Question

The most important approach that a nurse manager can take with an emotionally troubled employee is to:

Answer 1

Correct Answers:

assist the employee in obtaining professional help.

Rationale :

✴The nurse manager’s role is to provide appropriate support and guidance to emotionally troubled staff, not to assume the role of a therapist.

✴Assisting the employee in obtaining professional help through an employee assistance program or mental health service ensures the individual receives the care they need while maintaining professional boundaries.

✴Adjusting care standards (D) or acting as a counselor (C) compromises safety and role clarity, and modifying schedules (A) may only offer temporary relief without addressing the root issue.

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Answer 2

Correct Answers:

unacceptable patient care may result.

Rationale :

🧨While absenteeism can affect morale and team dynamics, its most critical consequence is the compromise of patient care quality.

🧨When staff are absent, others may become overworked or unfamiliar float staff may be brought in, increasing the risk of errors, omissions, or delayed care.

🧨Patient safety is always the highest priority, making this the most serious outcome of repeated absenteeism.

🧨 Financial or cultural impacts are secondary to client health outcomes.

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Answer 3

Correct Answers:

biomedical technology.

Rationale :

⭐Devices that measure physiological parameters such as heart rhythm, oxygenation, and intracranial pressure are classified as biomedical technology.

⭐These tools are designed to collect real-time clinical data, supporting accurate diagnosis and intervention.

⭐They are distinct from telecommunications or information retrieval systems, as they directly engage with the patient’s body to monitor biological functions.

⭐Their use is especially crucial in high-acuity environments like ICUs.

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Answer 4

Correct Answers:

"Refrain from smoking near the oxygen delivery equipment"

Rationale :

🌐Oxygen is a highly flammable agent, and smoking in its vicinity is one of the leading causes of home oxygen-related fires.

🌐This makes smoking restrictions a top-priority safety teaching point for any client using oxygen at home.

🌐Wool blankets can generate static electricity (C), and incorrect fire safety practices (A and B) can exacerbate danger rather than prevent it.

🌐Teaching this critical information protects both the client and household from serious injury or death.

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Answer 5

Correct Answers:

Clinical decision support

Rationale :

🦠Clinical Decision Support Systems (CDSS) integrate with electronic health records and use client-specific data to trigger alerts, reminders, or recommendations, such as the one prompting inquiry about tetanus status.

🦠These systems promote evidence-based practice by offering timely suggestions based on clinical input.

🦠 They are not the same as order entry systems (A), data storage (B), or communication networks (D). CDSS enhances safety and accuracy, especially for new or less experienced providers.

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Answer 6

Correct Answers:

Wound care.

Rationale :

🔸Wound care requires hands-on skill, judgment, and sensory feedback, which cannot currently be replicated by artificial intelligence (AI).

🔸 It involves assessing wound appearance, odor, drainage, and healing progress—tasks that are deeply rooted in clinical intuition and experience.

🔸 In contrast, tasks like contacting team members or collecting supplies can be automated or delegated.

🔸This highlights that human expertise remains essential for complex, sensory-dependent care activities.

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Answer 7

Correct Answers:

Ensure two fingers can fit between the device and the client
Perform a neurovascular check every 2 hours.
Implement passive range-of-motion exercises.

Rationale :

Ensure two fingers can fit between the device and the client;

This is a fundamental safety measure in restraint application.
Ensuring that two fingers fit between the restraint and the client’s skin helps verify that the restraint is not too tight, which could cause circulatory compromise, nerve damage, or skin breakdown.
This guideline is part of most institutional protocols and national safety standards. It reflects attention to both safety and comfort in care.

🔑 Key concept: Prevents impaired circulation and tissue injury.

Perform a neurovascular check every 2 hours;

Clients in restraints must be monitored closely for any signs of neurovascular impairment. Performing assessments every 2 hours—checking for color, warmth, movement, sensation, and pulse—helps detect complications early.
It ensures that the restraint is not impeding blood flow or nerve function, supporting both client safety and regulatory compliance.
Documentation of these checks is also required by law and accrediting bodies.

🔑 Key concept: Early detection of complications from restricted mobility.

Implement passive range-of-motion exercises;

Clients in continuous restraints and who are immobile are at high risk for muscle atrophy, joint stiffness, and pressure injuries.
Incorporating passive range-of-motion (ROM) exercises promotes circulation, joint mobility, and prevents complications like contractures.
It’s an essential nursing intervention for clients who cannot move themselves and supports the broader goal of maintaining physical function.

🔑 Key concept: Maintains musculoskeletal integrity during immobility.

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Answer 8

Correct Answers:

Reminder of employment standards.

Rationale :

📌The initial step in addressing disciplinary concerns is to provide a verbal or written reminder of expected behavior.

📌This approach is both corrective and supportive, allowing the employee a chance to improve without formal penalties.

📌 It also serves as an early intervention before escalation to formal disciplinary actions like suspension or written reprimands.

📌Early feedback helps maintain professional accountability and transparency within the team.

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Answer 9

Correct Answers:

The new graduate places all side rails up.

Rationale :

◽Raising all four side rails is considered a restraint, which can increase the client’s risk of falls or injury from climbing over.

◽This intervention requires a specific order and justification.

◽ Placing items within reach, lowering the bed, and locking wheels are all correct fall-prevention strategies.

◽The supervising nurse must correct this error to promote client autonomy and safety, particularly when using restraints unnecessarily or inappropriately.

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Answer 10

Correct Answers:

A clinical database.

Rationale :

✅A clinical database is a structured system that stores and organizes health-related data for analysis and use in designing educational or clinical interventions.

✅It provides trend data, population metrics, and treatment outcomes—making it ideal for supporting evidence-based programs like hypertension education.

✅Biomedical technology refers to machines (not data storage), email is a communication tool, and internet sources may lack clinical reliability or structure.

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RN Nurs 252 Leadership Final Exam

No.

1 : The most important approach that a nurse manager can take with an emotionally troubled employee is to:

2 : The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that:

3 : In an ICU, you order new devices to measure heart rhythm and rate, respiratory rate, oxygen levels, and intracranial pressure. These devices describe:

4 : A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?

6 : Nurses complete many tasks that require skill, judgment, fine motor control, and other types of expertise that are difficult to replicate with Al. One such skill would be:

7 : A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)

8 : A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is at

9 : A nurse is supervising a new graduate who is caring for a patient who has fallen days ago. Which of the following interventions made by the new graduate REQUIRES CORRECTION by the supervising nurse?

10 : You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension. To support your planning, you draw out and present patient data from:

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