A new nursing leader assesses that there is a low level of trust in the organization. Which staff report would indicate that this is beginning to be corrected?

1. Staff members feel safe to approach the leader and be heard.
2. Systems are in place for staff to have input in decisions.
3. They are expected to communicate clearly with each other.
4. They can expect to receive written notices of praise for work well done.


1
Explanation: 1. Trust, a foundational element in a healthy organization, is interpersonal in nature, not built upon documents, systems, job expectations, or mechanical methods of feedback. Assurance that one is being heard by one's leader is essential to trust.
2. This is important, but not the best answer.
3. This is important, but not the best answer.
4. Written notices of praise are nice, but do not suggest that trust is building.

Nursing

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The nurse is caring for a client with a suspected autoimmune disorder. What concept related to the client's condition does the nurse recognize is true? Select all that apply.

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A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient?

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The client in labor has moderately strong contractions lasting 60 seconds every 3 minutes. The fetal head is presenting at a ?2 station. The cervix is 6 cm and 100% effaced. The membranes spontaneously ruptured prior to admission, and clear fluid is leaking. Fetal heart tones are in the 140s with accelerations to 150. Which nursing action has the highest priority?

1. Obtain a clean-catch urine specimen. 2. Apply an internal fetal scalp electrode. 3. Keep the client on bed rest at this time. 4. Encourage the husband to remain in the room.

Nursing