Leadership Final

Differences in status and authority within the health-care team can generate conflict. What is the most common cause of conflict? 1. Disrespect and incivility 2. Inappropriate language and sarcasm 3. Blaming and finger pointing 4. Physical violence - -

1. Disrespect and incivility

Which best describes the difference between patient privacy and patient confidentiality? 1. Confidentiality occurs between persons who are close, whereas privacy can affect anyone 2. Privacy in the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information. 3. Confidentiality involves the use of technology for protection, whereas privacy uses physical components of protection. 4. Privacy involves protection from being watched, whereas confidentiality involves protection from verbal exchanges - -

2. Privacy in the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information.

A nurse is caring for a patient who has COPD and is 2 days postoperative after a laparoscopic cholecystectomy. Which intervention for airway management should the nurse delegate to the NAP? 1. Assisting the patient to sit up on the side of the bed 2. Instructing the patient ton cough effectively 3. Teaching the patient to use an incentive spirometry 4. Auscultating breath sounds every 4 hours - -

1. Assisting the patient to sit up on the side of the bed

There are numerous sources of power in an organization. Several are available to nurses. Which one is not? 1. Authority 2. Reward 3. Control of information 4. Coercion - -

1. Authority

The Situational Leadership Model focuses on: 1. Both followers and the task 2. The task 3. The follower 4. The behavior of others - -

1. Both followers and the task

APRNs generally: [SATA] 1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting 5. Hold advanced degrees - -

1. Function independently 5. Hold advanced degrees

A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice? 1. Justice 2. Veracity 3. Autonomy 4. Nonmaleficence

1. Justice

George S. has just become a nurse manager in a long-term care facility. He knows he has a lot to learn-- What should he tell his staff? 1. Nothing, he should pretend he has experience 2. That he is still learning, too, and values their input 3. That the staff needs to manage themselves 4. How little he knows about management - -

2. That he is still learning, too, and values their input

A nurse is working on an ethics committee to determine the best course of action for a patient who is dying. The nurse considers the positive and negative outcomes of the decision with choices. Which best describes the distinction of using a list when making an ethical decision? 1. The nurse can back up her reasons for why she has decided to provide a certain type of care. 2. The nurse can compare the benefits of one choice over another. 3. The nurse can communicate the best choice of action to the interdisciplinary team. 4. The nurse can provide care based on developed policies and standards.

2. The nurse can compare the benefits of one choice over another.

Jane is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at the meeting? 1. Talking to the staff 2. Laughing with them 3. Listening 4. Crying - -

3. Listening

A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feeling with her family and health-care provider. The nurse realizes that this is an example of: 1. Affirming a value 2. Choosing a value 3. Prizing a value 4. Reflecting a value

3. Prizing a value

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which of the following statements best describes this code? 1. Improves communication between the nurse and the patient 2. Protects the patient's right of autonomy 3. Ensures identical care to all patients 4. Acts as a guide for professional behaviors in giving patient care - -

4. Acts as a guide for professional behaviors in giving patient care

Organizational culture is best defined as: 1. The stated vision and mission of an organization 2. Policies and procedures 3. The type of décor that was chosen for the facility 4. An enduring set of shared values and beliefs - -

4. An enduring set of shared values and beliefs

An RN calls a health care provider to report that a patient's condition is deteriorating. The physician gives orders on the telephone to draw arterial blood gases, What do next when receiving telephone orders from a health care provider? 1. Call the respiratory therapist to obtain the blood gases. 2 Give the order to the unit secretary to ensure it is entered quickly 3. Enter the order directly into the system as it was given to the RN 4. Write the order down and read it back to the provider. - -

4. Write the order down and read it back to the provider.

Nurse managers who use the Servant Leadership model focus on: 1. Resolving conflicts promptly 2. Helping patients to care for themselves. 3. Removing incompetent nurse managers. 4. Creating a supportive work environment. - -

d. Creating a supportive work environment.

What is brainwriting? 1. A strategy to encourage the free flow of ideas 2. A mutually beneficial negotiation result 3. A winning approach to formal negotiation 4. A devaluation reaction to negotiation - -

1. A strategy to encourage the free flow of ideas

Which of the following represent the knowledge and skills expected of the professional nurse? [SATA] 1. Accountability 2. Advocacy 3. Autonomy 4. Social networking 5. Participation in nursing blogs - -

1. Accountability 2. Advocacy 3. Autonomy

Effective nurse leaders: *SATA* 1. Are also good followers 2. Effectively work together with shared goals 3. Never act on their ideas 4. Have master's degrees. - -

1. Are also good followers 2. Effectively work together with shared goals

An experienced LPN is working under the supervision of the RN. The LPN is providing nursing care for a patient who has a respiratory problem. Which activities should the RN delegate to the experienced LPN? SATA 1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI). 3. Complete in-depth admission assessment. 4. Initiate the nursing care plan. 5. Evaluate the patient's technique for using MDIs. - -

1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI).

Mara Z. wants to become a nurse manager. She has been offered an opportunity to take a nursing management position course. Which topic is *MOST* important for her to learn? 1. Managing people 2. Managing the unit's budget 3. Planning for the future 4. Redesigning the unit's workflow - -

1. Managing people

The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? 1. Observe how well the patient performs pursed-lip breathing. 2. Plan a nursing care regimen that gradually increases activity intolerance. 3. Assist the patient with basic activities of daily living. 4. Consult with the physical therapy department about reconditioning exercises. - -

1. Observe how well the patient performs pursed-lip breathing.

Several of your colleagues are going to join the American Nurses Association (ANA). You know the annual dues are a little more than you can afford right now, but you want to learn more. Your friends think that joining the ANA will help empower them. How do professional organizations empower nurses? 1. They represent nurses in the political aren1. 2. They equalize power between employees and staff . 3. They provide opportunities for promotion. 4. They provide health insurance. - -

1. They represent nurses in the political aren1.

Professional accountability serves the following purpose: [SATA] 1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones 5. To belong to a professional organization - -

1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones

An emotionally intelligent nursing leader: 1. Welcomes constructive criticism. 2. Seeks out the emotional support of others. 3. Has difficulty juggling multiple demands. 4. Usually works alone without any help. - -

1. Welcomes constructive criticism.

You would like to become a nurse manager. You have been offered an opportunity to take a nursing management course. Which topic is *MOST* important for you to learn? 1. Planning for the future. 2. How to manage people. 3. Managing the unit's annual budget. 4. Redesigning the unit's workflow process. - -

2. How to manage people.

What is the difference between management and leadership? 1. Management focuses on budget. 2. Management is an assigned position. 3. Leadership os not concerned with getting work done. 4. Leadership is more focused on people. - -

2. Management is an assigned position.

A registered nurse is assigned to care for the following clients. Which client should the nurse assess *FIRST*? 1. A 70-year-old with pneumonia who needs IV antibiotics. 2. A 64-year-old client on a ventilator for whom a sterile sputum must be sent to the laboratory. 3. A 50-year-old with asthma who complains of SOB after using a bronchodilator. 4. A 55-year-old with COPD and a pulse oximetry reading from a previous shift of 94% saturation. - -

3. A 50-year-old with asthma who complains of SOB after using a bronchodilator.

Who is responsible for accepting, transcribing, and implementing physician orders? 1. Unit clerk 2. Medical intern or resident 3. Professional nurse 4. Medical assistant - -

3. Professional nurse

Science management focuses on: 1. Interpersonal relationships 2. Servant leadership 3. Staff development 4. Efficiency - -

4. Efficiency

Which of the following demonstrates a nurse as advocating for a patient? The nurse: 1. calls a nursing supervisor in conflicting situations 2. reviews and understands the law as it applies to the client's clinical condition 3. documents all clinical changes in the medical record in a timely manner 4. assesses the client's point of view and prepares to articulate this point of view. - -

4. assesses the client's point of view and prepares to articulate this point of view.

