Leadership exam 1
When the care required of a patient comes into conflict with the nurse's personal beliefs, this is considered:\ a moral conflict an ethical dilemma moral distress ethical problem solving
an ethical dilemma
A patient can give informed consent by verbalizing understanding prior to receiving a complete explanation of medical-surgical treatment options. TRUE FALSE
false
The HIPAA Privacy Rule provides protection for individually identifiable health information on a state level and may differ state by state. TRUE FALSE
false
The person who generates the lawsuit is the defendant. TRUE FALSE
false
developer/evaluator qualities
-encourage continual improvement -provide timely feedback and support -innovation and informative
A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which statement by the team member demonstrates the greatest problem for the leader? 'Your plans for the changes will be difficult to implement.' 'I don't think you heard what the rest of us had to say.' 'Do you have an idea what direction we need to go?' 'Can you tell me why my suggestion will not work?'
'I don't think you heard what the rest of us had to say.'
A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership? 'Getting broader experience isn't as valuable as specializing.' 'I would like you to be a preceptor for the new nurse that was just hired.' 'Would you be willing to help on another unit? They need a shift leader for a couple weeks.' 'Would you be willing to work with one of the senior nurses for a while, until you learn how we operate here?'
'Would you be willing to help on another unit? They need a shift leader for a couple weeks.'
Which situations are necessary components for malpractice to occur? (Select all that apply.) A standard of care must be in place whereby the provider has accepted duty for the patient. The practitioner has failed to meet a standard of care, also called a 'breach of duty.' Foreseeability of harm must exist. A perception that patient injury may occur. A direct connection between care given and injury must be present.
-A standard of care must be in place whereby the provider has accepted duty for the patient. -The practitioner has failed to meet a standard of care, also called a 'breach of duty.' -Foreseeability of harm must exist. -A direct connection between care given and injury must be present.
Which steps will help the nurse minimize the risk of nursing malpractice? (Select all that apply.) Attending relevant continuing education programs to upgrade clinical skills. Observing all facility policies and procedures when providing care. Asking each patient to sign an informed consent before care is given. Periodically reviewing the scope of practice for nurses. Maintaining liability insurance independent of that provided by the facility.
-Attending relevant continuing education programs to upgrade clinical skills. -Observing all facility policies and procedures when providing care. -Periodically reviewing the scope of practice for nurses. -Maintaining liability insurance independent of that provided by the facility.
transformational theory
-adapt to the leadership level -adapt to the individual needs and level of maturity -establish a mutual exchange
problem-solving
-implies that something is wrong-or at least no right- and needs to be examined in order to determine the source and generate options from which a decision should be made -includes critical thinking and decision making, but situations may call for critical thinking and decision making that do not require problem solving
misdemeanor
-less serious crimes -punishable by fines or less than one year imprisonment
team-builder/motivator qualities
-provide clear vision, goals, and expectations -communicate proactively -build team morale -be appropriate, professional, and positive -collaborate
transformational leaders
-set the vision -understand team member strengths and values -use strengths and values to empower teammates -accept feedback -change course, if necessary
critical thinking
-the broadest of the terms, it refers to the process of making meaning of information through evaluation and judgement -increase your critical thinking ability by questioning everything---especially initial assumptions -one of the best initial questions to ask when problem solving is: :is this really a problem?"
You could encounter many potential legal issues as a Nurse Leader. Which of these things do you think could happen? -you could get sued for malpractice -money could be aware to a plaintiff in a lawsuit against you for negligence -you could lose your license as a result of a lawsuit -you are at increased risk of legal liability in today's modern health care system
-you could get sued for malpractice -money could be aware to a plaintiff in a lawsuit against you for negligence -you could lose your license as a result of a lawsuit -you are at increased risk of legal liability in today's modern health care system
what percentage of nurses receives no ethical training?
25%
A nurse manager is making a decision based on a problem with a staff member. What would be the optimal end product of the decision? An alternative problem A chosen course of action An action that guarantees success A restatement of the solution
A chosen course of action
Which of the following will derail a group decision-making process? A leader's ability to motivate the group despite the variety of persons on the team. A leader who has inexperience in leading a group. A leader who does not establish clear objectives and expectations for the group. A leader who engages all group members and values their insights.
