CoursePoint Modules Exam 1

The nurse in the emergency department should see which of these four patients first?

-a patient reporting headache, stiff neck, and photosensitivity

After receiving report, which client should the nurse see first?

-a patient who was admitted with kidney stones and is crying with back pain

A nurse leader at a long-term care facility wants to determine if vital signs are being checked according to policy. What can the leader do to measure this process of care?

-a process audit

A nurse manager is attempting to ensure adequate resources are available in order to meet changing patient needs. What would be the best type of audit for the manager to perform?

-a structure audit

Which aspects of creating a successful interprofessional team are addressed by SBAR?

-maintaining a shared vision -communicating effectively and efficiently -ensuring role clarity -offering a recommended plan of action or next steps

When making a decision about using a prn pool for added staffing, what can the nurse manager do to make the best decision?

-make a decision with all of the facts

The Institute of Medicine (IOM) would consider which behaviors as an indicator of quality care?

-nurses taking population-specific classes to keep their professional knowledge updated -nurses returning to school to obtain a baccalaureate degree -a hospital requiring annual retraining for all staff in CPR and AED use -the use of nationally developed and approved patient education materials

5 Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include?

-patient's name and room number -admitting diagnosis -past medical history -current medications

An older adult patient recently had a hip replacement with an indwelling catheter inserted. The patient developed symptoms of a urinary tract infection (UTI) postoperatively, and the nurse placing the catheter was reeducated by the nurse leader regarding avoidance of UTIs when inserting catheters. Which quality approach did the nurse leader use?

-quality assurance techniques

The nurse manager may use which quality assurance or performance improvement technique to identify underlying process flaws in the reporting of suspected child or elder abuse?

-root cause analysis

A nurse makes a decision using intuitive judgment regarding a patient's rapid change in condition. What action should the nurse take after the decision?

-use evidence-based data to validate decision

The nurse should plan to see which patient first when planning morning care?

A 12 year old who was admitted for chemotherapy via a central venous catheter

A nurse-educator has a very narrow power-authority gap when interacting with students in the clinical setting. What negative student outcome may occur because of this narrow gap?

the students will question their ability to make independent decisions

A nurse manager is implementing a quality control tool that is systematic and will allow the official examination of a record for patients with postoperative infections. What type of tool is the nurse manager using to collect and evaluate this data?

-an audit

In the SBAR model, when giving recommendations, what kinds of things should be communicated?

-any new treatments or changes ordered -opinions for further action

When you explain what the nurse believes the issue is, which stage of SBAR would the nurse be demonstrating?

-assessment

3A new nurse on a medical-surgical unit has an uncomfortable encounter with one of the RNs. Both the RN and the new nurse realize that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used?

-avoidance

A new nurse leader asks for strategies to improve communication skills since there has been a large turnover of nursing staff. What suggestion from the director would be beneficial for the nurse leader?

-be congruent in your verbal and nonverbal communication

The nurse manager is aware that there will be critical changes made to staffing due to low census in an acute care facility, and staff is already lacking trust in administration. What would be the best way for the nurse manager to handle the situation?

-be truthful regarding the situation about staffing and census

What behaviors should a nurse manager exhibit to narrow the power-authority gap that exists between the manager and the staff?

-being accountable -holding others accountable -asking personal questions of your staff

A health care team has been challenged to determine what other facilities are doing to decrease the number of hospital-acquired infections so that an action plan can be created to decrease the rate in their facility. What will the health care team do to achieve this challenge?

-benchmarking

A nurse manager would like to determine how well the team is doing in terms of meeting the hospital's goal of increased patient satisfaction. What action should the manager take after determining best practices?

-capture when the team is and is not using best practices and the outcomes

A nurse leader is performing a process audit. Which would be a consideration on a process audit?

-checking the completeness of a patient's medical record -comparing a patient's medication order to the medications the patient has been taking -ensuring that machines are recalibrated according to department policy

An experienced nurse using contingency theory is orienting a new graduate to the unit. What needs will the nurse meet with the new graduate using this theory?

-coaching -counseling -developing

A nurse manager informs the staff that if they do not increase productivity by 15%, there will be people losing their jobs. What form of power is the nurse manager displaying with the staff members?

