Nursing Elites

1. A new nurse is thinking about the ways she can demonstrate leadership in her position. Which of the following is true about leadership?

• A. Leadership is a component of nursing practice.
• B. Leadership requires a position of oversight.
• C. Leadership depends on the actions of others.
• D. Only experienced nurses can demonstrate leadership.

Correct answer: A

Rationale: The correct answer is A: 'Leadership is a component of nursing practice.' Leadership is an essential aspect of nursing practice that involves inspiring, guiding, and influencing others to achieve common goals. Choice B is incorrect because leadership can be demonstrated at various levels within an organization, not just positions of oversight. Choice C is incorrect as leadership involves taking initiative and guiding others, rather than depending solely on the actions of others. Choice D is incorrect as leadership qualities can be demonstrated by individuals at all levels of experience, not exclusively by experienced nurses.

2. When someone is consistently late for work due to unreliable transportation, this is known as which type of barrier?

• A. Attendance
• B. Voluntary
• C. Motivation
• D. Involuntary

Correct answer: A

Rationale: The correct answer is 'Attendance.' In this scenario, the nurse being late for work due to unreliable transportation is an example of an attendance barrier. This type of barrier refers to factors that affect an individual's ability to be present at work on time, such as transportation issues. Choices B, C, and D are incorrect because voluntary barriers are ones that individuals choose to impose on themselves, motivation barriers relate to lacking the drive to perform a task, and involuntary barriers are obstacles beyond one's control.

3. A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?

• A. 9-12 months
• B. 3-6 months
• C. 1-2 months
• D. Over two years

Correct answer: B

Rationale: The correct answer is B: 3-6 months. The process of preparing a typical budget usually takes around 3-6 months. This allows enough time for gathering financial data, analyzing expenses, projecting revenues, and finalizing the budget. Choice A (9-12 months) is too long for a typical budgeting process in most settings. Choice C (1-2 months) is too short to adequately complete all the necessary steps in the budgeting process. Choice D (Over two years) is excessive and not practical for the timeline of a standard budget preparation.

4. What should the nurse do after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?

• A. Assess the patient for symptoms of hyperglycemia.
• B. Give the patient a snack of peanut butter and crackers.
• C. Have the patient drink a glass of orange juice or nonfat milk.
• D. Administer a continuous infusion of 5% dextrose for 24 hours.

Correct answer: B

Rationale: After a patient treated with intramuscular glucagon for hypoglycemia regains consciousness, providing a snack of peanut butter and crackers is essential to prevent another episode of hypoglycemia. Peanut butter and crackers contain a combination of protein and carbohydrates, which can help stabilize the patient's blood glucose levels. This choice is the most appropriate immediate action to prevent recurrence of hypoglycemia in this scenario. Assessing for symptoms of hyperglycemia (choice A) is not the immediate priority after treating hypoglycemia. While orange juice or nonfat milk (choice C) can help raise blood sugar, they lack the sustained effect of protein found in peanut butter. Administering a continuous infusion of dextrose (choice D) is excessive and not indicated after the patient has already regained consciousness.

5. As part of Magnet Recognition, you are asked to present your evidence-based practice poster at a national conference. The health care facility supports your participation. Where would information about your participation in the conference need to be communicated? (Select all that apply.)

• A. In a communication to all staff nurses to inspire them.
• B. At a conference within the health care facility.
• C. In an email to a friend.
• D. In a presentation with select individuals.

Correct answer: A

Rationale: The correct answer is A. Sharing information about your participation in the conference with all staff nurses is essential to inspire them, promote a culture of evidence-based practice, and encourage professional development. Choice B is incorrect as it refers to a conference within the health care facility, not the national conference. Choice C is incorrect as informing a friend does not align with the professional impact and growth objectives of presenting at a national conference. Choice D is also incorrect as sharing the information with select individuals limits the reach and impact of the achievement.

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