final

Nursing students are working together in a clinical simulation activity and being monitored by nursing faculty. Which statements if observed by nursing faculty during a clinical simulation activity with nursing students would require the nursing faculty member to intervene? Select all that apply.

"What do you think you are doing?" 2. "I really thought you took nursing school more seriously." 3. "What you did is so stupid that all I can do is sit here and laugh."

Which certification degree represents an acute care nurse practitioner?

. Adult psychiatry, mental health

The nurse manager is preparing to institute the use of SBAR for interprofessional communication. The nurse manager has based this decision on what benefits to this tool? Select all that apply. c

. Assertive dialogue between professionalsb. Most essential information deliveryc. Safer delivery of patient care

The nurse manager is planning to use the DECIDE model to assist in improving nursing staff self-scheduling and is explaining the use of this tool by comparing it to the nursing process and knows that the ECI of the model corresponds to what parts of the nursing process? Select all that apply.

. Assessment Diagnosis Identification of outcomes Planning . Evaluation

Which behaviors if utilized by nurse managers would help to establish change in the clinical environment? Select all that apply.

. Helping to build trust3. Instilling confidence4. Anticipating that change is inevitable

Based on Benner's novice to expert model, which nurse would best serve as a preceptor for a new graduate nurse who is starting the orientation process on a medical-surgical unit and has no prior clinical experience other than nursing school clinical experience?

. Nurse who has just gotten off orientation but has been a nurse for about 5 year

Which observation if noted on a performance evaluation would require that the supervisor speak with the nurse in order to promote a healthy work environment?

. Refuses to take breaks while working shifts

The nurse manager, using the Institute of Medicine's Ten Rules for Health-care Delivery in the 21st Century, knows that the policies and procedures should be based on what?

. Research concerning best practices

The nurse manager has just been informed that a patient received a medication intravenously that should have only been administered as an intramuscular injection. The patient suffered a respiratory arrest and is being transferred to the intensive care unit. The nurse manager is aware that this is known as what type of error?

. Sentinel event

A new nurse leader has adopted a laissez-faire style of leadership that may result in what characteristics of those who report to this leader?

. Team members experience disagreements among themselves.

A nurse leader new to the organization has a transactional leadership style. The staff members who work with this leader are aware that what is the leader's focus?

. The goals of the organization

A nurse leader has begun to look for a new position in a different health-care organization because the present organization is a closed system. The nurse leader is aware that this system has led to what issue on the nursing unit?

. The nurse leader had difficulty recognizing the nursing unit was a part of the whole organization.

The nurse manager in a not-for-profit health-care facility is aware that what issue may arise due to the funding for this type of organization?

. There is a possibility that staff must be reduced because of decreased available funds.

A nurse who has been licensed for 2 years is now seeking employment at a different facility. Which option would the nurse consider to be a priority with regard to potential employment at this other facility?

. Understanding of the nursing job description being offered

In order to achieve a well-functioning information system within a health-care setting,which element should be included? Select all that apply.

1)Information is stored at the individual level. )Information is stored at the organizational level. )Financial systems are included in administrative systems.

What components should be included in an agenda for a meeting? Select all that apply

1. Time and date of the meeting 2. Topics to be presented 3. Individuals who will be providing information 5. Time allotted to each topic

The director of nursing at an acute care facility is aware that safety issues must be continually addressed because what percentage of patients globally experience a preventable adverse event?

10%

Which measures are included in the Registered Nurse Safe Staffing Act of 2015? Select all that apply.

2. Hospitals must provide unit orientation to nurses for which they have not been trained prior to the nurse being assigned to work on that unit. 3. Hospitals must take into account the level of educational preparation that the nurse has in determination of making staffing assignments. 4. Hospitals must have an established procedure for handling complaints relative to nurse staffing..

Which percentage represents the amount of time nurse leaders and managers spend in helping to resolve conflicts within the clinical setting according to clinical research?

25%

How many minutes is equivalent to one credit of continuing education credit?

50

What elements are included in the hallmarks of a professional nursing practice environment?

A formal program for performance improvement

Which statement best describes what is meant by the term "third-aged nurses"?

A nurse who is within the age group of 50 to 70 years

Which information should be included in a nurse's self-appraisal? Select all that apply.

A review of goal statements 4. Accomplishments achieved during the last year 5. Peer feedback received

Who is a key stakeholder that is a critical part of the informatics team when attempting to implement an electronic documentation system?

A super user who is a shift expert

The nurse leader is working with a team to develop a more effective admission assessment process. Which team member is an example of one who participates in the team by "standing by"?

A team member who requires detailed instructions concerning the leader's expectations

Which statement provides an accurate description of backup behavior?

Ability to shift assignments during periods of high workload

Which aspects are included in how nurses develop nursing judgment? Select all that apply.

Academic experience Use of experience to help form an opinion Analysis of information to help arrive at a decision

Which statement best reflects the concept of accountability with regard to delegation of tasks?

Accountability exists at both nursing and organizational levels

Which aspect of change takes place in the refreezing stage of Lewin's Force-Field Model?

Achievement of equilibrium

Which behavioral action if observed by a nurse leader would indicate effective coaching style?

