Leadership 6

10.A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching? A. "Disaster drills should be held on a regular basis." B. "An actual disaster cannot take the place of a disaster drill." C. "A staff nurse can function as the incident commander." D. "A physician must triage victims of a disaster in the emergency department."

A. "Disaster drills should be held on a regular basis."

A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? A. "Documentation is a communication tool for the interprofessional health care team." B. "Documentation provides informaition to the client about financial charges for care provided." C. "Documentation provides information for a client audit." D. "Documentation allows providers to monitor the nurse's activities."

A. "Documentation is a communication tool for the interprofessional health care team."

38.A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? A. "I need to talk to you about unit expectations regarding delegating and completing tasks." B. "Several staff members have commented that you don't do your fair share of the work." C. "If you don't do your share of the work, I will have to inform the nurse manager." D. "You have been very inconsiderate of others by not completing your share of the work."

A. "I need to talk to you about unit expectations regarding delegating and completing tasks."

A nurse is providing information on pain control for a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control? A. "I will call for pain medication before the previous dose wears off." B. "I will call for pain medication as my pain starts to increase again." C. "I will wait for you to evaluate my pain before asking for more." D. "I will ask for less medication to avoid addiction."

A. "I will call for pain medication before the previous dose wears off."

31.A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager is appropriate? A. "If you render aid in an accident, do not leave the scene until another competent person can take over." B. "Good Samaritan laws prohibit the victim from filing a lawsuit against the nurse." C. "Federal laws require a licensed nurse to render aid in an emergency." D. "A nurse who volunteers at a summer camp for children is covered by Good Samaritan laws."

A. "If you render aid in an accident, do not leave the scene until another competent person can take over."

22.A nurse assumes a variety of roles while working with clients. Which of the following describes the nursing role of protecting the client and supporting the client's decisions? A. Advocate B. Caregiver C. Manager D. Educator

A. Advocate

32.An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first? A. Gather data about the nurse's work performance and attendance history. B. Approach the involved nurse to discuss the behavior. C. Notify the risk manager. D. Refer the nurse to the board of nursing diversion program.

A. Gather data about the nurse's work performance and attendance history.

35.A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate? A. Logging off the computer after entering a client's intake and output totals B. Providing her password to a new nurse in orientation so that the new nurse can enter her client's vital signs C. Posting the client's medical diagnosis on a message board in the client's room D. Discarding her nursing activity work sheet in a waste basket at the nurse's station at the end of the shift

A. Logging off the computer after entering a client's intake and output totals

A nurse is working with an interdisciplinary disaster committee to develop a community wide emergency response plan in the event of a non biological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911? A. Office of Emergency Management (OEM) B. Federal Emergency Management Agency (FEMA) C. American Red Cross (ARC) D. U.S. Department of Homeland Security (DHS)

A. Office of Emergency Management (OEM)

1.A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? A. Provide an inservice on medication administration to all the nurses. B. Require staff nurses to demonstrate competency by passing a medication administration examination. C. Review the events leading up to each medication administration error. D. Develop a quality improvement program for nurses involved in medication administration errors.

A. Provide an inservice on medication administration to all the nurses.

14.A nurse is discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints? A. Self-destructive behavior despite alternative interventions B. Coercion to take prescribed medications C. Discipline for throwing objects at staff D. Punishment for verbally abusing other clients

A. Self-destructive behavior despite alternative interventions

23.A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement? A. Sit in front of the group for the meeting and then stand for the announcement. B. Cross her arms over her chest when beginning the announcement. C. Stare at the people the announcement will affect the most. D. Lean gently over the back of a chair sitting to one side of the room when making the announcement.

A. Sit in front of the group for the meeting and then stand for the announcement.

37.A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. For which of the following actions by the nurse should the charge nurse intervene? A. The nurse separates the client's labia with her dominant hand. B. The nurse coats the indwelling urinary catheter with lubricant. C. The nurse provides perineal care prior to inserting the urinary catheter. D. The nurse applies the sterile drape prior to inserting the urinary catheter.

