Leadership Week 12 Questions for Final Exam

On the 8th hour of your shift, you find yourself caught up on your tasks. Your patients are sleeping, medicated, clean, and safe. Two of your fellow nurses seem to be running behind on basic care needs of their clients. Name 3 ways to be an effective team player in this scenario. (In 100 words or less.)

"I could offer my assistance, engage in active listening by listening to the nurse's needs, and participate in changing a client." Correct answers could include: Communicating effectively with the other nurses (what can I help with?), engaging in active listening (Mr. Jones needs...), actively participating (changing a patient, assisting in ADLs), offering assistance, coordinating care in a timely manner (acting as a problem solver), being courteous to the nurses. Rationale: You are using any of the Ten Qualities of Being an Effective Team Player in this scenario. Chapter 7, page 112, Box 7-5.

Which of these nursing roles fall under the Transplant Nursing: Scope and Standards of Practice? Select All that Apply A. Recipient Nurse B. Travel Nurse C. Procurement Nurse Coordinator D. Advanced Practice Transplant Nurse E. Flight Nurse F. Transplant Nurse Manager

Answer: A, C, D Rationale: Recipient Nurse, Procurement Nurse Coordinator, and Advanced Practice Transplant Nurse are all correct (Scope of Transplant Nursing Practice, 2016). The other choices are incorrect: Travel Nurses are nurses that travel away from home to work short term for an agency or hospital. Flight Nurses are nurses that are trained to work in aircraft transport.

Which of the following are signs your stress level is too high? Select all that apply A. Attending peer support groups B. Dreading going to work C. Obsessing over minor mistakes made at work D. Avoiding answering patient call lights E. Assisting co-workers with their patient assignments

Answer: B, C, D Rational: Dreading going to work, obsessing over minor mistakes, avoiding call lights are correct. Source: Chapter 13, Unit 3, page 204, box 13-2. The other choices are incorrect. Attending peer support groups, while a good coping mechanism is not a direct indicator of high stress levels. Assisting co-workers with their patient assignments is also not an indicator of high stress levels.

Complete the following sentences by choosing from the list of options. (There is a dropdown list of options in each box.) Based off of the scenarios provide, select which care provider would be delivering care to the patient. (RN, LPN, or NAP) A patient is prescribed a new diabetic medication and needs teaching on how to take this medication. The ________ will provide teaching. (Dropdown choices: RN, LPN, NAP) A patient comes into the ER bleed profusely, and blood is order. An RN needs a ______ to check the blood, the order, and client's identity using two identifiers. (Dropdown choices: RN, LPN, NAP) After having a stroke, a client needs assistance with feeding. The ______ can assist with this. (Dropdown choices: RN, LPN, NAP)

Correct Answers with Rational for right and wrong: A patient is prescribed a new diabetic medication and needs teaching on how to take this medication. The ________ will provide teaching. (Dropdown choices: RN, LPN, NAP) ~The RN is responsible for teaching of patients. Teaching is not the responsibility of an LPN or NAP A patient comes into the ER bleed profusely, and blood is order. An RN needs a ______ to check the blood, the order, and client's identity using two identifiers. (Dropdown choices: RN, LPN, NAP) ~RN are responsible for blood administration. Blood administration is not listed under the role of an LPN or NAP After having a stroke, a client needs assistance with feeding. The ______ can assist with this. (Dropdown choices: RN, LPN, NAP) ~After proper assessment of swallowing by an RN, a NAP can assist with feeding. LPN are not responsible for the initial assessment of swallowing capabilities, but can assist with feeding. However, other task can be assigned to the LPN. Source: Chapter 6, page 88, figure 6.2

Which of the following are current concerns in the United States? Select all that apply. 1. Gun violence 2. Meth use 3. Rise in autism in children 4. Appropriate care for LGBTQ patients 5. Opioid misuse

Correct: 1,3,4,5 ~Rational: Gun violence, autism, LGBTQ patients, and the opioid crisis are all current concerns in the United States. Meth use is still a concern, but deaths from opioids are on the rise in the United States. (Page 252)

Complete the following sentence by choosing from the list of options: "Factors found to be important in nurse's satisfaction with their work are ____, _____, and ____." 1. Annual raises, teamwork amongst staff, not having to work major holidays. 2. The work itself, the health-care team, the employing organization. 3. Holiday parties for staff, supportive environment, onsite childcare available. 4.Low nurse to patient ratios, non-mandatory reporting of incidents, the ability to provide high-quality care.

Correct: 2 Rational right and wrong with source: Rationale: "The work itself, the health-care team, and the employing organization" is correct. Source: Chapter 13, page 207, Section Job Satisfaction and the Joy of Work. "Factors found to be important in nurses' satisfaction with their work are the work itself, the health-care team, and the employing organization." The other choices are incorrect. Annual raises, teamwork amongst staff, not having to work major holidays - Annual raises and teamwork can help to improve nurse satisfaction, but holidays off is not a factor. Holiday parties for staff, supportive environment, onsite childcare available - A supportive environment is important for nurse satisfaction, and holiday parties could be considered as appreciation from the facility for its staff, but onsite childcare does not contribute to job satisfaction. Low nurse to patient ratios, non-mandatory reporting of incidents, ability to provide high-quality care - Low nurse to patient ratios and the ability to provide high-quality care are important to job satisfaction among nurses, but non-mandatory reporting of incidents puts patients and staff safety at risk.

A new nurse is preparing for a job interview. Which of the following demonstrates a successful practice of nonverbal characteristics in the interview? Select all that apply. 1. When first meeting, the nurse addresses the interviewer by title and first name only 2. The nurse frequently responds to interview questions using "yeah" and "like" 3. The interview was scheduled for 9:30 AM and the nurse arrives at the facility at 9:20 AM 4. When listening during the interview, the nurse smiles and nods occasionally while keeping their hands at their side 5. The nurse dresses in a skirted suit with their hair styled in a manner that reflects cleanliness and good grooming

Correct: 3,4,5 ~Rational: 3, 4, and 5 are correct. Source: Chapter 14, page 227-228, section(s) Additional Points About the Interview. "Dress in business attire. Arrive at the interview 10 minutes before your scheduled time. During the interview, use the interviewer's title and last name as you speak. Never use the interviewer's first name unless specifically requested to do so. Use appropriate grammar and diction. Words or phrases such as "yeah," "uh-huh," "uh," "you know," or "like" are too casual for an interview." The other choices are incorrect. 1 - the interviewer should only be addressed by title and last name. 2 - Causal phrases such as "yeah" and "like" are to be avoided.

