The nurse is learning about effective nurse leadership. The nurse should recognize that an effective nurse leader has which of the following qualities? SELECT ALL THAT APPLY
Conflict resolution skills
Integrity
Ability to set priorities
Authoritarian leadership style
Resistant to change
Correct Answer : A,B,C
Choice A reason:
Conflict resolution skills are essential for effective nurse leadership. Leaders must be able to manage and resolve conflicts within the team to maintain a positive and productive work environment. Effective conflict resolution promotes teamwork and improves patient care.
Choice B reason:
Integrity is a fundamental quality of an effective nurse leader. Leaders with integrity are honest, ethical, and trustworthy. They set a positive example for their team and build a culture of trust and respect.
Choice C reason:
The ability to set priorities is crucial for nurse leaders. Effective leaders can identify the most important tasks and allocate resources appropriately. This skill ensures that the team focuses on activities that have the greatest impact on patient care and outcomes.
Choice D reason:
An authoritarian leadership style is not characteristic of effective nurse leadership. This style can lead to a lack of collaboration and low team morale. Effective nurse leaders typically use a more collaborative and inclusive approach to leadership.
Choice E reason:
Being resistant to change is not a quality of an effective nurse leader. Healthcare is a dynamic field that requires adaptability and openness to new ideas and practices. Effective leaders embrace change and guide their teams through transitions to improve care and outcomes.
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Correct Answer is B
Explanation
Choice A reason:
A gradual onset of headache is more characteristic of other types of headaches or conditions, such as tension headaches or migraines. Hemorrhagic strokes, particularly those caused by a ruptured cerebral aneurysm, typically present with a sudden and severe headache, often described as the “worst headache of my life.” This sudden onset is due to the rapid accumulation of blood in the brain, which increases intracranial pressure and causes immediate symptoms.
Choice B reason:
Changes in consciousness are a common manifestation of a hemorrhagic stroke. The sudden bleeding into the brain can disrupt normal brain function, leading to symptoms such as confusion, lethargy, or loss of consciousness. These changes occur rapidly and are a key indicator of a serious neurological event. The nurse should be vigilant for any alterations in the client’s level of consciousness, as this can signify worsening of the condition and the need for immediate medical intervention.
Choice C reason:
A gradual onset of several hours is not typical for hemorrhagic strokes. These strokes usually present with sudden and severe symptoms due to the abrupt rupture of a blood vessel in the brain. The rapid increase in intracranial pressure from the bleeding causes immediate and severe symptoms, rather than a slow progression over hours.
Choice D reason:
A history of neurologic deficits lasting less than 1 hour is more indicative of a transient ischemic attack (TIA), also known as a mini-stroke. TIAs are temporary and resolve within a short period without causing permanent damage. In contrast, a hemorrhagic stroke caused by a ruptured cerebral aneurysm results in immediate and severe symptoms that do not resolve quickly and require urgent medical attention.
Correct Answer is A
Explanation
Choice A reason:
Hypertension is a common manifestation of increased intracranial pressure (ICP). As ICP rises, the body attempts to maintain cerebral perfusion by increasing blood pressure. This compensatory mechanism helps ensure that the brain continues to receive adequate blood flow despite the elevated pressure.
Choice B reason:
Tinnitus, or ringing in the ears, is not a typical manifestation of increased ICP. While it can be a symptom of various conditions, it is not specifically associated with elevated intracranial pressure.
Choice C reason:
Hypotension, or low blood pressure, is not a manifestation of increased ICP. In fact, the body typically responds to increased ICP with hypertension to maintain cerebral perfusion. Hypotension would be concerning for other reasons but is not indicative of elevated intracranial pressure.
Choice D reason:
Tachycardia, or an increased heart rate, is not a primary manifestation of increased ICP. While changes in heart rate can occur with severe neurological conditions, hypertension is a more direct indicator of elevated intracranial pressure.