A nurse is collecting data to determine the best practice for reducing pressure injuries in clients. Which of the following roles is the nurse taking?

A. A case manager coordinates and manages the overall care of the client, particularly when there are multiple healthcare needs or transitions in care. Given that the client has just experienced a CVA, the case manager could be crucial in coordinating care, arranging for additional services, and ensuring continuity of care, especially since the client lives alone.
B. The client is experiencing wheezing in the upper lobes of the lungs and is receiving supplemental oxygen. A respiratory therapist would be instrumental in evaluating and managing the client's respiratory status, including optimizing oxygen therapy and addressing any issues related to asthma or lung function.
C. There is no mention of diabetes in the client's history or current symptoms. The focus of the client's care is on managing the effects of the CVA and respiratory issues. Therefore, a referral to a diabetes nurse educator is not indicated based on the provided information.
D. The client has flaccid extremities with decreased muscle tone and strength following the CVA. A physical therapist would be essential for assessing and providing therapy to improve mobility, strength, and function in the affected extremities. This referral is appropriate for addressing the physical impairments resulting from the CVA.
E. The client is having difficulty with self-feeding due to decreased muscle tone and strength, which impacts daily activities. An occupational therapist can help with adaptive techniques and strategies for self-care tasks, such as feeding, and provide interventions to improve the client’s ability to perform daily activities independently. This referral is appropriate for addressing functional challenges related to the CVA.
F. An enterostomal therapy nurse specializes in wound care, ostomy management, and incontinence care. There is no indication in the provided information that the client has any issues related to wounds, ostomies, or incontinence. Therefore, a referral to an enterostomal therapy nurse is not indicated based on the current information.

A. Situational leadership, on the other hand, focuses on adapting leadership styles to the needs of the team rather than relying solely on rewards or punishments. While situational leaders may use various motivational techniques, their primary focus is on flexibility and responsiveness to changing circumstances.
B. Strict enforcement of rules is characteristic of more authoritarian or bureaucratic leadership styles rather than situational leadership. Situational leaders are more flexible and adapt their approach based on the situation and the needs of the team. They focus on guiding and supporting team members in a way that is appropriate for their level of development and the context of the task.
C. This characteristic aligns well with situational leadership. Situational leaders are adept at adjusting their leadership style and approach based on the changing needs of their team and the specific context they are facing. They recognize that different situations and team members may require different types of guidance and support.
D. Flexibility is a key characteristic of situational leadership. Situational leaders are responsive to the varying needs of their team members and adjust their leadership style accordingly. This flexibility allows them to provide the appropriate level of direction and support based on each team member's competence and commitment.
E. While situational leaders may address short-term goals as part of their approach, their primary focus is on adapting their leadership style to effectively meet the needs of their team in the present moment. Situational leadership involves both short-term and long-term considerations, but the emphasis is on responsiveness and flexibility rather than exclusively focusing on short-term goals.