Nursing Elites

1. Which of the following are important techniques when giving directions to subordinates? (EXCEPT)

• A. Know the context of the instructions.
• B. Use lateral communication.
• C. Verify feedback.
• D. Get positive attention.

Correct answer: B

Rationale: The correct answer is B: 'Use lateral communication.' When giving directions to subordinates, it is important to know the context of the instructions, get positive attention, verify feedback, and give follow-up communication. Lateral communication refers to communication between individuals or groups on the same organizational level, which is not directly related to giving directions to subordinates. Choices A, C, and D are important techniques that help ensure effective communication with subordinates.

2. 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.

3. What is a benefit of effective delegation?

• A. It increases the manager's workload
• B. It allows the manager to make all the decisions
• C. It empowers staff to make decisions
• D. It decreases staff involvement

Correct answer: C

Rationale: The correct answer is C: 'It empowers staff to make decisions.' Effective delegation involves entrusting tasks and decisions to staff, which not only lightens the manager's load but also empowers employees, enhancing their skills and confidence. Choice A is incorrect because effective delegation should reduce the manager's workload by distributing tasks appropriately. Choice B is incorrect as effective delegation involves empowering staff to make decisions rather than the manager making all decisions. Choice D is incorrect as effective delegation actually increases staff involvement by giving them more responsibilities and decision-making power.

4. Within the fast-paced, changing healthcare environment, job satisfaction will influence your success. What other characteristic is an asset?

• A. Being friendly
• B. Humility
• C. Ability to anticipate consequences
• D. Flexibility

Correct answer: D

Rationale: In the fast-paced and evolving healthcare setting, flexibility is a crucial asset. Shaffer (2006) emphasizes the importance of being adaptable to change for professional growth. While being friendly and having humility are positive traits, they may not directly address the need to adapt to the dynamic healthcare environment. Anticipating consequences is valuable but may not encompass the breadth of skills needed to navigate rapid changes effectively.

5. A client experiences difficulty breathing after the change of shift. The nurse on duty discovers that the IVFs were infusing at a rate 10 times the calculated normal. After notifying the physician and correcting the rate, what should be the next step in the client's care?

• A. Notify family
• B. Discipline the previous nurse
• C. Complete an incident report
• D. Obtain legal consultation

Correct answer: C

Rationale: The correct next step in the client's care after notifying the physician and correcting the rate of IVFs is to complete an incident report. This report is essential for documenting the adverse event, analyzing the cause, and implementing preventive measures to avoid similar incidents in the future. Notifying the family, disciplining the previous nurse, and obtaining legal consultation are not immediate priorities in this situation. Family notification may follow the incident report, disciplining the previous nurse is a separate administrative process, and legal consultation is usually not required for a medical error corrected promptly.

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