A leader who does not establish clear objectives and expectations for the group.
Which of the following competencies are important for the nurse leader to develop? Ability to diagnose a situation, adapt, and communicate Ability to influence a situation, suggest, and communicate Ability to tolerate a situation, influence, and communicate Ability to control a situation, adapt, and communicate
Ability to diagnose a situation, adapt, and communicate
Which of the following qualities do nurse leaders possess that makes them obtain excellence in their role? Ability to provide clear visions, goals, and expectations Ability to be a reactive communicator Ability to provide occasional constructive feedback Ability to act in a positive and reactive manner
Ability to provide clear visions, goals, and expectations
When considering the MORAL decision-making model, what step is the nurse engaging in when developing the plan of care? Massaging Outlining Affirming Looking back
Affirming
A nurse manager is holding a meeting to discuss a sensitive issue with the staff. A previous meeting was held regarding the same issue and it ended in a negative manner. What action can the manager take in order to minimize the impact of leader/group style mismatch? Use a decision-making model. Appoint a leader as a participant. Ensure adequate gender role participation. Have more extroverts than introverts in the meeting.
Appoint a leader as a participant.
The nurse is admitting a new patient and is collecting data through obtaining a health history and physical assessment. What phase of the problem-solving process is the nurse focusing on with the patient? Implementing Planning Assessing Evaluating
Assessing
A nurse manager must be aware of what is happening on the unit to prevent injury to the patient and exposing the staff to a potential malpractice situation. What steps would the nurse manager take to accomplish this? (Select all that apply.) Assuring adequate staffing. Providing disciplining those who provide inappropriate care. Regularly checking the credentials of current nursing staff. Arranging for relevant staff in-services regarding the operation of equipment. Personally monitoring the care provided by new nursing staff.
Assuring adequate staffing. Providing disciplining those who provide inappropriate care. Regularly checking the credentials of current nursing staff. Arranging for relevant staff in-services regarding the operation of equipment.
what guides society's ethical decision making?
legal definitions and guidelines
Which behaviors by a nurse can result in the suspension or revocation of the nursing license? (Select all that apply.) Being convicted of professional negligence A felony conviction for drug use Failing to report an incident of substandard nursing care Practicing on an expired nursing license Conviction for failure to pay court-ordered child support
Being convicted of professional negligence A felony conviction for drug use Failing to report an incident of substandard nursing care Practicing on an expired nursing license
The nurse engages in actions to promote the good of the patient. The nurse is engaging in fulfillment of which ethical principle? Fidelity Justice Nonmaleficence Beneficence
Beneficence
Which of the following are sources of conflicts that nurse leaders might face? (Select all that apply.) Between members of the healthcare team Patient's support system Multigenerational nurses Novice and seasoned nurses Cultural differences
Between members of the health care team Patient's support system Multigenerational nurses Novice and seasoned nurses Cultural differences
A nurse educator determines that the present classroom environment is ineffective in promoting critical thinking. What methods could the educator employ in the classroom to improve critical thinking? (Select all that apply.) Lecture Study guides Case studies Simulation Problem-based learning exercises
Case studies Simulation Problem-based learning exercises
A nurse manager must make an important decision regarding a staff member's continued employment on the unit. In order to avoid the pitfalls involved in decision-making, what should the nurse manager do? Involve several staff members on the unit to assist with the decision. Choose a decision-making style that will best fit the situation. Base the decision on the first impression of the staff member. Make the decision based on past history.
Choose a decision-making style that will best fit the situation.
