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Leadership and Management HESI Test Bank
1. Which of the following is an important aspect of healthcare leadership?
- A. Authoritarian decision-making
- B. Collaborative teamwork
- C. Limiting staff input
- D. Focusing only on financial outcomes
Correct answer: B
Rationale: Collaborative teamwork is indeed an important aspect of healthcare leadership. In the healthcare field, effective leadership often involves working collaboratively with a team of diverse professionals to provide the best possible care for patients. This approach encourages communication, shared decision-making, and leveraging the expertise of each team member to achieve optimal outcomes. Choices A, C, and D are not ideal aspects of healthcare leadership. Authoritarian decision-making can hinder team morale and creativity, limiting staff input diminishes the value of diverse perspectives, and focusing only on financial outcomes may compromise patient care and staff well-being.
2. Select all of the risk factors that are associated with deep vein thrombosis.
- A. The use of oral contraceptives
- B. Type B and O blood
- C. Rh negative blood
- D. Underweight
Correct answer: A
Rationale: The correct answer is A: "The use of oral contraceptives." Risk factors for deep vein thrombosis include factors such as immobility, surgery, cancer, obesity, smoking, and the use of oral contraceptives. Choices B, C, and D are incorrect because blood type and Rh factor do not play a role in the development of deep vein thrombosis, and being underweight is not typically considered a risk factor for this condition.
3. Why is patient confidentiality significant in healthcare?
- A. Sharing patient information freely
- B. Protecting patient privacy
- C. Ignoring patient consent
- D. Limiting patient access to their own records
Correct answer: B
Rationale: Patient confidentiality is significant in healthcare because it involves protecting patient privacy. Maintaining confidentiality ensures that patients feel safe and secure when sharing sensitive information with healthcare providers. Choice A is incorrect because sharing patient information freely would violate confidentiality. Choice C is incorrect because ignoring patient consent goes against ethical principles. Choice D is incorrect because limiting patient access to their own records does not relate directly to the concept of patient confidentiality.
4. A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients, and visitors. Which of the following actions should the nurse take?
- A. Keep the client in their room with the door closed
- B. Contact a family member to come and sit with the client
- C. Place the client in a wheelchair with a lap tray
- D. Administer a sedative to the client
Correct answer: B
Rationale: When dealing with a client exhibiting disruptive behavior like yelling obscenities, involving a family member can provide emotional support and help in de-escalating the situation. Keeping the client isolated in their room (Choice A) may lead to further agitation. Placing the client in a wheelchair (Choice C) or administering a sedative (Choice D) should not be the first interventions for managing behavioral issues.
5. Which of the following assessment tools is used to determine the patient's level of consciousness?
- A. The Snellen Scale
- B. The Norton Scale
- C. The Morse Scale
- D. The Glasgow Scale
Correct answer: D
Rationale: The correct answer is D, The Glasgow Scale. The Glasgow Coma Scale is specifically designed to assess a patient's level of consciousness by evaluating eye opening, verbal response, and motor response. Choices A, B, and C are incorrect because the Snellen Scale is used for vision testing, the Norton Scale is used for assessing the risk of pressure sores, and the Morse Scale is used for evaluating a patient's risk of falling, not for determining the level of consciousness.
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