An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? [SATA] 1. The client is not sedated. 2. The doctor is present. 3. A family member is a witness. 4. The signature is in ink. 5. The patient understands the procedure - -

1. The client is not sedated. 5. The patient understands the procedure

Nursing has its origin with: 1. Florence Nightingale 2. The Knights of Columbus 3. Religious orders 4. Wars and battles - -

3. Religious orders

You are working on the trauma unit today, and your new patient with a femur fracture complains of leg pain and seems a little diaphoretic and short of breath. You assess the patient and prepare to contact the surgeon. In preparation for contacting the physician, you: 1. Immediately page the MD; it could be a pulmonary embolism, and time is of the essence. You will give him the particulars when the MD arrives. 2. Wait for the MD to round on his patient because it should be within the next hour or so. 3. Medicate the patient for pain and plan to contact the MD when he rounds. 4. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient. - -

4. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient.

An effective leader will have: *SATA* 1. Courage and integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback - -

1. Courage and integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback

Effective nurse managers have: *SATA* 1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy - -

1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy

A patient is transported to the emergency department by rescue after being involved in a motor vehicle accident. The patient is alert and oriented but keeps stating he is having trouble breathing. Oxygen is started, but the patient is still showing signs of dyspne1. The patent suddenly develops respiratory arrest and dies. During the resuscitation process, it is discovered that the nurse failed to open the correct oxygen valve. The family sues the hospital and the nurse for: 1. Malpractice 2. Negligence 3. Nonmaleficence 4. Equipment failure - -

1. Malpractice

'The ANA Code of Ethics with Interpretive Statements' guides nurses in ethical behaviors. Provision 3 of the 'ANA Code of Ethics' says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Which of the following best describes an example of this provision? 1. Respecting the patient's privacy and confidentiality when caring for him 2. Serving on a committee that will improve the environment of patient care 3. Maintaining professional boundaries when working with a patient 4. Caring for oneself before trying to care for another person

1. Respecting the patient's privacy and confidentiality when caring for him

Nursing practice in the 21st century is an art and science that focuses on: 1. The client 2. The nursing process 3. Cultural diversity 4. The health-care facility - -

1. The client

A patient asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this situation? [SATA] 1. Beneficence 2. Autonomy 3. Veracity 4. Justice

2. Autonomy

TJC attributes 80% of all medical errors to: 1. Poor hygiene and hand washing 2. Poor hand-off communication 3. Poor work environment 4. Lack of care - -

2. Poor hand-off communication

The purpose of learning how to negotiate conflict is to: 1. Eliminate conflict entirely 2. Resolve conflicts more effectively 3. Win 4. Reduce stress - -

2. Resolve conflicts more effectively

Effective followers are those who are: 1. Passive employees 2. Skilled and self-directed employees 3. Less valuable employees 4. Employees who are never supportive of new ideas - -

2. Skilled and self-directed employees

An important competency that nurse leaders need to develop in order to lead effectively is the: 1. Ability to be firm and inflexible. 2. Ability to be close-minded and to ignore negative feedback. 3. Ability to communicate effectively with others. 4. Ability to follow orders without questioning them. - -

3. Ability to communicate effectively with others.

Which of the following is a characteristic of a bureaucratic organization? 1. Organic structure 2. Flexible teams 3. Rigid unit structures 4. Self-correction and self-control - -

3. Rigid unit structures

A democratic nurse leader consistently works to: 1. Move the group toward the leader's goals. 2. Make little or no attempt to move the group. 3. Share leadership with the group. 4. Dampen creativity. - -

3. Share leadership with the group.

An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit? 1. A 58-year-old on airborne precautions for TB 2. A 68-year-old who just returned from bronchoscopy and biopsy 3. A 63-year-old with COPD who is ventilator dependent 4. A 72-year-old who needs teaching about using an incentive spirometer - -

4. A 72-year-old who needs teaching about using an incentive spirometer

Implicit bias affects our understanding in an unconscious manner. A person's ability to recognize these biases can improve communication with patients and colleagues alike. Which of the following statements is true about implicit bias? 1. Implicit bias forms during a lifetime. 2. Implicit bias can influence clinical decision making and treatment. 3. Implicit bias contributes to an individual's social behavior. 4. All of the above - -

4. All of the above

Information aspects of a nurse manager's job include: 1. Evaluation 2. Resource allocation 3. Being a coach 4. Being a spokesperson - -

4. Being a spokesperson

An emotionally intelligent nurse leader: 1. Seeks the emotional support of others. 2. Cannot juggle multiple demands. 3. Works alone without help. 4. Welcomes constructive criticism. - -

4. Welcomes constructive criticism.

A suburban hospital recently announced that staff nurses could no longer choose their shift. Instead, they would be assigned to either a 12-hour day shift or a 12-hour night shift on an as-needed basis. An informal group of staff nurses met to discuss this new policy. They came up with several arguments against it. Which of the following suggestions would help to alleviate the deleterious effects of this new policy? 1. Allow self-scheduling by staff nurses in each unit. 2. Provide free dinner for nursing staff at the end of the night shift. 3. Allow staff members to request consistent days off. 4. End visiting hours before the day shift ends so that the night shift nurses do not have to deal with visitors. - -

1. Allow self-scheduling by staff nurses in each unit. 3. Allow staff members to request consistent days off.

Who may become a member of the NSNA? (SELECT ALL THAT APPLY) 1. Associate degree program students 2. Graduates of associate degree programs 3. Diploma school students 4. Baccalaureate degree students - -

1. Associate degree program students 3. Diploma school students 4. Baccalaureate degree students

Which of the following should be included in training for the prevention of needlestick injuries and other exposures to health risks? 1. Clean all contaminated work surfaces according to established guidelines. 2. Recap needles before disposal to avoid accidental pricks when emptying containers. 3. Staff should be treated within 24 hours of a needlestick injury. 4. Although sharps injuries have significantly declined in most areas, the long term care facilities are still the most at risk when it comes to needlestick injuries. - -

1. Clean all contaminated work surfaces according to established guidelines.

Enhancing the quality of work life can be achieved by: 1. Encouraging critical thinking and new ideas 2. Discouraging a working relationship with one's peers 3. Being negative 4. Endangering a client's health or safety - -

1. Encouraging critical thinking and new ideas

Burnout at work can be identified best by: 1. Expressions of frustration and powerlessness 2. Fatigue and refusal to work double shifts 3. Allergic reactions 4. A preference for efficiency - -

1. Expressions of frustration and powerlessness

Which of the following represents the "S" in a SWOT analysis? 1. Flexibility 2. Difficulty adapting to change 3. Nursing shortage 4. Competition among health-care facilities - -

1. Flexibility

A new graduate plans on moving into nursing administration. What steps should the graduate take to ensure this goal is reached? (SELECT ALL THAT APPLY) 1. Further professional education. 2. Meet the specific requirements for the entry-level job position. 3. Seek new experiences. 4. Volunteer to work on committees. 5. Find a mentor. - -

1. Further professional education. 3. Seek new experiences. 4. Volunteer to work on committees. 5. Find a mentor.

A nursing student is graduating in 3 months. The student is looking for a position. Where should the student begin the search? (SELECT ALL THAT APPLY) 1. Health-care organizations 2. Online job boards 3. National Council of State Boards of Nursing 4. American Association of Colleges of Nursing 5. Recommendations from peers and professionals - -

1. Health-care organizations 2. Online job boards 5. Recommendations from peers and professionals

Which of the following statements is true regarding horizontal violence? 1. Horizontal violence is a sentinel event. 2. Horizontal violence is rare on nursing units. 3. Bullying only occurs as horizontal violence. 4. New graduates often experience incivility from their superiors. - -

