Nursing Elites

1. Staff refuse to report unsafe conditions, with unattended entrances throughout the health care facility noted. Unidentified individuals are wandering the unit at night, and you:

• A. Establish expectations.
• B. Demand that they leave immediately.
• C. Ask them to leave.
• D. Observe their behaviors.

Correct answer: A

Rationale: In this scenario, the correct course of action is to establish expectations. By setting clear guidelines and expectations, you can address the issue of unidentified individuals wandering the unit at night in a proactive manner. This approach helps communicate what behaviors are acceptable, ensuring the safety of both staff and patients. Demanding that they leave immediately may not address the root cause of the problem and could escalate the situation. Simply observing their behaviors may not effectively resolve the issue or prevent future incidents. Asking them to leave without first establishing expectations may not prevent similar occurrences in the future.

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. The nurse manager is responsible for implementing a new electronic health record (EHR) system. What is the first step in this process?

• A. Train all staff on the new system
• B. Identify the project team
• C. Develop a training program
• D. Conduct a needs assessment

Correct answer: B

Rationale: The correct first step in implementing a new electronic health record (EHR) system is to identify the project team. This team will be crucial in overseeing the entire implementation process, including tasks like developing a training program (Choice C) and conducting a needs assessment (Choice D). Training all staff on the new system (Choice A) is an important step but typically occurs after the project team has been identified to ensure a smooth and efficient implementation.

4. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?

• A. Use the complete name of the medication magnesium sulfate.
• B. Delete the space between the numerical dose and the unit of measure.
• C. Use the abbreviation SC when indicating a subcutaneous injection.
• D. Write the letter U when noting the dosage of insulin.

Correct answer: C

Rationale: The correct statement that the nurse manager should include in the teaching session is to use the abbreviation SC when indicating a subcutaneous injection. This is important for accurate and standardized medication documentation. Choice A is incorrect because using the complete name of medications is not always necessary and may lead to errors. Choice B is incorrect as spaces between dose and unit of measure are required for clarity and to avoid misinterpretation. Choice D is incorrect because the standard abbreviation for units should be used instead of the letter U to prevent confusion.

5. Which of the following are effective ways to apply power and politics in nursing? (EXCEPT)

• A. Picketing the employer
• B. Networking with other professionals
• C. Writing letters to legislators
• D. Joining professional organizations

Correct answer: A

Rationale: The correct answer is A - 'Picketing the employer.' Networking with other professionals, writing letters to legislators, and joining professional organizations are effective ways to apply power and politics in nursing. Picketing the employer is not an appropriate approach in a healthcare setting as it may lead to disruptions in patient care and conflict within the workplace.

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