A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style.

Which of the following actions should the nurse expect from the leader during the session?

The leader has group members vote on what they would like to learn about during the session.

The leader lectures about medication adverse effects to the group members.

The leader allows the group to discuss whatever they would like to regarding their medications.

The leader encourages group members to remain silent until questions are called for.

Answer and Explanation

The Correct Answer is C

The leader allows the group to discuss whatever they would like to regarding their medications.

This is because a laissez-faire leadership style is characterized by minimal guidance and direction from the leader, and maximum freedom and autonomy for the followers.

The leader does not impose any rules or expectations on the group, and lets them decide how to manage their own learning and behavior.

Choice A is wrong because having group members vote on what they would like to learn about during the session is an example of a democratic leadership style, not a laissez-faire one.

A democratic leader solicits input and feedback from the group, and makes decisions based on consensus and majority rule.

Choice B is wrong because lecturing about medication adverse effects to the group members is an example of an authoritarian leadership style, not a laissez-faire one.

An authoritarian leader dictates what the group should do and how they should do it, without considering their opinions or preferences.

Choice D is wrong because encouraging group members to remain silent until questions are called for is an example of a paternalistic leadership style, not a laissez-faire one.

A paternalistic leader treats the group as if they are incapable of making their own decisions, and assumes a protective and nurturing role over them.

Normal ranges for leadership styles are not applicable in this context, as different styles may be more or less effective depending on the situation and the goals of the group.

However, some general advantages and disadvantages of each style are:

Laissez-faire: Advantages - fosters creativity, independence, and self-motivation; Disadvantages - may lead to chaos, confusion, and lack of accountability.
Democratic: Advantages - promotes participation, collaboration, and satisfaction; Disadvantages - may be time-consuming, inefficient, and conflict-prone.
Authoritarian: Advantages - provides clarity, direction, and control; Disadvantages - may cause resentment, resistance, and dependency.
Paternalistic: Advantages - creates trust, loyalty, and commitment; Disadvantages - may inhibit growth, development, and empowerment.

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Correct Answer is C

Explanation

This statement should be included in the hand-off report because it provides essential information about the patient’s intraoperative status and potential postoperative complications, such as hypovolemia, anemia, or infection. The estimated blood loss (EBL) is an important indicator of the patient’s fluid balance and hemodynamic stability.

Choice A is wrong because “The client was intubated without complications.” is not relevant for the postoperative care of the patient. The intubation status is usually documented in the anesthesia record and does not need to be repeated in the hand-off report unless there were any issues or injuries related to the airway management.

Choice B is wrong because “There was a total of 10 sponges used during the procedure.” is not pertinent for the postoperative care of the patient.

The number of sponges used during the surgery is usually counted and verified by the scrub nurse and the circulating nurse in the operating room to prevent any retained foreign bodies. This information does not need to be communicated to the PACU nurse unless there was a discrepancy or a missing sponge.

Choice D is wrong because “The client is a member of the board of directors.” is not appropriate for the hand-off report.

This statement violates the patient’s privacy and confidentiality and does not contribute to the quality or safety of care. The patient’s role or position in the organization should not influence the hand-off communication or the postoperative care.

A hand-off report is a critical communication tool that facilitates the transfer of care from one provider to another. It should include relevant information about the patient’s medical history, surgical procedure, intraoperative events, postoperative plan, and any concerns or potential problems.

A standardized hand-off tool, such as SBAR (Situation, Background, Assessment, Recommendation), can help improve the consistency, accuracy, and completeness of the hand-off report.

Some normal ranges that may be useful for postoperative care are:

Blood pressure: 90/60 mmHg to 120/80 mmHg
Pulse: 60 to 100 beats/min
Respiratory rate: 12 to 20 breaths/min
Oxygen saturation: 95% to 100%
Temperature: 36°C to 37.5°C
Hemoglobin: 12 to 18 g/dL
Hematocrit: 36% to 54%

A. Administer aspirin to the client B. Isolate the client from staff who are pregnant. C. Initiate airborne precautions. D. Monitor for the development of Koplik spots

Correct Answer is B

Explanation

The correct answer is choice B. Isolate the client from staff who are pregnant. Choice A rationale: Aspirin should not be administered to children or adolescents with viral infections like rubella due to the risk of Reye's syndrome, a potentially fatal condition that causes liver and brain damage. Choice B rationale: Rubella (German measles) is particularly dangerous for pregnant women because it can cause congenital rubella syndrome in the fetus, leading to severe birth defects. Therefore, isolating the client from pregnant staff is crucial to prevent exposure. Choice C rationale: Airborne precautions are not necessary for rubella. Rubella is transmitted through respiratory droplets, so droplet precautions, not airborne precautions, are appropriate. Choice D rationale: Koplik spots are associated with measles (rubeola), not rubella. Therefore, monitoring for Koplik spots is not relevant for a client with rubella.

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A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?

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Correct Answer is B

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A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style.

Which of the following actions should the nurse expect from the leader during the session?