A. The nurse separates the client's labia with her dominant hand.

13.A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment? A. Ask each nurse to read the procedure and sign a form acknowledging competency. B. Allow time during the workday when each nurse can demonstrate proficiency. C. Require each nurse to take a written examination about the new equipment. D. Verbally question the staff about the new equipment.

B. Allow time during the workday when each nurse can demonstrate proficiency.

17.A nurse on a medical-surgical unit is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? (Select all that apply.) A. Demonstrate the technique to instill eye drops. B. Ambulate a client who has a cane. C. Irrigate a wound. D. Transfer a client to a stretcher. E. Record urinary output.

B. Ambulate a client who has a cane. D. Transfer a client to a stretcher.

12.A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes? A. Establish a benchmark to identify a standard of performance. B. Compare the number of medication errors before and after the action was implemented. C. Provide the staff with a questionnaire to quantify staff satisfaction with the changes. D. Conduct a study about the time and money costs of implementing the change.

B. Compare the number of medication errors before and after the action was implemented.

18.A nurse is working with a team of nursing personnel within a facility. Which of the following are necessary task performance roles that members of the group or the leader must perform? (Select all that apply.) A. Self-confessor B. Coordinator C. Evaluator D. Energizer E. Dominator

B. Coordinator C. Evaluator D. Energize

21.A nurse manager is preparing an inservice program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies is the most effective way to ensure that the staff can use the device correctly? A. Provide a written procedure for the use of the device for the staff to review. B. Demonstrate using the device and observe the staff returning the demonstration. C. Remind the staff to review the procedure manual prior to using the new pump. D. Identify the differences and new features of the device in a written brochure.

B. Demonstrate using the device and observe the staff returning the demonstration.

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take? A. Make a copy if the incident report for the provider B. Document in the chart that an incident report has been filed C. Place the incident report in the client's chart. D. Submit the incident report to the risk manager

B. Document in the chart that an incident report has been filed

7.A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? A. Document what the nurse believes was the cause of ulcer development. B. Include any relevant statements the client made about the ulcer. C. Document in the client's medical record that she completed an incident report. D. Question the charge nurse about care deficits that might have contributed to the ulcer's development.

B. Include any relevant statements the client made about the ulcer.

16.A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN? A. Complete an admission assessment for a client who has COPD. B. Measure I&O for a client who has an indwelling urinary catheter. C. Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty. D. Develop a plan of care for a client who has cholecystitis.

B. Measure I&O for a client who has an indwelling urinary catheter.

33.A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? (Select all that apply.) A. Provide discharge instructions to a confused client's spouse. B. Obtain vital signs from a client who is 6 hr postoperative. C. Administer a tap-water enema to a client who is preoperative. D. Initiate a plan of care for a client who is postoperative from an appendectomy. E. Catheterize a client who has not voided in 8 hr.

B. Obtain vital signs from a client who is 6 hr postoperative. E. Catheterize a client who has not voided in 8 hr.

26.A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager? A. Reports routinely include the client's hospital number. B. Reports routinely omit the names of witnesses to the occurrence. C. Reports routinely list the identification number of any equipment involved. D. Reports routinely are completed within 24 hr after the incident.

B. Reports routinely omit the names of witnesses to the occurrence.

15.When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation? A. The AP's ability to prioritize B. The AP has the knowledge and skill to perform the task C. The AP's rapport with clients D. The AP's ability to complete the task without assistance

B. The AP has the knowledge and skill to perform the task

11.A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family's disaster readiness supply kit or "go bag"? (Select all that apply.) A. Pencil and paper B. Whistle C. Antibiotics D. Copies of insurance cards E. Household bleach

B. Whistle C. Antibiotics E. Household bleach

9.A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching? A. "I should wait to empty my client's drainable colostomy until it is three-fourths full." B. "I should delegate providing closed irrigation to the assistive personnel (AP)." C. "I should encourage clients to receive an annual flu immunization." D. "I should recommend that my clients who have an established tracheostomy use sterile technique at home to provide ostomy care."