The use of technology and the implementation of electronic health records do all of the following EXCEPT: A. Increase costs and improve clinical outcomes B. Decrease costs and improve clinical outcomes C. Promote safety D. Produces advancements in disease technology

Correct: A A. Increase costs and improve clinical outcomes (Chapter 16, page 253) *** B. Decrease costs and improve clinical outcomes (Chapter 16, page 253) C. Promote safety (Chapter 16, page 253) D. Produces advancements in disease technology (Chapter 16, page 253) Rationale: A is incorrect because although EHR's improve clinical practice, they do not increase costs. EHR's decrease costs, improve clinical outcomes, promote safety, and produces advancements in disease technology

Which of the following is NOT a specified ANA strategic goal for 2017 to 2020? A) Create better job opportunities for nurses B) Increasing the number and level of engagement of all nurses C) RN focused innovations and best practices to improve healthcare D) Increase consumer awareness of importance of nurses

Correct: A Rational: Answer choice A is correct. Source: Chapter 15, pg. 240, section is American Nursing Association (ANA). "RN profession-wide engagement: through increasing direct relationships with all RNs, increasing the number and level of engagement of nurses" "Nurse-focused innovation: encourage RN-focused innovations and best practices to improve health care" "Nurse-to-consumer relationships: increase consumers' awareness of the importance of nurses" - although having better job opportunities for nurses would be a great thing, it is not specified as one of the main strategic goals for the ANA.

A soon to be nursing graduate is working on a resume to prepare for the workforce. Which is of the following should be included in the resume? A. Educational experiences and certifications B. Educational experiences with the exclusion of certifications C. Always include pictures, salary information, and hobbies to make the resume more appealing to the employer D. More than two pages in order to fit all prior experiences and achievements

Correct: A ~Rational: "Educational experiences and certifications" is correct. Source: Chapter 14, page 220, Section(s) Writing a Resume. "Itemize your educational experiences on your resume. Also include any certifications you may have." The other choices are incorrect. Educational experiences with the exclusion of certifications-does not allow the employer to get a full picture of the competency and skills of the potential employee. Always include pictures, salary information, and hobbies to make the resume more appealing to the employer-should not be included unless they have contributed to your work experience.More than two pages in order to fit all prior experiences and achievements-the resume should be kept to a minimum of 1 to 2 pages in length without the use of smaller font to cram more information onto the page.

A nurse has just received report on four patients. Which patient should she assess first? A. A 23-year old female who has a temperature of 101.2. B. A 38-year old male reporting a pain level of 8. C. A 55-year old female who is disoriented and asking to leave. D. A 75-year old male with heart failure who has pitting edema in the lower legs.

Correct: A ~Rationale: "A 23-year old female who has a temperature of 101.2." is correct. Source: Chapter 6, page 92, Section: Prioritization. "Nurses focus care based on the intended outcomes of the care or intervention. Alfaro-Lefevre provides three levels of priority setting. The first level is: ABCs plus V (airway, breathing, circulation, and vital signs). These are the most critical." Answer choice "A" is correct because a temperature of 101.2 is abnormal. The other choices are incorrect. The second level of priority includes: addressing mental status, pain, untreated medical issues, and abnormal laboratory results (why answer choices "B" and "C" are incorrect). The third level of priority includes: considering long-term health (chronic) problems, health education, and coping (why answer choice "D" is incorrect).

A new graduate nurse just finished her residency. She is not sure if she is ready to be on the floor by herself. Which of the following indicates an effective coping strategy during her transition? A. "I make sure to ask for feedback from my co-workers, so I can continue to improve myself." B. "I do not speak up if something bothers me, because I have not been here long enough and I do not want trouble." C. "If something bothers me at work, I will try to put my feelings aside. The needs of my unit are more important than my feelings." D. "I feel like I'm falling behind and still do not know anything."

Correct: A ~Rationale: "I make sure to ask for feedback from my co-workers, so I can continue to improve myself." is correct. Source: Chapter 15, page 239, Section: Additional Suggestions to Facilitate the Transition. "Seek feedback often and persistently - seeking feedback pushes the people you work with to be more specific about their expectations of you and any concerns they might have. It also engages your coworkers in helping you make the transition successfully." The other choices are incorrect. B - Communicate effectively - confront problems that might arise with coworkers. Use the problem-solving and negotiating skills you've learned in this course to do this constructively. C - When faced with reality shock, some new graduates abandon their professional ideals. This may eliminate the conflict but puts the needs of the organization before their own needs or the needs of the patient, which is not a satisfactory resolution. D - Give yourself time to make this transition.

A RN had previously began preforming bedside report after reading about the benefits of the action. Other nurses on the unit have begun giving bedside report as well. What form of change is this? A. Micro-level B. Personal needs C. Macro-level D. Legislative change

Correct: A ~Rationale: "Micro-level" is correct. Source: Chapter 10, p. 150, Section: Macro and Micro Change. "Every change that occurs in the system (organization or macro) level filters down to the micro level, to nursing units, teams, and individuals." **(see note) The other choices are incorrect. Personal needs—personal needs are a source of resistance to change. Macro-level—macro-level changes are changes that occur on a large scale, affecting virtually every health-care facility. Legislative change—changes that occur at the state or federal level are macro-level changes that impact all health-care facilities.

Which of the following are social media guidelines made by the National Council of State of Boards (NCSBN) that helps nurses protect patient privacy? Select all that apply A. Nurses must recognize they have a legal obligation to maintain patient privacy B. Nurses must maintain professional boundaries in the use of electronic media C. Nurses should participate in developing organizational policies governing online conduct D. Nurses should understand that patients, colleagues, and organizations, and employers can view their postings E. Nurses must consult employer policies or an appropriate leader within the organization for guidance regarding work related postings

Correct: A, B, E Source: Appendix 3 page 293 Options A, B, and E are all guidelines that were made by the NCSBN regarding social media. The other options are incorrect. Options C and D are policies that were made by the American Nurses Association

The nurse manager recognizes that horizontal violence can create a toxic environment and institutes a zero-tolerance policy. Which of the following describes horizontal violence? Select all that apply. A. It reduces the quality of care to patients. B. It rarely occurs among health care workers. C. It often leads to physical violence. D. It is also known as bullying. E. TJC considers horizontal violence a sentinel event.

