Which of the following leadership styles is best suited for implementation of a shared governance structure?
a. Authoritarian
b. Autocratic
c. Democratic
d. Laissez faire
C
A democratic leadership style encourages group discussion and decision making. Human rela-tions and teamwork are the focus that supports a shared governance model.
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The nurse is making client assignments for the next shift. Which client is most likely to experience a complicated labor pattern?
1. 34-year-old gravida 6 at 39 weeks' gestation with twins 2. 22-year-old gravida 1 at 23 weeks' gestation with ruptured membranes 3. 30-year-old gravida 3 at 41 weeks' gestation and estimated fetal weight 7 pounds, 8 ounces 4. 43-year-old gravida 2 at 37 weeks' gestation with hypertension
The parents of a child with chronic kidney disease ask the nurse why the child is prescribed epoetin alfa (Epogen). Which response by the nurse is the most accurate?
A. "It binds with and removes phosphorus." B. "It will help his body to make more red blood cells." C. "It will help to boost his white blood cell count." D. "It will help his body to make more platelets so he doesn't bleed."
A patient with a history of major depression is brought to the ED by her parents. Which of the following nursing actions is most appropriate?
A) Noting that symptoms of physical illness are not relevant to the current diagnosis B) Asking the patient if she has ever thought about taking her own life C) Conducting interviews in a brief and direct manner D) Arranging for the patient to spend time alone to consider her feelings
A nurse walks into a client's room and finds him having difficulty breathing and complaining of chest pain. He has bradycardia and hypotension. What should the nurse do next?
A) Take vital signs again in 15 to 30 minutes. B) Document the data and report it later. C) Ask the client if he is anxious or afraid. D) Report findings to the physician immediately.