The type of law that regulates the practice of nursing is: Common law Public law Civil law Criminal law
Civil law
According to Marquis and Huston (2021), there are other critical elements that nurse managers/leaders use to complete the decision-making process. From the following choices, select those that are considered crucial to problem solving and decision making. Clearly define objectives Carefully gather pertinent data Develop realistic timeline Generate one alternative solution Think logically Delay making a decision as long as possible
Clearly define objectives Carefully gather pertinent data Develop realistic timeline Think logically
How can the nurse manager best minimize the personal risk for legal liability? Creating a work environment that prioritizes patient needs Possessing a working knowledge of current laws affecting nursing practice Upholding the enforcement of laws, rules, and regulations affecting patient care Dealing with all members of the staff and all patients in a nondiscriminatory fashion
Creating a work environment that prioritizes patient needs
A nurse is arrested for possession of illegal drugs. Which type of law governs this activity? Civil Private Public Criminal
Criminal
A nurse manager is mentoring a new facilitator. What decision-making models can the manager suggest to the facilitator that will help minimize the impact of an unskilled facilitator? (Select all that apply.) Decision grid Decision tree Consequence table Payoff table Logic model
Decision grid Decision tree Consequence table Payoff table
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? Influencing others Guiding others Directing others Empowering others
Empowering others
A nurse leader is considering using transformational leadership. What information would the nurse leader need to keep in mind? The locus of power rests with the employees. Informal leadership is highly recognized. Empowerment of both the leader and follower occurs. Employees are expected to lead from their organizational position.
Empowerment of both the leader and follower occurs.
A nurse is determining whether the outcomes were met for a patient preparing for discharge with an open abdominal wound and reassessing if not met. What phase of the nursing process is the nurse performing? Assessing Planning Implementing Evaluating
Evaluating
A nurse has a difficult decision to make regarding patient care. What should the nurse due to influence a positive outcome? (Select all that apply.) Gather data and input from a variety of sources. Identify a number of different options. Understand the repercussions of each option. Slow down the thinking process Make a quick decision and act on it immediately
Gather data and input from a variety of sources. Identify a number of different options. Understand the repercussions of each option. Slow down the thinking process
A nurse on the acute care unit demonstrates the positive traits of a good leader when working with new employees. What trait does the nurse manager cite when performing the nurse's evaluation? The assigned position Role modeling Planning a unit's goals Decides daily patient assignments
Role modeling
The Health Insurance Portability and Accountability Act (HIPAA) ensures strong privacy protections for the patient without threatening access to which areas of care? (Select all that apply.) Health care clearinghouses Health care plans Legally reportable information Exchange of patient information among appropriate healthcare providers Sharing of information with family
Health care clearinghouses Health care plans Exchange of patient information among appropriate health care providers
Which step in the problem-solving process assists the nurse leader to prioritize the problem or issue? Identifying the problem Identifying causative factors Identifying bias Identifying stakeholders
Identifying the problem
Which of the options below correctly correlate the decision-making model to the nursing process? (Select all that apply.) Assess: Identify criteria for decision, identify alternatives Plan: Identify the decision, collect data Implement: Choose alternative, implement alternative Evaluate: Evaluate decision-making steps
Implement: Choose alternative, implement alternative Evaluate: Evaluate decision-making steps
A nurse is educating a patient who is scheduled to undergo an open cholecystectomy how to turn, cough, and deep breathe in order to prevent complications after the procedure. What phase of the nursing process is the nurse providing? Assessment Planning Implementation Evaluation
Implementation
A nurse determines that action is justified for a patient with limited mobility after an injury. After a plan for a solution has been identified, what is the next step in the problem-solving process? Assessing Implementing Evaluating Diagnosing
Implementing
written instructions regarding your patient's desired end-of-life care
advanced directives
A nursing instructor is discussing ways to improve critical thinking during a clinical rotation with a student. The student asks the nurse what critical thinking is. What is the best response by the nursing instructor? It is a simple approach to decision making. It is narrower in scope than decision making. It requires reasoning and creative analysis. It is a synonym for the problem-solving process.
It requires reasoning and creative analysis.
The director of a busy outpatient department is meeting with staff to ask input and make decisions about the feasibility of a freestanding unit. What issue by the nurse manager can stop the entire process if not rectified? Keeping the objective and expectations for the group undefined. Allowing the group to participate in the discussion and be free to voice opinion. Encouraging each other to have respect for the values of the team. Having resources available to make informed decisions.
Keeping the objective and expectations for the group undefined.