Correct: A, D, E Found on pages 199-200: Horizontal violence is also called bullying and is common in the health care workplace, rarely leads to violence, decreases the quality of care provided, and is considered a sentinel event by TJC (Weiss, Tappen, & Grimley, 2019).

All of the following are some additional suggestions to improve nursing's image: Select all that apply A. Always introduce yourself as the RN B. Document what nurses do and how important they are C. Take every opportunity to speak to the public about nursing D. Vent to patients about other staff members E. Share information about patients to other staff members

Correct: ABC A. Always introduce yourself as the RN (Chapter 16, page 258) * B. Document what nurses do and how important they are (Chapter 16, page 258) * C. Take every opportunity to speak to the public about nursing (Chapter 16, page 258) * Rationale: A, B, and C are all additional suggestions to improve the nurse's image. D is the incorrect answer because you should never vent to patients, especially about other staff members.

Which of the following are factors important to the nurses' satisfaction with their work? Select all that apply. A. The work itself B. The healthcare team C. The employing organization D. Having strict management E. Pizza parties

Correct: ABC ~Rational: "A, B, & C" are the correct choices. Source: chapter 13, page 207, section Job satisfaction and the Joy of Work. "factors found to be important in nurses' satisfaction with their work are the work itself, the health care team, and the employing organization." The other choices are incorrect.

Organizations can be called "systems of power." Which of the following are sources of Power? Select all that apply. A. Control of Information B. Authority C. Reward D. Competence

Correct: ABC ~Rational: "Control of Information, Authority, and Reward" are correct. Source: Chapter 9, page 141, Section(s) Power: Sources. The following is a list Authority-which is the power granted to group or individual. Reward- the promise of money, good, services, recognition, or other benefits. Control of Information-special knowledge an individual is believed to possess. Coercion-Threat of harm. **(see note) The other choice is incorrect. Competence is a feeling, not an ability which makes it an empowerment not a source of power. (pg 142)

A collective bargaining contract is a legal document for workplaces that are represented by a union, which may cover which type of issues? Select all that apply. A. Economic Issues B. Management Issues C. Employment Issues D. Practice Issues E. Professional Issues

Correct: ABD Rational Right and wrong with source: Correct answers are "Economic Issues", "Management Issues", and "Practice Issues." Source: Chapter 8, page 126, Section(s) Formal Negotiation: Collective Bargaining. "The Contract may cover some or all of the following: Economic issues, Management issues, and Practice issues" (Weiss, Tappan, & Grimly, 2019). --Incorrect choices: "Employment issues" and "Professional issues" because they are not listed under what is included under collective bargaining contract.

In order to lead, one must develop which important competencies? Select all that apply A. Communicate B. Diagnose C. Plan D. Adapt

Correct: ABD ~Rational: A. Communicate, B. Diagnose, D. Adapt. Source: Chapter 4, page 58-59. "In order to lead, one must develop three important competencies: (1) Diagnose: ability to understand the situation you want to influence, (2) adapt: to make changes that will close the gap between the current situation and what you are hoping to achieve, and (3) communicate" (Weiss, Tappen, & Grimley, 2019). **(See Note) The other choice C. Plan is incorrect. Although it may help, the author does not mention it as an important competencies one must develop to lead.

SATA The management team in the ED is planning to hold an information session on ways to prevent violent behavior. Which of the following are ways to prevent violent behavior? SATA A. Recognize behaviors that can lead to violence such as threatening body language or expression of anger B. Take precautions with those who have a history of violence C. Tell the person to stop being violent D. Call security and report the situation E. Be cautious with those with drug or alcohol intoxication

Correct: ABDE The management team in the ED is planning to hold an information session on ways to prevent violent behavior. Which of the following are ways to prevent violent behavior? SATA *Recognize behaviors that can lead to violence such as threatening body language or expression of anger *Take precautions with those who have a history of violence Tell the person to stop being violent *Call security and report the situation *Be cautious with those with drug or alcohol intoxication Rationale: "Tell the person to stop being violent" is the only incorrect answer. Source: Chapter 12, pg. 186, Section Preventing Violent Behavior. "Maintain behavior that helps to diffuse anger... Do not match threats, give orders, or present with behaviors that may be interpreted as aggressive." Many would think to tell the person to stop as a way to diffuse the situation, but that is incorrect. "Recognize behaviors..", "Take precautions..", "Call security..", "Be cautious.." are the correct answers. Source: Chapter 12, pg. 186, Section Preventing Violent Behavior. "Be alert for behaviors that precede violence" "Monitor those with a history of violence" "Be aware of alcohol or drug intoxication" "Remove yourself from it quickly, call security, and report the situation to management"

Which of the following are qualities of an effective leader? Select all that apply. A. Courage B. Integrity C. Prioritizes work over family and friends D. Gives up easily E. Self-awareness

Correct: ABE ~Rationale: "Courage," "Integrity," and "Self-awareness" are correct (A, B, & E). Source: Chapter 4, pages 63-64, Section: What Makes a Person a Leader? "Integrity, courage, positive attitude, initiative, energy, optimism, perseverance, generosity, balance, ability to handle stress, and self-awareness are some of the qualities of effective nurse leaders." The other choices are incorrect. Balance is a characteristic of an effective leader—other aspects of life, such as family and friends, are equally important (why answer choice "C" is incorrect). Perseverance is also a characteristic of an effective leader—effective leaders do not give up easily (why answer choice "D" is incorrect).

Horizontal violence includes which of the following, select all that apply: A. Verbal abuse B. Celebrating a colleague's accomplishments C. Making humiliating comments D. Reporting a medication error E. Malicious gossip

Correct: ACE Rational right and wrong with source: Rationale: "Verbal abuse, Making humiliating comments, and Malicious gossip" are correct. Source: Chapter 13, page 199, Section Horizontal Violence. "Horizontal violence...includes verbal abuse, punishment, humiliating comments, and malicious gossip". The other choices are incorrect. Celebrating a colleague's accomplishments - Does not qualify as horizontal violence, it is rewarding professional growth and learning. Reporting a medication error - Reporting medication errors is essential due to potential for patient harm, it is not a personal attack on the employee who was behind the medication error.