Acknowledging a job that is well done

The nurse is admitting a patient who has community acquired pneumonia (CAP).While documenting the patient's history in the medical record,the nurse encounters prompts for further information relative to the medical diagnosis.What is this an example of?

Activation of a rule

What standards help to support a healthy work environment based on the American Association of Critical Care Nurses? Select all that apply.

Adequate staffing True collaboration Authentic leadership

Based on current clinical research, which statement represents support for promoting adequate staffing?

Adequate staffing helps to promote both patient and nurse satisfaction.

Which is an example of a fixed expense in a budget for a nursing unit?

Administrative salaries

The nurse leader is beginning a quality improvement (QI) project on the nursing unit and is aware that what is most important to the ultimate success of the project?

All members of the nursing unit are involved in the project

Which statements are accurate with regard to team building? Select all that apply.

All nurses should participate in a collaborative manner. . Team building is an effective way to increase productivity.. Team building is an effective way to decrease costs.

Which statement describes an example of an intraprofessional team with regard to nursing in the clinical setting?

All nurses who work in the facility at both staff and supervisory levels

Which clinical environment is reporting an increased need for nursing staff?

Ambulatory care

Team members are becoming disillusioned with the group performance. The members of the team indicate that they have no input into the decision-making process. Which statement if provided by team members would account for their disillusionment?

An agenda is provided at the start of the meeting.

The nurse manager is holding a unit meeting and asks each staff member to share one thing that the individual believes works best on the unit. What technique is the nurse manager using in this meeting?

Appreciative inquiry

the staff nurses from an orthopedic surgery unit are dissatisfied with the admission process of a patient following surgery. The nurses state that there may be four to five admissions within a 1-hour period as they are discharged from the postanesthesia recovery unit. With many patients arriving at the same time, the staff does not feel able to give the patients the close assessment they deserve and complete the admission process. The director of nursing suggests that these nurses observe the system that the women's health unit uses for the multiple admissions that happen at the same time due to deliveries and female surgeries. What problem-solving technique is the director of nursing using?

Appreciative inquiry

Which criteria should a nurse use to evaluate online websites for accuracy with regard to providing health information to the public?

Assess the sites for relative strengths and weaknesses. Evaluate websites for use of credible information supported by evidence-based practice.

Which situation provides an example of the right circumstances as defined by the five Rights of Delegation?

Assessing needs of the population in the context of available resources

What statement best represents an authentic relationship?

Assuming that both you and others are working at the best possible level

Which method would a nurse leader use in order to sustain team synergy?

Avoid calling numerous meetings if not warranted to stated goals

The nurse manager is working with a staff nurse who committed a medication error that led to the patient requiring surgery. The nurse manager expects this staff nurse to experience what type of reaction?

Avoidance of other staff

The nurse manager is preparing to discuss safety improvement at a unit meeting and will stress that what is a key aspect to error prevention?

Avoiding automatic actions

The nurse is communicating to the health-care provider the patient's current medications, allergies, vital signs, and current laboratory values and is using which section of SBAR in giving this information?

Background

Even though nursing is not considered to be revenue generating in terms of health care, how is revenue projected on a nursing unit

Based on average daily census or number of procedures done

Which action would help to promote a nurse in becoming a skilled communicator?

Become more candid.

Which statements are true with regard to continuing education (CE) credit requirements for registered nurses? Select all that apply.

CE requirements may vary from state to state. It is the individual nurse's responsibility to continue to take CEs. CEs courses are accredited.

A nurse is assisting a patient with reviewing an explanation of benefits (EOMB)in relationship to insurance reimbursement.The patient has a history of Diabetes,Type 1 and went to the physician for an office visit.In order to determine which code reflects the office visit,what would the nurse examine?

CPT (Current Procedural Terminology)

A patient is reviewing an explanation of benefits (EOMB) in relationship to insurance reimbursement for a medical evaluation in which he had an incision and drainage procedure performed for an infected abscess as a complication of diabetes. Which code would represent the incision and drainage procedure?

CPT (Current Procedural Terminology)

the nursing unit is asking for a new Hoyer lift to be used to assist staff in the transfer of patients in the clinical setting. Which type of budget request would be needed to obtain this piece of equipment?

Capital budget

Which statements describe differences between licensure and certification? Select all that apply.

Certification is based on meeting additional criteria as opposed to licensure, which is based on meeting minimal competency Licensure represents general knowledge, whereas certification represents specialized knowledge.

The nurse manager of a busy medical-surgical unit has received an anonymous note that one of the unit's LPNs has routinely been documenting care that has not been given. What is the best action of this nurse manager concerning this situation?

Check the LPN's documentation after observing the LPN.

Which option is not included in an electronic medication record (eMAR)?

Client history and physical

A nurse manager attempts to resolve conflict on the unit between staff members by bringing all sides to the table to have a discussion. What type of conflict management strategy is being displayed?

Collaborating

How would one explain the underlying framework of nursing informatics?

Combination of sciences from different disciplines such as nursing, computer, information, and information technology to provide information so as to support and effect change in nursing practice

Which statement is accurate with regard to the Phases of Change Model?

Communication and feedback are critical elements.

In order to establish "meaningful use" with regard to providing health-care services,what would the nurse expect that the physician must do?

