Managers who exhibit an authoritative behavioral style are most likely to use which source of power?

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Ethics and Issues in Contemporary Nursing Questions

Question 1 of 9

Managers who exhibit an authoritative behavioral style are most likely to use which source of power?

Correct Answer: C

Rationale: The correct answer is C: Coercive. Managers with an authoritative behavioral style tend to use coercive power, which involves the ability to influence others through threats or punishment. This style relies on fear and control to achieve compliance. Informal power (A) is based on relationships and influence, expert power (B) is derived from knowledge and expertise, and reward power (D) is based on the ability to provide incentives. However, coercive power aligns most closely with an authoritative style as it emphasizes control and dominance over subordinates.

Question 2 of 9

A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. The patient believes in the power of complementary alternative therapies to help the body heal itself. 2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal. 3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes. 4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms. Summary of why other choices are incorrect: A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing. C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself. D. While focusing on total lifestyle is important in alternative healing, this choice does not directly

Question 3 of 9

According to Kramer, nurses in the shock phase should ask themselves:

Correct Answer: C

Rationale: The correct answer is C because in the shock phase, nurses should focus on self-reflection and personal growth to cope effectively with the challenges. Asking what changes they can make to feel good about their career choice promotes self-awareness and resilience. Choices A and D focus on external factors, which may not address personal development. Choice B reflects a self-critical mindset, which can be detrimental to emotional well-being during the shock phase.

Question 4 of 9

The principle of autonomy is best supported by what intervention made available to palliative care patients?

Correct Answer: C

Rationale: The correct answer is C because autonomy in palliative care emphasizes the patient's right to make decisions about their own care. By helping the patient decide on the details of their advanced plan of care, healthcare providers respect the patient's autonomy and ensure their preferences guide the care provided. Arranging in-home health care (A) may be beneficial, but it does not directly support the patient's autonomy. Addressing pain management needs (B) is important but does not specifically relate to decision-making autonomy. Conducting a performance status screening (D) is relevant for assessing the patient's overall health but does not directly support their autonomy in decision-making.

Question 5 of 9

When should a follow-up letter be written to a recruiter?

Correct Answer: C

Rationale: The correct answer is C because following up a few days after the interview shows professionalism and eagerness. It allows you to express gratitude, reiterate your interest, and inquire about the next steps. This timing is crucial as it keeps you fresh in the recruiter's mind without being too pushy. Choice A is incorrect because it is more appropriate to send a thank-you letter after the interview, not before. Choice B is incorrect as waiting 2 weeks after not getting the job may be too late for effective follow-up. Choice D is incorrect because you should not assume you got the position without confirmation.

Question 6 of 9

The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?

Correct Answer: D

Rationale: The Karnofsky Prognostication Scale is commonly used in patients with terminal illness, such as AIDS, to assess their functional status and predict their prognosis. Patients with AIDS often experience rapid decline in health, making this scale useful in determining their overall well-being and potential outcomes. Incorrect choices: A: Respiratory diseases - The Karnofsky scale is not commonly used for screening patients with respiratory diseases. B: Cancers - While the Karnofsky scale can be used for cancer patients, it is most commonly associated with terminal illnesses like AIDS. C: Cardiac diseases - The Karnofsky scale is not typically used for screening patients with cardiac diseases.

Question 7 of 9

The nurse is demonstrating active listening when:

Correct Answer: B

Rationale: The correct answer is B because maintaining eye contact while focusing on the patient's description of pain level and location demonstrates active listening. This non-verbal communication shows empathy and attentiveness to the patient's concerns. Choice A focuses on providing information rather than actively listening. Choice C involves personalizing the situation rather than focusing on the patient's needs. Choice D involves agreeing with the patient's decision rather than actively listening to understand their perspective.

Question 8 of 9

Which statement made by an RN regarding delegation indicates the need for additional teaching? (select all that apply)

Correct Answer: A

Rationale: The correct answer is A. Delegating the assessment of vital signs during the first 5 minutes of a blood transfusion to UAPs is not appropriate. This is because a reaction can occur within the first few minutes of a blood transfusion, making it crucial for a registered nurse to assess the patient during this critical period. UAPs do not have the education or training to recognize and manage potential adverse reactions promptly. Choice B is incorrect because an LPN/LVN can indeed administer a PPD if there is no history of a positive result. Choice C is incorrect because LPN/LVNs should not administer medications that have a high potential for adverse effects, such as dopamine. Choice D is incorrect as transferring a patient who is being discharged home requires skilled nursing assessment and intervention, not just training in transferring techniques.

Question 9 of 9

The Health Care Reform Act provides insurance for all U.S. citizens and legal residents presenting far-reaching ethical considerations related to diverse individual patient health care beliefs for those delivering nursing care. Nurses must consider their civil rights under the rights of conscience and how new health care agendas such as the Patient Protection and Affordable Care Act (PPACA) could affect their practice in situations that may conflict with their own belief system. Today's practicing nurse must:

Correct Answer: A

Rationale: Step-by-step rationale for why answer A is correct: 1. Professional duty: Nurses have a duty to provide patient-centered care regardless of personal beliefs. 2. Legal liability: Withholding treatment based on personal beliefs can lead to legal consequences. 3. Ethical considerations: Nurses must prioritize patient care over personal beliefs. 4. Rights of conscience: Nurses may have the right to refuse to participate in certain treatments, but they must still ensure patient care. 5. Patient-centered care: Nurses must respect patient autonomy and provide care based on the patient's wishes. Summary of why the other choices are incorrect: B. Irrelevant to the nurse's duty to provide patient-centered care. C. Nurses should not impose their beliefs on patients but should respect and support their choices. D. Suggesting the hospital not accept federal funding does not address the nurse's duty to provide patient-centered care.

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