Mentorship is a common practice among seasoned nurses for new graduates in the field. Choose the statement(s) that correctly reflect a mentor-mentee relationship. Select all that apply. A) A mentor-mentee relationship can be formal or informal. B) Mentorship is generally only used in situations between an experienced nurse and a new graduate. C) In both a formal and informal mentorship, the mentor is assigned to the mentee. D) Mentoring programs also teach the culture of the unit and the expected role of the nurse. E) Mentoring programs help with overall job satisfaction and clinical success, but hasn't shown to increase retention rates for new nurses.

Correct: AD Rational: Answer choices A & D are correct. Source: Chapter 15 pg. 238, section is Formal Mentoring Programs. "A mentor-mentee relationship may be formal, as in the previous example, or it may develop informally through time." "Even experienced nurses, when newly hired or transferred to different positions, need to learn the culture of the new organization, their role on the new team, and new skills." - Mentorships do not occur with just new graduates, employees when working on a new floor will generally go through a mentorship program as well, although much shorter. In informal mentorships, no mentor is assigned. It is a process that could happen naturally over time. Mentorship programs also show evidence of increasing retention rates for new nurses.

Which of the following are considered barriers to effective communication in nursing? Select all that apply A. Low Health Literacy B. Electronic Medical Records C. Understanding Own Feelings of Cultural Biases D. Cultural Diversity E. A Nurse Showing up to Their Shift 20 Minutes Late

Correct: AD ~Rationale: "Low Health Literacy" and "Cultural Diversity" are correct. Source: Chapter 7, page 103, Section(s) Interprofessional Communication Education of Health Care Providers. "Cultural Diversity: Impedes the ability to access, understand, and utilize services and information" and "Low Health Literacy: Lack of the skills needed to access and use health information" The other choices are incorrect. Electronic Medical Records - This does not provide a barrier in effect nursing communication, EMRs provide quicker interprofessional collaboration. Understanding own feelings of cultural biases - leads to effective communication and is not a barrier. A Nurse Showing Up to Their Shift 20 Minutes Late - if a full shift-change report is given, this should not influence communication even if the nurse being relieved is frustrated by going home 20 minutes later

A new nurse observed a nurse leave a patient alone in the shower that required supervision. The patient fell and broke his hip. The nurse fabricated facts in the patient's chart that she was in the bathroom with the patient and could not stop the fall. What ethical code was violated? Select all that apply: A. Accountability B. Autonomy C. Justice D. Veracity E. Nonmaleficence

Correct: ADE Rational: "Accountability, Veracity, and Nonmaleficence" are all correct. Source - Chapter 2, p. 19-22. Accountability "accepting responsibility for one's own actions" (p.22) Veracity - "veracity requires nurses to be truthful" (p.21) Nonmaleficence - "no harm be done either deliberately or unintentionally" (p.19). Incorrect: Autonomy refers to "patient's rights to their own choices about treatments" (p. 19) Justice refers to "treat every person equally regardless of gender, sexual orientation, religion, ethnicity, disease or social standing" (p.21)

What is a win-win result? A. Each side gets half B. Both sides gain benefit in the resolution C. Neither side gains benefit in the resolution D. One side gets what they want while the other does not

Correct: B Rational Right and wrong with source: Correct Answer is "both sides gain benefit in the resolution". Source: Chapter 8, page 121, Section (s) Resolving Problems and Conflicts. "A win-win result in which both sides gain some benefit is the best resolution (Haslan, 2001)" (Weiss, Tappen, & Grimley, 2019). --Incorrect choices A: Fixed pit method of resolution is " I get half and you get half." C: Does not align with definition of a win-win result. D: Devaluation reaction: if the other side is getting what they want then it has to be bad for us

All of the following statements are true regarding OSHA EXCEPT: A) The goal of OSHA is to prevent injuries and illnesses and save the lives of employees across the U.S. B) Employees can't participate in OSHA inspections. C) OSHA can provide workplace inspections with or without notifying the employer. D) Employers have the right to contest OSHA's final inspection decision.

Correct: B Rationale: "Employees can't participate in OSHA inspections". This statement is INCORRECT. Employees do have the right to participate in OSHA inspections without being punished or discriminated against. Source: Chapter 12, page 183, section: OSHA. The other choices are correct. A- This is the main goal of OSHA and employers must comply with OSHA's standards to create a safe and fair work environment. C- OSHA indeed can provide random on site inspections without warning the employer/employees. D- Employers do have the right to contest OSHA.

A nurse witnesses a car crash and feels obligated to give care to those in need while waiting for an ambulance to arrive. The driver of one of the vehicles wants to take legal action against the nurse because he lost his leg as a result of the crash. What law protects the nurse from having legal action against her for giving care during an emergency? A. The Samaritan act of 1953 B. Good Samaritan laws C. The Bystander law D. The Patient Self-determination act of 1990

Correct: B Unit 1, Chapter 3, Page 39, Section: Other Laws Relevant to Nursing Practice, Good Samaritan Laws The correct answer is B, Good Samaritan Laws. These laws protect healthcare professionals from civil liability as long as they behave in the same manner as an ordinary, reasonable, and prudent professional in the same or similar circumstances. As long as the nurse in the scenario did not act out of turn she is protected by these laws. -The Samaritan act of 1953 and the Bystander law sound very similar, but do not exist. The patient self-determination act of 1990 is a real law that is associated with a patient's ability to make their own decisions in regard to their care.

A nurse on a busy medical-surgical unit gives blood products to a patient without waiting for secondary verification of another RN per hospital protocol. The patient has a hemolytic transfusion reaction resulting in death. This is an example of what type of error? A. Serious Incident B. Never events C. Diagnostic adverse event D. Near miss

Correct: B. Never Events Source: Chapter 11 page 55. "Never events are shocking medical events that should never occur and must be reported to state licensing agencies" By not following the hospital protocol of getting secondary verification before starting blood products and the patient having a hemolytic reaction the nurse committed a never events error. The other options are incorrect. Serious incidents result in a clinically significant interruption of service but do occur without being reported to licensing agencies. Diagnostic Adverse Events are related to error or delay in diagnosis. A Near Miss is an error that results in no harm or very minimal harm to the patient.

