A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A client who reports a severe migraine headache

A client who has a suspected diagnosis of tuberculosis (TB)

A client who sustained a head injury and is having periods of confusion

A client who has a history of atrial fibrillation and is on continuous ECG monitoring.

Answer and Explanation

The Correct Answer is C

A.   While a severe migraine headache is certainly uncomfortable and may require medication and observation, it does not typically necessitate constant monitoring. The client might benefit from a quieter room and can often be managed effectively with scheduled visits by nursing staff. Therefore, this client does not necessarily need to be closest to the nurses' station.
B.   A client with a suspected diagnosis of TB should be placed in a negative-pressure isolation room to prevent the spread of airborne pathogens. The proximity to the nurses' station is less critical for infection control purposes. Proper isolation procedures and equipment are more important for managing TB.
C.   A client with a head injury and periods of confusion is at risk for complications such as falls, disorientation, or worsening of their condition. This client requires close monitoring to ensure their safety and to promptly address any changes in their condition. Assigning this client to a room closest to the nurses' station ensures that the staff can frequently observe and quickly respond to any potential issues.

D.   A client on continuous ECG monitoring requires regular assessment of their heart rhythm and immediate intervention if there are any abnormalities. While close monitoring is needed, this client’s condition is managed with electronic equipment that can alert staff to significant changes, so proximity to the nurses' station is less critical compared to more acute or unpredictable conditions.

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Correct Answer is A

Explanation

A. Transactional leaders use a system of rewards and punishments to manage and motivate their team. They focus on maintaining normal operations and achieving set goals through a clear structure where performance is rewarded. For example, a transactional leader might use bonuses or other incentives to encourage staff to meet specific performance targets.
B. Laissez-faire leaders adopt a hands-off approach, allowing team members considerable freedom to make decisions and manage their work. This style does not typically involve the use of rewards to achieve goals but rather depends on the autonomy and self-regulation of team members.
C. Transformational leaders inspire and motivate their team by creating a vision for the future and encouraging personal and professional growth. They focus on changing and improving the organization through innovation and inspiration. Transformational leaders aim to foster a sense of purpose and commitment rather than relying primarily on rewards.
D. Bureaucratic leaders follow established procedures and rules strictly. They emphasize adherence to policies and protocols and ensure that the work environment is orderly and predictable. Bureaucratic leadership may be effective in highly regulated environments but does not primarily involve motivational rewards.

A. Professional identity B. Professional commitment C. Risk management D. Quality improvement

Correct Answer is B

Explanation

A. Professional identity refers to how an individual sees themselves within their profession and how they align with the values, ethics, and roles associated with their field. It is more directly related to engagement and commitment rather than identity formation.
B. Professional commitment involves dedication to the profession and a willingness to advance the field, adhere to ethical standards, and engage in ongoing learning and development. Joining a professional organization is a strong example of professional commitment, as it demonstrates a nurse’s dedication to staying informed, participating in professional development, and contributing to the advancement of their profession.
C. Risk management involves identifying, assessing, and mitigating risks to ensure safety and compliance within the healthcare setting. While professional organizations may provide resources and support related to risk management, joining such an organization is not primarily about managing risk.
D. Quality improvement focuses on enhancing patient care and healthcare processes through systematic efforts to improve outcomes and efficiency. Joining a professional organization can support quality improvement by providing access to best practices and research, but the primary purpose of membership is not specifically to engage in quality improvement activities.

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A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

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Naxlex Comprehensive Predictor Exams

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