Complete all required elements defined by the Centers for Medicare and Medicaid Services (CMS).

With regard to the concept of meaningful use, which statement is accurate?

Completion of three stages is regulated by Centers for Medicare and Medicaid Services (CMS)

The nurse has just come on shift after receiving initial report and one of the patients is requesting pain medication.In order for a nurse to administer this medication to a patient using the electronic medication administration record (eMAR),which application must be in place

Computerized provider order entry (CPOE)noted in chart for pain medication

The nurse manager is aware that what aspect of leadership relates to the ability to make a promise, keep it, and carry through on that promise?

Connectedness

1, 3, 4 Which components are included in a résumé? Select all that apply

Contact information for the applicant A listing of educational degrees Related work history

Nurses on the unit are trying to find out if there is a correlation between hospital admissions for community acquired pneumonia (CAP) and noncompliance with pneumonia vaccinations. Which action would lead to information that might help support the nurses' hypothesis?

Data mining

The nurse manager has determined that patient care on the nursing unit would be more efficient if a different nursing model was used and plans to use what tool for decision making that gives the manager the opportunity to look at more than one feasible alternative?

Decision-making grid

The nurse is aware that human factors engineering is utilized to accomplish what goal?

Decrease errors in nursing care.

Which factors play an important role in being able to academically prepare students to become future nurses?

Decreased number of nursing faculty and limited budget

The director of nursing is implementing a quality improvement project for the emergency department and knows that what is the first step in this process?

Determination of what activity to monitor

What is the first step that nurses should take in integrating evidence-based practice on a nursing unit?

Determine which clinical problem is to be researched.

A nurse leader is explaining the process of appreciative inquiry to a group of nurses who hope to use this process in bringing change to their nursing unit. The leader shares that what are stages of appreciative inquiry

Discovery . Dreaming. Design Destiny

A nurse is reviewing her annual performance appraisal from her direct supervisor (Unit Nurse Manager) and does not agree with some of the information documented on the form. How should the nurse respond to this noted disagreement?

Discuss your concerns with your direct supervisor and make noted comments on the form stating that you disagree and then sign the form.

You are interviewing a nurse who arrives at the interview using a walker as an assistive device for ambulation. Which question if asked would be construed as violating the American with Disabilities Act of 1990?

Do you have a disability?

Which is an example of discrete data that could be used by nurses in the research process?

Documented patient weight

The nurse manager is aware that what communication is considered verbal?

E-mail messageb. Facebook post Telephone message

A nurse manager has begun to use transformational leadership theory and knows that this theory uses what aims of the Institute of Medicine (IOM)

Efficient 3. Timely 4. Safe

A nurse who is endeavoring to increase emotional intelligence knows that what are the core components necessary to the development of this leadership characteristic?

Empathy Motivation 5. Self-awareness

Staff nurses in response to a suggested change on the unit have displayed no resistance and are embracing the change. Which example of change strategy is represented by this scenario?

Empirical-rational

What hallmarks help to support a healthy work environment based on American Association of Colleges of Nursing (AACN)?

Empowerment of nurses . Focusing on clinical advancement through educational programs Fostering of collaborative relationships

A nurse is aspiring to move from a staff nurse's position to a leadership and management role. What activity would be most helpful to this nurse in achievement of this goal?

Enroll in a graduate leadership program

A new chief operating executive believes that patients will receive better care and be more satisfied in a unit that is specific to their disorder. A nurse manager heads a unit that has functioned for the last 10 years as a general medical-surgical unit but will now become a specialty unit for patients with chronic respiratory issues. What is the nurse manager's priority responsibility during this transition?

Ensure that the patients receive safe care by qualified staff.

Which activities would be included in the assessment phase of budget planning? Select all that apply.

Estimating cost of supplies 2. Determining workload 3. Gathering relevant data

What action would help to promote workforce sustainability in a hospital setting?

Facilitating an open communication pattern

A patient dies as the result of a wound infection. When the family sues the hospital and the nurses involved in this patient's care, it is discovered that wound care was only charted three times despite a twice daily order from the health-care provider. What category of nursing practice will be the focus of the resulting lawsuit?

Failure to document

The nurse manager recognizes that what is fostered at all levels in a decentralized health-care organization?

Feelings of autonomy

Which topic area is not addressed in a nursing delivery care model?

Financial ability to provide services

When calculating break-even quantity, which information is needed?

Fixed costs divided by variable costs per patient

Which budgeting method uses projections based on the current year's budget multiplied by a predetermined amount to arrive at a new budget proposal?

Flat percentage

The nurse manager is planning a change to the nursing unit that requires all patients to receive health promotion education but knows that this may be difficult for what reason?

Focus of financial rewards for providing health care to the sick

The nurse manager is providing a performance appraisal to one of the nurses on the unit who has not received a very good evaluation. The nurse manager is offering constructive criticism to help the nurse gain insight into how improvement can be made. Which action by the nurse manager would be included in a performance appraisal?

Focusing on aspects of the job description where improvement is needed

When comparing traditional change theories and models, which statements are accurate with regard to when to apply specific models? Select all that apply.