-coercive power

The nurse-manager of a surgical unit must hire travel RNs to work during busy times. Knowing that travel nurses typically receive higher hourly salaries as well as completion bonuses for the 13-week assignment, the manager anticipates regular staff will have animosity toward these nurses. The manager has a plan to allow the regular staff to have every weekend off (because part of the travel nurse's contract states that the nurse may be required to work each weekend during the contracted time frame). What type of conflict resolution strategy is the manager using?

-compromising

For a nurse leader, what is the optimal goal in resolving conflict between team members?

-create a win-win solution for all

3An older adult patient fell out of bed 2 days after a hip replacement and had to return to surgery. What process should be done in order to prevent future negative outcomes such as this?

-critical event analysis

A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost-effectiveness of this practice. What would be an appropriate decision-making model to find a cost-efficient solution?

-decision grid

A nurse has just been promoted to a managerial position in the ICU of a busy hospital and is worried that members of the nursing staff will not treat the nurse's requests with the same respect and seriousness as they did the requests of the previous manager, who was well-regarded. What behaviors would reinforce the new manager's authority and power in the eyes of the staff?

-demonstrating influence with the hospital's senior leadership team -reminding staff how their efforts contribute to the unit's goals

A nurse is tasked with performing an audit on patients in the long-term care facility who are developing pressure ulcers. After identifying the information relevant to the criteria, what is the nurse's next action?

-determine ways to collect data

A nurse educator in a college setting has developed leadership skills as a result of attaining further education and sharing positive change within the department. What transformational leadership characteristic is this nurse educator demonstrating?

-empowering others

A nurse leader is considering using transformational leadership. What information would the nurse leader need to keep in mind?

-empowerment of both the leader and follower occurs

In the SBAR model, what should be conveyed when explaining the situation?

-events currently happening -objective statement of the problem -assessment data collected -recommendations for treatment changes

A nurse is caring for a patient that suddenly becomes short of breath and has a decrease in oxygen saturation to 86%. The nurse places the patient on 4 L of oxygen via nasal cannula and elevates the head of the bed. What decision tree would the nurse have used in this situation?

-intuitive judgment

A nurse manager is using face-to-face communication when discussing a staff member's performance evaluation. What does the manager determine are the benefits of this method of communication in this situation?

-it will strengthen the connection between the manager and staff member -the manager can determine if the staff member understands the evaluation -it will combine verbal and non-verbal communication to convey messages

The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in the need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years, and this change will create conflict. At what stage does this conflict exist?

-latent conflict stage

The unit manager of a medical-surgical unit undergoing restructuring changes realizes that to create a more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as 'smoothing'. Smoothing is best defined as

-looking toward something that the parties in conflict are in agreement about

A health care provider is attempting to improve their connection with the nursing staff. What communication strategy would be appropriate for the health care provider to use to make this change?

-maintain eye contact and nod or vocalize to show interest in conversation

A nurse manager is using the decision-making model 'SWOT' to determine whether it is feasible to add another on-call team in perioperative services. What words does the acronym 'SWOT' represent?

-strengths -weaknesses -opportunities -threats

A nurse working in a large, diverse university hospital informs the charge nurse, 'I never know how far apart to stand from someone since we have patients from many cultures.' What is the best response by the charge nurse?

-the degree of space is going to vary with cultural norms

A nurse manager is conducting a meeting with staff. What factors may significantly influence how communication is received and perceived during the meeting?

-the level of the manager -stress levels -gender differences

The manager of several related departments brings the team together to inform them that they will all be cross training to other units for the purpose of increasing productivity. What form of leadership does this manager demonstrate?

-transactional

A nurse in a leadership role is committed to a vision for retention in the medical-surgical unit and is able to empower others with this vision. What form of leadership is this nurse demonstrating?

-transformational

A nurse leader wants to ensure that the team is always practicing proper hygiene after caring for a patient. A complaint was filed against a nurse for not washing the hands before examining a wound on a child's knee. What is the nurse leader's control criteria?

-whether the team is practicing proper hygiene