chapter 3 leadership

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Questions and Answers

The nurse is teaching a group about paradigm thinking and defines it as what?

  • An individual’s perception or frame of reference about the world (correct)
  • One’s mathematical knowledge and ability to solve math problems
  • The ability to see 20 feet away without wearing glasses
  • A nurse’s ability to solve patient-care problems

Most nursing paradigms are based on what?

  • The nurse’s ability to perform procedures with skill
  • Dr. Jean Watson’s transpersonal caring theory
  • Maslow’s theory of hierarchy of needs
  • Learning by studying nursing theories and clinical experiences (correct)

The increasing use of licensed practical nurses (LPNs) in management positions, especially in long-term care facilities, is an example of what?

  • A shifting paradigm (correct)
  • Smarter LPN graduates
  • Assertive management
  • Critical thinking

Why is critical thinking necessary for the nurse to identify and understand paradigms that exist in nursing practice?

<p>Critical thinking allows the nurse to thoroughly examine situations and issues. (B)</p> Signup and view all the answers

The nurse values respect for the individual, more than anything else, as defining high-quality patient care. What does this describe about the nurse?

<p>Paradigm (C)</p> Signup and view all the answers

The nurse reads a peer-reviewed nursing journal article that recommends changing the procedure for caring for a patient with an indwelling urinary catheter. The nurse displays critical thinking with what action?

<p>Searching for other peer-reviewed articles that support this author’s recommendation (C)</p> Signup and view all the answers

The nurse applies Maslow’s hierarchy of needs to what aspect of care?

<p>Understanding the patient’s behavior (C)</p> Signup and view all the answers

The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow’s hierarchy of needs?

<p>Safety (C)</p> Signup and view all the answers

The caring LPN manager avoids what approach when dealing with staff?

<p>Judging (C)</p> Signup and view all the answers

The student nurse experiences a paradigm shift as a result of increasing knowledge and finds the result of the shift is what?

<p>Life changing (A)</p> Signup and view all the answers

The nurse is caring for an adolescent who will be hospitalized for several weeks while in traction. The patient frequently has a room full of friends and they can be heard laughing. The nurse recognizes this patient is meeting which of Maslow’s hierarchy of needs?

<p>Love and belonging (B)</p> Signup and view all the answers

The nurse is providing pre-operative teaching to the anxious patient, who doesn’t seem to be learning. What need must the nurse help this patient meet before continuing to teach?

<p>Safety (C)</p> Signup and view all the answers

The nurse manager learns that one of the staff nurses on the unit has a substance addiction and is arriving at work under the influence of the substance. Using Watson’s theory, how should the nurse manager deal with this staff member?

<p>Confront the nurse privately, order drug testing, and suggest a substance-abuse program. (C)</p> Signup and view all the answers

The nurse receives a shift report from the nurse going off shift and asks about a patient’s state of mind and emotional needs, which demonstrates what aspect of Dr. Watson’s theory?

<p>Intentionality (A)</p> Signup and view all the answers

While working in a long-term care facility, the nurse notices that older residents take pleasure in telling stories about their earlier lives and reliving special events. The nurse recognizes this helps residents meet what level of Maslow’s Hierarchy of needs?

<p>Self-actualization (D)</p> Signup and view all the answers

The nurse makes the decision to return to school to obtain a bachelor of science degree in nursing. What theme of critical thinking is the nurse displaying?

<p>Critical thinking is a process, not an outcome. (B)</p> Signup and view all the answers

The nursing assistant asks the nurse to explain the meaning of advocacy. The nurse explains the fundamental principle of patient advocacy is what?

<p>Protection (D)</p> Signup and view all the answers

The nurse listens as the physician asks the patient to participate in a research study and realizes the physician is not adequately explaining the risks of the study. As they leave the patient’s room, the nurse encourages the physician to go back and explain the risks more thoroughly. What role is this nurse playing in patient care?

<p>Advocate (C)</p> Signup and view all the answers

The nurse is caring for a patient with HIV who is known to have infected others due to unsafe sexual practices. What is the nurse’s priority action to advocate for this client and others with whom he may have a relationship?

<p>Explore the patient’s knowledge of safer sexual practices and help him find methods that work for him. (C)</p> Signup and view all the answers

The charge nurse is preparing assignments when one of the staff nurses requests not to be assigned a specific patient, using a derogatory name to refer to the patient’s ethnicity. What is the charge nurse’s best response?

<p>Encourage the nurse to embrace diversity and reject prejudice. (A)</p> Signup and view all the answers

The nurse is caring for a diabetic patient whose religious beliefs require fasting from sun up to sun down on holy days. How can the nurse best advocate for this patient?

<p>Meet the patient’s caloric needs before sunrise and after sunset and monitor blood sugar closely. (D)</p> Signup and view all the answers

The nurse arrives to work impaired and under the influence of alcohol. What patient right has this nurse infringed on?

<p>The right to safe care (D)</p> Signup and view all the answers

Which patient rights is the nurse likely to be called to advocate for? (Select all that apply.)

<p>Research-related rights (A), Right to refuse treatment or medication (B), Right to be fully informed about procedures (C), The right to safe care (D)</p> Signup and view all the answers

The nurse identifies critical thinking through which themes? (Select all that apply.)

<p>Critical thinking is a productive and positive activity. (A), Critical thinking is a process, not an outcome. (B), Manifestations of critical thinking vary depending on the context in which they occur. (C), Critical thinking is triggered by both positive and negative events. (D)</p> Signup and view all the answers

The successful nurse manager applies Anderson’s rules for successfully working with people, which include what two statements? (Select all that apply.)

<p>There is a reason for every behavior. (B), It is better to understand people than to judge them. (A)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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