A nurse manager schedules a meeting with the staff to discuss policy changes. What does the manager hope to achieve by having some upper left-brain dominant staff members lend their input? Creativity An intuitive side Logical and rational analysis Holistic input
Logical and rational analysis
Which of the following best describes the nurse leader in the role of negotiator? Mediates internal or external conflict with various stakeholders Resolves internal conflict with all team members Focuses on external conflicts that negatively impact the health care delivery system Focus is primarily resolving conflict between patient support system and staff
Mediates internal or external conflict with various stakeholders
A nurse exhibits leadership traits associated with the role of nurse leader. What activities demonstrated by the nurse would demonstrate these leadership traits? (Select all that apply.) Mentoring two new managers Appointing a successor Providing feedback about job performance Establishing goals for the coming year Advocating for an employee regarding personnel policies Providing a motivational speech at the new employee orientation
Mentoring two new managers Providing feedback about job performance Establishing goals for the coming year Advocating for an employee regarding personnel policies Providing a motivational speech at the new employee orientation
The term used to identify the omission of doing something that a reasonable person would do, guided by the considerations that ordinarily regulate human affairs is: Malpractice Scope of practice Breach of duty Negligence
Negligence
Which legal act gives patients the right to determine their desired end-of-life care? Patient's Bill of Rights Patient Self-Determination Act Kassebaum-Kennedy Act Health Insurance Portability and Accountability Act
Patient Self-Determination Act
What is the role of the nurse manager in assuring ethical nursing practice on the unit? (Select all that apply.) Primary decision maker Expert problem solver Identifying desired outcomes Addressing the results of undesirable consequences Implementing the best decision with attention to cost
Primary decision maker Expert problem solver Identifying desired outcomes Implementing the best decision with attention to cost
Which of the following are behaviors associated with effective leaders? Priority setting, critical thinking, skillful communication Problem solving, priority setting, self-development Priority setting, skillful communication, passive listening Critical thinking, fostering self-improvement, tentative
Priority setting, critical thinking, skillful communication
What must a person giving informed consent for a medical or surgical procedure fully comprehend in order to give informed consent? Select all that apply. Procedure to be performed Risks involved Expected or desired outcomes Expected complications or potential side effects as a result of procedure. Nurse's personal opinion about the treatment
Procedure to be performed Risks involved Expected or desired outcomes Expected complications or potential side effects as a result of procedure.
Which statement is true regarding the Good Samaritan law? Select all that apply. Health care providers are required to stop and provide emergency care. Protection provided is generally limited to emergency situations. The provider may not exceed scope of practice limits. A volunteer at a free clinic is covered by this law. All care needs are considered an emergency when situations occur out-of-doors.
Protection provided is generally limited to emergency situations. The provider may not exceed scope of practice limits.
A staff nurse is having difficulty with problem solving in patient care and the nurse manager is counseling the nurse. What suggestions by the nurse manager may assist the staff nurse in improving problem solving skills? (Select all that apply.) Slow down thinking Systematize data collection Override bias Combine personal and professional feelings Ask closed-ended questions
Slow down thinking Systematize data collection Override bias
Which of the following strategies should nurse leaders use to promote evidence-based practice? Staying current with professional issues Use one reliable professional resource Do not take risks Limit evidence-based research to nursing
Staying current with professional issues
An organization's culture can affect the decision-making process. TRUE FALSE
TRUE
Effective decision making is a learned behavior. TRUE FALSE
TRUE
If you become aware of the elements of the decision-making process, you will develop effective decision-making skills. TRUE FALSE
TRUE
Using first impressions to guide the decision-making process is a common flaw and considered a pitfall in using decision-making tools. TRUE FALSE
TRUE
What information is accurate when describing the Nurse Practice Acts? (Select all that apply.) They focus on the practice of the professional nurse They identify actions that fall outside of the nurse's scope of practice The focus of the acts can vary greatly from state to state When considering the law, they are an example of a statute They need to be consistent with applicable federal statures
They focus on the practice of the professional nurse They identify actions that fall outside of the nurse's scope of practice When considering the law, they are an example of a statute They need to be consistent with applicable federal statures
A nurse is using the nursing process to plan the care of a newly admitted patient that has had a stroke. What is the benefit of using the nursing process to devise a care plan? This method of problem solving can be transferrable to non-patient problems. The process will always lead to optimal patient care. The nurse will be able to diagnose the patient's medical problem immediately. The patient will have the best outcome from the stroke.
This method of problem solving can be transferrable to non-patient problems.
