What leadership style does the nurse manager demonstrate by shared decision-making with staff nurses?

Correct Answer: B

Rationale: The correct answer is B: Democratic. Shared decision-making with staff nurses demonstrates a democratic leadership style, where the leader involves the team in decision-making processes. This fosters collaboration, empowerment, and autonomy among team members, leading to increased job satisfaction and productivity. Autocratic leadership (choice A) is characterized by a top-down approach with little input from team members. Laissez-faire leadership (choice C) is hands-off and lacks guidance or direction, which can lead to confusion and lack of accountability. Situational leadership (choice D) involves adapting leadership style based on the situation, which can include elements of both autocratic and democratic styles, but in this context, shared decision-making aligns more closely with a democratic leadership approach.

Correct Answer: D

Rationale: The correct answer is D) Virginia Henderson. Virginia Henderson was a prominent nurse theorist who developed the influential concept of the "14 Basic Needs of the Patient" and defined nursing as helping individuals achieve their highest level of independence in activities of daily living. This definition emphasizes the importance of nurses assisting patients in meeting their basic needs and promoting self-care. Option A) Faye Abdellah is known for her theory of "21 Nursing Problems," which focuses on patient-centered care and nursing education. While her work is significant, it does not directly address the definition of nursing provided in the question. Option B) Patricia Benner is known for her "Novice to Expert" theory, which describes the stages of nursing proficiency. While her theory is valuable in understanding nursing skill acquisition, it does not define nursing in the context presented in the question. Option C) Florence Nightingale is considered the founder of modern nursing and emphasized sanitation and hygiene in nursing practice. While her contributions to nursing are immense, her definition of nursing does not align with the specific definition provided in the question. Understanding nursing theories and their respective definitions is crucial for nursing students as it provides a theoretical framework for their practice. Virginia Henderson's definition highlights the holistic nature of nursing care and the goal of promoting patient independence and well-being. This knowledge helps students develop a solid foundation for delivering patient-centered care and understanding the core principles of the nursing profession.

Correct Answer: B

Rationale: In this scenario, the correct answer is option B: Ineffective peripheral tissue perfusion related to venous congestion, which should receive the highest priority nursing diagnosis for the client diagnosed with deep vein thrombosis. Deep vein thrombosis (DVT) is a condition characterized by the formation of blood clots within deep veins, commonly in the legs. This can lead to impaired blood flow, which in turn can result in ineffective tissue perfusion. Ineffective peripheral tissue perfusion is a priority because it indicates that the affected area is not receiving adequate oxygen and nutrients due to the clot, potentially leading to tissue damage or necrosis if not addressed promptly. Let's analyze why the other options are incorrect: A) Excess fluid volume related to peripheral vascular disease: While fluid volume excess can be a concern in some cases of peripheral vascular disease, it is not the priority in a client with DVT. C) Impaired gas exchange related to increased blood flow: Impaired gas exchange is not directly linked to DVT. The primary concern in DVT is the risk of clot formation and its complications. D) Risk for injury related to edema: While edema can be a symptom of DVT, the priority in this case is addressing the impaired tissue perfusion caused by the clot to prevent further complications. Educational Context: Understanding the prioritization of nursing diagnoses is crucial for nurses to provide effective and timely care to their patients. In the case of a client with DVT, identifying and addressing the issue of ineffective tissue perfusion promptly can help prevent complications such as tissue damage, necrosis, and even embolism. Prioritizing care based on the client's immediate needs is a fundamental aspect of nursing practice that ensures the best outcomes for patients.

Correct Answer: C

Rationale: In this scenario, admitting the client into a private room (Option C) is the priority action. The rationale behind this is to ensure the safety of others due to the radioactive nature of the radium implant. Placing the client in a private room helps to minimize potential exposure to others. Option A, encouraging rest periods, while important for the client's recovery, is not the priority in this situation where safety from radiation exposure is paramount. Option B, placing the client on reverse isolation, is not necessary as the focus is on protecting others from the radiation emitted by the implant, not on protecting the client from external pathogens. Encouraging family and friends to visit (Option D) may increase the risk of radiation exposure to others and is not recommended in this case. In an educational context, this question highlights the importance of understanding safety protocols and precautions when dealing with clients who have undergone radioactive procedures. It emphasizes the nurse's role in ensuring the well-being of both the client and others in the healthcare setting.

Correct Answer: B

Rationale: The correct answer to the question is B) Evaluation. In the nursing process, evaluation is the stage where the nurse appraises the client to determine if the expected outcomes have been achieved. Evaluation involves assessing whether the nursing interventions have been effective in helping the client reach their health goals. Option A) Implementation is incorrect because it refers to the stage where the nurse carries out the planned interventions to address the client's health needs. It is about putting the care plan into action, not assessing outcomes. Option C) Assessment is incorrect as it is the initial stage of the nursing process where data is collected about the client's health status. Assessment is about gathering information, not evaluating outcomes. Option D) Diagnosis is incorrect as it is the stage in which the nurse analyzes the assessment data to identify the client's health problems and needs. Diagnosis is about identifying issues, not evaluating the effectiveness of interventions. In an educational context, understanding the nursing process is crucial for students to provide effective patient care. By knowing the specific purpose of each stage, students can develop critical thinking skills to assess, plan, implement, and evaluate nursing care systematically. Evaluation is particularly important as it allows nurses to determine the success of their interventions and make necessary adjustments to improve patient outcomes.