Nursing Elites

1. When looking at the issue surrounding absenteeism, an innovative approach would be:

• A. Rewarding those who do not use days.
• B. Substituting personal days.
• C. Termination.
• D. Disciplinary actions.

Correct answer: B

Rationale: The correct answer is B. Substituting personal days for sick days can be considered an innovative approach to addressing absenteeism as it allows for proper planning by the nurse manager. This approach promotes a proactive and flexible solution that encourages employees to manage their time off more effectively. Choice A, rewarding those who do not use days, may not address the root causes of absenteeism and could create a culture of presenteeism. Choices C and D, termination and disciplinary actions, are punitive measures that do not focus on preventive strategies or address the underlying reasons for absenteeism.

2. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?

• A. No expenses are involved in frivolous lawsuits.
• B. If a nurse is found guilty of malpractice, the institution cannot sue the nurse.
• C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
• D. Only doctors are sued for malpractice.

Correct answer: C

Rationale: The correct answer is C. Liability policies can cover charges of libel, slander, assault, and HIPAA violations, in addition to malpractice claims. Choice A is incorrect as there are expenses involved in frivolous lawsuits. Choice B is incorrect because institutions can sue nurses found guilty of malpractice. Choice D is incorrect as nurses, not just doctors, can be sued for malpractice.

3. A staff nurse describes the unit manager as 'a born leader.' The nurse ascribes to which theory of leadership?

• A. Trait theories
• B. Behavioral theories
• C. Formal leadership theories
• D. Democratic leadership theories

Correct answer: A

Rationale: The correct answer is A: Trait theories. The nurse describing the unit manager as 'a born leader' aligns with trait theories of leadership, which suggest that certain inborn characteristics or traits contribute to effective leadership. This theory emphasizes that leaders possess natural qualities that make them suitable for leadership roles. Choices B, C, and D are incorrect. Behavioral theories focus on the actions and behaviors of leaders, formal leadership theories emphasize organizational structure and roles, and democratic leadership theories pertain to a style of leadership that involves participative decision-making.

4. A healthcare professional is preparing to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the healthcare professional delegate?

• A. Confirming that a client's pain has decreased after receiving an analgesic
• B. Ambulating a client who is postoperative
• C. Inserting an indwelling urinary catheter for a client
• D. Demonstrating the use of an incentive spirometer to a client

Correct answer: A

Rationale: The correct answer is option A: 'Confirming that a client's pain has decreased after receiving an analgesic.' This task involves assessing the effectiveness of the medication, which can be delegated to the assistive personnel. Options B, C, and D involve skills that should be performed by licensed healthcare professionals due to their complexity and potential risks if not done correctly. Ambulating a postoperative client requires monitoring for signs of distress or complications, inserting a urinary catheter involves an invasive procedure with infection risks, and demonstrating the use of medical devices like an incentive spirometer requires specialized knowledge to ensure correct usage.

5. A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?

• A. ''I think I should take my pain medication more often, since it is not controlling my pain.''
• B. ''Breathing faster will help me keep my mind off of the pain.''
• C. ''It might help me to listen to music while I'm lying in bed.''
• D. ''I don't want to walk today because I have some pain.''

Correct answer: D

Rationale: The correct answer is D because the client is demonstrating an understanding of the preoperative teaching by acknowledging the pain and relating it to the need to rest. Walking may exacerbate the pain, and the client's decision not to walk shows an awareness of their body's signals. Choices A, B, and C are incorrect as they do not reflect a good understanding of pain management. Choice A suggests self-medicating without consulting healthcare providers, choice B focuses on distraction rather than addressing the pain, and choice C offers a coping mechanism but does not address the pain directly.

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