The unit manager of a 32-bed medical-surgical unit allows the staff nurses to do self-governance for scheduling, client care assignments, and committee work. The manager would be considered which type of leader?

Correct Answer: D

Rationale: The correct answer is D: Laissez-faire. This style of leadership involves minimal interference from the manager, allowing staff to make decisions independently. In this scenario, the unit manager empowers staff nurses to self-govern, indicating a hands-off approach. This promotes autonomy, creativity, and accountability among the staff. A: Autocratic leadership involves centralized decision-making by the manager without input from staff, which does not align with the scenario. B: Democratic leadership involves collaboration and input from team members in decision-making, which is not fully demonstrated in the scenario. C: Bureaucratic leadership focuses on following established procedures and rules, which is not the case in the scenario where staff nurses have autonomy in decision-making. In summary, the manager's approach of allowing staff nurses to govern themselves aligns with a laissez-faire leadership style, promoting independence and responsibility among the team.

Correct Answer: A

Rationale: The correct answer is A: Breakdown in communication. The client's complaint about the night shift nursing staff not responding promptly to his call light indicates a lack of effective communication between the client and the staff. This breakdown in communication leads to the client attempting to walk to the bathroom alone, resulting in a fall. Lack of staff (B) or lack of concern (C) are not directly related to the client's fall, as the core issue lies in communication. Breakdown in management (D) could contribute to communication issues, but the immediate cause of the fall is the lack of communication between the client and the nursing staff.

Correct Answer: B

Rationale: The correct answer is B: Identify the project team. This is the first step in implementing a new EHR system as it involves selecting individuals with the necessary skills and expertise to oversee the project. Once the project team is in place, they can then move on to conducting a needs assessment (D) to identify requirements, developing a training program (C) based on the assessment, and finally training all staff on the new system (A) with the guidance of the project team. Identifying the project team first ensures there is leadership and direction in place to effectively carry out the implementation process.

Correct Answer: B

Rationale: The correct answer is B: Autocratic. In a crisis situation, quick and decisive actions are crucial. An autocratic leadership style allows for immediate decision-making and clear direction, which is essential in rapidly changing and high-stress environments. This style ensures swift responses and minimizes confusion or delays. Incorrect choices: A: Democratic leadership involves group decision-making, which may be time-consuming and not suitable for urgent crisis situations. C: Transformational leadership focuses on inspiring and empowering others, which may not be as effective in a crisis when quick and direct actions are needed. D: Laissez-faire leadership gives employees a high degree of freedom and independence, which can lead to chaos and lack of direction in a crisis scenario.

Correct Answer: B

Rationale: The correct answer is B because cultural competence in nursing involves adapting care to meet the cultural needs and preferences of each individual patient. This includes understanding and respecting their beliefs, values, and practices to provide effective and respectful care. Ignoring cultural differences (A) goes against the core principle of cultural competence. Simply learning about different cultures (C) is not enough; it is essential to apply that knowledge in practice. Teaching cultural awareness (D) is important but does not fully capture the holistic approach of adapting care to meet cultural needs.