A nurse is working in a unit with several less-experienced nurses. Which attribute displayed by the senior nurse would make her leadership of the less-experienced nurses most effective?
1. Strong belief that the leader is accountable for actions taken by those working on the unit
2. Authority to carry out actions necessary to move the work of unit staff forward
3. Efficiency in actions and in words
4. Ability to inspire the others to commit to the team's goals
4
Rationale 1: A leader may have no formal accountability or authority. The manager has that authority.
Rationale 2: The unit manager has the authority. The experienced nurse in this scenario may or may not be the unit manager.
Rationale 3: A leader is not necessarily a good manager and may not be efficient.
Rationale 4: A nursing leader must be a visionary in order to empower others to make needed changes for the good of the group. This leader may or not be the formal leader of the group.
Global Rationale:
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The daughters of a deceased client asked the nurse if they could wash their mother's body and dress her. The nurse's response should be:
1. "Let me know how I can help you, I really liked your mother." 2. "Yes, but please hurry, because the mortuary is coming to pick up the body." 3. "I will get you a basin, towels, and a fresh gown." 4. "I'm sorry, but that is my job."
The charge nurse is supervising the care of four critical care patients being monitored using invasive hemodynamic modalities. Which patient should the charge nurse evaluate first?
a. A patient in cardiogenic shock with a cardiac output (CO) of 2.0 L/min b. A patient with a pulmonary artery systolic pressure (PAP) of 20 mm Hg c. A hypovolemic patient with a central venous pressure (CVP) of 6 mm Hg d. A patient with a pulmonary artery occlusion pressure (PAOP) of 10 mm Hg
A nurse is completing a tertiary prevention activity in a predominantly poor community, where eating clay (pica) is a common practice. Which of the following actions would the nurse most likely take?
a. Assist those who eat large amounts of clay to obtain food stamps after explaining that clay, although filling, does not provide necessary nutrients. b. Initiate early intervention in the school system through education programs designed to focus on healthy food choices. c. Provide laboratory testing and physical assessments to assess for nutritional deficits resulting from clay intake. d. Survey families in the community to determine whether they eat clay and how much clay they eat.
Chromosomal abnormalities are the leading known cause of:
a. Mental illness b. Mental retardation c. Fetal miscarriage d. Cardiovascular disease e. Respiratory disorders