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.

Correct Answer: D

Rationale: Unionization in healthcare, as seen in this Emergency Department, often rises due to the large pool of workers nurses, aides, technicians facing shared challenges like excessive overtime and burnout. As technology reduces unskilled jobs elsewhere, healthcare's growing workforce becomes a prime target for union organizing, seeking better conditions amid high demand and stress. The shift to 'knowledge workers' reflects nursing's evolution but doesn't directly drive unionization. Excess profits aren't evident here; burnout suggests resource strain. Risk exists, but it's the volume of staff, amplified by declining union pools in other sectors, that fuels this trend, empowering collective action for improved work environments.

Correct Answer: A

Rationale: A high-fiber diet, often prescribed for digestive health or constipation, requires foods rich in fiber typically 25-35 g/day recommended. Broccoli (5 g/cup) and brown rice (3.5 g/cup) are excellent, providing insoluble fiber for bulk and regularity, aligning with the prescription's intent. White bread and cheese lack significant fiber, refined grains offering minimal (1 g/slice), while potato chips and soda deliver negligible fiber, high in fat or sugar instead. Ice cream and cake are low-fiber desserts, countering the goal. Broccoli and brown rice meet nutritional needs, support gastrointestinal function, and educate the client on sustainable choices, making them the nurse's best recommendation for compliance and health.

Correct Answer: B

Rationale: Participative leadership involves staff in decisions B is correct. Nurse leaders, like consulting on protocols, contrast with reward-driven or mood-focused styles. In healthcare, this encourages ownership and innovation, aligning leadership with inclusive decision-making over unilateral directives.

Correct Answer: C

Rationale: The Great Man theory posits leaders are innately gifted, born with leadership capacity, not developed a view Ms. Caputo encounters. Trait theory focuses on specific qualities, Charismatic on charm, and Situational on adaptability. Historically male-centric, Great Man suggests figures like a pioneering nurse manager emerge naturally. In practice, this might imply Ms. Caputo's predecessor had inherent flair, but her own growth challenges this, favoring trainable skills over destiny. Understanding this, she can blend natural strengths with learned strategies to lead effectively in her hospital unit.

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.

Correct Answer: D

Rationale: Ideal leaders lack cooperative' unlike honest, competent, or forward-looking. Nurse leaders like decisive vision fit this, contrasting with teamwork focus. In healthcare, vision trumps consensus, aligning leadership with traits.

Correct Answer: C

Rationale: Workaholic isn't a stress buster, unlike gathering, meditation, or missing. Nurse leaders like relaxation promote relief, contrasting with overwork. In healthcare, balance aids, aligning leadership with health (D assumed missing).

Correct Answer: A

Rationale: Delegation optimizes care delivery by matching tasks to team members' scopes of practice. Administering an intermittent tube feeding is within an LPN's capabilities, involving technical skill and monitoring under RN supervision, making it an appropriate action for the nurse to plan. This frees the RN for tasks requiring higher judgment, like assessments or IV push medications, which LPNs cannot perform due to their invasive nature and risk. Performing all wound dressings herself is inefficient and ignores team resources, while delegating vital signs to an RN misuses expertise assistive personnel typically handle this. Delegating tube feedings to an LPN aligns with scope-of-practice guidelines, enhances efficiency, and ensures safe, competent care across the client group, reflecting sound planning and resource use.