The charge nurse on first shift, who has worked on the unit for 20 years, was never officially hired for that position, but the nurses on the unit recognize the nurse in this role
Which roles is the charge nurse assuming on the unit? Select all that apply.
A) Informal leader
B) Nursing leader
C) Mentor
D) Formal leader
E) Manager
Answer: A, B
A leader does not require an official position to lead. Leaders are people with the ability to rule, guide, or inspire others to think or act as they recommend. A leader influences others to work together to accomplish a specific goal. Leadership may be formal or informal. The formal leader, or appointed leader, is selected by an organization and given official authority to make decisions and to act. An informal leader is not officially appointed to direct the activities of others but, because of seniority, age, or special abilities, is recognized by the group as a leader and plays an important role in influencing, facilitating, and mentoring colleagues, coworkers, and other group members to achieve the group's goals.
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The nurse is caring for a client in the irreversible stage of shock. The nurse is explaining to the client's family the poor prognosis. Which would the nurse be most accurate to explain as the rationale for imminent death?
A) Endotoxins in the system B) Limited gas exchange C) Brain death D) Multiple organ failure
A nurse is sitting in a community clinic and chatting with a South American patient. He reports that other members of the community are rude to him and his family and act as if he and his family are not part of the community
He mentions that this is a common experience among the South American population living in town. The nurse knows that: A. This likely plays no role in his health or health status. B. This family is being stigmatized. C. The family needs to focus on bonding with their South American community. D. Marginalization can lead to increased vulnerability and health disparities.
Add the score of the neuromuscular components to your score of physical maturity to determine weeks of gestation. How many weeks of gestation has this child had?
A 32-year-old white female presents to labor and delivery fully effaced and delivers a 5.8-lb (2,500-gram) infant female with Apgar scores of 6 and 8. The mother has had no prenatal care and in the nursery you perform the newborn examination. With the Ballard scoring system, the neuromuscular examination score is 15. Looking at physical maturity, you see superficial peeling and few veins on the skin. The lanugo hair has bald areas and the plantar surface of the foot has creases on two thirds of it. The areola is stippled with a 2-mm bud. The pinna is well curved, is firm, and has instant recoil. The labia majora and minora are equally prominent. A) 34 weeks B) 36 weeks C) 40 weeks
The nurse is preparing material to instruct a client who has given birth to her first child. What aspect of teaching is most important?
1. Determine if father–infant attachment is taking place. 2. Discuss adaptation to grandparenthood by her parents. 3. Describe the likely reaction of siblings to the new baby. 4. Assist the mother in identifying behavior cues of the baby.