Select all that apply. Which situations are against the National Council of State Boards of Nursing Guidelines for Using Social Media Appropriately? A. A post requesting donations for the children's floor in the hospital B. A happy birthday post to a current patient on Facebook, with privacy settings on. C. A picture of a family member of a current patient bringing lunch into the office for the nurses D. A picture of the nursing staff after a long shift

Correct: BC ~Rational: "A happy birthday post to a current patient on Facebook, with privacy settings on" and "A picture of a family member of a current patient bringing lunch into the office for the nurses" are correct. Source: Appendix 3, page 293, Section(s) National Council of State Boards of Nursing Guidelines for Using Social Media Appropriately. "Nurses must not identify patients by name or post or publish information that may lead to the identification of a patient. Limiting access to postings through privacy settings is not sufficient to ensure privacy." The other choices are incorrect. A post requesting donations for the children's floor in the hospital- is appropriate because the patients' identities are not at risk. A picture of the nursing staff after a long shift- is appropriate because the patients identities are not involved.

The Patient Protection and Affordable care act served as a beneficial resource to women in that it offered what free preventative services? Select all that apply. A. STIs screening B. Domestic violence services C. Contraception D. Breastfeeding

Correct: BCD ~Rational: "B, C, and D" are correct. Source: Chapter 16 (unit 5), page 255, Section(s) Health-Care Reform and the Affordable Care Act (ACA). "(B, domestic violence services are offered as a free service under the ACA), (C, free contraception is considered preventative care, so it also is included under the ACA), (D, breastfeeding services are offered as a free service to all women)" **(see note) The other choice (A) is incorrect. A is not correct because STI screening is not always offered as a free service to all women, although HIV screening is a free service offered to women it was not listed as an option by itself.

Which of the following are considered essentials of a resume? Select all that apply. A. Personal information B. Job objective C. Skills and experience D. Qualifications E. Chronological work history

Correct: BCDE Rationale= Job objective, skills and experience, qualifications, and chronological work history are correct. Source: Chapter 14, page 221, section: Essentials of a resume. "No matter which format you use, it is essential to include the following: a clearly stated job objective, highlighted qualifications, directly relevant skills and education, chronological work history..." The other choice is incorrect. Personal information is specifically stated in the "what not to include in a resume" section of the text.

The basic stages associated with the original change process include: Select All That Apply A. Freezing B. Refreezing C. Unfreezing D. Resisting E. Change

Correct: BCE ~Rationale: "Refreezing, Unfreezing, and Change" are correct. Source: Chapter 10, p. 151, Section: Change and the Comfort Zone. "The basic stages of the change process originally described by Kurt Lewin in 1951 are unfreezing, change, and refreezing. Unfreezing involves action to create readiness for change. Change is the implementation phase where actions are needed to put the change into effect. Refreezing is the reestablishment phase during which the change becomes a regular part of every day function. **(see note) The other choices are incorrect. Freezing is not a part of the stages of change and does not exist in this form. Resisting change or resistance to change may occur during the process of change, but it is not a part of the basic stages of the change process.

A team has recently identified a problem within their workplace and is now in the process of generating, reviewing, and implementing suggested solutions. Which of the following are true regarding this process? Select all that apply. A. Open-minded evaluation of each suggestion is not needed. B. The best suggestions often come from those closest to the problem. C. A suggestion should not be judged on its merits, rather it should be judged on its source. D. Brainwriting is an effective technique that can help a team find an innovative solution. E. The true test of any suggested solution is how well it works.

Correct: BDE ~Rational: "The best suggestions often come from those closest to the problem," "Brainwriting is an effective technique that can help a team find an innovative solution," "The true test of any suggested solution is how well it works" are correct (B, D, & E). Source: Chapter 8, page 122-123, Section: Resolving Problems and Conflicts. "There are a variety of techniques that can help a team find an innovative solution, such as brainwriting, a variation of brainstorming," "Yet the best suggestions often come from those closest to the problem," "The true test of any suggested solution is how well it actually works." The other choices are incorrect. Open-minded evaluation of each suggestion is needed - groups often find it difficult to separate the suggestion from its source (why answer choice "A" is incorrect). A suggestion should be judged on its merits, not its source - the status of the person who made the suggestion may influence whether the suggestion is judged to be useful (why answer choice "C" is incorrect).

Which aspects of care must the nurse consider when delegating a task? Select all that apply. A. Staff preferences B. Ability of person who you are delegating to C. Personality of the patient D. Fairness of the task E. Level of priority

Correct: BDE ~Rational: "ability of person who you are delegating to", "fairness of the task", and "level of priority" are correct. Source: Chapter 6, pages 88, 89, 90 Section: Criteria for Delegation. "In delegating, the nurse must consider both the ability of the person to whom the task is delegated and the fairness of the task to the individual and the team." "Identifying priorities and deciding the needs to be met first help in organizing care and in deciding which other team members can meet client needs." The other choices are incorrect. Staff preferences - "Considering the preferences of individual team members is important but should not superseded other criteria for delegating responsibility." Personality of the patient - "The purpose of delegation is not to assign tasks to others that you do not want to do yourself."

Your supervisor approaches you towards the end of your shift and asks you to work an additional shift. You do not want to work an additional shift and they continue to pressure you to stay the consecutive shift. Your correct options include which of the following? A. You refuse the shift and tell the charge nurse good luck, after all you are too tired to work a consecutive shift. B. You accept the shift and tell the manager you are too tired to be working so any mistake in patient care today "is on them". C. You accept the shift and document your concerns regarding your personal prior commitments and discuss with management your concerns of this reoccurring and impacting personal obligations. D. You refuse the assignment and tell the manager that you will not work any shifts "last minute" and that you would next time if you know in advance.

Correct: C Appendix 2 (290-291) gives a detailed analysis on the possible situation and outcome of this scenario. There are 4 outlines of options given for this scenario and the common theme is to do what is best ethically and legally. Working a consecutive shift could be detrimental to patient care, your own personal agenda, and the working environment. It is important to document well any issues arising regarding working doubles as they can cause a variety of issues. To well document it is important to take note of every detail including patient assignment (if it changes or with same patients), length of the shift they ask you to complete, and all reasoning behind being reluctant or against accepting the shift. The 4 primary options given for this situation are as follows. You accept the shift, document, and inform your management of your concerns based on providing good patient care, after all you are too tired to work a consecutive shift. You accept the shift and document and inform management your concerns that this is a reoccurring issue with underlying causes. You accept the shift and document your concerns regarding your personal prior commitments and discuss with management your concerns of this reoccurring and impacting personal obligations. You refuse the assignment and prepare for disciplinary action against you, documenting well your rationale behind refusing. This documentation must go to the Chief nursing executive. Option A is wrong because this could possible be considered a form of patient abandonment. Option B is wrong because you still will be held accountable for patient care. Being tired is not a pass for negligence. Option C is a correct and professional option. Option D is wrong because if you do not have a relief for your current patient assignment it could be abandonment and this response could likely bring disciplinary action against you.