Force-field model when problem solving Eight-stage process when rapid change is required for learning organizations Force-field model when planned change is anticipated

A staff nurse approached the director of nursing to discuss steps that would be helpful in moving to an administrative position. The director of nursing told the staff nurse not to consider leadership because this nurse was not a "born leader." What leadership theory is the director of nursing using to make this judgement?

Great Man theory

The director of nursing has decided to begin a quality improvement program, and staff members with what skills should be included on the initial committee to ensure the success of this program? Select all that apply.

Have experience in working with interdisciplinary teams Have experience in performing self-assessment 5. Have experience in designing and testing interventions

The nurse manager recognizes that health-care organizations have been slow to accept the principles of quality improvement for what reason

Health-care organizations did not have sufficient infrastructure.

The nurse manager is working to ensure that the Institute of Medicine's Ten Rules for Health-care Delivery in the 21st Century are in place on the medical-surgical unit by using which rules? Select all that apply.

Health-care professionals are to be transparent in all activities. The patient is the source of control over his or her own care. ealth-care professionals anticipate needs of the patient

The nurse is aware that the optimal healing environment, which is a component of the Patient-Centered Care Quality and Safety Education in Nursing (QSEN) competency, is designed to assist the patient in what way?

Helps the patient heal himself or herself

Which description best supports the "M" in the TEEAMS approach?

Holding team members accountable

An experienced nurse on the medical-surgical unit has a pattern of making rude statements about her co-workers. These repeated statements have become part of the unit culture. How would the nurse manager who has observed these interactions categorize this type of behavior in terms of violence?

Horizontal

Despite best efforts, it has been decided that a nurse is to be terminated based on several recorded action plans without noted improvement or correction of incidents. The nurse manager and the chief nursing officer of the facility are in agreement that the employee meets the criteria for termination. Which department in the facility should also be included in review of the termination procedure?

Human Resources

The nurse manager is working to establish a culture of safety and has encouraged the staff to use the CUS communication system. Which statement by a staff nurse indicates the proper use of this system?

I don't feel comfortable beginning this procedure. An event occurred the last time it was completed.

A group of nurses are discussing safe patient handling and mobility on the nursing unit in relation to nurses sustaining musculoskeletal disorders (MSDs). Which statement made by one of the nurses would indicate that additional training was needed?

If done properly, no nursing action will result in acquiring an MSD

The nurse leaders of a large acute care facility have decided to implement shared decision making on each nursing unit and expect to see what result?

Improved retention of nurses

The nurse leader is supervising the entire acute care facility and is notified that many employees have called in sick related to an outbreak of influenza. The nurse leader sends a registered nurse who works on a transitional care unit to the emergency department to provide care. In what area could this nurse potentially experience liability?

Inappropriate assigning of staff and failure to supervise

In terms of traditional care models, what is the primary difference between total patient care and functional nursing?

Inclusion of ancillary personnel to complete patient care tasks

Which situation would take priority when reviewing the nursing unit budget for the past year?

Increase in reported staffing variance

The director of nursing is encouraging the nurse managers to begin seeking Magnet status for the facility and knows that this status is associated with what positive outcomes for both nurses and patients?

Increased patient satisfaction More nursing autonomy Decreased nurse burnout

The director of nursing is encouraging the nurse managers to begin seeking Magnet status for the facility and knows that this status is associated with what positive outcomes for both nurses and patients? Select all that apply.

Increased patient satisfaction More nursing autonomy Decreased nurse burnout

Which actions should not be delegated to a licensed vocational nurse (LPN) on a medical unit in a hospital setting by a registered nurse (RN)? Select all that apply.

Initiating a blood transfusion Administering chemotherapy infusion Completing initial admission assessment

The nurse leader is using the plan-do-study-act (PDSA) cycle for the unit's quality improvement project and knows that this comes from what quality improvement model?

Institute for Healthcare Improvement (IHI) Model

A registered nurse (RN) is working on a medical-surgical care unit with a five-patient assignment. Helping the RN with completion of direct and nondirect tasks is an unlicensed assistive personnel (UAP). Based on this information, what type of patient care model is being implemented?

Integrated

The nurse educator is preparing a group of registered nursing students for graduation and licensure and completes a discussion of the professional values. The students identify which values as part of the five core professional values for nurses?

Integrity Human dignity Altruism

Nurses are aware that the Quality and Safety Education in Nursing (QSEN) competency, Teamwork and Collaboration, requires what specific type of collaboration

Interprofessional

Which term can also be used to describe teamwork?

Interprofessional collaborative practice

The nurse manager plans to implement which communication strategy that has been found to reduce errors and improve patient safety while increasing patient satisfaction?

Interprofessional team rounding

Nursing management has been tasked with building a new team to address methods that can be used to promote health education in the clinical setting. Members of the previous team were all from the same nursing unit in the hospital. What action should nursing management take in order to build the new team?

Invite more diverse membership

Which information is consistent with the chaos theory of change? Select all that apply.

It is nonlinear. It may also be referred to as the "butterfly effect."4. It reflects randomness.

Which characteristic is always included when considering making changes in any type of nursing setting?

It is often met with resistance

Which statements reflect accurate information related to the concept of productivity? Select all that apply.

It should be a blend of efficiency and safety. 4. It has to be monitored to be determined. 5. Input refers to resources used.

