The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table) meeting takes less time to come to a decision based on which of the following ideas?
a. Contingency-style leadership
b. Evidence-based management protocols and interventions
c. Autocratic management style
d. Presence of a clinical nurse leader (CNL)
B
Nurses are expected to practice using evidence-based protocols and interventions for clinical de-cision making, and managers are expected to use those management practices that are not simply based on conventional wisdom but on demonstrated outcomes. Evidence indicates that stand-up meetings took 34% less time to make decisions (Pfeffer & Sutton, 2006). Using this model could save an organization many hours a year that can be put to another productive use or could be eliminated from the payroll. However, very few organizations use this model for meetings even in the face of the clear evidence of the impact it would have on the organization. The CNL is a highly prepared individual in the clinical setting whose role is to positively impact patient safety issues by identifying and managing risk while meeting standards of quality clinical care. Auto-cratic management style is authoritative. Contingency leadership style is a style of leading that is flexible to adapt to the situation.
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A client is scheduled for a diagnostic test to measure blood hormone levels. What will this test determine?
A) The concentration of a substance in plasma B) Details about the size of the organ and its location C) The functioning of endocrine glands D) The client's blood sugar level
The nurse understands that communication includes a cognitive process. This part of the process:
a. is when the receiver interprets and gives meaning to stimuli. b. is the medium through which a message is transmitted. c. refers to spoken words and cues. d. relates to the distance between persons.
The nurse recognizes a need for instruction when the patient with a simple goiter says:
a. "The lump on my throat is my enlarged thyroid." b. "Treatment will stop the enlargement of the goiter." c. "I am aware this goiter could develop into cancer." d. "I'm glad my treatment will make this thing go away."
After an hour of oxytocin therapy, a woman in labor states she feels dizzy and nauseated. Your best action would be to
A) assess the rate of flow of the oxytocin infusion. B) administer oral orange juice for added potassium. C) assess her vaginally for full dilation. D) instruct her to breathe in and out rapidly.