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Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 9
As a staff nurse, you note that patient satisfaction scores have dropped over the past 3 months. You suggest to your nurse manager that staff meet to review patient comments and identify possible causes for the decline. Your suggestion reflects:
Correct Answer: B
Rationale: Suggesting a staff meeting to review patient comments and pinpoint satisfaction drops shows commitment to quality improvement proactively seeking causes (e.g., wait times) to enhance care. It's not about control, staff unrest, or dodging duty, but owning outcomes collectively. As a nurse, this reflects nursing's quality focus, engaging peers to analyze feedback and act, aligning with continuous improvement to reverse the trend and restore patient trust.
Question 2 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 3 of 9
Tools used by a person to properly manage time.
Correct Answer: D
Rationale: All tools to-do lists, file management, action programs aid time management. Nurse leaders like shift planning use these, contrasting with disarray. In healthcare, efficiency saves lives, aligning leadership with organization.
Question 4 of 9
The SBAR system of communications is one of the most used communication systems in health care because:
Correct Answer: C
Rationale: SBAR Situation, Background, Assessment, Recommendation is widely used in healthcare for its structured, familiar format, ensuring clear, concise info transfer among professionals, like nurse-to-physician handoffs. Developed by Kaiser Permanente, it enhances patient care quality, not excluding physicians but including them. It doesn't level nurses with administration or favor unstructured exchange its strength is predictability, reducing errors in chaotic settings like the unit's conflicts, making it a go-to tool.
Question 5 of 9
The nurse is assessing a client with suspected hypernatremia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypernatremia, confusion supports it, not high output, pulses, or twitching. High sodium alters brain urine drops, pulses vary, twitching's hypo. Leadership notes this imagine delirium; it guides fluids, aligning with electrolyte care effectively.
Question 6 of 9
A nurse is participating in an ethics committee meeting about a client who has a history of alcohol use disorder and needs a liver transplant. Which of the following actions should the committee take first?
Correct Answer: A
Rationale: Ethical decision-making starts with understanding the issue fully, per evidence-based frameworks. Collecting information client history, medical status, transplant criteria grounds the committee's deliberation in facts, clarifying complexities (e.g., alcohol relapse risk vs. urgent need) before judging eligibility. Deciding first skips data, risking bias like stigmatizing alcohol use disorder while consulting the surgeon or reviewing policy alone narrows focus prematurely. Gathering data ensures a holistic view, balancing beneficence (transplant benefit) and justice (fair allocation), guiding a defensible, equitable outcome. This step establishes the ethical problem's scope, critical for a transplant's life-or-death stakes, fostering informed, impartial discussion.
Question 7 of 9
What kind of staffing is considered the most common pattern and the oldest type?
Correct Answer: A
Rationale: Cyclical staffing is oldest and common, unlike FTE or missing (C, D). Nurse managers like rotating shifts use this, contrasting with modern methods. It's traditional in healthcare, aligning leadership with scheduling (assumed A).
Question 8 of 9
Nurse is going to administer nitroglycerin ointment. Which of the following is correct?
Correct Answer: A
Rationale: Nitroglycerin ointment applies to a non-shaved area with taped ends, not washed, same spot, or spread to 4 inches. Hairless skin ensures absorption tape secures dose, rotating sites prevents irritation. Leadership teaches this imagine rash from reuse; proper technique relieves angina safely. This reflects nursing's procedural precision, ensuring efficacy effectively.
Question 9 of 9
This is a conventional distinction made between managers and leaders.
Correct Answer: A
Rationale: Managers maintain, leaders develop A is the distinction. Nurse managers ensure daily operations, like staffing, while leaders push new care models, contrasting with innovation or control roles. In healthcare, maintaining stability supports patient safety, but development drives progress. This balance ensures both consistency and vision, aligning leadership with growth beyond routine.