The nurse is providing care for a client 1-hour post electroconvulsive therapy. What client statement requires the nurse intervention?

Correct Answer: B

Rationale: Post-ECT, second round in 12 hours' needs intervention, not amnesia, skipping groups, or headache. ECT isn't twice daily amnesia, fatigue, and headache are normal. Leadership corrects this imagine confusion worsening; clarification ensures safety, aligning with therapy protocols effectively.

Correct Answer: A

Rationale: Digoxin, for heart failure or arrhythmias, slows heart rate, risking bradycardia if <60 bpm contraindicating administration. Checking the apical pulse before administration (1 minute, apex) ensures safety, holding the dose if below threshold (per order), a standard precaution to prevent toxicity. Giving with food isn't required absorption is consistent while blood pressure monitoring, though useful, isn't primary pulse rate is. IV push is rare digoxin is slow IV or oral. Pulse checking aligns with cardiac med protocols, safeguarding against adverse effects (e.g., heart block), reflecting the nurse's critical role in pre-administration assessment for a narrow-therapeutic drug.

Correct Answer: A

Rationale: A goal, broad and long-term, is increasing satisfaction, as Joey seeks, unlike specific objectives (eliminating delays, rapport, reducing time). In his hospital, this guides efforts like better communication over years. Leadership distinguishes this from actionable steps, ensuring Joey's team aims high, aligning daily tasks with a patient-focused outcome, pivotal for sustained improvement in a tertiary care setting.

Correct Answer: A

Rationale: In suspected hyperkalemia, peaked T waves on ECG support it, not twitching, slow pulse, or active bowels. High potassium alters cardiac conduction T waves signal urgent risk of arrhythmias, unlike other signs tied to different imbalances. Leadership notes this imagine a racing monitor; it guides treatment, aligning with electrolyte care effectively. This reflects nursing's diagnostic precision.

Correct Answer: A

Rationale: Managers maintain, leaders develop , not innovate/administer, inspire/control, or originate/imitate. Nurse managers stabilize, leaders envision like new protocols contrasting roles. In healthcare, this balance ensures both continuity and growth, aligning with leadership theory.

Correct Answer: B

Rationale: Staff orientation is a process, unlike safety, environment, or quality. Nurse managers like onboarding RNs focus here, contrasting with outcomes. It's vital in healthcare for competence, aligning leadership with development (assumed B).

Correct Answer: D

Rationale: D ties self-awareness to spindle neurons. Nurse leaders use this brain-based insight to refine decisions, like stress management, contrasting with animal-only claims. In healthcare, it enhances judgment, aligning leadership with neurological understanding.

Correct Answer: D

Rationale: Transactional leaders, Ms. Caputo notes, manage tasks, maintain stability, and use trade-offs not vision, which defines Transformational leaders. In a unit, a Transactional manager might reward timely charting with incentives, focusing on structure over inspiration. Visionary leadership would push innovation, like new care models, which Ms. Caputo might prefer to drive change. Understanding this, she can blend Transactional clarity with inspirational goals to balance daily operations and future improvements in her patient care management role.

Correct Answer: B

Rationale: Accommodating yields cooperatively, unlike avoiding, competing, or compromising. Nurse managers like conceding schedules use this, contrasting with standoffs. It's vital in healthcare for peace, aligning leadership with harmony.