Nurses with varying levels of experience possess leadership skills.
A graduate nurse walks out of the nurse manager's office after a meeting.
The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit.
What nursing leadership skill is best illustrated by the graduate nurse in this scenario?
Self-evaluation skills.
Communication skills.
Interpersonal skills.
Problem-solving skills.
The Correct Answer is A
Choice A rationale
Self-evaluation skills involve the ability to reflect on one's performance, acknowledge strengths, and identify areas for improvement based on feedback. The graduate nurse's act of reflecting on the positive and negative feedback received from the nurse manager directly demonstrates self-evaluation.
Choice B rationale
Communication skills involve the ability to convey information effectively and respectfully. While the initial meeting with the manager likely involved communication, the scenario focuses on the nurse's internal reflection afterward, not the interaction itself.
Choice C rationale
Interpersonal skills relate to how a nurse interacts with others, building rapport and working collaboratively. The scenario doesn't provide information about the nurse's interactions with colleagues or patients, but rather her individual reflection.
Choice D rationale
Problem-solving skills involve identifying issues and finding solutions. The scenario doesn't describe a problem the nurse is actively trying to resolve, but rather her processing of feedback on her past performance. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Nurse practice acts, established at the state level, delineate the scope of nursing practice. They define the specific actions, duties, and responsibilities that nurses are legally authorized to perform based on their education, licensure, and experience. These acts also outline what activities fall outside the permissible boundaries of nursing practice to protect patient safety and maintain professional standards.
Choice B rationale
A primary objective of state nurse practice acts is to safeguard the public by regulating the practice of nursing. Through licensure requirements, standards of care, and disciplinary procedures, these acts ensure that only qualified and competent individuals provide nursing care. This regulation helps to maintain accountability within the profession and protect patients from potential harm due to unqualified or unethical practice.
Choice C rationale
The regulation of nursing practice primarily falls under the jurisdiction of individual state governments, not the federal government. Each state has its own board of nursing or similar regulatory body that is responsible for developing and enforcing the state's nurse practice act. While federal laws may influence healthcare, the direct oversight and regulation of nursing licensure and practice are state responsibilities.
Choice D rationale
Student nurses are held to the same standards of care as licensed nurses when providing patient care. Although they are still in the learning process and work under supervision, they are expected to adhere to established safety protocols and ethical principles. Their actions can have consequences, and they are accountable for the care they provide, just as licensed nurses are.
Choice E rationale
If a student nurse faces disciplinary action by a state board of nursing due to violations of nursing practice standards or unprofessional conduct, it can indeed impact their eligibility to take the National Council Licensure Examination (NCLEX). State boards have the authority to determine who is eligible for licensure, and disciplinary actions can lead to delays or even prohibition from taking the examination, depending on the severity of the infraction.
Correct Answer is C
Explanation
Choice A rationale
While nurses are generally expected to follow physician's orders, they also have a professional and ethical responsibility to advocate for their patients. In situations where an order conflicts with the patient's wishes and ethical principles, blindly following the order can lead to moral distress.
Choice B rationale
The physician's order, which contradicts the patient's explicit request, can indeed create a barrier to establishing an effective nurse-client relationship built on trust and respect for the patient's autonomy. The nurse may feel conflicted in carrying out an unwanted intervention.
Choice C rationale
The situation creates an ethical dilemma for the nurse because there are conflicting courses of action with moral implications. The nurse faces a conflict between the duty to follow the physician's order and the ethical principle of respecting the patient's autonomy and right to refuse treatment, even life-sustaining measures at the end of life.
Choice D rationale
The nurse is not unable to provide care but faces a complex ethical challenge in determining the most appropriate and ethical course of action that respects the patient's wishes while navigating the physician's order.
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