What is the leadership style of a nurse manager who changes the policy regarding sterile dressing changes and directs the staff to follow the new procedure?
Democratic
Authoritative
Trait theory
Laissez-faire
The Correct Answer is B
A. Democratic is incorrect. A democratic leadership style involves collaboration and input from team members in decision-making. In this scenario, the nurse manager is directing staff to follow a new procedure without seeking their input, which is not indicative of a democratic approach.
B. Authoritative is correct. An authoritative leadership style is characterized by clear direction and decision-making from the leader. The nurse manager in this scenario is changing the policy and directing the staff to follow the new procedure, which reflects an authoritative approach.
C. Trait theory is incorrect. Trait theory focuses on the personal qualities and characteristics of leaders, such as confidence or decisiveness, rather than a specific leadership approach or style.
D. Laissez-faire is incorrect. A laissez-faire leadership style is hands-off and allows team members to make decisions independently, which is the opposite of what the nurse manager is doing in this situation.
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Related Questions
Correct Answer is B
Explanation
A. Require staff nurses to demonstrate competency by passing a medication administration examination is incorrect. While testing competency may be part of the solution later, it is not the first step. The CQI process should begin by understanding why errors occurred, not by immediately requiring examinations without understanding the root causes.
B. Review the events leading up to each medication administration error is correct. The first step in a Continuous Quality Improvement (CQI) program should be to gather data and analyze the root causes of the medication errors. By reviewing the events that led to the errors, the committee can identify systemic problems, whether related to processes, communication, or individual actions. This approach helps to focus the improvement efforts on addressing the actual causes of the errors rather than just treating the symptoms.
C. Develop a quality improvement program for nurses involved in medication administration errors is incorrect. Developing a quality improvement program is an important step, but the first step in CQI is to gather and analyze data to identify why errors are occurring. The program should be based on findings from the error reviews.
D. Provide an in-service on medication administration to all the nurses is incorrect. While education and in-service training are useful for improving practice, the first step in CQI is to identify the problem. The committee needs to understand the reasons behind the medication errors before implementing training programs.
Correct Answer is D
Explanation
A. Luteinizing hormone (LH) is incorrect. LH is involved in regulating the reproductive system by triggering ovulation in females and stimulating testosterone production in males, but it does not primarily influence growth.
B. Thyroid-stimulating hormone (TSH) is incorrect. TSH stimulates the thyroid gland to release thyroid hormones, which regulate metabolism, but TSH is not the primary hormone responsible for controlling physical growth.
C. Adrenocorticotropic hormone (ACTH) is incorrect. ACTH stimulates the adrenal cortex to produce cortisol and other glucocorticoids, which help the body respond to stress but do not directly stimulate growth.
D. Growth hormone (GH) is correct. GH, also known as somatotropin, is secreted by the anterior pituitary and directly stimulates growth and development, particularly in bones and muscles, by promoting protein synthesis and increasing fat metabolism.
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