The term that is used to identify the type of law that covers most incidences of malpractice is: Tort laws Statutory law Administrative law Legislative law
Tort laws
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 Transformational Contingency theory Laissez-faire
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? Transactional Transformational Interactional Bureaucratic
Transformational
According to the ANA Code of Ethics for Nurses, the nurse's primary commitment is: formulating ethically sound decisions when addressing patient care issues assuring that all health care providers address the care of patients in an ethical manner application of ethical standards to the delivery of patient care instructing other health care providers in the process of arriving at ethically sounds health care decisions.
application of ethical standards to the delivery of patient care
diagnose
based on data, training, and experience, you form an educated judgement about the source of the disease and whether the patient is ready for treatment
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? (Select all that apply.)
coaching counseling developing
There are three levels of leadership action: group, individual, and task level. Which of the following lists the three needs for the individual level? coaching, counseling, and developing motivation, discipline, and team building understanding the scope, understanding schedule, and measuring success
coaching, counseling, and developing
assess
collect data about your patient through interview, history, and examinations
evaluate
determine whether the patient health goals defined in the planning phase have been met, if not, then reassess
document your patient's advanced directive in their medical record whenever possible, and be vigilant to provide information about the necessity of this information when your patient's record is lacking a clear statement
document of medical record
names a health care proxy to make health decisions for your patient if they are unable to do so
durable power of attorney
which of the following is not a provision in the American Nurses Association Code of ethics? respect and compassion safety and rights employment and compensation accountability and responsibility
employment and compensation
implement
enact the care plan and monitor for patient status changes
conflict manager/negotiator qualities
engage in active, effective listening
untrained and unlicensed people are excluded and prohibited from practicing nursing. This is why you must take such care when delegating responsibilities to UAPs scope exclusions negligence malpractice
exclusions
There are three levels of leadership action: group, individual, and task level. Which of the following lists the three needs for the group level coaching, counseling, and developing motivation, discipline, and team building understanding the scope, understanding schedule, and measuring success
motivation, discipline, and team building
A nurse fails to assist a postoperative patient with ambulation for on the first post-operative day. The patient falls and fractures a hip. The nurse could be charged with: assault battery fraud negligence
negligence
the omission of doing something that a reasonable person would do, guided by the considerations that ordinarily regulate human affairs scope exclusions negligence malpractice
negligence
plan
once there is agreement with the diagnosis, the doctor can create a plan of treatment with measurable goal to track patient wellness
The primary purpose of law and legislation governing nursing practice is to protect the: patient and the nurse patient nurse health care facility
patient and the nurse
decision maker quality
respond to staff and client needs
the nurse practice act defines the legal scope, terms, and activities of the nursing practice. it creates a state board of nursing and makes and enforces the corresponding rules and regulations. The act provides legal requirements and titles for RNs and LPNs and establishes the criteria for education and licensure of nurses. scope exclusions negligence malpractice
scope
decision-making
term implies that there are at least two options that have been presented as possibilities for action. at a minimum the choices are act and don't act.
Nurses should be aware of the rights and duties of legal matters so they are better able to protect: themselves. their patients. their peers. their employers.
themselves
A nurse's license can be revoked the nurse is providing patient care while under the influence of drugs or alcohol. TRUE FALSE
true
A wrong committed against another person or property is a tort. TRUE FALSE
true
A nurse manager is having a difficult time in making a decision about reprimanding a staff nurse who has exceeded the absentee policy. Why would the manager's values cause personal conflict in making this decision? Some values are not realistic or healthy Not all values are of equal worth Values remain unchanged over time Values often collide with one another
Values often collide with one another
The American Nurses Association Code of Ethics is legally binding. TRUE FALSE
false
HIPAA gives the nurse leader a platform to prevent conflicts resulting from ineffective communication among staff members and patients. TRUE FALSE
true
Litigation is the process of bringing forth and trying a lawsuit. TRUE FALSE
true
The 'nursing process' provides a model for ethical decision-making. TRUE FALSE
true
The key role that a nurse leader plays in regard to ethics in the workplace is to create an ethical working environment. TRUE FALSE
true
There are three levels of leadership action: group, individual, and task level. Which of the following lists the three needs for the task level? coaching, counseling, and developing motivation, discipline, and team building understanding the scope, understanding schedule, and measuring success
understanding scope, understanding schedule, and measuring success
