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Nursing Leadership and Management Questions Questions
Question 1 of 9
She surfs the internet for more information about leadership styles. She reads about shared leadership as a practice in some magnet hospitals. Which of the following describes this style of leadership?
Correct Answer: D
Rationale: Shared leadership, common in magnet hospitals, empowers nurses with authority at the care point, as Ms. Caputo discovers. Situational ties to personality, Laissez-faire assumes goodwill, and Transformational uses vision none distribute leadership like Shared does. In practice, bedside nurses might decide care plans collaboratively, boosting ownership and outcomes. Ms. Caputo could implement this to enhance staff engagement, aligning with her goal to improve unit performance through collective responsibility in patient care.
Question 2 of 9
A client with a history of atrial fibrillation is prescribed diltiazem. Which finding requires immediate intervention?
Correct Answer: A
Rationale: With diltiazem in AF, HR 50 needs action, not BP 120/80, RR 18, or dizziness. Calcium blockers slow HR below 60 risks bradycardia, especially with dizziness. Leadership acts imagine faintness; it prompts MD, aligning with cardiac care effectively.
Question 3 of 9
A nurse is caring for 4 clients who are scheduled for diagnostic tests. For which of the following tests should the nurse obtain written consent from the client?
Correct Answer: C
Rationale: Written consent is required for invasive procedures with significant risks. A cerebral arteriogram, involving arterial contrast injection to visualize brain vessels, is invasive risking bleeding, stroke, or allergic reaction necessitating informed consent to ensure the client understands and agrees. Chest X-ray, blood draw, and urinalysis are non-invasive or minimally so, typically covered by general admission consent, not requiring separate written agreement unless special circumstances apply. The arteriogram's invasiveness and potential complications demand explicit, documented consent, aligning with legal and ethical standards to protect autonomy and ensure comprehension, distinguishing it as the nurse's priority for consent among these tests.
Question 4 of 9
As a nurse manager, you note that your unit has had three medication errors in the past month. You meet with staff to review the errors and ask for suggestions on how to prevent future errors. This approach reflects:
Correct Answer: B
Rationale: Reviewing errors with staff and seeking prevention ideas reflects a safety culture learning from mistakes collaboratively to protect patients, not punish. It's not discipline-driven, a performance indictment, or blame-shifting, but a proactive stance, as in just culture' models. In your unit, this engages staff to pinpoint causes (e.g., distractions) and solutions, aligning with healthcare's safety-first ethos, aiming to cut errors through shared vigilance, not finger-pointing.
Question 5 of 9
A nurse is preparing a client for discharge. The client states, 'My partner hurts me. I don't want to go home.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: When a client discloses domestic abuse and fears returning home, the nurse's priority is safety and support. Referring the client to social services for safe housing options addresses this by connecting them to resources shelters, counseling, legal aid tailored to escape violence, empowering the client without immediate escalation. Calling the police may be premature without client consent unless imminent danger is clear, respecting autonomy in a non-emergent discharge context. Confronting the partner is unsafe and inappropriate, risking retaliation, while discharging as planned ignores the threat, violating duty to protect. Social services referral aligns with advocacy, leverages interprofessional support, and ensures a proactive, client-centered response to a critical psychosocial need.
Question 6 of 9
A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about completing a living will. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: A client with severe multiple sclerosis inquiring about a living will seeks control over future care, given potential progression. Responding I will provide you with the information you need to complete advance directives' fulfills the Patient Self-Determination Act, offering education on options like living wills or proxies, respecting autonomy. Deciding for the client usurps their right, age dismissal ignores relevance MS can debilitate young adults and limiting to terminal cases misstates applicability; advance directives suit chronic conditions. Providing information empowers the client, aligns with legal and ethical duties, and supports informed decision-making, critical for managing a progressive disease's uncertainties.
Question 7 of 9
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A PICC line, a long-term central venous access, requires meticulous care to prevent clotting and infection. Flushing the line with heparin as prescribed typically 10 units/mL per facility protocol ensures patency by preventing thrombus formation, a critical maintenance step to sustain functionality for medications or fluids. Measuring blood pressure in the PICC arm risks dislodgement or occlusion from cuff pressure, contraindicated in practice. Changing the dressing weekly is routine but not the priority action here flushing addresses immediate patency. Using a 3-mL syringe generates excessive pressure, risking catheter rupture 10-mL syringes are standard for safety. Heparin flushing aligns with evidence-based guidelines, balancing efficacy and risk, reinforcing the nurse's role in preventing complications like line blockage, ensuring uninterrupted therapy, and maintaining client safety in a procedure with significant implications if mismanaged.
Question 8 of 9
The nurse is assessing a newborn 1 hour after birth. Which finding requires immediate notification of the physician?
Correct Answer: D
Rationale: In a newborn 1 hour old, nasal flaring and grunting need urgent MD notice, not RR 40, HR 130, or acrocyanosis. Flaring/grunting signal distress possibly RDS unlike normal rates or benign blueness. Leadership acts here imagine labored breathing; it prompts oxygen, ensuring survival. This reflects nursing's neonatal vigilance, aligning with emergency care effectively.
Question 9 of 9
The nurse-manager of a short-staffed unit needs to make a decision about a nurse's request for an unpaid leave of absence. In order to increase the chance of making a good decision, the manager should:
Correct Answer: C
Rationale: For this nurse-manager, generating multiple alternatives like approving leave with coverage plans boosts decision quality over involving everyone, defaulting to status quo, or chasing innovation. More options (e.g., temporary hires, shift swaps) widen the solution pool, critical in a short-staffed unit where patient care can't falter. Too many voices complicate consensus, presuming no leave risks bias, and innovation alone (like a novel staffing app) might overlook practicality. In nursing leadership, exploring varied paths say, balancing staff needs with unit demands ensures robust choices, enhancing safety and morale. This approach equips the manager to navigate resource constraints effectively, safeguarding care delivery.