The nurse has made patient care assignments and expects all team members to set their own goals for the day and manage their time to meet their goals. The nurse is implementing what style of leadership?

a. Autocratic
b. Democratic
c. Bureaucratic
d. Laissez-faire


ANS: D
Like the democratic leader, the permissive or laissez-faire leader thinks that employees are motivated by their own desire to do well. The laissez-faire leader provides little or no direction to followers, who develop their own goals and make their own. The authoritarian or autocratic leader exercises strong control over subordinates. The participative or democratic leader believes that employees are motivated by internal means and want to participate in decision making. The primary function of the leader in this situation is to foster communication and develop relationships with followers. Like the autocratic leader, the bureaucratic leader assumes that employees are motivated by external forces. This type of leader relies on policies and procedures to direct goals and work processes. The nurse using bureaucratic leadership tends to relate impersonally to staff and exercises power on the basis of established rules.

Nursing

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An older adult is being treated for severe pain resulting from a history of osteoarthritis. In her discharge teaching, which information is most important to relay for the successful management of the pain?

a. Check for incompatibilities before taking any new medications. b. Arrange to take a dose of analgesic prior to physical activity. c. Take the analgesic around-the-clock as prescribed. d. Be alert for the signs of overdose toxicity.

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You are the nurse caring for a patient who will receive a transsacral block. In what surgeries would a transsacral block be useful for pain control?

A) Thoracotomy B) Inguinal hernia repair C) Breast reduction D) Closed reduction of a right humerus

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Which of the following is an appropriate conclusion to draw from research based on network therapy theory?

a. Nurses can help at-risk populations access or build support systems. b. Problems in our health care system are worsened by specialization and fragmentation. c. Social class places limitations on access to health care. d. The family is culturally anchored in American beliefs.

Nursing

The nurse is completing an admission assessment for a female adult client

When discussing the social history, the nurse identifies that the client is a smoker (one pack/day for 20 years) and has worked at a chemical plant operating a chemical packing machine. When reviewing this assessment, the nurse would consider this client at risk for A) environmental and occupational hazards that may affect life expectancy. B) increased life expectancy because she is female. C) no difference in risk because of her social and occupational circumstances. D) decreased fertility.

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