Nursing Elites

1. A client is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should be taken?

• A. Ask the client to consider a direct donation
• B. Withhold the blood transfusion
• C. Ask the client to consider a direct donation
• D. Request a consultation with the ethics committee

Correct answer: A

Rationale: In this situation, the nurse should ask the client to consider a direct donation. This option respects the client's autonomy by exploring alternative options that align with the client's beliefs. Withholding the blood transfusion (choice B) goes against the client's wishes and autonomy. Requesting a consultation with the ethics committee (choice D) should be considered if there is a disagreement that cannot be resolved at the bedside, but it is not the initial step. Choice C is a duplicate of choice A and does not provide a different or additional action to address the situation.

2. Which of the following indicators is viewed as important by the nurse manager in relation to a performance model?

• A. Patient outcomes
• B. Rapport with staff
• C. Daily job performance
• D. Flexibility

Correct answer: A

Rationale: The correct answer is A: Patient outcomes. In a performance model, one of the key indicators that a nurse manager would focus on is patient outcomes. Patient outcomes are a direct reflection of the quality of care provided by the staff, making it a crucial aspect of evaluating performance. Choice B, rapport with staff, though important for team dynamics, is not directly related to a performance model that primarily assesses job performance. Choice C, daily job performance, is relevant but more of an outcome rather than an indicator itself. Choice D, flexibility, is a valuable trait but not specifically highlighted in the context of a performance model.

3. Which of the following best describes the role of a nurse navigator?

• A. Provide direct patient care
• B. Coordinate complex care
• C. Assist with administrative tasks
• D. Manage clinical trials

Correct answer: B

Rationale: A nurse navigator's primary role is to coordinate complex care for patients, guiding them through the healthcare system. Choice A is incorrect because nurse navigators do not provide direct patient care like nurses in clinical settings. Choice C is incorrect as nurse navigators focus on patient care coordination rather than administrative tasks. Choice D is incorrect as managing clinical trials is typically not within the scope of a nurse navigator's responsibilities.

4. The unit manager of a 32-bed medical-surgical unit allows the staff nurses to do self-governance for scheduling, client care assignments, and committee work. The manager would be considered which type of leader?

• A. Autocratic
• B. Democratic
• C. Bureaucratic
• D. Laissez-faire

Correct answer: D

Rationale: The correct answer is D, Laissez-faire. In a laissez-faire leadership style, the manager exerts very little control and allows the staff to have a high degree of autonomy in decision-making and problem-solving. This type of leader provides guidance when needed but largely leaves the decision-making process to the staff. Autocratic leadership (choice A) is characterized by centralizing decision-making authority, democratic leadership (choice B) involves shared decision-making, and bureaucratic leadership (choice C) relies on adherence to rules and procedures.

5. A 34-year-old has a new diagnosis of type 2 diabetes. The nurse will discuss the need to schedule a dilated eye exam

• A. every 2 years
• B. as soon as possible
• C. when the patient is 39 years old
• D. within the first year after diagnosis

Correct answer: B

Rationale: The correct answer is 'B' - as soon as possible. Patients with type 2 diabetes should have a dilated eye exam shortly after diagnosis to check for any signs of diabetic retinopathy, a common complication of diabetes. Waiting for 2 years (choice A) may lead to missing early signs of eye damage. Choice C is incorrect as there is no specific age requirement mentioned for the eye exam. Choice D is also incorrect because early detection and intervention are crucial in diabetic eye disease.

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