Fundamentals Chapter 28

17) The nurse has been promoted to the role of manager for a client care area. What responsibilities of the nurse will this new role include? Select all that apply. 1. Accomplish the goals of the organization. 2. Use the organization's resources efficiently. 3. Ensure effective client care. 4. Ensure compliance with regulatory standards. 5. Manage relationships.

1. Accomplish the goals of the organization. 2. Use the organization's resources efficiently. 3. Ensure effective client care. 4. Ensure compliance with regulatory standards.

23) The nurse is determining whether an activity can be delegated to a UAP. What will the nurse use to make this determination? Select all that apply. 1. Determine whether it is the right task. 2. Determine whether it is under the right circumstances. 3. Determine whether it is to the right person. 4. Determine the type of communication. 5. Determine whether there is enough time.

1. Determine whether it is the right task. 2. Determine whether it is under the right circumstances. 3. Determine whether it is to the right person. 4. Determine the type of communication.

22) The nurse practices responsibility when functioning in the role of manager of a care area. What will the nurse manager demonstrate as evidence of responsibility? Select all that apply. 1. Effective utilization of resources 2. Communication to subordinates 3. Implementation of organizational goals and objectives 4. Problem solving 5. Managing the work team

1. Effective utilization of resources 2. Communication to subordinates 3. Implementation of organizational goals and objectives

20) The nurse is reviewing feedback from other staff members on leadership behaviors. Which characteristics are consistent with being an effective leader? Select all that apply. 1. Energetic 2. Creative 3. Optimistic 4. Open 5. Risk taking

1. Energetic 2. Creative 3. Optimistic 4. Open

14) A hospital is implementing a computerized charting system, and all nursing staff is required to be oriented to the system by a specific deadline. Which type of change is occurring with the staff? 1. Overt change 2. Covert change 3. Unplanned change 4. Drift

1. Overt change

18) A nurse is identified as being an effective leader. With this designation, the nurse will most likely demonstrate which characteristics? Select all that apply. 1. Self-aware 2. Focus on people 3. Excellent communicator 4. Mentor to others 5. Focus on systems

1. Self-aware 2. Focus on people 3. Excellent communicator 4. Mentor to others

24) The manager identifies a staff nurse to serve as a change agent for the implementation of a computerized documentation system. What attributes did the manager observe to designate the staff nurse to have this role? Select all that apply. 1. Self-confident 2. Skilled in teaching 3. Hesitant with decision making 4. Excellent communication skills 5. Effective utilization of resources

1. Self-confident 2. Skilled in teaching 4. Excellent communication skills 5. Effective utilization of resources

1) According to the National Council of State Boards of Nursing (NCSBN), which "rights" of delegation should the nurse follow? Select all that apply. 1. Supervision 2. Evaluation 3. Client 4. Time 5. Task

1. Supervision 2. Evaluation 5. Task

16) Prior to delegating a task, the nurse reviews the "rights" of delegation; these include which rights? Select all that apply. 1. Supervision 2. Evaluation 3. Client 4. Time 5. Task

1. Supervision 2. Evaluation 5. Task

21) The nurse has been promoted to a position that includes the supervision of first-level management and responsibility for activities in a specific department. This nurse will most likely have which title? Select all that apply. 1. Supervisor 2. Nurse manager 3. Head nurse 4. Primary care nurse 5. Vice president

1. Supervisor 2. Nurse manager 3. Head nurse

19) A staff nurse has been identified by others as being an effective leader. With this designation, the nurse implements which principles? Select all that apply. 1. Vision 2. Influence 3. Serve as a role model 4. Planning 5. Organizing

1. Vision 2. Influence 3. Serve as a role model

12) A nurse manager has had to handle a particularly difficult physician who is demanding as well as demeaning. Through this situation, the nurse manager has learned that accuracy and honesty are attributes of which skill necessary for managers? 1. Critical thinking 2. Communication 3. Networking 4. Responsibility

