ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 9
Joey orients his staff on the patterns of reporting relationship throughout the organization. Which of the following principles refer to this?
Correct Answer: B
Rationale: Hierarchy defines reporting patterns who reports to whom across Joey's hospital, unlike span (subordinate numbers), esprit de corps (morale), or unity of direction (shared goals). This structure, with layers from staff to CEO, ensures clear communication, like on policy changes. Joey's leadership uses this to orient nurses, maintaining order in a tertiary setting where missteps affect patient care, reinforcing his authority within a traditional framework.
Question 2 of 9
As a staff nurse, you are part of the unit's 'practice council,' which has been challenged by your nurse manager to come up with a creative solution to the number of patient falls on the unit. Your council suggests a three-part strategy that involves patient education at the time of admission, a new ambulation program, and medication review. This is an example of:
Correct Answer: B
Rationale: The practice council's collaborative effort devising a three-part falls strategy exemplifies collective action, where nurses unite for a shared goal: improving patient safety. It's not collective bargaining (labor negotiations), though it mirrors teamwork in advocacy. Professional accountability drives individual duty, while evidence-based practice uses research, which may inform this but isn't the focus. Collective action captures the group's initiative, leveraging diverse input to address falls, a pressing unit issue, showcasing nurses' power in numbers to effect change.
Question 3 of 9
Two staff nurses are arguing about whose turn it is to work on the upcoming holiday. In trying to resolve this conflict, the nurse manager meets with both nurses and explains that hospital policy mandates that staff alternate holidays and that it is the turn of the more junior nurse to work the holiday this year. Which of the following conflict management styles is the nurse manager using?
Correct Answer: C
Rationale: The manager's approach using policy to assign the holiday shift reflects negotiating, balancing power via an exchange (junior nurse works now, senior later). It's not collaboration (joint solution-seeking), avoiding (ignoring the issue), or accommodating (yielding to one). By enforcing a fair trade-off, she resolves the dispute with structure, maintaining equity and reducing tension, typical of negotiation's give-and-take dynamic.
Question 4 of 9
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis?
Correct Answer: B
Rationale: In suspected hypovolemia, flat neck veins support it, not bounding pulses, hypertension, or high output. Low volume collapses veins bounding, high BP, and urine suggest fluid excess. Leadership notes this imagine shock; it guides fluids, aligning with volume care effectively.
Question 5 of 9
Clearly stated goals are the best if they are-
Correct Answer: D
Rationale: All specific, realistic, written make goals best. Nurse leaders like documented plans use this, contrasting with vague aims. In healthcare, it ensures clarity and achievability, aligning leadership with effective planning.
Question 6 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 7 of 9
A client with a history of epilepsy is prescribed valproic acid. Which finding requires immediate intervention?
Correct Answer: C
Rationale: With valproic acid in epilepsy, yellowing of the skin needs action, not headache, nausea, or drowsiness. Jaundice signals hepatotoxicity urgent versus common side effects. Leadership acts imagine liver failure; it prompts MD, aligning with seizure care effectively. This reflects nursing's vigilance in therapy safety.
Question 8 of 9
Regardless of the size of a workgroup, enough staff must be available at all times to accomplish certain purposes. Which of these purposes is NOT included?
Correct Answer: B
Rationale: Staffing aims to meet patient needs, cover shifts, and foster growth not to lend hands elsewhere, a coordinator's role. In Stephanie's unit, adequate RNs ensure care continuity, not unit-hopping, which disrupts focus. Her leadership prioritizes this, ensuring new nurses train and serve patients directly, vital in a tertiary hospital where staffing impacts outcomes, not resource-sharing across units.
Question 9 of 9
The mediator noticed that tension was still evident between the nurse manager and staff members. He informed the chief nursing officer that to begin team building, it would be important that everyone:
Correct Answer: A
Rationale: Team building starts with respectful, civil collaboration, allowing the nurse manager and staff to address tension constructively. The mediator's advice to the CNO emphasizes this foundation listening and expressing views openly over avoidance, which delays resolution, or personal bonds, which aren't required for professional unity. Socializing outside work might help but isn't essential. Respectful interaction, critical amid lingering tension, fosters trust and communication, aligning with team-building's goal of a cohesive, functional unit, setting the stage for further progress.