2 The director of nurses has implemented a new salary scale that does not take into account the educational level of the nurse. The director of nurses may have violated which ethical principle?

Justice

The nurse manager is aware that preventable medical errors are associated with what communication failure?

Lack of interprofessional communication

A nursing student is required to take a nursing leadership course and questions why this type of course is necessary when the initial primary role of the graduate nurse is to perform bedside patient care. What is the nurse educator's best response to this student?

Leadership competencies are required even at the bedside to help in navigating the evolving health-care landscape.

Which theme is not included in the initiative, Transforming Care at the Bedside (TCAB) model?

Limited value

Which characteristic is not attributed to Emerging Change Theories?

Linear in nature

Which statement is accurate with regard to leading and managing teams?

Management personnel do not always have to assume team leadership positions

The nurse manager believes that critical thinking when used to make decisions involving patient care is the ability to think in a systematic and logical manner and involves being open to questioning and reflecting on the reasoning process used to ensure safe nursing practice and is basing this definition on what group or individual?

Masters

In terms of regulation, which statement is accurate with regard to unlicensed assistive personnel (UAPs)?

May or may not be regulated by a state board of nursing

Which employment option would be most beneficial for a new graduate nurse who has just passed state boards and is newly licensed as a registered nurse?

Medical-surgical unit with orientation training lasting 6 months inclusive of self-review and core competencies

A health-care provider uses the computerized provider order entry (CPOE) system to initiate a medication order for a patient. Which option is not included in the CPOE for the medication?

Medication barcode

the nurse manager has decided to use the strategies of the Institute of Medicine (IOM), To Err Is Human, to improve health care on the nursing unit. The nurse has identified that patient safety, practice consistent with current medical knowledge, and what other strategy must be implemented in this endeavor?

Meet the expectations of the patient.

Which statement reflects the difference between a preceptor and a mentor?

Mentors do not have to be nurses but preceptors do.

The nurse leader believes that a mentorship program for new nursing graduates would benefit the organization in what way?

Mentorship leads to new nurses remaining with the organization longer than those nurses who did not engage in a mentorship program.

175/241 3 A nurse has worked for over 20 years in the clinical practice setting and is experiencing considerable back pain at the present time. Questions asked by the health-care provider focus on how the nurse implemented lifting actions during the course of her career. The nurse stated that she "used safe body principles throughout her career." Based on this information, what does the health-care provider suspect might account for the nurse's physical complaints?

Microinjuries to the spine over time

A staff nurse has been caring for a patient with chronic obstructive pulmonary disease (COPD) through repeated hospitalizations and his condition continues to get worse despite multiple treatments. The patient states he is ready to die and wants the doctor to make him a DNR (do not resuscitate). The doctor refuses to write the order and instead insists that there is a chance the patient will improve and have some quality of life. The nurse notifies the head of the hospital ethics committee about the situation and knows the doctor will most likely be very upset by this development. What has the nurse displayed by doing this?

Moral courage

A nursing student who is going to graduate from a Bachelor of Science Nursing (BSN) program is preparing a résumé. What fact should the nurse pay attention to when preparing the document?

Most employers who read résumés spend little time reviewing the document.

A nurse working on a medical-surgical unit is trying to integrate services of the informatics department to help improve patient outcomes.Which person would the nurse contact in order to develop an understanding of how the computer system would work?

Network engineer

A group of nurse managers are reviewing a new job description for a staff nurse on a medical-surgical unit. Which observation if found would indicate that the job description needs revision with regard to delegation?

No mention of the nursing position authority

A nurse is looking on the unit for an infusion pump to use for the patient. How would the nurse manager classify this nurse activity?

Non-value added care

Which statement is accurate with regard to the concept of competence as applied to nursing practice?

Nurses must continue to maintain competence following graduation from nursing school.

The nurse leader is using general systems theory to assist in implementing changes on the nursing unit and knows that what nursing activities are considered throughput?

Nursing management of care

Which action would not represent the process of collaboration in the clinical setting?

Nursing staff on the unit working together to problem solve including only full-time staff and not part-time staff

A nurse manager is educating a staff nurse with regard to the five rights of delegation. Which statement by the staff nurse indicates that additional training is needed with regard to right supervision or evaluation

Once a task has been delegated, the nurse is absolved of responsibility.

What factors would help to contribute to nurses being injured during delivery of client care? Select all that apply

One-person lift Implementation of manual lifting Discontinuing "no lift" policy

the nurse manager is conducting a SWOT analysis as a part of a strategic planning process and arranges for the new electronic health record being used on the nursing unit to be featured in the local newspaper. The nurse manager knows that this corresponds to what part of the SWOT analysis?

Opportunities

In a hospital setting, there appears to be conflict between the hospital's administrative personnel regarding hospital performance objectives. What type of conflict could be applied to this situation?

Organizational

The nurse manager has determined that the nursing unit should see a reduction in medication errors by 50% and knows that this decision equates to what part of the nursing process?

Outcomes identification

Which nursing care model's primary focus is on reducing the cost of nursing care while at the same time looking to improve productivity?

Partnership

Which statement is correct with regard to scope of practice for both registered nurses (RNs) and licensed vocational/practical nurses (LVNs and LPNs)?

