QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
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2026/2027
While the patient is talking, which of the following demonstrates the nurse is actively
listening?
a. the nurses arms are crossed while the patient is talking
b. the nurse is sitting, facing the patient
c. the nurse is standing at the foot of the patient's bed
d. the nurse is leaning away from the patient
- Answer ✓✓b. the nurse is sitting, facing the patient
A nurse leader on a unit allows the staff to make all decisions and direct themselves,
including filling out the work schedule. The nurse leader is practicing which leadership
style?
Autocratic
Democratic
Laissez-faire
Transformational
Laissez-faire
In laissez-faire leadership, also called nondirective leadership, the leader relinquishes
power to the group, such that an outsider could not identify the leader in the group. The
democratic leadership style is characterized by a sense of equality among the leader and
other participants. The autocratic leader assumes complete control over the decisions and
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,activities of the group. Transformational leaders create intellectually stimulating practice
environments and challenge themselves and others to grow personally, to grow
professionally, and to learn.
.!
On a medical unit, the nurses complain that they have no voice in the decisions that are
made in the operation of the unit. The nurses state they are always told by the nurse
manager to perform tasks instead of being asked. Which of these best describes the
leadership style of the nurse manager?
Autocratic
Democratic
Laissez-faire
Nondirectional
Autocratic
This nurse manager, by not soliciting staff feedback and telling the staff what to do rather
than ask, would be demonstrating autocratic leadership. Democratic leadership involves
equal sharing of power between the leader and the staff; everyone is working together
toward a mutual vision and goals. Laissez-faire leadership, which is also known as
nondirectional leadership, gives power to the group rather than the leader.
A nurse manager reviews an employee's contribution to the nursing division annually. This
process is:
interpreting quality indicators. employee's job
satisfaction survey.
performance appraisal.
reward and development survey.
performance appraisal.
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,Performance appraisal is typically conducted annually. Each organization determines a
reward structure to define and to acknowledge success. Interpreting quality indicators
pertains to evaluation of general client care, not of an individual nurse. An employee's job
satisfaction survey is a tool that allows the employee to give feedback on the employee's
satisfaction with work, not a review of the employee's contribution conducted by the nurse
manager.
After a nurse manager implements a solution to the problem of delays in obtaining
supplies, the first task for the manager is to:
ask the staff members for other solutions. plan to
monitor the supply cabinets. assess whether the desired
results have occurred. make an appointment with the
chief nursing officer. assess whether the desired results
have occurred.
The nurse manager must evaluate the results of the efforts to determine whether the
desired results have occurred. The nurse manager should solicit input from staff members
about potential solutions before, not after, implementing a solution. Monitoring the supply
cabinets would be more appropriate if the problem were suspected drug diversion by staff
but would be unnecessary for evaluating for improvement in delays for obtaininig supplies.
Making an appointment with the chief nursing officer is not necessary and would not help
the nurse manager evaluate the change in procedure related to obtaining supplies.
which of the following demonstrates effective communication, when caring for a patient
who is hearing impaired?
a. checking the patient for hearing aids and /or glasses
b. asks closed ended questions
c. speak to the patient at a higher volume
d. heave a family member with the patient at all times
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, - Answer ✓✓a. checking the patient for hearing aids and/or glasses
during an assessment, an abdominal heart rate is heard. the nurse needs to perform which
of the following documentation?
a. the nurse will chart by exception
b. a new care plan will be created
c. an incident report will be made
d. past history will be included in notes
- Answer ✓✓a. chart by exception
The nurse recognizes that a new mother is having difficulty breastfeeding. The nurse
demonstraties various positions in which to hold the baby while feeding. The nurse also
educates the mother on ways to ensure proper latching. The new mother attempts to
breastfeed the baby again using the new techniques and is successful. Which statement in
this scenario illustrates Lewin's stage of refreezing?
The nurse also educates the mother on ways to ensure proper latching.
The nurse recognizes that a new mother is having difficulty breastfeeding.
The nurse demonstrates various positions in which to hold the baby while feeding. The new
mother attempts to breastfeed the baby again using the new techniques and is successful.
The new mother attempts to breastfeed the baby again using the new techniques and is
successful.
Refreezing involves making a change operational, or a part of one's everyday life. The
mother feeding the baby using new techniques is an example of refreezing. The nurse
recognizing that a new mother is having difficulty breastfeeding is an example of
unfreezing, in which the need for a change is recognized. The nurse educating the mother
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