1. Horizontal violence is a sentinel event.

Actions to address violence in the health-care workplace include: *SATA*. 1. Identifying the factors that contribute to violence and controlling as many as possible 2. Allowing the violence to escalate 3. Assessing staff attributes and knowledge regarding responses to violence 4. Providing weapons training to those identified as having a potential for physical violence - -

1. Identifying the factors that contribute to violence and controlling as many as possible 3. Assessing staff attributes and knowledge regarding responses to violence

Which of the following characterize the transition from nursing student to practicing nurse? (SELECT ALL THAT APPLY) 1. Increased number of assigned patients 2. Higher productivity expectations for the student compared with the practicing nurse 3. Greater emphasis on efficiency in practice 4. Shorter hours, fewer workdays back to back in practice - -

1. Increased number of assigned patients 3. Greater emphasis on efficiency in practice

What is the purpose of a cover letter when applying for a position? 1. Introduces the applicant 2. States the employment goal 3. Outlines the applicant's position in the community 4. Describes the reason for entering nursing - -

1. Introduces the applicant

As a new graduate, what features should you look for in a TPP program? (SELECT ALL THAT APPLY) 1. Match with an experienced nurse mentor 2. Shortest transition time possible 3. Rapid movement to full assignment 4. Opportunities to network with peers - -

1. Match with an experienced nurse mentor 4. Opportunities to network with peers

Which of the following are considered reasonable accommodations for an employee with a disability? *SATA* 1. Modification of the work's schedule 2. Salary reduction to reflect lower output 3. Additional days off and extended vacations 4. Adjustment of work procedures - -

1. Modification of the work's schedule 4. Adjustment of work procedures

What is an important contribution of the nursing specialty organizations? 1. Setting standards for specialty practice 2. Improving nursing's image on television 3. Supporting the associate's degree in nursing education 4. Providing collective bargaining agreements - -

1. Setting standards for specialty practice

Which of the following is a macro-level change? 1. Shift in Medicare payment policies. 2. Change in shift differentials. 3. Opening a new unit. 4. Changing visiting hours. - -

1. Shift in Medicare payment policies.

An incident of sexual harassment as identified by the EEOC is: (SELECT ALL THAT APPLY) 1. Telling jokes about sexual identity issues 2. Separate restrooms 3. Providing coffee and doughnuts to the nursing staff 4. Demanding a daily kiss for writing a favorable evaluation - -

1. Telling jokes about sexual identity issues 4. Demanding a daily kiss for writing a favorable evaluation

You are a new nurse. The hospital where you work is committed to providing safe, high-quality care. Which of the following activities would let you know that your organization is committed to improving patient safety? 1. The hospital has a good catch program for staff who recognize errors and near misses. 2. The hospital subscribes to TJC safety publications. 3. The hospital measures performance every month, monitors quality indicators, and regularly reports on quality. 4. All of the above. - -

1. The hospital has a good catch program for staff who recognize errors and near misses.

A new graduate nurse is working on a SWOT analysis. The nurse is considering the influences that could hinder career planning, such as changes in policies and regulations. Which of the following is most likely the section of the SWOT analysis under consideration? 1. Threats 2. Opportunities 3. Strengths 4. Weaknesses - -

1. Threats

To achieve safe patient care, a culture of safety must exist. What are the characteristics of an organization with a culture of safety? 1. Transparency, openness, reporting of errors is rewarded, blame-free environment 2. Honesty, studying of serious events 3. Privacy, reporting of errors appreciated 4. Blame-free environment, openness, error reporting is encouraged - -

1. Transparency, openness, reporting of errors is rewarded, blame-free environment

One disadvantage of using collective bargaining to resolve conflicts between nurse managers and staff is that it can create an adversarial relationship between staff and management. 1. True 2. False - -

1. True

A nurse is caring for a patient who has pulmonary embolus. The patient is receiving anticoagulation with IV heparin. What instructions should the nurse give the NAP who will help the patient with activities of daily living? *SATA* 1. Use a lift sheet when moving and positioning a patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 4. Use a rectal thermometer to obtain a more accurate body temperature. 5. Be sure the patient's footwear has a non-slip soul when the patient ambulates. - -

1. Use a lift sheet when moving and positioning a patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 5. Be sure the patient's footwear has a non-slip soul when the patient ambulates.

Which of the following us the best indication that a change has been integrated? 1. When no one talks about it anymore 2. If adoption occurred rapidly 3. When resistance turns from active to passive. 4.. When a full year has passed since change was introduced. - -

1. When no one talks about it anymore

A hospital merger has recently taken place, and several nursing units have been combined, resulting in changes in workloads. The nurse manager is aware that workflow changes can cause conflicts. An effective nurse manager will do all EXCEPT which of the following, in order to reduce the possibility of conflict among the team members? 1. Make sure that supplies and equipment are ordered and available. 2. Advise staff that negative comments will not be tolerated. 3. Monitor the quality of client care. 4. Assess the fairness of nursing assignments. - -

2. Advise staff that negative comments will not be tolerated.

According to NIOSH, a common reaction to latex allergy is: 1. Increased appetite 2. Allergic contact dermatitis 3. Increased falls 4. An increased in violence outbursts - -

2. Allergic contact dermatitis

Nurses are advocates for their patients and have a duty to report any behaviors that may negatively impact patient outcomes. Which of the following is true regarding reporting quality and safety issues? 1. Whistleblower laws protect nurses from reprisals by employers. 2. As long as nurses do the right thing for their patients, they will be protected. 3. A health care facility may terminate the employment of a nurse who reports quality and safety issues. 4. The state nurse practice act will have information about whether there are whistleblower laws in the state to protect nurses. - -

2. As long as nurses do the right thing for their patients, they will be protected.

A new model for health care in the future would be best to include which of the following? 1. Community-centered care 2. Care that encourages a healthy environment 3. Accessible care that is affordable for most people 4. A focus on local health concerns - -

2. Care that encourages a healthy environment

What type of résumé is useful in showing stable employment without gaps or many job changes? 1. Standard 2. Chronological 3. Functional 4. Combination - -

2. Chronological

A nursing student who is graduating in a few weeks is preparing a résumé. What should the nursing student highlight FIRST? (SELECT ALL THAT APPLY) 1. Family status 2. Educational degrees 3. Community service 4. Employment experience 5. Leadership experiences in school - -

2. Educational degrees 4. Employment experience

What is the STAR method of interviewing? 1. Focuses on communication 2. Emphasizes behaviors 3. Allows the employer to ask personal questions 4. Creates a relaxed interviewing environment - -

2. Emphasizes behaviors

A nurse manager has two team members who continually criticize each other despite being told to stop. Which approach is the most appropriate for this situation? 1. Refer each of them to HR for employee counseling. 2. Engage in problem resolution. 3. Bring in a union representative. 4. Engage in a formal negotiation process. - -

2. Engage in problem resolution.

Professional careers typically go through several phases. Which of the following would be the final phase of a successful career? 1. Promise phase 2. Harvest phase 3. Transition phase 4. Momentum phase - -

2. Harvest phase

Nursing leaders understand that which of the following issues CANNOT be addressed in a collective bargaining agreement? 1. Shift differentials 2. Holiday schedules 3. Safe working environments 4. Grievance procedures - -

2. Holiday schedules

In which of the following situations would a personal change probably be the most difficult to make? 1. When the reward is immediate 2. If the benefits will be realized years from now 3. When the need is immediate 4. If it is change that keeps you in your comfort zone - -

2. If the benefits will be realized years from now

In which of the following situations would a personal change probably be the hardest to make. 1. when the need is immediate. 2. If the benefits will be realized years from now 3. When the reward is immediate 4. If it is change that keeps you in your comfort zone - -

