The head nurse keeps track of the work each nurse puts in to achieve the monthly goals set for the nursing staff. Then, the top three best-performing nurses are awarded a monetary reward or a day off. This is an example of what type of leadership theory?
Transactional theory
Situational theory
Behavior theory
Transitional theory
The Correct Answer is A
A. Transactional theory is correct. Transactional leadership focuses on the use of rewards and punishments to motivate followers. In this scenario, the head nurse tracks the performance of nurses and rewards the top performers with monetary incentives or time off. This aligns with transactional leadership, where the focus is on maintaining performance standards and rewarding or punishing based on results.
B. Situational theory is incorrect. Situational leadership theory suggests that leadership styles should change depending on the situation or the maturity of the followers. The example provided doesn't demonstrate a flexible or adaptive leadership approach, so this theory doesn't apply.
C. Behavior theory is incorrect. Behavioral leadership theory focuses on the behaviors and actions of leaders, such as consideration (caring about employees) and initiating structure (setting goals and expectations). While some elements of this theory could be seen in the example, the emphasis on rewards and performance tracking fits better with transactional leadership.
D. Transitional theory is incorrect. It seems you may be referring to transformational leadership, which involves inspiring and motivating followers to achieve higher levels of performance and personal growth. This is not the case here, as the focus in this example is on rewards for meeting specific performance goals, which is more aligned with transactional leadership.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Elevated body temperature and profuse sweating is correct. Thyroid storm (also known as thyrotoxicosis) is a severe, life-threatening exacerbation of hyperthyroidism. Common signs include elevated body temperature (fever), profuse sweating, tachycardia, hypertension, and agitation, all of which are indicative of this condition.
B. Weight gain and cold intolerance is incorrect. These are signs of hypothyroidism, not hyperthyroidism or thyroid storm. In hyperthyroidism, weight loss and heat intolerance are more typical.
C. Muscle weakness and fatigue is incorrect. While muscle weakness and fatigue can occur in hyperthyroidism, they are more commonly seen in chronic hyperthyroidism rather than in the acute setting of thyroid storm, where more extreme symptoms such as fever and tachycardia are prominent.
D. Bradycardia and low blood pressure is incorrect. Bradycardia and low blood pressure are signs of hypothyroidism, not hyperthyroidism or thyroid storm, where you would expect tachycardia and elevated blood pressure.
Correct Answer is ["A","B","D","E"]
Explanation
A. Monitor for increased intracranial pressure is correct. Following a transsphenoidal hypophysectomy, it is essential to monitor for signs of increased intracranial pressure (ICP) due to the proximity of the surgery to the brain and the risk of complications such as bleeding, swelling, or fluid buildup. Symptoms of increased ICP include headache, nausea, vomiting, and altered level of consciousness.
B. Monitor incision under the top lip for infection is correct. The incision for a transsphenoidal hypophysectomy is typically made under the top lip or at the base of the nose, and it is essential to monitor this site for signs of infection, such as redness, swelling, drainage, or increased pain.
C. Assess for signs of deep vein thrombosis (DVT) is incorrect. Although DVT prevention (e.g., ambulation, use of compression stockings) is important after surgery, monitoring for DVT is not a priority assessment specifically related to a transsphenoidal hypophysectomy. The other assessments are more directly related to potential complications from this specific type of surgery.
D. Development of meningitis is correct. Meningitis is a potential complication after a transsphenoidal hypophysectomy, especially if there is a breach in the nasal cavity or sinus, allowing for infection to spread. Signs of meningitis include fever, nausea, stiff neck, and headache.
E. Assess for signs of cerebrospinal fluid (CSF) leak is correct. A CSF leak is a serious complication of transsphenoidal surgery, as it can occur if the dura is punctured during the procedure. This leads to leakage of cerebrospinal fluid, which may manifest as a clear, watery drainage from the nose, a condition that should be assessed for immediately to prevent further complications like infection.
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