A nurse has been unhappy in her current oncology unit for several months now due to the work environment and her co-workers' attitudes. After weighing the pros and cons, she has decided to transfer units she is now telling her friends and family the news of her decision. The nurse realizes that this is an example of what in the valuing process: A. Choosing a value B. Acting on a value C. Prizing a value D. Reflecting a value

Correct: C ~ Rationale: The correct answer is "prizing a value." Source: Chapter 2, page 17, Section: Values. Prizing a value involves being satisfied about a choice and being willing to tell others of the choice that was made. In this situation, the nurse made a decision and was excited to tell her friends and family about her unit transfer. The other choices are incorrect. Choosing a value involves choosing freely and from the alternative options. Acting on a value involves making the choice part of one's worldview and repeating the choice. Reflecting on the value is incorrect because this is not part of the values clarification process.

Which of the following is not true about collective bargaining? A. It is highly formalized. B. It separates management from staff. C. It does not protect the right to fair treatment. D. Nurses who work under a collective bargaining agreement can earn more money than those who do not.

Correct: C ~Rational: "It does not protect the right to fair treatment" is correct. Source: Chapter 8, pages 125-127, Section: Resolving Problems and Conflicts. "Probably the greatest advantages of collective bargaining are the protection of the right to fair treatment and the availability of a written grievance procedure that specifies both the employee's and the employer's rights and responsibilities if an issue arises that cannot be settled informally." The other choices are incorrect. Collective bargaining is highly formalized because it is governed by laws and contracts called collective bargaining agreements (why answer choice "A" is incorrect). Separates management from staff - greatest disadvantage of using collective bargaining as a way to deal with conflict because it management and staff are treated as opposing parties rather than as people who are trying to work together - collective bargaining contract adds rules and regulations between staff members and their supervisors (why answer choice "B" is incorrect). Another advantage to collective bargaining is salary - nurses who work under a collective bargaining agreement can earn as much as 28% more than those who do not (why answer choice "D" is incorrect).

The National Council of State Boards of Nursing states nurses may not use what type of device to transmit a picture of a patients wound progression? A. Hospital Camera B. Hospital Faxing System C. Personal Devices D. Hospital Cell Phone

Correct: C ~Rational: "Personal devices" is correct. Source: Appendix 3, page 293, Section(s) National Council of State Boards of Nursing Guidelines for Using Social Media Appropriately. "Nurses must not take photos or videos of patients on personal devices, including mobile devices." The other choices are incorrect. Hospital Camera- is a suitable option for capturing photo of patient's wound. Hospital Faxing System- is a secure method of communication of patient photos and data. Hospital Cell Phone- is appropriate to use for capturing image and for secure transmission.

When implementing functional nursing, the focus is on A. Holistic client care B. Relationship building and rapport C. The task D. One RN assuming the responsibility of caring for one client

Correct: C ~Rational: "The task" is correct. Source: Chapter 6, pages 93-94, Section: Models of Care Delivery. "When implementing functional nursing, the focus is on the task..." The other choices are incorrect. The book states "When implementing functional nursing, the focus is on the task, not necessarily holistic client care." Relationship building and rapport are central to the primary nursing care model. In the total patient care model, "one RN assumes the responsibility of caring for one client".

A nurse is caring for a patient who was diagnosed with hypothyroidism. Which action should the nurse delegate to an NAP? A. Increasing fluid drip based on blood pressure B. Teach the signs and symptoms of disease exacerbations C. Remind the patient to use the call bell as needed D. Administer levothyroxine AM dose as prescribed

Correct: C ~Rational: Remind the patient to use the call bell as needed" is the correct answer choice. Source: Chapter 6, page 88, section Criteria for Delegation lists the specific tasks that an RN may not delegate. "Decisions and judgements about client outcomes." "Interventions that require professional nursing knowledge, decisions, or skills." "Decisions and judgments necessary for the evaluation of client care." The other choices are incorrect. Increasing fluid drip based on blood pressure - "Intervention requiring professional nursing skill" Teach the signs and symptoms of disease exacerbation - "Intervention requiring professional nursing knowledge" Administer levothyroxine AM dose as prescribed - "Intervention that require professional nursing skill"

A nurse enters a room and finds a patient restless and agitated. The physician then walks in to discuss the amputation of their foot. The patient becomes enraged and starts yelling saying "you're not taking my dang foot," I don't know how many times I have to tell you that. The physician tries to explain that the foot is necrotic and has no blood flow. They also explain how the toxins released due to their foot can cause further illness and possibly death. Which of the following ethical principles would this situation fall under? A. Beneficence B. Justice C. Autonomy D. Fidelity

Correct: C ~Rationale: "Autonomy" is correct. Source: Chapter 2, page 19 Section(s) Ethical Principles, Beneficence, Autonomy, Justice, Fidelity. "Autonomy is the freedom to make decisions for oneself. This ethical principle requires that nurses respect patients' rights to make their own choices about treatment." The patient has the right to deny any treatment they deem unnecessary or unwanted.

The Registered Nurse, Neonatologist, and Gastroenterologist have a meeting to discuss the best way to feed a baby born at 23 weeks gestation that is not able to eat by mouth. Which of the following describes this situation the BEST? A. Problem-solving B. Teamwork C. Interprofessional Collaboration D. Responsibility as a Healthcare Professional

Correct: C ~Rationale: "Interprofessional Collaboration" is correct. Source: Chapter 7, page 112, Section(s) Interprofessional collaboration and the Interprofessional Team. Interprofessional Communication is when "multiple health workers from different professional backgrounds work together" The other choices are incorrect. Teamwork - included in interprofessional collaboration but is not the best answer, "teams bring together the variety of skills, perspectives, and talents that create an effective work environment" (Weiss, S. A., Tappen, R. M., & Grimley, K. A., 2019, p. 111). Problem-solving - done every day in healthcare and does not always need an entire team. Responsibility as a Healthcare Professional - interprofessional collaboration is a responsibility of a healthcare professional but does not best explain the situation