2. If the benefits will be realized years from now.

When is it most appropriate to dictate (order) change? 1. When the change is very complicated 2. In an emergency 3. When resistance is very high. 4. If the change is unimportant. - -

2. In an emergency.

When obtaining details about a position before applying, which of the following questions is important to answer? 1. Does the schedule work for me? 2. Is there a good match between my skills and interests and the position? 3. Is the pay rate acceptable? 4. How do I contact the Human Resources Department? - -

2. Is there a good match between my skills and interests and the position?

The purpose of QI is to continuously improve the capability of everyone involved to provide safe, high-quality patient care. What is important to know about the QI process? 1. It is independent of teamwork. 2. It is a data-driven approach to improving process. 3. Common safety indicators are not used to evaluate quality of care. 4. Opportunities for QI are selected by organization leadership. - -

2. It is a data-driven approach to improving process.

A unit team leader who fails to provide direction to his or her nursing care team is a(n): 1. Democratic leader 2. Laissez-faire leader 3. Autocratic leader 4. Situational leader - -

2. Laissez-faire leader

Which of the following are the primary current problems with the U.S. health-care system? (SELECT ALL THAT APPLY) 1. Increased use of EHRs 2. Less-than-optimum outcomes (quality issues) 3. Number of people who are uninsured 4. High cost of care - -

2. Less-than-optimum outcomes (quality issues) 3. Number of people who are uninsured 4. High cost of care

A client who does not have sufficient skills to access and use health information is experiencing which barrier to effective communication in health care? 1. Cultural incompetence 2. Low health literacy 3. Cultural diversity 4. Communication skills of health care providers - -

2. Low health literacy

Which of the following is the BEST argument for lower nurse-to-patient ratio? 1. The more patients a nurse has, the better the nurse will be at catching early warning signs. 2. Lower patient-to-nurse ratios decrease patient mortality. 3. Adequate nurse levels do not impact the prevalence of urinary tract infections. 4. Community nursing ratios do not impact Methicillin-resistant Staphylococcus aureus (MRSA) rates. - -

2. Lower patient-to-nurse ratios decrease patient mortality.

Which of the following best describes the nurse of today? 1. Assistant to the physician 2. Member of the largest health-care profession 3. Member of the most powerful lobby group in health care 4. Woman in white - -

2. Member of the largest health-care profession

Nurse managers understand that which of the following are considered reasonable accommodations for an employee with a disability? (select all that apply) 1. Reduction in salary to reflect lower output 2. Modification of the work schedule 3. Additional days off and extended vacations 4. Adjustment of work procedures - -

2. Modification of the work schedule 4. Adjustment of work procedures

Which of the following procedures and modifications contributes to reducing indoor air pollution? 1. Windows that may be opened by staff as needed 2. More powerful ventilation systems and air filtration 3. Selecti ofon products with more PVC 4. Increased use of medical waste incinerators - -

2. More powerful ventilation systems and air filtration

Which of the following organizations supports nursing education? 1. NINR 2. NLN 3. AMA 4. ANA - -

2. NLN

When evaluating the quality of care, a health-care organization must consider structures, processes, and outcomes of care delivery. Which of the following is a good example of an organizational process? 1. Budgeting adequate money for nursing salaries 2. Preparing a patient for discharge 3. Monitoring for infections 4. Increasing time between clinic visits - -

2. Preparing a patient for discharge

Benefits of membership in the ANA include all but which one of the following? 1. Advocacy for nurses' rights 2. Provision of lower-cost health insurance 3. Work toward a safer workplace 4. Improvement of patient safety - -

2. Provision of lower-cost health insurance

People are often resistant to change. During the process of workplace change, based on Maslow's Hierarchy of Needs, what type of resistance is the **MOST** difficult to overcome? 1. Active resistance to changing preferred procedure. 2. Resistance based upon fear of losing one's jo2. 3. "That's the way we've always done it" (inertia). 4. Passive resistance to an unpopular change. - -

2. Resistance based upon fear of losing one's jo2.

A nurse manager plans to implement a new scheduling process. This was met with resistance from the staff who were very happy with the current scheduling process. How can the nurse manager lower their resistance to this change? 1. Tell the staff that their concerns about the new schedule are unfounded and post the new schedule. 2. Share information about the new schedule and discuss its impact on the unit. 3. Post the schedule and deal with staff members on an individual basis. 4. Ask the staff to come up with an alternative for the nurse manager's consideration. - -

2. Share information about the new schedule and discuss its impact on the unit.

What does "be visible and vocal" mean? (SELECT ALL THAT APPLY) 1. Take a course on health-care policy. 2. Speak out on issues important to nursing. 3. Write letters to the editor, and e-mail your state and federal representatives. 4. Look for opportunities to appear on radio or television. - -

2. Speak out on issues important to nursing. 3. Write letters to the editor, and e-mail your state and federal representatives. 4. Look for opportunities to appear on radio or television.

Which of the following health and safety concerns is NOT one of our greatest concerns currently? 1. "Escape" of health-care-acquired infections into the community 2. Spread of poliomyelitis and smallpox 3. Increase in opioid-related deaths 4. Health disparities (poorer health and treatment outcomes in minority, limited-income, and other groups) - -

2. Spread of poliomyelitis and smallpox

Which of the following best describes what is the most likely to be within a nurses comfort zone? 1. a new assignment. 2. Tasks shes done many times. 3. change to a different shift. 4. addition of several new tasks. - -

2. Tasks shes done many times.

You are a new registered nurse. The health care facility where you've been hired is committed to providing safe care. Which of the following activities would let you know that your organization is committed to improving patient safety? 1. The facility monitors quality indicators and regularly reports on quality. 2. The facility has a good catch program for staff who recognize errors and near misses. 3. The organization subscribes to TJC safety publications. 4. None of the above. - -

2. The facility has a good catch program for staff who recognize errors and near misses.

When conducting a SWOT analysis, the "T" represents: 1. Time spent in education 2. Threats to obtaining a position 3. Terminal degree expectations 4. Talking points for the interview - -

2. Threats to obtaining a position

In order to achieve safe patient care, a culture of safety must exist. What are some characteristics of an organization with a culture of safety? 1. Honesty, and investigation of serious events 2. Transparency, openness, blame-free environment, reporting of errors is rewarded 3. Privacy, and reporting of errors appreciated 4. None of the above - -

2. Transparency, openness, blame-free environment, reporting of errors is rewarded

A respiratory therapist is performing suctioning on a client with a closed head injury who has a tracheostomy. Afterwards, the NAP obtains vital signs. The nurse should communicate that the NAP needs to report which vital sign value or values immediately? SATA 1. Respiratory rate of 22 breaths/min 2. Tympanic temperature of 101.4 F (38.6 C) 3. Pulse oximetry of 97% 4. Heart rate of 98 BPM. - -

2. Tympanic temperature of 101.4 F (38.6 C) and only B

Structured care methodologies (SCM) are: 1. Nursing tools designed to identify best practices and facilitate standards of care 2. Used to create a stable set of performance indicators to measure outcomes 3. Used to assist employees with wellness and injury prevention 4. Helpful when making staffing assignments - -

2. Used to create a stable set of performance indicators to measure outcomes

Nurse managers are aware that which of the following is the best indicator that a change has been integrated? 1. If adoption occurred rapidly 2. When no one talks about it anymore 3. When a full year has passed since the change was introduced 4. When resistance turns from active to passive - -

2. When no one talks about it anymore

Although there is projected to be a small surplus of nurses by 2030, some states will continue to see nursing shortages. Which of the following is the best explanation for this situation? 1. Health care legislation that impacts nursing salaries in some states 2. Workforce availability 3. Aging of the baby boomers, which means a younger nursing workforce 4. A declining population - -

2. Workforce availability

A new nurse manager plans to implement a new scheduling process. This was met with resistance from the staff who were very happy with the current scheduling process. How can the nurse manager lower their resistance to this change? 1. Tell the staff that their concerns about the new schedule are unfounded and plan to post the new schedule. 2. share info about the new schedule and discuss its impact on the unit. 3. post the schedule and deal staff on an individual basis. 4. Ask the staff to come up with an alternative for the nurse managers consideration. - -

2. share info about the new schedule and discuss its impact on the unit.

