The nurse works in a small hospital that uses narrative ...

[schs14]

The nurse works in a small hospital that uses narrative documentation rather than computer documentation. The nurse makes a practice of documenting care only at the end of the shift, just before giving shift report.
 
  Which aspect of documentation credibility does this most clearly violate?
  1. It is contemporaneous.
  2. It is accurate.
  3. It is truthful.
  4. It is appropriate.

Question 2

The manager of an emergency department tries to involve staff in department decisions. However, when a mass casualty situation arises, the nurse becomes very directive.
 
  What style of leadership does this situation describe?
  1. Authoritarian
  2. Transformational
  3. Laissez-faire
  4. Situational

[josephsuarez]

Answer to Question 1

Correct Answer: 1

Documentation should be contemporaneous (documented at the time it is provided), accurate, truthful, and appropriate. In this case, the most clearly violated aspect is that of being contemporaneous. Although documenting late may impact the accuracy and truthfulness of the notes, the nurse may be very accurate and very truthful, but just late in documenting. The documentation may be appropriate for the care provided even though it is late.

Answer to Question 2

Correct Answer: 4

In situational leadership, levels of direction and support vary according to the level of maturity of the employee and group, and to the situation occurring. In authoritarian leadership, the leader makes the decisions for the group. Transformational leadership focuses on preparing people for change. Laissez-faire leadership is nondirectional, is characterized by inactivity or passivity, and is permissive with few commands, questions, criticisms, or suggestions.