a nurse discusses staff empowerment with the nursing team the nurse explains that staff empowerment has which function

NCLEX-PN

NCLEX PN Test Bank

1. A nurse discusses staff empowerment with the nursing team. The nurse explains that staff empowerment has which function?

A. Fosters the growth of others so that they are less dependent on the leader
B. Means that the staff has the power to reprimand and punish any individual who is not meeting the standards of care delivery
C. Indicates that the nurse leader will make decisions regarding the nursing unit and expects that the staff will comply with the changes
D. Allows the staff to make every decision regarding employee scheduling

Correct answer: A

Rationale: Staff empowerment fosters the growth of others and facilitates their development so that they are less dependent on their leader. This empowerment is about enhancing skills and autonomy, not about reprimanding or punishing others (Choice B). Empowerment involves shared decision-making and autonomy, not unilateral decision-making by the leader (Choice C). Moreover, staff empowerment does not mean that staff should make every decision regarding operational aspects like employee scheduling (Choice D). It is primarily focused on developing individuals' capabilities and fostering independence within the team.

2. Which action by the nurse represents the ethical principle of benevolence?

A. The nurse administers an immunization to a child even though it may cause discomfort
B. The nurse follows a plan of care designed to relieve pain in a client with cancer
C. The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity
D. The nurse upholds a client's decision to refuse chemotherapy for lung cancer

Correct answer: A

Rationale: Benevolence is taking action to help others. In this scenario, administering an immunization to a child, even though it may cause discomfort, aligns with the principle of benevolence as the benefits of protection from disease outweigh the temporary discomfort. Fidelity refers to keeping promises made to clients, families, and other healthcare professionals. Autonomy is a person's independence, and respecting autonomy means agreeing to respect an individual's right to determine their course of action. Justice refers to fairness and equity, including the fair allocation of resources, such as nursing care for all clients. Choice B is incorrect as it pertains more to the ethical principle of beneficence rather than benevolence, which focuses on doing good for others without an expectation of something in return. Choices C and D are incorrect as they do not directly align with the principle of benevolence.

3. A gastroenterologist should be consulted for clients suffering from:

A. digestive system diseases
B. urinary system diseases
C. female reproductive system diseases
D. nervous system diseases

Correct answer: A

Rationale: A gastroenterologist specializes in treating diseases and disorders of the digestive system, including the stomach, intestines, liver, and pancreas. Therefore, clients with digestive system diseases should consult a gastroenterologist. Choices B, C, and D are incorrect because urinary system diseases are managed by urologists, female reproductive system diseases by gynecologists, and nervous system diseases by neurologists.

4. Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?

A. Excess Fluid Volume
B. Risk for Aspiration
C. Disturbed Body Image
D. Urinary Retention

Correct answer: C

Rationale: Disturbed Body Image is the most appropriate nursing diagnosis for a client with a new colostomy. A new colostomy can significantly impact a person's body image and self-esteem due to the physical changes it brings. This can lead to emotional distress, adjustment issues, and concerns about body image. Excess Fluid Volume, Risk for Aspiration, and Urinary Retention are not directly related to the psychosocial impact of a new colostomy and are therefore not as relevant in this context. While Excess Fluid Volume, Risk for Aspiration, and Urinary Retention are important nursing diagnoses, they are not the priority when considering the psychological and emotional effects of a new colostomy.

5. Why would a nurse employed at a hospital be asked by a nurse manager to review the organizational chart?

A. To be aware of the geographic area that the organization serves
B. To be familiar with the organization's line of authority
C. To understand the organization's reason for existence
D. To be familiar with the beliefs and values of the organization

Correct answer: B

Rationale: The correct answer is 'To be familiar with the organization's line of authority.' Organizational charts provide a visual representation of the chain of command, reporting relationships, and structure within an organization. This helps employees understand who they report to, who reports to them, and the overall hierarchy. Choice A is incorrect because understanding the geographic area served is more about the organization's scope, not depicted in an organizational chart. Choice C is incorrect as it relates to the organization's reason for existence, usually found in its mission statement. Choice D is incorrect as beliefs and values are linked to the organization's culture, not typically shown in an organizational chart.