A colleague tells you, "I'm so burned out, I think it's time for me to resign." What can you tell your colleague? 1. "You probably need a break from work. Why don't you ask for a 6-month leave of absence?" 2. "Why don't you apply for a position at our rival hospital?" 3. "Tell me how you take care of yourself and what you like about your work." 4. "We're all burned out. Welcome to the clu2." - -

3. "Tell me how you take care of yourself and what you like about your work."

A nurse who is new to the ICU wants to become certified in adult critical care. The nurse considers the qualifications for certification and sets a goal to take the exam once those qualifications are met. Setting the goal for completion after the qualifications have been met falls under which category of goal setting? 1. Specific 2. Measurable 3. Achievable 4. Timely - -

3. Achievable

Which of the following best describes safety in health care? 1. A registered nurse who made a serious medication error was terminate4. 2. An organization focuses on efficiency on the nursing units. 3. After a medication error, a team works to prevent similar errors in the future. 4. Safety indicators are reported regularly. - -

3. After a medication error, a team works to prevent similar errors in the future.

Which are the following are ways that nurse leaders can address violence in the workplace? (select all that apply) 1. Provide weapons training for nurses. 2. Allow violence to escalate. 3. Assess staff knowledge regarding responses to violent behavior. 4. Identify risk factors for violence on the nursing unit. - -

3. Assess staff knowledge regarding responses to violent behavior. 4. Identify risk factors for violence on the nursing unit.

Which of the following benefits of using an EMR is most specifically designed to reduce medication errors? 1. Data tracking 2. Barcode scanning of laboratory labels 3. Barcode scanning of client identification bracelets 4. Connection to monitoring equipment, such as telemetry and blood pressure cuffs - -

3. Barcode scanning of client identification bracelets

A nursing student is preparing for a first job interview. What should the nursing student research about the organization before going to the interview? 1. Review the salary scale. 2. Research the benefits package offered to employees. 3. Become familiar with the organization's mission and core values. 4. Ask nurses who work at the agency how many patients they are assigned. - -

3. Become familiar with the organization's mission and core values.

What does the NSNA provide to its members? 1. Help in improving course grades 2. Guidance in choosing a good nursing school 3. Career development information 4. Opportunities for graduate school - -

3. Career development information

Which of the following scenarios is most likely sexual harassment? 1. Asking about a coworker's family 2. Asking a coworker out on a date 3. Commenting on a coworker's gender 4. Telling jokes - -

3. Commenting on a coworker's gender

The occurrence of sexual harassment may be reported to: 1. IHI 2. ANA 3. EEOC 4. CDC - -

3. EEOC

Staff receptivity is critical to the successful introduction of an important practice change. How can a nurse manager increase the staff's **receptivity** to an important change in nursing procedures? 1. Provide them with a booklet on preparing for change. 2. Assign the new procedure to the newest staff member. 3. Give them time to learn the new procedure. 4. Apologize for making their work more complicate4. - -

3. Give them time to learn the new procedure.

In the U.S. health-care system, who is the real "customer"? Th at is, who actually pays most of the health-care bill? 1. The U.S. government 2. The head of the household 3. Government entities and employers 4. Employees and their families - -

3. Government entities and employers

Nursing leaders knows that scientific management focuses on: 1. Interpersonal relations. 2. Servant leadership. 3. High efficiency. 4. Staff development. - -

3. High efficiency. (maybe A? she's going to look into it)

A *surprisingly* dangerous Jon in the United States is working: 1. In a coal mine 2. As a window cleaner in NYC 3. In a health-care facility 4. As a police officer - -

3. In a health-care facility

Sometimes it becomes necessary for a nurse manager to issue an order to the staff. Effective nurse managers understand that the most appropriate time in which to dictate (order) change would be: 1. When resistance is very high. 2. When the change is very complicate4. 3. In an emergency. 4. If the change is unimportant. - -

3. In an emergency.

What can the new graduate do to make a successful transition from student to practicing nurse? 1. Try to maintain one's student identity. 2. Move into nursing management as soon as possible. 3. Learn about the organization as a whole as well as about your assigned unit. 4. Focus on the stress of making this difficult transition. - -

3. Learn about the organization as a whole as well as about your assigned unit.

Studying errors and identifying how they occur helps organizations improve patient safety. Which category of errors is the most useful in identifying and remedying vulnerabilities in an organization? 1. Sentinel event 2. Adverse event 3. Near miss event 4. Wrong procedure event - -

3. Near miss event

Studying errors and identifying how they occur can help nurses and health care organizations improve patient safety. Which category of errors is the most useful in identifying and remedying vulnerabilities in an organization? 1. Sentinel event (serious event, death) 2. Adverse event (bad but didn't die) 3. Near miss event (almost wrong meds, good catch) 4. Wrong procedure event (bad but didn't die) - -

3. Near miss event (almost wrong meds, good catch)

A good description of the present U.S. health-care system would be: 1. The best in the world 2. Efficient and effective 3. Needs improvement 4. Meets everyone's needs - -

3. Needs improvement

Which of the following is the BEST recommendation to assist a new nurse to become accustomed to his or her new position? 1. Work in a health care setting while going to school. 2. Find an experienced nurse to serve as a mentor. 3. Participate in a formal mentoring program. 4. Independent study opportunities that give students an opportunity to try out different experiences. - -

3. Participate in a formal mentoring program.

Which of the following is an example of incivility in the workplace? 1. Giving one nurse, who is suffering a family crisis, a light assignment, which means the other nurses have to do more 2. Discussing an error that occurred with a group of nurses on the unit 3. Reprimanding a nurse who made an error in front of staff so that everyone can learn from the mistake 4. Work team cohesion - -

3. Reprimanding a nurse who made an error in front of staff so that everyone can learn from the mistake

Which of the following statements is TRUE regarding sexual harassment? 1. Men are not harassed by women. 2. Quid pro quo is the most common sexual harassment claim. 3. Sexual harassment is prohibited by the Civil Rights Act of 1964. 4. A work environment must be proven to be psychologically injurious to be considered hostile. - -

3. Sexual harassment is prohibited by the Civil Rights Act of 1964.

Change occurs on multiple levels in health care. Our text discusses macro and micro level changes. Which of the following is an example of a **MACRO-LEVEL** change? 1. Change in shift differentials 2. Change in a hospital's visiting hours 3. Shift in Medicare payment policies 4. Opening a new unit at a health care facility - -

3. Shift in Medicare payment policies

Janice Mendoza is settled in her nursing position and wants to devote some time to one of the issues facing the nursing profession. Which of the following activities would probably have the LEAST impact on advocating for the nursing profession? 1. Contribute to the ANA's PAC 2. Visit the representatives when the state legislature is in session 3. Talk with her friends, explaining her concerns 4. Speak on radio and television programs - -

3. Talk with her friends, explaining her concerns

Which of the following best describes what **TASKS** are most likely to be within a nurse's comfort zone? 1. Change to a different shift 2. A new assignment 3. Tasks that he or she has completed many times 4. Addition of several new nursing tasks - -

3. Tasks that he or she has completed many times

There has been a sudden increase in catheter-associated urinary tract infections that must be addressed on janes unit. What is the best way for Jane to persuade the staff to implement a new Foley catheter care protocol? 1. Tell them the change has been ordered by the administration. 2. present statistics proving the need to change. 3. tell a compelling story about why change is needed. 4. Explain the importance of there change in simple terms - -

