A senior nursing student has been elected president of the Student Nurses Association.
Which of the following qualities is essential to being a nursing leader?
Quality of being independent.
Quality of having physical stamina.
Quality of being flexible.
Quality of being vulnerable.
The Correct Answer is C
Choice A rationale:
While independence is a valuable quality for nurses, it's not the most essential quality for leadership. Effective leaders must be able to collaborate with others, delegate tasks, and build consensus. They must also be able to recognize when they need to seek help or guidance from others.
Choice B rationale:
Physical stamina is important for nurses, as they often work long hours and are on their feet for extended periods. However, it's not the most essential quality for leadership. Leaders need to be able to think clearly, make decisions under pressure, and motivate others, even when they are tired or stressed.
Choice C rationale:
Flexibility is essential for nursing leaders because the healthcare environment is constantly changing. Leaders must be able to adapt to new situations, challenges, and demands. They must also be able to adjust their leadership style to meet the needs of different individuals and teams.
Here are some examples of how flexibility is essential for nursing leaders:
Managing change: Leaders must be able to effectively manage change, such as new policies, procedures, or technologies. They need to be able to communicate changes clearly, provide support to staff, and ensure that changes are implemented smoothly.
Dealing with conflict: Leaders must be able to resolve conflicts effectively, whether between staff members, patients, or families. They need to be able to listen to different perspectives, identify common ground, and find solutions that meet the needs of all parties involved.
Adapting to different personalities: Leaders must be able to work with a variety of personalities and work styles. They need to be able to adjust their communication style, provide feedback, and motivate individuals in a way that is tailored to their needs.
Responding to crises: Leaders must be able to act quickly and decisively in crisis situations. They need to be able to assess the situation, make decisions, and take action to protect the safety of patients and staff.
Choice D rationale:
Vulnerability can be a valuable quality for leaders, as it can help to build trust and rapport with others. However, it's not the most essential quality for leadership. Leaders need to be able to balance vulnerability with strength and confidence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Straight catheters are single-use catheters that are inserted into the bladder to drain urine and then immediately removed. They are not suitable for long-term use in clients with obstructed urethras because they would need to be inserted repeatedly, causing discomfort and potential trauma to the urethral tissues. Additionally, the obstruction itself would make it difficult or impossible to insert a straight catheter.
Choice B rationale:
Indwelling urethral catheters, also known as Foley catheters, are inserted into the bladder and remain in place for a period of time. They are typically used for clients who cannot void on their own or who require continuous bladder drainage. However, they are not the best option for clients with obstructed urethras for the following reasons:
The presence of the catheter within the urethra can further irritate or damage the already obstructed tissues. The balloon that holds the catheter in place could potentially worsen the obstruction.
The risk of urinary tract infections (UTIs) is increased with indwelling catheters.
Choice C rationale:
Intermittent urethral catheters are inserted into the bladder to drain urine and then removed. They are typically used by clients who can self-catheterize several times a day. However, they are not suitable for clients with complete prostatic obstruction, as the obstruction would make it difficult or impossible to insert the catheter.
Choice D rationale:
Suprapubic catheters are inserted directly into the bladder through a small incision in the abdomen, bypassing the urethra entirely. This makes them the most suitable option for clients with obstructed urethras, as it eliminates the need to pass a catheter through the obstructed area. Suprapubic catheters offer several advantages in this situation:
They avoid further irritation or damage to the urethral tissues.
They provide a more comfortable and convenient option for long-term bladder drainage.
They may reduce the risk of UTIs compared to indwelling urethral catheters.
Correct Answer is A
Explanation
Skin breakdown:
Prolonged exposure to urine, especially in the presence of incontinence briefs, can irritate and macerate the skin, leading to breakdown.
Factors contributing to skin breakdown:
Moisture from urine:
Creates a warm, moist environment ideal for bacterial growth.
Disrupts the skin's natural barrier function, making it more susceptible to damage.
Friction from incontinence briefs:
Can rub against the skin, causing irritation and further damage.
Chemical irritants in urine:
Ammonia and other substances in urine can further irritate and damage the skin.
Signs of skin breakdown:
Redness, warmth, tenderness, or swelling of the skin.
Blisters, erosions, or ulcers.
Pain or discomfort.
Prevention of skin breakdown:
Frequent changing of incontinence briefs (as soon as they become wet or soiled).
Thorough cleansing of the skin with mild soap and water after each change.
Application of a skin barrier cream or ointment to protect the skin.
Use of breathable incontinence briefs that allow air to circulate.
Monitoring of the skin for signs of breakdown and seeking prompt medical attention if any occur. Urinary tract infections (UTIs):
Bacteria from the skin can enter the urinary tract through the urethra, leading to infection.
Factors increasing UTI risk in those with incontinence:
Incomplete bladder emptying:
Residual urine in the bladder provides a breeding ground for bacteria.
Use of incontinence briefs:
Can trap moisture and bacteria near the urethra.
Difficulty with personal hygiene:
May lead to the spread of bacteria from the skin to the urinary tract.
Signs of a UTI:
Frequent urination.
Pain or burning during urination.
Urgency to urinate.
Blood in the urine.
Cloudy or foul-smelling urine.
Prevention of UTIs:
Maintaining good personal hygiene.
Drinking plenty of fluids to help flush bacteria from the urinary tract.
Promptly emptying the bladder when the urge to urinate is felt.
Seeking medical attention if any signs of a UTI occur.
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