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Nursing Leadership Questions Questions
Question 1 of 9
The nurse manager used a mediator to help resolve conflicts on the unit. During the mediation process, the nurse manager saw signs of potential team building. One key concept of an effective team is:
Correct Answer: C
Rationale: Effective teams hinge on commitment a shared passion and dedication to a common goal driving synergy and accountability. During mediation, the nurse manager sees team-building signs, likely staff aligning toward this unity. Conflict can spur growth but isn't a core concept. Task clarity aids execution, and a designated leader may guide, but commitment is the bedrock, fostering collaboration over control. Here, resolving conflicts via mediation likely strengthens this collective resolve, essential for transitioning from a group to a true team.
Question 2 of 9
Group tension comes in two types. They are:
Correct Answer: C
Rationale: Primary and secondary define tension, unlike internal, personal, or environmental. Nurse managers like easing jitters address this, contrasting with conflict. It's key in healthcare teams, aligning leadership with cohesion (assumed C).
Question 3 of 9
As a nurse manager, you note that staff frequently miss infection control training sessions due to scheduling conflicts. You introduce an online training module accessible anytime and ask staff for feedback on its effectiveness. Your approach reflects:
Correct Answer: B
Rationale: Online training and feedback for infection control build a safety culture ensuring skills (e.g., hand hygiene) protect patients, overcoming barriers. It's not discipline, performance bashing, or autonomy cuts flexibility empowers. In your unit, this cuts HAIs, aligning with safety where accessible learning and input reinforce vigilance, a practical fix to a training gap.
Question 4 of 9
A charge nurse is reviewing the Code of Ethics for Nurses during a staff meeting. Which of the following statements should the charge nurse include in the teaching?
Correct Answer: A
Rationale: The American Nurses Association's Code of Ethics for Nurses outlines professional conduct, guiding nurses in ethical decision-making and quality care. Stating The Code of Ethics for Nurses is a guide for professional actions' accurately captures its role as a framework for responsibilities like advocacy or confidentiality not a binding contract, which it isn't legally. It applies to all nursing roles, not just RNs, and isn't optional but a practice standard. This statement educates staff on its practical utility, shaping actions in client interactions, teamwork, and dilemmas, reinforcing its foundational status in nursing professionalism and accountability, essential for consistent, ethical care delivery.
Question 5 of 9
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which finding indicates the need for immediate intervention?
Correct Answer: D
Rationale: In COPD on 2 L/min oxygen, a PaCO2 of 60 mmHg demands intervention, not 88% saturation, RR 24, or dyspnea. Elevated CO2 risks narcosis in COPD oxygen may suppress hypoxic drive, worsening retention. Saturation's low but typical, RR and dyspnea are chronic. Leadership acts here imagine drowsiness; adjusting O2 or ventilation prevents coma, ensuring safety. This reflects nursing's respiratory vigilance, aligning with COPD management effectively.
Question 6 of 9
A hospital organizational culture that assumes customer needs and wants should determine the quality, price, and availability of a product. This type of orientation is:
Correct Answer: C
Rationale: Marketing orientation prioritizes customer needs, unlike product, selling, or holistic. Nurse leaders adopting this like tailoring ER wait times focus on demand, contrasting with production-driven models. It's key in healthcare for patient-centricity, aligning leadership with market responsiveness and satisfaction.
Question 7 of 9
The nursing manager of a surgical unit has been asked by administration to evaluate client outcomes post cardiac catheterization. Using data about client outcomes post cardiac catheterization for the past 6 months in order to modify practice is an example of:
Correct Answer: D
Rationale: Evaluating client outcomes using data from the past six months to modify practice exemplifies evidence-based practice, a systematic approach that integrates the best available research evidence with clinical expertise and patient values. In this scenario, the nurse manager analyzes empirical data such as recovery rates or complications post-cardiac catheterization to identify patterns or issues, then adjusts protocols to improve care quality. This goes beyond merely handling information, which is raw or processed data without application. It's not solely about cost-effectiveness, though that may be a byproduct, nor just meeting standards, which implies compliance rather than improvement. Evidence-based practice is proactive, aiming to enhance outcomes through data-driven decisions, making it the most fitting description for this process.
Question 8 of 9
In an ICU, you order new devices to measure heart rhythm and rate, respiratory rate, oxygen levels, and intracranial pressure. These devices involve:
Correct Answer: A
Rationale: These devices measuring heart rhythm, respiratory rate, oxygen levels, and intracranial pressure are examples of biomedical technology, which includes equipment designed to monitor or treat physiological conditions. In an ICU, such tools provide real-time, precise data essential for critical care management. Telecommunications involves remote communication, not direct monitoring. Retrieval of patient history pertains to data access, not the devices themselves. The Internet might support data transmission, but the devices' core function is biomedical, focusing on physiological measurement. This technology directly supports life-saving interventions by delivering accurate, immediate patient metrics.
Question 9 of 9
A nurse is preparing to administer a subcutaneous injection to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Subcutaneous injections deliver medication into fat tissue, requiring technique for absorption and comfort. Pinching the skin before inserting the needle lifts subcutaneous tissue, ensuring proper depth typically 45-90 degrees with a 25-gauge, 5/8-inch needle avoiding muscle, common for drugs like insulin or heparin. A 90-degree angle suits IM, not subcutaneous, risking deeper delivery, while massaging afterward disperses medication unevenly, contraindicated for heparin due to bruising. The deltoid is for IM abdomen or thigh are subcutaneous sites. Pinching ensures accurate placement, aligning with best practice, minimizing pain, and optimizing drug effect, a fundamental nursing skill for safe administration.