Passed a national licensing exam

Which aspects of the budget are not within a nurse manager's control?

Patient acuity

The charge nurse on the unit is getting ready to prepare staffing and assignments for the upcoming shift. The charge nurse reviews the following information: number of patients on the unit, corresponding patient acuity, and present level of staffing pattern. What type of process is the charge nurse implementing to make this decision?

Patient classification system

The nurse leader as a part of the patient-centered care Quality Safety Education in Nursing (QSEN) competency has encouraged all nurses to be advocates for their patients. The nurse leader knows that this concept is understood when the nurses demonstrate which action?

Patients state that the nursing staff knew about their desires and allowed them to make their own decisions.

The nurse manager in a for-profit health-care facility explains to a new staff nurse that the profits from care are used in what capacity?

Pay for a new magnetic resonance imaging (MRI) machine

A registered nurse (RN) is working on a medical-surgical unit functioning as a team leader for five patients with a licensed practical nurse (LPN) and a certified nurse's aide (CNA). Which action should not be delegated to the CNA?

Performing a pain assessment

A patient is going to a new health-care provider. Which documentation system would contain his or her medical record files and be brought by the patient to the scheduled office visit?

Personal health record (PHR

In the clinical setting, the hospital organization has changed to a different electronic health record (EHR) system after reviewing several different types of available systems. Of what type of change is this an example?

Planned change

When using an electronic documentation system in the clinical environment, which situations should the nurse anticipate will occur? Select all that apply.

Planned downtime System maintenance

According to clinical research findings, with what is a lower registered nurse (RN) skill mix associated?

Poorer time management

A physician has ordered a rectal suppository to be administered to a 25-year-old male patient. The registered nurse (RN) delegates this task to the licensed practical nurse (LPN). The LPN would prefer not to complete this task. The RN tells the nurse manager about this issue. How would the nurse manager interpret this refusal by the LPN to perform a delegated task?

Possibility of a delegate-related barrier

A group of nurses are discussing unit policies and procedures. Based on a consensus of opinion, the nurses suggest minimal changes in the near future. What type of future is demonstrated by this statement?

Probable

According to Benner's novice-to-expert theory, which statements are false? Select all that apply.

Proficient nurses have the largest amount of clinical experience Competent nurses have at least 10 years of clinical experience. An experienced nurse does not become a novice when transferring to another clinical unit in which he or she has no experience.

According to Benner's novice-to-expert theory, which statements are true? Select all that apply.

Proficient nurses look at the entire picture rather than individual elements. A new graduate would not be categorized as a novice nurse.

A patient is changing health-care providers and wants to take his medical record with him.He has a significant medical history with several comorbidities and frequent hospitalizations at several hospitals in his geographic area.What would the patient do based on this circumstance?

Provide information from his personal health record (PHR).

Which information should not be included in a cover letter

Quotes from references

A nurse manager has to submit requests for the capital budget for the medical-surgical unit. Which considerations should the nurse manager include when planning the capital budget? Select all that apply

Recommendations from unit staff Financial implications relative to buying versus leasing Projected maintenance costs for the item

The nurse leader has implemented a quality improvement (QI) project and realizes what elements are required for the project to be successful? Select all that apply.

Reliable quality improvement tools Clarification of the scope of the problem Nursing unit development of its own QI model

The nurse manager is evaluating several nurses who have expressed an interest in leadership activities and knows that the nurse who demonstrates which type of followership has the most potential for a leadership role?

Resisting following

A nurse is admitting a patient to the hospital with congestive heart failure (CHF) using an electronic documentation system. While entering assessment data, pop-up windows are appearing asking for additional information. How would the nurse respond to this situation?

Respond to the pop-up by providing the additional information that is required.

An experienced nurse is applying for a new job position, and an interview has been scheduled. What priority information should the experienced nurse use to help prepare for the upcoming interview

Review of organization's mission, values, and goals

The nurse manager has implemented a series of changes in the nursing unit that are intended to improve safety and will use which tool to determine if the change has been effective?

Run chart

The nurse manager would suggest what communication tool to assist staff nurses in organizing and prioritizing information prior to communicating with the health-care provider?

SBAR

In a corrective plan of action, which violations would warrant documenting a written reprimand?

Second 3. Third 4. Fourth

Which members would be included in an interprofessional team approach in the clinical setting? Select all that apply.

Selected members from different departments throughout the hospital Both licensed and nonlicensed employees who work in the hospital setting . A collection of individuals who work in the hospital and/or community of interest who are considered to be stakeholders

The nurse manager has been evaluating the nursing unit's strengths and weaknesses in an effort to ensure that the unit continues to improve its safety practices and is using what cognitive skill of the critical thinking process in this exercise?

Self-regulation

The nurse leader is to talk to a staff nurse who is suspected of consuming alcohol during the lunch break. The nurse leader confronts the nurse privately and asks about the smell of alcohol on the nurse's breath. The nurse responds that it is just mouthwash that was used after eating onions at lunch. What is the best action for the nurse leader at this time?

Send the nurse for a drug screening

The nurse manager has decided to begin a shared decision-making model on the nursing unit and knows that individual staff nurses will receive what benefit from this decision?

