HESI RN
Leadership HESI Quizlet
1. Which of the following best describes the role of a nurse manager in managing conflict on the unit?
- A. The nurse manager is responsible for identifying the sources of conflict and working with staff members to resolve them in a constructive manner.
- B. The nurse manager is responsible for mediating conflicts between staff members and ensuring that they are resolved in a fair and equitable manner.
- C. The nurse manager is responsible for facilitating communication between staff members and ensuring that conflicts are addressed in a timely manner.
- D. The nurse manager is responsible for providing training and support to staff members to help them develop the skills needed to manage conflict effectively.
Correct answer: A
Rationale: The nurse manager's role in managing conflict involves identifying the sources of conflict and working with staff members to resolve them in a constructive manner. This includes addressing conflicts at their root cause and guiding staff towards effective resolution. Choice B is incorrect as the nurse manager typically does not act as a mediator but rather empowers staff to resolve conflicts themselves. Choice C is incorrect as while facilitating communication is important, it is not the sole responsibility of the nurse manager. Choice D is incorrect as providing training and support for conflict management is part of the role, but the primary responsibility lies in addressing the sources of conflict directly.
2. The healthcare provider is caring for a client with pheochromocytoma. Which of the following interventions should the healthcare provider implement?
- A. Administer beta-blockers to control blood pressure
- B. Encourage a high-sodium diet
- C. Monitor for signs of hyperglycemia
- D. Restrict fluid intake to prevent edema
Correct answer: A
Rationale: The correct intervention for a client with pheochromocytoma is to administer beta-blockers to control blood pressure. Pheochromocytoma is a catecholamine-secreting tumor that can cause severe hypertension. Beta-blockers are used to block the effects of catecholamines and help control blood pressure in these clients. Encouraging a high-sodium diet (Choice B) would not be appropriate as it can worsen hypertension. Monitoring for signs of hyperglycemia (Choice C) is not directly related to managing pheochromocytoma. Restricting fluid intake (Choice D) may lead to dehydration and is not a recommended intervention for this condition.
3. Which of the following ethical principles is involved when a healthcare provider allows a patient to refuse treatment?
- A. Autonomy
- B. Nonmaleficence
- C. Beneficence
- D. Justice
Correct answer: A
Rationale: The correct answer is A: Autonomy. Autonomy is the ethical principle that respects an individual's right to make their own decisions, including the right to refuse treatment. This principle acknowledges the patient's self-governance and independence in making choices about their own healthcare. Choice B, Nonmaleficence, refers to the ethical principle of doing no harm and ensuring patient safety. Choice C, Beneficence, involves promoting the patient's well-being and acting in their best interest. Choice D, Justice, pertains to fairness and equitable distribution of healthcare resources.
4. A client with diabetes mellitus is scheduled for surgery. The nurse should prioritize which of the following preoperative actions?
- A. Administer a full dose of insulin before surgery
- B. Hold all oral hypoglycemic agents the day before surgery
- C. Monitor blood glucose levels closely before surgery
- D. Instruct the client to avoid all fluids the morning of surgery
Correct answer: C
Rationale: Monitoring blood glucose levels closely before surgery is the priority for a client with diabetes mellitus. This allows for early detection of any abnormalities and helps prevent hypo- or hyperglycemia complications that can arise during the perioperative period. Option A is incorrect because insulin dosing should be individualized based on the client's current blood glucose levels and the surgical plan. Option B is incorrect as abruptly holding oral hypoglycemic agents can lead to uncontrolled blood glucose levels. Option D is incorrect as adequate fluid intake is important for the client's hydration status and overall well-being before surgery.
5. A client with Cushing's syndrome has been prescribed a diet low in sodium. The nurse knows that the client should avoid which of the following foods?
- A. Bananas
- B. Spinach
- C. Processed meats
- D. Oatmeal
Correct answer: C
Rationale: The correct answer is C: Processed meats. Clients with Cushing's syndrome who are on a low-sodium diet should avoid processed meats because they are typically high in sodium. Bananas, spinach, and oatmeal are generally low in sodium and can be included in a low-sodium diet. Bananas are a good source of potassium, spinach is rich in vitamins and minerals, and oatmeal is a healthy whole grain option. Therefore, choices A, B, and D are not the best options to avoid for a client with Cushing's syndrome following a low-sodium diet.
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