leadership study
A nurse manager is counseling a new nurse being oriented to the floor. Which of the following suggestions made by the manager would best aid the new nurse in coping with working the night shift? Select all that apply.
"Wear sunglasses on the drive home from work."; "Use dark shades to block out light when sleeping."; "Allow time to unwind after work "
A nurse discovers that a client was administered an antihypertensive medication in error. Identify the appropriate sequence of steps that the nurse should take using the following actions.
1. check vitals signs 2. Instruct the client to remain in bed until further notice. 3. call the provider 4. complete an incident report 5. notify the risk manager
A community experiences an outbreak of meningitis, and hospital beds are urgently needed. Which of the following clients should the nurse recommend for discharge?
A client who was preadmitted for rotator cuff surgery and has diabetes mellitus type 2
A nurse manager is explaining the use of incident reports to a group of nurses in an orientation program. Which of the following information should the nurse manager include? (Select all that apply.)
A description of the incident should be documented in the client's health care record.; Incident reports include a description of the incident and actions taken.; The risk management department investigates the incident.
A nurse educator is teaching a group of nursing students about legal issues. Which of the following actions should the educator identify as battery?
A nurse injects an intramuscular medication without the client's consent.
A nurse manager is evaluating the floor to ensure the staff are HIPAA compliant. Which of the following observations made by the manager suggests possible breaches in patient confidentiality? Select all that apply.
A physician leaves the computer without logging out.; A nurse takes pictures with her patient and posts them to social media without their knowing.; A nurse is giving end-of-shift report to another nurse in the hallway
A nurse is caring for a client who has chest pain. The client says, "I am going home immediately." Which of the following actions should the nurse take? (Select all that apply.)
Document the client's intent to leave the facility against medical advice (AMA).; Explain to the client the risks involved if they choose to leave.; Ask the client to sign a form relinquishing responsibility of the facility.
A nurse is planning safety interventions at a new clinic. Which of the following interventions should the nurse include?
Have staff who will be performing x-rays wear dosimeters.
A home health nurse is assessing the safety of a client's home. The nurse should identify which of the following factors as increasing the client's risk for falls? (Select all that apply.)
History of a previous fall; Reduced vision; Impaired memory; Kyphosis
A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure?
Incidence of complications related to procedure
A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as advocate. Which of the following situations illustrates the advocacy role? (Select all that apply.)
Informing members of the health care team that a client has do-not-resuscitate status; Reporting that a health team member on the previous shift did not provide care as prescribed; Verifying that a client understands what is done during a cardiac catheterization
A nurse enters the room of a client and finds the client lying on the floor. Which of the following actions should the nurse take first?
Inspect the client for injuries.
A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed?
Institutional policy and procedure manual
A nurse is reviewing the hospital's fire safety policies and procedures with newly hired assistive personnel. The nurse is describing what to do when there is a fire in a client's trash can. Which of the following information should the nurse include? (Select all that apply.)
Instruct ambulatory clients to evacuate to a safe place.; Pull the pin on the fire extinguisher prior to use.; Close all doors.
A nurse is discussing disaster planning with the board members of a hospital. Which of the following individuals should the nurse expect to request extra supplies and staffing for the facility?
Medical command physician
A nurse is preparing to transfer a client who is 72 hr postoperative to a long-term care facility. Which of the following information should the nurse include in the transfer report? (Select all that apply).
Medical diagnosis; Need for specific equipment; Advance directives status
A nurse on a sixth-floor medical-surgical unit is advised that a severe weather alert code has been activated. Which of the following actions should the nurse take? (Select all that apply.)
Move beds of nonambulatory clients away from windows.; Relocate ambulatory clients into the hallways.; Turn the radio on for severe weather warnings.
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN?
Obtain vital signs for a client who is 2 hr postprocedure following a cardiac catheterization.
A nurse manager is providing information to the nurses on the unit about ensuring client rights. Which of the following regulations outlines the rights of individuals in health care settings?
Patient Care Partnership
A nurse has just received end-of-shift report for a group of clients. Which of the following actions made by the nurse demonstrates poor time management skills?
Provides care as opportunity arises regardless of other responsibilities.
When giving end-of-shift report, the nurse observes the oncoming nurse has bloodshot eyes, appears unkempt, and smells of alcohol. Which of the following actions made by the nurse is most appropriate?
Reporting findings to the nurse manager.
A nurse manager is observing the actions of a nurse they are supervising. Which of the following actions by the nurse requires the nurse manager to intervene? (Select all that apply)
Reviewing the health care record of a client assigned to another nurse; Making a copy of a client's most current laboratory results for the provider during rounds; Providing information about a client's condition to hospital clergy; Participating in walking rounds that involve the exchange of client-related information outside clients' rooms
Which of the following are among the the five rights of delegation? Select that apply.
Right task, Right person Right supervision, Right circumstance
A nurse on an acute care unit is caring for a client following a total hip arthroplasty. The client is confused, moving the affected leg into positions that could dislocate the new hip joint, and repeatedly attempting to get out of bed. After determining that restraint application is indicated, which of the following actions should the nurse take? (Select all that apply.)
