Nursing Elites

1. A supervisor is restricting the flow of communication between staff. This has resulted in the staff having two very opposite directions. The supervisor's actions are known as which type of force?

• A. Opposing force
• B. Driving force
• C. Restraining force
• D. Restrictive force

Correct answer: C

Rationale: The correct answer is C: Restraining force. In this scenario, the supervisor's actions of restricting communication are creating opposing directions among the staff, which is impeding progress and change. Restraining forces work against change by hindering or restricting movement in the desired direction. Choices A, B, and D are incorrect. 'Opposing force' does not specifically address the hindrance caused by the supervisor's actions. 'Driving force' is a positive force that initiates and supports change, which is not the case here. 'Restrictive force' is not a commonly used term in the context of organizational behavior and change management.

2. 1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?

• A. Blood pressure
• B. Serum creatinine
• C. Chest x-ray
• D. Urine for microalbuminuria

Correct answer: C

Rationale: The correct answer is C: Chest x-ray. While monitoring for complications in a patient with type 2 diabetes, annual tests such as blood pressure measurement, serum creatinine levels, and urine for microalbuminuria are essential. These tests help in assessing kidney function, cardiovascular health, and early signs of kidney damage, which are common complications of diabetes. A chest x-ray is not routinely scheduled annually to monitor for complications related to type 2 diabetes, making it the least applicable option.

3. When preparing for a meeting to discuss the annual budget, what would be the best approach to ensure all relevant points are covered?

• A. Prepare an agenda
• B. Use visual aids
• C. Invite only key stakeholders
• D. Review previous budgets

Correct answer: A

Rationale: Preparing an agenda is the best approach when discussing the annual budget to ensure that all relevant points are covered. An agenda helps structure the meeting, outline key topics, allocate time efficiently, and keep the discussion focused on important budget-related matters. It also assists in setting clear objectives and expectations for the meeting participants, ensuring that all necessary points are addressed and that the meeting stays on track. While using visual aids, inviting only key stakeholders, and reviewing previous budgets can be important steps in the budget discussion process, none of these can replace the crucial role of having a well-prepared agenda.

4. The manager of a medical-surgical unit is very task-motivated. Using Fiedler's Contingency Theory, under what circumstances would the manager be most effective?

• A. Only during highly stressful situations.
• B. When there is little to no stress.
• C. Under highly structured situations.
• D. When the situation is loosely structured.

Correct answer: C

Rationale: According to Fiedler's Contingency Theory, task-motivated managers are most effective under highly structured situations. This is because in such environments, where priorities are clear and tasks are well-defined, task-oriented managers can excel in organizing and accomplishing objectives efficiently. Choices A and B are incorrect because the effectiveness of a task-motivated manager is not solely linked to stress levels but rather to the structure of the situation. Choice D is also incorrect as a loosely structured situation would not provide the clarity and direction that a task-motivated manager thrives in.

5. What is the primary focus of transitional care?

• A. To improve clinical outcomes
• B. To manage chronic diseases
• C. To facilitate smooth transitions between care settings
• D. To support family caregivers

Correct answer: C

Rationale: The primary focus of transitional care is to facilitate smooth transitions between care settings. While improving clinical outcomes and managing chronic diseases are important aspects of healthcare, the main goal of transitional care is to ensure patients move smoothly between different care settings such as hospitals, rehabilitation centers, and home care. Supporting family caregivers is also essential but not the primary focus of transitional care.

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