Social media is becoming a mainstay in today's society. Healthcare professionals can integrate social media to strengthen communication with patients or promote medical services to the community. According to the NCSBN, what is an important guideline for nurses to keep in mind when using social media? A. It is okay to post photos if the patients' name or face is not visible B. If the prognosis and outcome of patient is good, it is okay to post their experience to social media C. Nurses must not identify patients by name or post information that may lead to the identification of the patient D. Nurses must promptly report any breach of confidentiality, unless they can solve the breach themselves

Correct: C Patient information or identifiers should always be protected to ensure patient privacy Source: Appendix 3 page 293 Option A is incorrect because even though a simple photo may be harmless, there can still be other patient identifiers such as an ID band or nursing board that is still visible Option B is incorrect because posting a patients' outcome is still a violation of patient privacy Option D is incorrect because nurses should always report a breach of confidentiality to management regardless if it can be fixed by the nurse

Which of the following is not a professional characteristic or behavior in the healthcare field? Select all that apply. A. Honesty B. Empathy C. Expressing personal feelings D. Engaging in distracting conversation E. Accountability

Correct: CD A. Honesty (chapter 1, page 4) B. Empathy (chapter 1, page 4) C. Expressing personal feelings* (chapter 1, page 5) D. Engaging in distracting conversation* (chapter 1, page 5) E. Accountability (chapter 1, page 4) Rationale: expressing personal feelings and engaging in negative comments are inappropriate and negatively affect the work environment. Honesty, empathy, and accountability are expected professional behaviors within the workplace.

Carol is holding a meeting with his employees. Carol explains that providing the best nursing care in the community is the priority. In order to provide the best nursing care in the community we need to provide excellence and meaningfulness which will reduced adverse outcomes seen at the facility. I want this facility to be known as the best. What Organizational goal is Carol focusing on? A. Growth B. Regard C. Survival D. Status

Correct: D ~Rational: "Status" is correct. Source: Chapter 9, page 137, Section(s) Organizational Goals. Status is the focus on being known as the best at a service or known for having the best of something (Physician/Nurses/Department). **(see note) The other choices are incorrect. Growth focuses on expanding, adding new services, and bringing new patients in. Survival is the ability to keep their doors open (maintain their own existence). Regard is not an organizational goal it is a factor that contributes to the retention of nurse managers.

A nurse wears a hijab for an interview at a COVID unit. As the interview comes to an end, the interviewer shows interest in her hijab. He asks the nurse if she knows anyone who wears a niqab (which covers all the face except the eyes) at all times, and if they had contracted COVID. Which one of the following responses by the nurse is most appropriate? Select all that apply. A. "I do not feel comfortable answering this question because it is not related to the job." B. "Do you think it is legal to ask me about this?" C. "I'm here for a job interview. Why does this matter?" D. "This is not directly related to work, but no one I know has contracted the virus." E. "I understand this is a COVID unit. Do you have any concerns related to my hijab?"

Correct: DE ~Rationale: "This is not directly related to work, but no one I know has contracted the virus." and "I understand this is a COVID unit. Do you have any concerns related to my hijab?" are correct. Source: Chapter 14, page 227, Section: Additional Points About the interview. "You may answer the questions, realizing that it is not a job-related question. Make it clear to the interviewer that you will answer the question even though you know it is not job related. Examine the intent of the question and relate it to the job." The other choices are incorrect. A, B & C - you may refuse to answer. You are within your rights but may be seen as uncooperative or confrontational.

The two most common forms of advance directives are _____________ and _________ Word choices Living Will & Durable Power of Attorney Do not Resuscitate Orders and Living Will Durable Power of Attorney and End-of-Life decisions Do not Resuscitate Order and Allow Natural Death Allow Natural Death and End-of-Life Decisions Physicians Orders for Life Sustaining Treatment and Living Will Organ and Tissue Donation and Do not Resuscitate Orders

Correct: Living Will & Durable Power of Attorney ~Rational: "Living Will & Durable Power of Attorney" is correct. Source Chapter 3, page 50, Section Advance Directive- Living Will and Durable Power of Attorney for Health Care (Health-Care Surrogate). "The two most common forms of advance directives are living wills and durable power of attorney" **(see note) The other choices are incorrect. Do Not Resuscitate Orders are included in one's advance directive but is not the most common, Durable Power of Attorney is document used to assign someone to act on your behalf after you are unable to due to physical factors, mental factors, or your death. End-of-Life Decisions is what someone decided they want to happen when they die- Ex: DNR, Allow Natural Death is also related to one's End-of-Life decisions, Physicians Orders for Life Sustaining Treatment is a part of advanced directives, however it is not the most common, Organ and Tissue Donation is also included in one's advance directive but is not the most common.

Complete the following sentence using the drop box. ________ are sexual favors that are solicited in exchange for favorable job benefits or continuation of employment. Drop box choices: Quid pro quo Hostile work environment

Correct: Quid pro quo ~Rational: "quid pro quo" is correct. Source: Chapter 13, page 200, Section: sexual harassment. "quid pro quo- sexual favors are solicited in exchange for favorable job benefits or continuation of employment. Example: An administrator approaches a nurse for a date in exchange for a promotion" The other choice is incorrect. Hostile work environment- harassment based on gender that has affected conditions of employment or created an environment so offensive that the employee could not discharge the responsibilities of the job

Qualities of an effective nurse manager are: (select all that apply). A. Business sense B. Clinical expertise C. Poor communication skills D. Nice clothes E. Leadership skills

Rational: Answer choices A (Chapter 5, page 74), B (Chapter 5, page 74), and E (Chapter 5, page 74) are correct and qualities of an effective nurse manager. Source: Chapter 5, page 74, Section "Qualities of an Effective Manager" Having nice clothes and poor communication skills are not effective qualities of a nurse manager.

The nurse should recognize ____________ , and _____________ , as two ways to decrease the risks of needle sticks. First drop down: using blunt tip needles whenever possible OR recapping needles as soon as done with use. Second drop down: placing all used needles in designated SHARPS containers immediately after use OR placing used needles out of patient reach till patient care is done and focusing on the patient only.

Rationale: "using blunt tip needles whenever possible" and "placing all used needles in designated SHARPS containers immediately after use" are the CORRECT answers. Chapter 12, page 187-188, section: Needlestick Injuries. The other two choices are incorrect. We don't want to be recapping needles and we never place used needles anywhere but the SHARPS containers.