Sense of empowerment

The nurse manager is working to create a culture of safety and is aware that which characteristics are fundamental to designing processes for high-reliability organizations? Select all that apply.

Sensitivity to operations Preoccupation with failure resilience

The nurse manager is involved in strategic planning and knows that what is the reason for this process to be instituted?

Strategic planning defines the future of the organization

The nurse manager is involved in strategic planning and knows that what is the reason for this process to be instituted

Strategic planning defines the future of the organization.

Which statement is inaccurate with regard to work-related injuries and illness?

Stress does not play a role in work-related injuries and illness.

A new nurse working on a medical-surgical unit needs some assistance with working within the electronic documentation system. Which individuals would the nurse contact in order to develop to help with application of this system in the context of delivery of care?

Super user: Expert Super user: Shift 5. Super user: Unit

What component is not included in the SMART technique acronym?

Talented

The nurse from the postanesthesia care unit (PACU) is giving report to the unit nurse at the bedside of a patient who just had surgery for a total hip replacement. Approximately 20 minutes after the patient's admission to the unit, the patient experiences a period of respiratory depression that was later attributed to medication received in the PACU. What error that occurred during the nurse-to-nurse handover may have contributed to this patient's problem?

The PACU nurse was giving report while helping to transfer the patient into bed.

Nonlicensed staff members (unlicensed assistive personnel [UAP]) have asked for a meeting with the nurse manager as they are unhappy with how some of the nursing staff (Registered Nurse [RN]) has been delegating tasks with regard to patient care. Which statement if made by a nonlicensed staff member would indicate that additional instruction is needed for the nursing staff with regard to effective delegation principles?

The RN told me that I couldn't obtain a urine specimen from a patient

A registered nurse (RN) delegated specimen collection to an unlicensed assistive personnel (UAP) for a patient who had a urine analysis ordered by the physician. The UAP did not obtain the specimen. When checking the patient's chart later in the shift, the RN noticed that there was no documentation that a urine specimen was collected. The RN asked the UAP to provide an explanation for why the specimen was not obtained. The UAP told the RN that she was going to obtain the specimen from the patient after lunch. Which stated action would correlate with the delegation right of right communication?

The UAP told the RN that she was going to obtain the specimen from the patient after lunch.

The nurse manager is observing an experienced nurse who is new to the unit perform a dressing change. The experienced nurse is using sterile gauze, but the orders for the dressing change indicate that it is a clean dressing change. The time to complete the procedure was under 5 minutes. The patient tolerated the procedure without complaints. How would the nurse manager interpret this situation?

The experienced nurse is not demonstrating efficiency.

The nurse leader is responsible for patients on six different units in the acute care facility, including the newborn nursery and the intensive care unit. In which nursing unit would the nurse leader face potential liability?

The newborn nursery has to admit 10 babies from labor and delivery and only 7 cribs have been cleaned completely and released back to the nursery. The nurse leader tells the nurses to clean the necessary number of cribs themselves and the housekeeping staff will finish the cleaning in the morning.

The nurse leader is working to improve communication on the nursing unit and knows that effective communication requires an articulate sharing of ideas and what other important element?

The nurse manager must understand the audience for which the message is intended.

A nurse is reviewing a chart in which a medication error occurred as part of a performance improvement (PI) evaluation. Which notation if observed would indicate a potential contributory factor to the incident based on the concept of nurse fatigue?

The nurse who had administered the medication was working his third shift in a row, which was considered to be an overtime shift.

The nurse manager knows that which nurse on the medical-surgical unit will be the best at using intuitive thinking?

The nurse who worked in the intensive care unit for 1 year and has worked on this unit for 4 months.

The nurse leader is developing a quality improvement (QI) project for the nursing unit and knows that what characteristics are necessary to determine the priority of the issue to be investigated? Select all that apply.

The problem itself occurs frequently. The problem has at some time caused serious consequences to health. The problem has caused issues that are costly.

Which statement by a nursing staff member indicates that incivility has occurred on the nursing unit?

They seem to keep hiring the same type of people here, those who don't want to work and then I have to keep doing their job

A nurse manager is planning to take on the responsibility for a nursing unit that specializes in tertiary care. The nurse manager knows that this unit will be responsible for the care of what type of patients?

Those who had a knee replacement and are receiving rehabilitation

Which of these factors are included in the "TEEAMS" approach?

Time, empowerment, enthusiasm, appreciation, management, and support

Which characteristic is included in the American Nurses Association (ANA) Nurses' Bill of Rights?

To function as a patient/client advocate without fear of retribution

Which statement indicates the primary purpose for Nurse Residency programs?

To provide a transition program that leads to competent practice

What would be considered to be a key component of the budgeting process for a nursing unit?

To provide cost-effective care

Which patient activity could be performed by either a registered nurse (RN) or a licensed practical nurse (LPN) or delegated as a task even if there is an unlicensed assistive personnel (UAP) present on the unit?

Tracheostomy care

Which task should not be delegated to a licensed vocational nurse (LVN) by a registered nurse (RN) who is working with a LVN and unlicensed assistive personal (UAP) as part of the team?