Secure the restraint to the frame of the bed.; Get a prescription for restraints from the provider.; Have a family member sign the consent for restraints.
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? (Select all that apply.)
Skill proficiency; Assignment to a preceptor; Computerized charting; Socialization into unit culture; Facility policies and procedures
Which of the following actions made by the nurse constitutes a potential breach in patient confidentiality?
The nurse copies the patient's original chart to review at home.
A nurse is caring for a child who is being treated in the emergency department following a head contusion from a fall. History reveals the child lives at home with one parent. The provider's discharge instructions include waking the child every hour to assess for indications of a possible head injury. In which of the following situations should the nurse intervene and attempt to prevent discharge?
The nurse smells alcohol on the parent's breath.
A nurse in a mental health clinic is interviewing a client experiencing hallucinations. The client begins to become frustrated and angry. Which of the following actions made by the nurse constitutes assault?
The nurse threatens to lock the patient in the room.
A nurse is observing a newly licensed nurse and an assistive personnel (AP) pull a client up in bed using a drawsheet. Which of the following actions by the newly licensed nurse indicates an understanding of this technique?
The nurse uses their body weight to counter the client's weight.
A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding?
The pathway shows an estimate of the number of days the client will be hospitalized."
Situational Leadership is best described as:
a flexible leadership style adapting to the needs of the work group
A new graduate nurse is preparing for an interview. Which of the following behaviors is NOT appropriate during an interview?
Avoiding eye contact with the interviewer as a way to convey respect and reverence.
A nurse is caring for a client who is medically unstable. The client's adult child informs the nurse that the client has a DNR prescription with their primary care provider. Which of the following actions should the nurse take?
Call the provider to verify the existence of an active DR prescription.
A nurse is caring for a client who is scheduled for surgery. The client hands the nurse information about advance directives and states, "Here, I don't need this. I am too young to worry about life-sustaining measures and what I want done for me." Which of the following actions should the nurse take?
Contact a client representative to talk with the client and offer additional information about the purpose of advance directives.
A patient is scheduled to speak to a surgeon regarding an impending procedure. The patient does not speak English. Which of the following actions should the nurse take?
Contact a professional medical interpreting service via telephone.
When planning care for a group of clients, which of the following actions should the RN plan to take?
Delegating tracheostomy care to the LPN.
A nurse is assisting with the discharge planning for a client. Which of the following actions should the nurse take? (Select all that apply.)
Determine the client's need for home medical equipment.; Obtain printed instructions for medication self-administration.; Provide the family with a list of community agencies that can provide assistance.; Discuss the importance of attending follow-up appointments.
A nurse who has just assumed the role of unit manager is examining the skills necessary for interprofessional collaboration. Which of the following actions support the nurse's interprofessional collaboration? (Select all that apply.)
recognize the knowledge and skills of each member of the team; encourage the client and family to participate in the team meeting; support team member request for referral
A concise, one- or two-page summary of educational and work experience, activities and honors, and concrete skills and interests is a(n):
resume
Which of the following techniques is NOT an appropriate method to the ensure accuracy of a doctor's verbal or written order?
review the doctor's previous orders and assume current orders will be identical to past orders
When shadowing a floor nurse, which of the following actions made by the student suggests improper body mechanics and requires correction by the nurse?
the student twists spine and bends at waist when transferring patients
A student notices that the nurse double-checks the order before administering all medications. Which of the following ethical principles is the nurse demonstrating?
nonmaleficence
A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and output for several clients. Which of the following actions should the RN take?
Ask the AP if they need assistance.
A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? (Select all that apply.)
A structure audit evaluates the setting and resources available to provide care.; An outcome audit evaluates the results of the nursing care provided.; A root cause analysis is indicated when a sentinel event occurs.; After data collection is completed, it is compared to a benchmark.
The new graduate nurse understands that to prevent a questionable résumé history, remaining at the first place of employment for at least_______ is advisable.
one year
What data are necessary to compile an effective end-of-shift report? Select all that applv
all pertinent nursing care; status of lung sounds; the patient's mental status.
A nurse witnesses an assistive personnel (AP) they are supervising reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if the urinal is not used more carefully next time. Which of the following torts is the AP committing?
assault
An LVN is assisting with the new admission of a client admitted for complications of pneumonia. Which of the following tasks can the nurse delegate to the assistive personnel (AP)?
assisting client to use a bedpan
When transitioning into a new NCLEX preparatory curriculum program, a nurse manager leaves no room for the input of his staff, and makes all the decisions himself. The term that best describes this leadership style is:
autocratic
A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating?
avoidance
Commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person is called:
negligence
An employee-centric approach, allowing employees more control and individual participation in the decision-making process is called:
democratic leadership
A manager is concerned that one of the nurses on the unit is experiencing burnout. Which of the following symptoms best support these concerns? Select all that apply.
fatigue; negative outlook; forgetfulness; changes in eating habits
A nurse is preparing to delegate assignments after receiving change-of-shift report. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
filling patient water pitchers with fresh ice.
A nurse observes an assistive personnel (AP) taking pictures of a client who has not given consent. The nurse identifies the AP has committed which of the following torts?
invasion of privacy