3. Tell a compelling story about why change is neede4.

Which of the following best indicates that an interprofessional health care team can work together effectively? 1. Each team member understands his or her role. 2. Team members create goals for the client according to their specialty and then share with the team. 3. The team has a process in place for sharing information. 4. Members provide care to a diverse group of clients. - -

3. The team has a process in place for sharing information.

Nursing leaders understand that structured care methodologies (SCM) are: 1. Helpful when making staffing assignments 2. Nursing tools designed to identify some good practices 3. Used to create a stable set of performance indicators to measure outcomes 4. Used to assist employees with wellness and injury prevention - -

3. Used to create a stable set of performance indicators to measure outcomes

Nursing standards of care and the organization's policies and procedures greatly decrease risk to patient safety. Which of the following steps can a nurse take to further reduce risk? 1. Submit event or incident reports for near misses. 2. Follow medication administration policies and procedures. 3. Always report significant data on care to patients and providers in a timely manner. 4. All of the above - -

4. All of the above

When designing a technical change, which of the following should be considered? 1. Will it work better than the old way? 2. If the change is needed. 3. Is there a simple way to do this? 4. All of the above. - -

4. All of the above

You recently joined a health care organization that is committed to quality patient care. Which of these are considered characteristics of quality health care? 1. The nurses use data driven, evidence-based research to guide care delivery. 2. The nurses are respectful and responsive to their clients' individual preferences. 3. The nurses perform an independent double-check when administering chemotherapy medications. 4. All of the above - -

4. All of the above

Your new organization is committed to quality patient care. Which of these are considered characteristics of quality health care? 1. The nurses use evidence-based research to guide care delivery. 2. The nurses are respectful and responsive to their clients' individual preferences. 3. The nurses perform an independent double check when administering chemotherapy medication. 4. All of the above - -

4. All of the above

Communities and regulatory agencies continually challenge hospitals, skilled nursing facilities, and home health companies to enhance, improve, or change care delivery and the care environment to ensure safe, high-quality care. Which factors are important in improving a hospital's care environment? 1. Adequate staffing 2. Collegial relationships among staff 3. Emphasis on staff development 4. All of the above - -

4. All of the above -

A common ergonomic occupational-related risk in the health-care environment is: 1. Indoor air pollution 2. Active shooters 3. Nosocomial infections 4. Back injuries - -

4. Back injuries

A federal agency that partners with other agencies throughout the nation to investigate health problems, conduct research, implement prevention strategies, and promote dafe and healthy environments is known as the: 1. FDA 2. IOM 3. ANA 4. CDC - -

4. CDC

A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. What should she do? 1. Ignore it because it is not physical violence and will not hurt anyone. 2. Model this bullying behavior so that staff can see how it affects people. 3. Keep a log of observed bullying behavior to discuss during the employees' annual evaluation. 4. Confront the bullying behavior and discuss strategies for responding to it. - -

4. Confront the bullying behavior and discuss strategies for responding to it.

OSHA, a federal government agency, is responsible for: 1. Providing training to handle difficult clients and their families 2. Providing research and education training 3. Upholding the standards of nursing practice 4. Developing and enforcing workplace safety and health regulations - -

4. Developing and enforcing workplace safety and health regulations

New graduates usually experience a "honeymoon" period at their first job, which is characterized by: 1. Extreme criticism from colleagues 2. Long hours and low pay 3. Feeling undervalued 4. Excitement about the new position - -

4. Excitement about the new position

In the United States, health-care insurance can best be described as 1. Universal 2. Available to all 3. Free 4. Expensive - -

4. Expensive

How can you increase your staffs receptivity to an important change in procedure? 1. Assign the new procedure to the newest staff member. 2. apologize for making their work more complicated. 3. provide them with a booklet on preparing for change. 4. Give them time to learn the new procedure. - -

4. Give them time to learn the new procedure.

Registered nurse leaders understand that which of the following is expected to most likely be true in the near future? 1. Quality improvement projects will decline because of cost-cutting measures. 2. Alternative and complementary approaches will continue to be shunned by medical practice. 3. Health care will primarily remain in the hospital setting. 4. Increased focus on care transitions will involve nursing. - -

4. Increased focus on care transitions will involve nursing.

Which of the following is the best way to address bullying behaviors? 1. Report bullying to the bully's nurse manager. 2. Establish a minimal tolerance policy for incivility. 3. Avoid confronting bullies. 4. Look to nurse managers to role model appropriate behavior. - -

4. Look to nurse managers to role model appropriate behavior.

Jean Paul has practiced nursing for 5 years and wants to continue his education. He has an associate degree and is trying to decide whether to pursue a nursing degree or a nonnursing degree. Which of the following is an advantage of choosing a nursing degree? 1. Higher time demand of the nonnursing degree 2. Opportunity to learn about other professions outside nursing 3. Broader focus of the nonnursing degree 4. Opportunity to advance knowledge and skills in his profession - -

4. Opportunity to advance knowledge and skills in his profession

A nurse manager of a busy emergency department is working to reduce the potential for violence on the unit. Which of the following will most likely reduce the potential for violence? 1. Ensure post-assault treatment and support is available to all staff. 2. Implement procedures to speed up the discharge process for mentally ill patients. 3. Decrease the number of visible security guards to avoid antagonizing patients. 4. Propose a plan to expand and update the waiting room. - -

4. Propose a plan to expand and update the waiting room.

Stephanie Beals was a little nervous during her first week of work as a licensed nurse. Distracted by a lead nurse behind her, her hand slipped, and she was stuck by the needle she had just used. What is most important for Stephanie to do? 1. Disinfect the site of the needlestick. 2. Apologize to the patient, clean the site, and properly dispose of the needle. 3. Update her hepatitis B immunization. 4. Report the incident and obtain PEP within 2 hours. - -

4. Report the incident and obtain PEP within 2 hours.

If a nurse has been the victim of sexual harassment, which of the following must be done within 180 days of the incident? 1. Documentation 2. Confronting the harasser 3. Reporting the incident up the chain of command 4. Reporting the incident to the Equal Employment Opportunity Commission (EEOC) - -

4. Reporting the incident to the Equal Employment Opportunity Commission (EEOC)

What type of resistance to a change is the hardest to overcome? 1. The resistance that comes from inertia: "we always do it this way." 2. Active resistance to changing a preferred procedure. 3. Passive resistance to an unpopular change. 4. Resistance based upon fear of losings one Jo2. - -

4. Resistance based upon fear of losings one jo2.

Which of the following is the MOST accurate regarding a career in nursing? 1. Nurses are always needed and will never be out of a jo2. 2. Higher paying jobs are available without advancing your education. 3. A nurse who is good at his or her job will never lose it. 4. The responsibility for career advancement is solely on the individual nurse. - -

4. The responsibility for career advancement is solely on the individual nurse.

Nurse managers know that which of the following skills are necessary in order to be effective? Select all that apply. 1. Clinical expertise 2. Leadership capabilities. 3. Budgeting skills 4. Business sense - -

1. Clinical expertise 2. Leadership capabilities. 3. Budgeting skills 4. Business sense

A patient tells a nurse that he has an advance directive from 6 years ago. The nurse looks the medical record for the advance directive. What content should the nurse expect to find in the advance directive? [SATA] 1. Decisions regarding treatments 2. When to take the patient to the hospital 3. Do not resuscitate orders 4. Who should be notified in the case of illness, injury, or death 5. Durable power of attorney for health care 6. HIPAA protocols - -

1. Decisions regarding treatments 2. When to take the patient to the hospital 3. Do not resuscitate orders 5. Durable power of attorney for health care

Theory Y emphasizes: 1. Guidance, development., and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting, and time studies - -

1. Guidance, development., and reward

A nurse is helping an NAP provide a bed bath to a comatose patient who is incontinent. Which of the following actions requires the nurse to intervene? 1. The nursing assistant answers the phone while wearing gloves. 2. The nursing assistant log-rolls the client to provide back care. 3. The nursing assistant places an incontinence diaper under the client. 4. The nursing assistant positions the client on the left side, head elevated. - -

1. The nursing assistant answers the phone while wearing gloves.

A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate? 1. The nurse is an employee; therefore, access to the chart is permissible. 2. Access to the chart requires a signed release form. 3. The relationship with the client provides the nurse special access to the chart. 4. The nurse can ask the surgeon to discuss the outcome of the surgery.

