A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Confirming that a client appears competent to consent to a surgical procedure.

Verifying that a client voluntarily gave consent to a surgical procedure.

Witnessing a client consent for a surgical procedure.

Explaining the steps of a surgical procedure to a client.

Answer and Explanation

The Correct Answer is D

A.   This is a professional and important action. Ensuring that a client is competent to consent means that the nurse is verifying that the client understands the nature, purpose, risks, and benefits of the procedure. Competence to consent is a legal and ethical requirement, and it is part of the nurse’s role to support and facilitate the informed consent process.
B.   This is also a professional and necessary action. It involves checking that the client’s consent is given freely, without coercion or undue pressure. This step ensures that the consent is valid and ethical. It is part of the nurse's responsibility to ensure that the consent process respects the client's autonomy.
C.   The nurse as a witness is there to observe that the consent is signed by the client and that the client understands what they are consenting to. However, the nurse should not be the one explaining the procedure or the risks involved unless they are specifically trained and authorized to do so.
D.   This is generally not considered professional behavior for a nurse unless they have specific training and authorization to provide detailed information about surgical procedures. Typically, detailed explanations of the procedure are provided by the surgeon or a qualified healthcare provider.

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Correct Answer is ["C","D"]

Explanation

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.

A. Assigning the most efficient AP to perform glucometer monitoring for each client B. Assigning two assistive personnel (AP) to ambulate all clients C. Assigning a new graduate nurse to perform a wet-to-dry dressing change D. Assigning the most competent RN to perform a central line dressing change

Correct Answer is C

Explanation

A. This task is generally appropriate for an assistive personnel (AP) if it is within their scope of practice and if proper training has been provided. Glucometer monitoring is a routine task that APs can often perform, assuming they are trained in using the glucometer and understanding the importance of accurate readings.

B. Assigning two APs to ambulate all clients might be seen as overdelegation if the task requires more clinical judgment or if there are other tasks that need to be managed concurrently. Ambulating clients can sometimes be complex depending on their condition, and it’s essential to ensure that APs are appropriately trained and that the workload is balanced.
C. Assigning a new graduate nurse to perform a wet-to-dry dressing change could be considered overdelegation if the task requires advanced skills and experience that the new graduate might not yet possess. Wet-to-dry dressing changes can be complex and require a certain level of expertise to ensure proper technique and patient safety.
D. This task is typically appropriate for an RN with the necessary competencies and experience. A central line dressing change requires specific skills and knowledge, and delegating this task to the most competent RN ensures that it is performed correctly and safely. This is not considered overdelegation because it matches the task to the skill level of the RN.

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A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class on leadership. The nurse should include that which of the following are characteristics of situational leaders? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

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Correct Answer is C

Explanation

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