Transferring a patient from the bed to a chair

Which examples represent improper use of delegation in the clinical setting by a registered nurse (RN), licensed practical nurse (LPN), or unlicensed assistive personnel (UAP)

UAP delegating a task to a LPN LPN delegating a task to a RN UAP delegating a task to a RN

Which observation if made by a registered nurse (RN) who is working with a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP) would require immediate intervention based on the delegation process

UAP was providing information to a patient who was just placed on isolation relative to neutropenic precautions

A registered nurse (RN) refuses to delegate any patient care tasks to other members of the nursing unit staff preferring to complete all tasks herself. What type of delegation practice would this demonstrate?

Underdelegation

Which situation if observed would warrant immediate action by the nurse manager?

Unit secretary draws caricature images of nursing staff with sarcastic comments.

3 The nurse manager reports directly to the director of nursing and knows that this defines what type of command?

Unity of command

The nurse manager reports directly to the director of nursing and knows that this defines what type of command?

Unity of command

Which option would represent a method that can be used to maintain data security when using the electronic medical record system in the clinical setting by a staff nurse on a medical-surgical unit?

Use a random generator to come up with an access code.

The nurse manager is using the Principles of Collaborative Relationships: Effective Communication by the American Nurses Association (ANA) to improve communication on the nursing unit and knows that these principles require the staff nurses to use what communication practices? Select all that apply.

Use active listening techniques. Ensure accuracy in the information transmitted.e. Know the purpose of the message transmitted.

A nurse is taking care of a patient whose health information has been requested by a consulting physician during a phone conversation. In providing that health information to the consulting physician, which option would help prevent health information from being distributed to others in consideration of the Health Insurance Portability and Accountability Act (HIPAA)?

Use encryption methods to send requested health information.

Which action if used by a nurse manager would lead to increased conflict in the clinical setting

Using statements that focus on the individual performing the behavior indicating "we" or "you"

The director of nursing at the county health department is aware that which ethical theory is most commonly used by nurses in public health agencies?

Utilitarianism

What type of nursing activity is noted when a registered nurse (RN) administers medication to a patient who is experiencing nausea?

Value-added direct care

The nurse manager is responsible for designing a new pediatric oncology unit and plans to ensure that it is designed with a culture of safety. The nurse manager is aware that this culture of safety requires what necessary principles to accomplish this task? Select all that apply.

Work processes are to be simplified. 3. Train all members of the nursing unit to work as a team. 4. Redesign work processes to prevent accidents.

A nurse seeking to advance to a leadership position within the health-care organization has become the mentee of a nurse manager. What is the primary responsibility of the mentee in this relationship?

Work to dialogue with other nurse leaders and managers.

130/241 4 In order to promote clinical competencies for the new graduate nurse, which orientation strategy would be most beneficial?

Working with an experienced nurse in a mentor relationship as part of orientation training

The nurse manager is aware that SBAR may be used in what nonclinical issues?

a. Staffing levels

The nurse manager has encouraged the nurses to provide patients on the unit any toiletries that are needed but to determine if the patient needs these supplies before providing them. Which one of the Institute of Medicine's Six Aims for Health Care in the 21st Century is the nurse manager using?

efficient

The nurse manager is aware that what element of communication is essential to the transmission of relational information?

feedback

The nurse student is aware that what feature is now a part of the newest nursing leadership theories?

flexibility

The nurse manager observes that the nursing staff on the unit starts the process of assigned group work with regard to reviewing unit protocols by introducing members. Which part of the team development process is represented by this observation?

forming

In which step of the budget process are variances reported?

implementing

Nurses in the emergency room (ER) are complaining about how the medical-surgical unit nurses are responding to them when patients are being transported to the floor. The ER nurses state that the medical-surgical nurses do not want to do their job at times. The medical-surgical unit nurses state that the ER nurses always bring the patients near change of shift. What type of conflict is represented by this situation?

intergroup

The nurse manager is conducting a SWOT analysis as a part of a strategic planning process and arranges for the new electronic health record being used on the nursing unit to be featured in the local newspaper. The nurse manager knows that this corresponds to what part of the SWOT analysis?

opportunities

Which type of traditional care model is most similar to the total patient care model?

primary

Which information is represented by the framed question, "why" of change?

rationale

The nurse leader manages a nursing unit that has a preponderance of nurses who have graduated from nursing school within the last 12 months and knows that what type of thinking will provide the best guidance to the nursing staff?

reflective

The nurse manager knows that what is the first step in the critical thinking process?

reflective

Which self-care area is included in helping nurses to limit fatigue in the clinical setting?

spiritual

The nurse understands that improvement of safety in nursing is dependent on evidence-based practice and which element of the safety competency?

standardized protocols

Which behavioral action by a charge nurse would indicate an example of destructive feedback if observed in a clinical setting relative to a nurse's performance

telling the nurse that you have never seen anyone do that in all your years of nursing experience in front of a patient

A worker on the nursing unit has become increasingly frustrated with the work environment and is becoming more aggressive with the rest of the staff. How would this be classified according to the National Institute for Occupational Safety and Health (NIOSH)?

type 3

There was a violent incident on the medical-surgical unit that occurred between a staff worker and the worker's spouse. How would this be classified according to the National Institute for Occupational Safety and Health (NIOSH)?

type 4