2. Access to the chart requires a signed release form.

When should a new graduate nurse consider taking on management responsibilities? 1. As soon as they are offered 2. After developing clinical expertise 3. After 15 years on the job 4. Before developing leadership expertise - -

2. After developing clinical expertise

Transformational nursing leaders have the ability to: 1. Reinforce the negative attitudes of the team. 2. Define the group's mission and communicate that mission to others. 3. Work best alone without assistance. 4. Focus on the weaknesses and shortcomings of others. - -

2. Define the group's mission and communicate that mission to others.

Servant leadership focuses on: 1. Helping patients care for themselves 2. Removing incompetent managers 3. Creating a supportive work environment 4. Resolving conflicts quickly - -

3. Creating a supportive work environment

If an informal negotiation session becomes too highly emotional, what should the nurse manager do? 1. Let the feelings flow. 2. Cancel the negotiation. 3. Deal with the feelings first. 4. Tell them to ignore the feelings and deal with the issues. - -

3. Deal with the feelings first.

A registered nurse arrives at work and is told to "float" to the ICU for the day because the ICU is understaffed and needs an additional nurse to care for the clients. The nurse has never worked in the ICU. Which of the following is the most appropriate nursing action? 1. Call the hospital attorney. 2. Call the nursing director. 3. Report to the ICU and identify tasks that can be safely preformed. 4. Refuse to float in the ICU. - -

3. Report to the ICU and identify tasks that can be safely preformed.

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? 1. The charge nurse is unavailable to help the nurses when they have questions about policies. 2. Some staff are afraid to ask particular charge nurses for help for fear of retribution. 3. The use of acronyms is confusing to staff members who are new to the unit. 4. All of the above - -

4. All of the above

The hospital has recently reorganized; therefore, several departments were closed. The patient census on the unit has increased. The staff have always had a strong team spirit, but the nurse manager knows that workflow changes can cause conflict. What can the nurse manager do to reduce the possibility of conflict among her team? 1. Monitor the quality of patient care. 2. Ensure that supplies and equipment are readily available. 3. Assess the equity of nursing assignments. 4. All of the above - -

4. All of the above

Several studies have shown that although care planning and advanced directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to completing an advance directive? [SATA] 1. African American race 2. Younger age 3. History of chronic illness 4. Lower socioeconomic status 5. Higher education - -

5. Higher education

Which common practice puts the nurse at liability for invasion of patient privacy? 1. During care, the nurse reveals information about the patient to those in the room. 2. The nurse releases information about the patient to nursing students who will be caring for the patient the next day. 3. The nurse conducts a patient care session about a patient whose care is difficult and challenging 4. Confidential information regarding an admitted patient is released to third-party payers. - -

1. During care, the nurse reveals information about the patient to those in the room.

What is the best explanation of authority? 1. It is position dependent. 2. It is based upon the ability to lead others. 3. It is expertise-driven. 4. It resides primarily in the clients served. - -

1. It is position dependent.

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical? 1. The hospital was supportive and assistive as the nurse coped with this event. 2. The nurse was dismissed for incompetence 3. The hospital quality department advised the nurse not to tell the patient about the error. 4. The nurse was resigned to an area in which there is no direct patient care responsibility. - -

1. The hospital was supportive and assistive as the nurse coped with this event.

A registered nurse who voices support for a client's decision NOT to undergo treatment for a life-threatening illness (despite the family's resistance) is engaging in: 1. Interpersonal communication 2. Assertive communication 3. Aggressive communication 4. All of the above - -

2. Assertive communication

Nursing management and the nursing union are having differences on several issues. There may be a need for negotiation. Which of the following is a serious disadvantage to using collective bargaining to resolve this conflict? 1. Protecting the right to fair treatment 2. Creating an adversarial relationship between staff and management 3. Lacking professionalism on the part of the collective bargaining unit members 4. Failing to uphold important standards of care - -

2. Creating an adversarial relationship between staff and management

Nurses who feel empowered can make significant contributions to a health-care organization. Feeling empowered includes feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. What is essential to nurse empowerment? 1. Belonging to a professional organization 2. Participating on a unit practice council 3. Reasonable work assignments 4. A rewards and recognition program - -

2. Participating on a unit practice council

Health Insurance Portability and Accountability Act (HIPAA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? [SATA] 1. The patient is from a correctional institution. 2. The situation involves child abuse. 3. An injury occurred from a firearm. 4. The patient is a physician. 5. The breach of information was unintentional. - -

2. The situation involves child abuse. 3. An injury occurred from a firearm

An RN sees an older woman fall in the mall. The RN help the woman. The woman later complains that she twisted and sprained her ankle. The RN protected from litigation under: 1. Hospital malpractice insurance 2. Good faith agreement 3. Good Samaritan law 4. Personal professional insurance - -

3. Good Samaritan law

Which of the following issues may be addressed in a collective bargaining agreement? 1. Shift differentials 2. Safe working environment 3. Grievance procedures 4. All of the above - -

3. Grievance procedures

You have been asked to serve on your unit practice council. Th is is an important role and one that you are excited to perform. What should you know about professional governance so that you are prepared for this work? Professional governance in nursing involves: 1. Working longer hours 2. Attending a lot of meetings 3. Nurses setting nursing standards for daily practice 4. Changing the organization's culture - -

3. Nurses setting nursing standards for daily practice

A nurse is caring for a patient who is diagnosed with coronary artery disease and sleep apne1. Which action should the nurse delegate to the NAP? 1. Discuss weight-loss strategies such as diet and exercise with the patient. 2. Instruct the patient how to set up the CPAP machine before sleeping. 3. Remind the patient to sleep on his side instead of his back. 4. Administer modafinil to promote daytime wakefullness. - -

3. Remind the patient to sleep on his side instead of his back.

An RN has asked a licensed practical nurse (LPN) to trim the toenails of a diabetic patient. The LPN trims them too short, which results in a toe amputation from infection. The patient files a lawsuit against the hospital. the RN, and the LPN. What might all three be found guilty of: 1. Unintentional tort 2. Intentional tort 3. Negligence 4. Malpractice - -

4. Malpractice

Who stated that the "function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recover (or to peaceful death)"? 1. Henderson 2. Rogers 3. Robb 4. Nightingale - -

1. Henderson

The health-care facility has sponsored a continuing education offering on emergency management of pandemic influenz1. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone who might have that flu. I have kids to think about." What is true of this statement? [SATA] 1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency. 2. This statement reflects defamation and may result in legal action against the more 3. This statement is a breach of the Code of Ethics for Nurses 4. The nurse has this right as no nurse-patient contract has been established - -

1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency. 3. This statement is a breach of the Code of Ethics for Nurses

Which of the following is unique to a professional standard of decision making? [SATA] 1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently 3. Concrete thinking 4. Anticipates when to make choices without others' assistance - -

1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently

The EMR has many advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new patient for the very first time who informs her that he was recently hospitalized. Jane pulls up the patient's EMR and sees no information regarding his recent hospital stay. How could this have happened? 1. The patient's discharge was so recent that it is not available yet. 2. EMRs are usually practice or hospital specific, so the patient's information would not be accessible to Jane. 3. The patient was hospitalized out of state. 4. The patient has not signed the necessary consents to give Jane access. - -

