Delegation is a critical component of leadership and governance. Which of the following empowering activities should the unit manager applies in delegation?

Correct Answer: A

Rationale: In delegation, facilitating the professional growth and development of a staff is necessary because it allows team members to gain new skills and experience, leading to overall improved productivity and job satisfaction. This empowers staff and helps them feel more engaged in their work, ultimately benefiting the entire unit. Effective delegation should aim to support individuals in their roles, encourage learning, and build competence, rather than modifying standards of care or only delegating tasks without considering individual growth. Starting delegation from top management to staff-nurse level may not always be practical or efficient, as delegation should be based on competencies and responsibilities. Accountability is indeed a crucial aspect of delegation, as individuals should be held responsible for the tasks they are delegated. However, without providing opportunities for professional growth and development, delegation may not be as effective in achieving organizational goals.

Correct Answer: C

Rationale: Conducting a staff meeting is the best strategy for Nurse Nena to give feedback on patients' evaluation of health services. This option allows for direct communication and interaction with the team, ensuring that feedback is effectively conveyed, discussed, and understood by all members. Staff meetings provide a platform for open dialogue, clarification of any concerns, and collaborative problem-solving. It also promotes team cohesion and shared accountability in improving health services based on patients' feedback. This approach encourages active participation and engagement from all team members, fostering a more effective and comprehensive response to the evaluations received.

Correct Answer: D

Rationale: Postpartum hemorrhage is defined as a blood loss of more than 500 ml within the first 24 hours after vaginal delivery or more than 1000 ml following a cesarean delivery. Excessive bleeding can lead to hypovolemic shock and can be life-threatening if not promptly addressed. Therefore, a blood loss of more than 500 ml/24 hours would lead the nurse to suspect a postpartum hemorrhage and prompt further assessment and intervention.

Correct Answer: A

Rationale: Attention deficit hyperactivity disorder (ADHD) is characterized by inattentiveness, overactivity, and impulsiveness. Individuals with ADHD may have difficulty paying attention, completing tasks, sitting still, or controlling their impulses. Mental retardation (now referred to as intellectual disability) is a separate condition characterized by limitations in intellectual functioning and adaptive behaviors. While individuals with ADHD may experience difficulties in school or work due to their symptoms, ADHD itself does not indicate mental retardation.

Correct Answer: C

Rationale: A Likert Scale is typically used to measure the degree of agreement or disagreement with a set of statements or questions. Respondents are asked to indicate their level of agreement or disagreement using a scale that ranges from, for example, "strongly agree" to "strongly disagree". This makes it a suitable tool for assessing the degree of agreement and disagreement among individuals on various topics or statements. While a Likert Scale can potentially measure other constructs such as satisfaction or acceptance, its primary purpose and most common application involve determining the degree of agreement and disagreement.

Correct Answer: C

Rationale: The analytic approach refers to a method that views factors that influence health and by which interventions to improve health are directed. In this case, utilizing an analytic approach in the research means looking into the root causes of the health problems in the community, analyzing various factors that contribute to the prevalence of obesity and heart ailments, and developing targeted interventions to address these issues effectively. This approach involves identifying underlying reasons for health problems and strategically planning interventions to improve the health outcomes of the community.

Correct Answer: B

Rationale: The primary purpose of a cervical collar in the management of trauma patients is to immobilize the cervical spine. This is crucial in cases of suspected cervical spine injury to prevent any further damage and to maintain spinal stability. By providing support and restricting movement in the cervical spine region, a cervical collar helps prevent potential spinal cord injuries and associated neurological deficits. It is essential to immobilize the cervical spine until a thorough evaluation can be carried out to determine the extent of injury, as any movement of the spine during this period can worsen the damage.

Correct Answer: B

Rationale: The primary objective of a birth plan is to provide a pregnant woman the opportunity to outline her wishes and preferences regarding her labor, delivery, and postpartum care. It allows the mother-to-be to communicate her desires to the healthcare team in advance, ensuring that her preferences are considered and respected during the birthing process. A birth plan typically covers various aspects such as pain management options, who she wants present during labor, interventions she may want to avoid, plans for after birth care, and any other specific requests she may have. Ultimately, a birth plan aims to empower the woman to have a more personalized and satisfying birth experience by actively involving her in the decision-making process.

Correct Answer: A

Rationale: The clinical presentation of fever, chills, headache, and myalgia following a trip to sub-Saharan Africa is highly suggestive of malaria, which is caused by the Plasmodium species. Specifically, the presence of intraerythrocytic ring forms and trophozoites on blood smear examination points towards Plasmodium falciparum as the most likely causative agent.