The vice president for nursing services of a large teaching hospital has been aware that many of the problems in the nursing staff result from poor management at the unit level
What are reasons that nurse managers are sometimes ineffective in their role? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There is little training available for nurse management positions.
2. Entry-level educational programs for nurses do not contain sufficient managerial content.
3. Management techniques are often learned "on the job."
4. Nurses are not good managers.
5. Nurses often experience poor supervision in their own careers.
1,2,3,5
Rationale 1: Few nurses have the training necessary to be managers.
Rationale 2: Entry-level education programs are designed to produce generalists, and most content is focused on bedside nursing skills.
Rationale 3: Many managers depend on their own experience with former supervisors.
Rationale 4: Nurses work as managers of their own practice and can become very good managers when sufficient education and support are provided.
Rationale 5: Nurses may manage as they were managed and perpetuate poor management techniques.
Global Rationale:
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Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:
1. The non-biologic one from the heterosexual cohabitating family. 2. The divorced one from the binuclear family. 3. The divorced one when the single-parent mother has custody. 4. The stepfather from the blended or reconstituted family.
A client is experiencing an overdosage of heparin. The nurse would expect to administer which of the following?
A) Vitamin K1 B) Protamine C) Ticlopidine D) Tenecteplase
Which of the following nursing interventions would be most likely to facilitate effective communication with a hearing-impaired client?
A) Ask the client to repeat what was said in order to evaluate understanding. B) Stand directly in front of the client to facilitate lip reading. C) Reduce environmental noise and distractions before communicating. D) Raise the voice to project sound at a higher frequency.
What is the priority nursing diagnosis for a client with inadequate production of platelets?
A. Decreased Cardiac Output related to hypovolemia B. Risk for Injury related to increased bleeding tendency C. Risk for Infection related to decreased antibody production D. Impaired Gas Exchange related to decreased oxygen-carrying capacity