2. EMRs are usually practice or hospital specific, so the patient's information would not be accessible to Jane.

Creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety? 1. Provision of adequate resources to provide care and service 2. Use of interprofessional collaboration to solve problems and assess risk 3. Adherence to staffing ratios 4. Encourages the reporting of errors and near misses - -

3. Adherence to staffing ratios

An RN new to the emergency department documented that "the patient was intoxicated and acted in a crazy manner." The team leader told the RN that this type of documentation can lead to: 1. Assault. 2. Wrongful publication 3. Defamation of character 4. Slander - -

3. Defamation of character

Transformational nursing leaders have the ability to: 1. Increase the negativity of the team. 2. Work best alone. 3. Define the group's mission and communicate that mission to others. 4. Pay close attention to the weakness and shortcomings of others. - -

3. Define the group's mission and communicate that mission to others.

If you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong? 1. Publicly (government) supported 2. Voluntary, not-for-profit 3. For-profit 4. All of the above - -

3. For-profit

Autocratic leaders: 1. Postpone decision making as long as possible 2. Share leadership with members of the team 3. Give orders and make decisions without consulting the team 4. Encourage creativity when problem solving - -

3. Give orders and make decisions without consulting the team

Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? 1. Continuing education 2. Graduate education 3. In-service education 4. Professional Registered Nurse Education - -

3. In-service education

ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for: 1. Identify, Study, Background, Assess, Recognize, Readback 2. Issue, Situation, Better, Advise, Refer with Recommendations 3. Introduce, Situation, Background, Assess, Recommend, Readback 4. None of the above - -

3. Introduce, Situation, Background, Assess, Recommend, Readback

Nurse managers know that Theory X emphasizes: 1. Evaluation, budgeting, and time studies. 2. Guidance, staff development, and reward. 3. Supervision, monitoring, and reprimands. 4. Leadership and influence, not management. - -

3. Supervision, monitoring, and reprimands.

Nurse leaders understand that the *MOST* important difference between management and leadership is? 1. Management focuses primarily on the annual budget 2. Leadership is more focused on people skills. 3. Leadership is not concerned with getting work done in a timely manner. 4. Management is an assigned position. - -

4. Management is an assigned position.

The NCLEX for nurses is exactly the same in every state in the United States. The examination: 1. Guarantees safe nursing care for all patients 2. Ensures standard nursing care for all patients 3. Ensures that honest and ethical care is provided 4. Provides a minimal standard of knowledge for a registered nurse in practice - -

4. Provides a minimal standard of knowledge for a registered nurse in practice

Nursing and respiratory departments both experienced job cuts. The nurse manager notices that members of his staff are having more trouble getting a fast response from a respiratory therapist. What source of conflict is probably operating here? 1. Union-management conflict 2. Interpersonal problem 3. Cultural differences 4. Work intensification - -

4. Work intensification

Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the LEAST important to share with the oncoming nurse? 1. Telling the oncoming nurse what happened on the unit during the shift 2. Introducing the client and his or her diagnosis to the oncoming nurse 3. Sharing the nurse's personal opinion of the client 4. Reviewing new medication orders and the medication administration record (MAR) - -

3. Sharing the nurse's personal opinion of the client

A nursing assistant tells a registered nurse that a client who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should the nurse suggest to improve the client's comfort for this problem? 1. Suggest that a simple face mask be used instead of a nasal cannul1. 2. Suggest that the client be provided with an extra pillow. 3. Suggest that the client's oxygen be humidified. 4. Suggest that the client should sit up in a chair at the bedside. - -

3. Suggest that the client's oxygen be humidified.

Which of the following is a major reason why newly licensed nurses resign? 1. Poor pay scales 2. Needlestick injuries 3. Unsupportive management 4. Lack of advancement opportunities - -

3. Unsupportive management

What is the most desirable result of a problem resolution? 1. Win-lose 2. Lose-lose 3. Win-win 4. None of the above - -

3. Win-win

Which of the following is a current concern related to the nursing profession? 1. Aging of the nursing workforce 2. Oversupply of nurses versus decreasing demand for nursing care 3. Emphasis on evidence-based practices 4. Expansion of EHR use into the community - -

1. Aging of the nursing workforce

Medical errors account for 250,000 deaths per year. It is estimated that as many as 50% of these errors may be preventable. What steps would you take to avoid a medication error? 1. Review the patient's medication administration record during bedside shift report. 2. Ask your colleagues to get your medication so that you can give it on time. 3. Call the pharmacist. 4. Review the medication administration policy. - -

1. Review the patient's medication administration record during bedside shift report.

Which of the following events should be reported? (SELECT ALL THAT APPLY) 1. A patient is placed in a broken wheelchair that tips over. 2. A staff member tells a neighbor about the famous athlete who is a patient. 3. An employee reports to work under the influence of alcohol. 4. A patient spills her supplemental protein drink on the floor; the certified nursing assistant (CNA; aide) mops it up. - -

1. A patient is placed in a broken wheelchair that tips over. 2. A staff member tells a neighbor about the famous athlete who is a patient. 3. An employee reports to work under the influence of alcohol.

Factors found to increase nurses' joy at work include: (SELECT ALL THAT APPLY) 1. Ability to provide quality care 2. Consistently high workload 3. A pattern of continuous conflict and disagreement 4. Civility and respect - -

1. Ability to provide quality care 4. Civility and respect

Social media is commonly used to update friends and groups on things we have going on in our lives. Health-care organizations routinely use social media to promote medical facts, services, and recognitions. What is important for nurses to remember when deciding to post something work related on a social media site? 1. Nurses should never post protected health information on a social media site. 2. Stories with good outcomes can be posted to your media page. 3. Stories and photos can always be shared if the patient's name or face is not visible. 4. Posting stories on personal time is OK because the nurse is not working. - -

1. Nurses should never post protected health information on a social media site.

The HHS is charged with protecting the health of all Americans and providing essential health services. Which of the following HHS quality initiatives is currently under way? 1. Post-acute care reform initiative 2. National health-care research and quality indicators aimed at helping improve access to care 3. NDNQI 4. Health IT - -

1. Post-acute care reform initiative

An effective way to help a diverse staff work together is to: 1. Provide equal opportunities for advancement 2. Pretend there are no cultural differences 3. Promote uniformity in communication styles 4. Establish an English-only policy institution-wide - -

1. Provide equal opportunities for advancement

Health-care reform encompasses many issues and concerns. Which of the following is probably the most controversial goal? 1. Requiring everyone to have some form of health insurance 2. Developing school-based health-care centers 3. Eliminating preexisting condition rules in insurance coverage 4. Eliminating lifetime limits to insurance coverage - -

1. Requiring everyone to have some form of health insurance

A nursing student is preparing a résumé to send to prospective employers. What qualities should the nursing student emphasize? (SELECT ALL THAT APPLY) 1. Responsibility and accountability 2. Integrity 3. Interpersonal skills 4. Social skills 5. Family values - -

1. Responsibility and accountability 2. Integrity 3. Interpersonal skills

According to our text, medical errors account for 250,000 deaths per year. It is estimated that as many as 50% of these errors may be preventable. What action should nurses take to avoid a medication error? 1. Review the patient's medication administration record during bedside shift report. 2. Ask your colleague to get your medication, so that you can give it on time. 3. Call the pharmacist. 4. Review the medication administration policy. - -

1. Review the patient's medication administration record during bedside shift report.

Describe the phase of refreezing according to Lewin's change theory. - -

The stage of Refreezing is the ultimate stage in which people accept or internalize the new ways of working or change, accept it as a part of their life and establish new relationships.