A nurse is planning to teach a class on the laissez-faire leadership style. The nurse should include which characteristics of laissez-faire leaders? Select All That Apply.

Gives staff freedom to make decisions

Expects staff to solve problems on their own

Uses rewards or punishments to encourage compliance

is ultimately responsible for the decisions made by staff members

Strictly enforces rules to maintain compliance

Answer and Explanation

Correct Answer : A,B,D

Laissez-faire leadership characterizes a permissive environment where minimal guidance is provided to subordinates. This style relies on individual autonomy and the professional maturity of staff, often proving effective in highly specialized units where practitioners possess advanced expertise and self-direction.

Rationale:

A. Laissez-faire leaders provide maximal autonomy, allowing experienced staff to exercise their own clinical judgment. Giving staff the freedom to make decisions encourages self-reliance and can lead to increased job satisfaction among highly skilled professionals.

B. This leadership style assumes that staff possess the requisite competence to navigate clinical challenges independently. By expecting members to solve problems, the leader avoids micro-management, though this can lead to disorganization if the team lacks direction.

C. Using contingent rewards or punishments is a hallmark of transactional leadership, not laissez-faire. Laissez-faire leaders generally remain passive, avoiding active intervention or the structured enforcement of extrinsic motivators to drive performance.

D. Despite the hands-off approach, the leader retains legal accountability for the unit's outcomes. Being ultimately responsible means the leader must still monitor safety and quality, even while delegating the decision-making process to the team.

E. Strict rule enforcement is characteristic of autocratic or bureaucratic leadership styles. Laissez-faire leaders avoid regulatory rigidity, instead fostering a loose structure that may lack the consistency required for maintaining rigorous organizational compliance.

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Correct Answer is A

Explanation

Cost-effective care delivery integrates resource management with clinical efficiency to optimize healthcare expenditures. It requires stewardship of supplies and time while maintaining quality standards and preventing expensive complications like nosocomial infections or prolonged hospitalizations through evidence-based resource allocation.

Rationale:

A. Utilizing the minimum necessary supplies for wound management demonstrates effective resource stewardship. Avoiding the excessive use of expensive primary and secondary dressings reduces variable costs without compromising the physiological environment required for secondary intention healing or tissue granulation.

B. Delegating complex clinical procedures like closed irrigation to unlicensed assistive personnel is inappropriate. This task requires clinical judgment and sterile technique; improper delegation can lead to complications that ultimately increase the cost of care through extended treatment and infection.

C. Using sterile gloves for peripheral intravenous site care is unnecessary and increases supply costs. Standard clean technique and the use of nonsterile gloves are scientifically sufficient for peripheral site maintenance, as sterile gloves do not further reduce the incidence of phlebitis.

D. Delaying colostomy drainage until it is 75% full increases the risk of pouch failure. The increased weight causes the skin barrier to detach, leading to peristomal skin breakdown and the need for more frequent, costly appliance changes and specialized wound care.

Correct Answer is ["1.5"]

Explanation

Step 1: Calculate total daily dose
Total daily dose = 48 × 4
= 192 mg/day

Step 2: Determine dose per administration
Every 8 hours = 3 doses/day
Dose per dose = 192 ÷ 3
= 64 mg

Step 3: Convert mg to mL
Volume (mL) = 64 ÷ 43
≈ 1.49 mL

Step 4: Round to the nearest tenth
≈ 1.5 mL

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A nurse is planning to teach a class on the laissez-faire leadership style. The nurse should include which characteristics of laissez-faire leaders? Select All That Apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is presenting an in-service to staff nurses about methods to reduce the costs of client care delivery. Which statement indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is preparing to administer gentamicin 4 mg/kg/day IM divided in equal doses every 8 hr to a client who weighs 48 kg. Available is gentamicin injection 43 mg/mL. How many mL should the nurse administer per dose? Round to the tenths place.

Correct Answer is ["1.5"]

Explanation

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