C. "I should encourage clients to receive an annual flu immunization."

8.A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.) A. Delusions B. Hallucinations C. Anhedonia D. Poor judgment E. Blunt affect

C. Anhedonia E. Blunt affect

25.A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict? A. Implement a resolution. B. Brainstorm solutions. C. Identify the problem. D. Evaluate the results.

C. Identify the problem.

36.A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? A. Perform wound irrigation for a client. B. Evaluate pain relief for a client following the administration of a pain medication. C. Measure and record intake and output for a client. D. Teach a client about low-sodium foods.

C. Measure and record intake and output for a client.

A nurse is an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by a process audit? A. Length of facility stay for a cohort of clients B. Availability of resources, such as fire extinguishers C. Nursing staff ratios D. Quality of nursing care provided

C. Nursing staff ratios

29.An assistive personnel (AP) contacts a nurse manager and reports that on the last shift a nurse seemed distracted and that a client reported that the nurse smelled of alcohol. The AP alleges that the nurse was drinking alcohol during the shift. Which of the following actions should the nurse manager take first? A. Confront the nurse. B. Refer the nurse to the state board of nursing diversion program. C. Perform an investigation into the facts surrounding the incident. D. Develop a disciplinary plan for the nurse.

C. Perform an investigation into the facts surrounding the incident.

19.A nurse is preparing an educational presentation about organ donation for a group of newly licensed nurses. Which of the following information should the nurse include? A. The nurse caring for the client at the time of death requests organ donation. B. Donation costs are the responsibility of the donor's family and estate. C. The nurse may serve as a witness to informed consent for organ donation. D. Clients are placed on artificial life support before organ and tissue donation can occur.

C. The nurse may serve as a witness to informed consent for organ donation.

27.A nurse manager is planning to discipline a nurse after discovering that the nurse was discourteous to a client. Which of the following disciplinary steps should the nurse manager take first? A. Written admonishment B. Suspension from work C. Verbal admonishment D. Involuntary dismissal

C. Verbal admonishment

28.A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion? A. "Clients should be given medications even if they refuse them." B. "The laws regarding restraints are different for clients who are admitted involuntarily." C. "Clients who are admitted involuntarily can be hospitalized for as long as the provider deems necessary." D. "Clients who are involuntarily admitted have the right to informed consent."

D. "Clients who are involuntarily admitted have the right to informed consent."

24.A nurse manager is preparing an inservice program about managing conflict for the nurses on the unit. The nurse manager should identify which of the following examples as interpersonal conflict? A. Nurses on the unit disagree about what time of day daily client weights should be obtained B. A nurse is uncertain about joining a professional nursing organization C. A nurse who just lost his spouse does not want to be assigned to care for a terminally ill client D. An experienced nurse is uncivil to a newly licensed nurse

D. An experienced nurse is uncivil to a newly licensed nurse

34.A nurse is planning care at the beginning of a shift. Which of the following tasks could a nurse assign to assistive personnel (AP)? A. Removing a client's nasogastric tube B. Inserting indwelling urinary catheter C. Providing a client's postmortem care D. Assisting the client to select a low-residue diet

D. Assisting the client to select a low-residue diet

20.A nurse is preparing an educational program for a group of newly licensed nurses about client confidentiality. The nurse should explain that nurses may share a client's protected health information with which of the following groups? A. The client's immediate family members B. Clergy affiliated with the facility C. The facility's administrators D. Health care team members caring for the client

D. Health care team members caring for the client

30.A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer? A. Delivering meal trays to clients in their rooms B. Assisting a client who has difficulty seeing the foods on the tray while eating C. Delivering a routine urine specimen to the laboratory D. Observing a postoperative client who is confused

D. Observing a postoperative client who is confused