The postoperative patient with anterior cervical laminectomy is complaining of tightness in his throat. His voice is raspy. The staff nurse asks the unit secretary to page Dr. Julio stat. This is an example of _____ leadership
a. authoritarian
b. democratic
c. laissez-faire
d. servant
A
Authoritarian leadership uses directive and controlling behaviors in which the leader determines policies and makes decisions in isolation. The leader orders subordinates to carry out the tasks or work. This style is helpful in crisis situations.
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Nurses believe that there is a need to change policy for their clinical unit. What is the first step these nurses should take when considering this need for new policy?
1. Determining how many people are affected by the policy 2. Identifying the problem 3. Looking for ethical arguments regarding the policy 4. Finding out who has authority to change the policy
A nurse provides teaching for a patient about to begin taking an FGA drug for schizophrenia. Which statement by the patient indicates a need for further teaching about side effects of these drugs?
a. "Dry mouth and constipation are uncom-mon with this medication." b. "I may experience gynecomastia and ga-lactorrhea." c. "I may feel lightheaded or dizzy and should sit or lie down if this occurs." d. "Sedation may occur initially, but will subside in 1 to 2 weeks."
A patient tells the nurse that putting a small pillow under her knee and rubbing the thigh helps reduce the hip pain. The nurse realizes this patient is describing:
1. A nonmedication intervention to reduce the hip pain. 2. A way to deny the presence of the hip pain. 3. A fear of taking pain medication. 4. A previous pain medication addiction.
The nurse administers the preoperative medication to the client 1 hour before elective surgery, and then discovers the preoperative consent is not signed. Which action by the nurse is the most appropriate?
1. Have the client sign the consent quickly, before the medication begins taking effect. 2. Have a family member or medical power of attorney sign the consent. 3. Send the client to the holding area without a signed consent. 4. Notify the health care provider that surgery will need to be canceled.