Knowing when to have the entire team participate in the decision-making process or when to have only the team leader make the decisions depends on the situation and the desired outcomes. The autocratic process is used in which of the following situations?

a. The task and the outcome are relatively simple and defined
b. It is unlikely that the group will reach a consensus.
c. A decision has to be discussed thoroughly.
d. A number of options need to be considered.


ANS: A
An autocratic style is appropriate when rapid decision making is required and in situations where the task and the potential outcome are well-defined.

Nursing

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A nurse discussing birth control options for a Roman Catholic patient should encourage:

a. abstinence. b. vasectomy. c. tubal ligation. d. oral contraceptives.

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A client who has just been diagnosed with diabetes mellitus is being instructed by the nurse regarding diet and exercise. Which client statements indicate that further teaching is required?

Select all that apply. A) "I should talk to the doctor about an exercise program." B) "I don't need to watch my diet as long as I take my insulin." C) "I need to limit the amount of fat in my diet." D) "I should eat a candy bar when my energy is low." E) "I will test my blood sugar before meals and at bedtime."

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Compared with an adult's, the eustachian tube of a child is

a. narrower and longer. c. shorter and more crooked. b. more horizontal, shorter, and wider. d. wider, longer, and more vertical.

Nursing

The family of an 88-year-old man with an acute exacerbation of chronic obstructive lung disease is at his bedside. He is experiencing dyspnea and placement on a ventilator is suggested

The patient is DNR and does not want extreme measures taken, but is unable to speak for himself. One daughter supports placement on a ventilator while the other believes that it will only add to his suffering. Which of the following statements by a nurse might facilitate communication between these family members? 1. "Can you tell me if he has ever been on a ventilator before, and how he responded to it then?" 2. "Given this confusion, maybe we should discuss his DNR status; I can go get the information we have on file." 3. "I know that this is a difficult situation—perhaps you would like to talk with a clergy person to help in making the decision." 4. "I'm sure that it is difficult seeing your father like this, can we spend a few minutes talking about your concerns at this time?"

Nursing