A community hospital has been purchased by a large health care conglomerate. Nursing administration has the task of changing the nursing practice model that has been followed for 50 years
To best achieve this change, administration should appoint a nurse executive whose leadership style follows which theory? 1. Contingency theory
2. Quantum leadership
3. Transactional leadership
4. Transformational leadership
4
Rationale 1: According to contingency theory, the manager adapts leadership styles in relation to changing situations; these styles range from authoritarian to permissive. This is not the best choice for this situation.
Rationale 2: Quantum leadership focuses on outcomes, and employees are directly involved in decision making. This is not the best choice for this situation.
Rationale 3: Transactional leadership is based on the premise that individuals engage in social interactions expecting to give and receive rewards. This is not the best choice for this situation.
Rationale 4: Transformational leadership is concerned not with the status quo but with effecting revolutionary change in organizations and human service.
Global Rationale:
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The nurse is concerned that a school-age client has undiagnosed type 1 diabetes mellitus and is experiencing diabetic ketoacidosis (DKA). What did the nurse assess in the client to come to this conclusion?
Select all that apply. A) Blurred vision B) Irregular heartbeat C) Sunken eye sockets D) Sluggish bowel sounds E) Dry mucous membranes
The nurse has a prescription to give a series of medications on an "on call" basis. The nurse realizes that these medications will be given:
1) In the postanesthesia recovery unit. 2) At the time specified in the order. 3) On the patient's arrival in the surgery suite. 4) When the OR staff notify the nurse to do so.
The nurse is teaching a patient with asthma how to measure peak expiratory flow rate (PEFR). What should be included in the teaching plan? (Select all that apply.)
a. Assume a recumbent position before measuring PEFR. b. Take a deep breath in, exhale, then place the mouthpiece in the mouth and form a firm seal with the lips. c. After placing the mouthpiece in the mouth, blow out as hard and as fast as possible through the mouth in only one single breath. d. Measure PEFR 3 times and record the highest number.
A patient is administered a benzodiazepine for anxiety. Which of the following metabolic agents will place the patient at risk for benzodiazepine toxicity?
A) Decreased albumin B) Increased calcium C) Decreased potassium D) Normal bicarbonate