2. Communication

10) A nurse manager is working on new job descriptions for all nursing units of the hospital. Which management function is this nurse conducting? 1. Planning 2. Organizing 3. Directing 4. Coordinating

2. Organizing

5) During a particularly heated staff meeting regarding staff assignments, the nurse manager makes this comment: "When you all can come to a decision, let me know and we'll move on from there." This leader is best identified as which of the following? 1. Democratic leader 2. Permissive leader 3. Bureaucratic leader 4. Situational leader

2. Permissive leader

7) A group of community health nurses work together in the same office. They are each responsible for their own caseloads and scheduling of appointments. Their major leadership directives come from the state health office, several hundred miles away. This group of nurses is functioning under what type of leadership? 1. Charismatic 2. Shared 3. Transformational 4. Transactional

2. Shared

15) The nursing staff is informed that the current system of record keeping is going to be changed to make it more efficient. In which stage of change is the nursing staff? 1. Refreezing 2. Unfreezing 3. Moving 4. Drift

2. Unfreezing

4) A nurse manager has the reputation of being an autocratic leader. Which of the following statements by this manager would support that reputation? 1. "I'd like to hear from you (addressing the staff) what your ideas are for promoting better morale in this unit." 2. "I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit." 3. "The new work schedule is posted for the next 6 weeks." 4. "I put the new procedure manual out. Please add your comments to the blank sheet of paper attached to the front."

3. "The new work schedule is posted for the next 6 weeks."

9) The nurse manager is implementing risk management for a client-care issue. In what order will the manager implement risk management? 1. Analyzing, classifying, and prioritizing risks 2. Evaluating and modifying risk reduction programs 3. Anticipating and seeking sources of risk 4. Developing a plan to avoid and manage risk 5. Gathering data that indicate success at avoiding or minimizing risk

3. Anticipating and seeking sources of risk 1. Analyzing, classifying, and prioritizing risks 4. Developing a plan to avoid and manage risk 5. Gathering data that indicate success at avoiding or minimizing risk 2. Evaluating and modifying risk reduction programs

25) The manager determines that a new graduate nurse needs additional training on the principles of delegation. What delegation to unlicensed assistive personnel did the manager observe to make this decision? Select all that apply. 1. Bathing a patient recovering from surgery 2. Weighing a patient who is prescribed diuretics 3. Discharge instruction teaching 4. Transferring and ambulating a client after hip replacement surgery 5. The care of an intravenous access device

3. Discharge instruction teaching 5. The care of an intravenous access device

8) A charge nurse's responsibilities include the day-to-day management and coordination of therapies for the clients, client assignments, and scheduling. Which type of management is the charge nurse performing? 1. Top level 2. Middle level 3. First level 4. Upper level

3. First level

6) A nurse manager allows the staff members to make their own schedules and do their own client assignments on their shifts. However, during a code situation, the nurse manager will make decisions for the staff by instructing which nurse to assume which responsibility. This manager is exemplifying which style of leadership? 1. Permissive 2. Democratic 3. Situational 4. Bureaucratic

3. Situational

11) A hospital was named in a lawsuit after a client had to undergo a second surgical procedure because an arthroscopy was performed on the wrong knee during surgery. The hospital settled out of court with the client for damages. This is an example of which principle of management? 1. Authority 2. Responsibility 3. Coordination 4. Accountability

4. Accountability

2) An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task would be appropriate for this person to delegate? 1. Taking and recording vital signs 2. Assisting with bathing 3. Making a bed 4. An unlicensed assistive person may not delegate tasks.

4. An unlicensed assistive person may not delegate tasks.

13) A nursing student would like to do an observation on one of the inpatient units at a hospital. In assisting the student to meet this desire, the educator would look for which type of nurse? 1. Mentor 2. Manager 3. Team leader 4. Preceptor

4. Preceptor

3) An RN delegates the task of taking a newly admitted client's vital signs to a nurse's aide. The client's blood pressure was 182/98, but did not get reported to the physician for several hours. Who is responsible for the lapse in time between discovery and action? 1. Nurse manager 2. Aide 3. Client 4. RN

4. RN