You are hired as a new manager. When the offer of employment is made, you agree to at-will employment. Later, you become very concerned about the policies and practices of your organization and their impact on patient care. You speak with your supervisor several times about your concerns, but no action is taken. In considering your next steps, you:

Correct Answer: A

Rationale: At-will employment means you can be terminated anytime without cause, except for illegal reasons like discrimination, heightening your vulnerability if you challenge policies impacting care. Repeated, unaddressed concerns to your supervisor signal risk if you escalate e.g., whistle-blowing under this flexible termination framework. Your supervisor's seniority doesn't inherently increase her risk, and federal/state laws offer limited protection in at-will contexts beyond specific violations. No union is mentioned. Recognizing your precarious position guides cautious next steps, balancing advocacy with job security, a critical consideration in this employment structure.

Correct Answer: C

Rationale: National awards attract talent like Magnet status unlike pay, profits, or benefits. Nurse leaders highlight these, contrasting with financial lures. It's vital in healthcare for prestige, aligning leadership with recruitment edge.

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: B

Rationale: I' acts, me' is observed , not A, C, D. Nurse leaders like self-reflection use this, contrasting with confusion. In healthcare, it clarifies identity, aligning leadership with self-awareness.

Correct Answer: C

Rationale: Disease process isn't an aim, unlike promote, prevent, or restore. Nurse managers focus on outcomes like wellness contrasting with pathology. It's key in healthcare for purpose, aligning leadership with care goals.

Correct Answer: A

Rationale: Post-appendectomy care involves routine tasks delegable to an AP within their scope. Recording urinary output after emptying an indwelling catheter is appropriate, as it's a technical, predictable task emptying and measuring requiring no assessment or judgment, ensuring accurate monitoring under RN oversight. Assessing the incision demands RN-level wound evaluation, administering IV medication exceeds AP authority due to risk, and teaching wound care involves education, an RN duty. Delegating output recording optimizes team roles, maintains safety, and supports recovery tracking (e.g., detecting complications like ileus), aligning with delegation rights and efficient postoperative management.

Correct Answer: C

Rationale: C day-dreaming fits heaven visualization. Nurse leaders avoid this distraction, focusing on tasks, contrasting with idle thoughts. In healthcare, presence matters, aligning leadership with grounded focus.

Correct Answer: A

Rationale: The floating med-surg nurse should take the 18-month-old with new type 1 diabetes, not the unstable cases (B, C, D) shaken baby, ventilated post-op, or choking recovery. Diabetes needs monitoring and insulin, skills med-surg nurses have, while PICU-specific cases demand advanced respiratory or trauma expertise. Leadership assigns based on competency imagine a nurse unfamiliar with vents managing a tubed infant; errors loom. The diabetic case leverages general nursing strengths, ensuring safety. This reflects strategic staffing, aligning skills with patient needs, optimizing care in high-acuity settings effectively.

Correct Answer: D

Rationale: Thinking alone doesn't manage stress, unlike lists, programs, or priorities. Nurse leaders like action plans act, contrasting with pondering. In healthcare, doing trumps thinking, aligning leadership with relief.