-looking. Nurse leaders like decisive vision fit this, contrasting with teamwork focus. In healthcare, vision trumps consensus, aligning leadership with traits.

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