Decisional activities of an effective nurse manager include all the following EXCEPT: A. Networking B. Planning C. Employee evaluation D. Hiring and firing employees

Rationale: Answer choice A is correct because networking is part of interpersonal behavior of a nurse manager. This would be considered the distractor as it is apart of a behavior of a nurse manager just, not under the category of decisional. Source: Chapter 5, page 75, Section "Behaviors of an Effective Nurse Manager." The other choices are incorrect because they are part of the decisional activities of an effective nurse manager. B. (Chapter 5, pg. 75) - incorrect C. (Chapter 5, pg. 75) - incorrect D. (Chapter 5, pg. 75) - incorrect

Apply the ethical principles below and drag and drop the principle to its correct scenario Options of ethical principles to choose from: Beneficence Autonomy Nonmaleficence Fidelity. Scenario 1: An individual has been brought into the emergency room after a serious motor vehicle accident. He is in desperate need of a blood transfusion, but he refuses to accept the transfusion due to his religion Scenario 2: A patient has been admitted to the hospital with terminal cancer. While admitted, he goes into cardiac arrest and as part of his plan of care, the healthcare provider would like to place a breathing tube and attach him to a ventilator. After weighing the pros and cons of this decision, it has been decided not to place the breathing tube in the man because the risks outweigh the benefits for this dying patient. Scenario 3: A bed-bound patient has attempted to get out of bed without assistance and has fallen. They have suffered a broken hip and are in extreme pain. The nurse quickly gets an order for pain medication and administers it to the patient. Scenario 4: A dying patient has requested that a nurse be there by his side when he passes away. The nurse promised this patient that she would be there for him when the time came. When the day came for the patient to be taken off life support, the nurse was by his bedside to comfort him.

Scenario 1: Rationale: Correct answer is autonomy. Source: Chapter 2, page 19, Section: Ethics and Morals. Autonomy is the freedom to make decisions for oneself. According to this principle, nurses may not replace a patient's decision with their own, even when the nurses believe the patient is making the wrong choice. Scenario 2: Rationale: Correct answer is nonmaleficence. Source: Chapter 2, page 19, Section: Ethics and Morals. Nonmaleficence requires that no harm be done to a patient. This principle also requires nurses to protect patients who may lack the ability to protect themselves. In this situation, it was found that the risks of this procedure outweigh the benefits. Scenario 3: Rationale: Correct answer is beneficence. Source: Chapter 2, page 20, Section: Ethics and Morals Beneficence involves doing good for the benefit of others. In this situation, the patient was in extreme pain, so the nurse addressed this by administering pain medication. Scenario 4: Rationale: Correct answer is fidelity. Source: Chapter 2, page 21, Section: Ethics and Morals. Fidelity is a promise to fulfill all commitments made to himself/herself and to others. In this situation, the nurse made a promise to be there for the patient, and she fulfilled this promise when the time came.

When accepting an assignment within a healthcare facility, it is the responsibility of the RN to: Provide ________ nursing care to the ________. ________ an assignment that he or she does not feel prepared to assume after appropriate consultation with a ________. Word Choices competent supervisor safe refuse patient colleague argue

The sentences should read: Provide *competent* nursing care to the *patient.* *Refuse* an assignment that he or she does not feel prepared to assume after appropriate consultation with a *supervisor*. Rationale: Source-Appendix 2, page 288, Section-Guidelines for Decision Making safe is incorrect because competent is a broader term that includes safety and knowledge colleague is incorrect because issues must be discussed with supervisors argue is incorrect because it is unprofessional to argue with a supervisor or coworker-always keep discussions respectful and positive patient is correct because that is who receives care in a healthcare facility

Complete the following sentence using the drop box. ________ is one way in which nurse managers can share their experience and expertise with the of the staff. Drop box choices: Networking Coaching Conflict Resolution Employee Development

~Rational: "Coaching" is correct. Source: Chapter 5, page 75, Section: Behaviors of an Effective Manager "Coaching is one way in which nurse managers can share their experience and expertise with the of the staff." The other choices are incorrect. Networking- "It is important for them to "maintain a line of sight" or connection, between what they do as managers, patient care, and mission of the organization." Conflict resolution- Is "resolving conflicts among employees, patients, and administration." Employee development- "Managers are responsible for providing for the continuing learning and upgrading of the skills of their employees."

A nursing student who is soon to be graduating is preparing a resume. For each strategy, click to specify whether the technique is effective, ineffective, or unrelated to writing a resume. Technique Effective Ineffective Unrelated Repeat information to ensure the resume is longer than two pages ___________ Convert the resume into a portable document format (PDF) to allow greater protection ___________ List older jobs first, making it easier for your employer to access ___________ Include a section about how you were made aware of the available position ___________ Make use of previous non-related nursing jobs to support job experience ___________ Include graphics, such as a personal photo, to showcase creativity ___________

~Rational: "Convert the resume into a portable document format (PDF) to allow greater protection" and "Make use of previous non-related nursing jobs to support job experience" are effective answer choices. Source: Chapter 14, page 221, Section(s) Essentials of a Resume. "It is often recommended that you convert your resume to a portable document format (PDF)." "Remember that positions you held before you entered nursing might support experience that will be relevant in your nursing career." "Repeat information to ensure the resume is longer than two pages", "List older jobs first, making it easier for your employer to access", and "Include graphics, such as a personal photo, to showcase creativity" are ineffective answer selections. Source: Chapter 14, page 221, Section(s) Essentials of a Resume. "Do not repeat information just to make the resumé longer." "Arrange your work history in reverse chronological order, listing your current job first." "Using bold headings and appropriate spacings can offer relief from lines of grey type but be careful not to get so carried away graphics that your resume becomes a new art form." The answer choice "include a section about how you were made aware of the available position" was considered unrelated. Source: Chapter 14, page 224, Section(s) Cover Letter. "State your purpose in applying and your interest in a specific position." This is unrelated because it should be included with a cover letter, not a resume. Chart Question (Fennell)

Complete the following sentences by choosing from the list of options: There are several available paths to becoming a professional registered nurse (RN). (Options: ASN, BSN, diploma) is offered by a hospital-based school of nursing. The (Options: ASN, BSN, diploma) is a 2-year degree program offered by some community colleges and hospital-based schools of nursing. The (Options: ASN, BSN, diploma) is a 4-year degree obtained through colleges and universities that prepare graduates for licensure and professional nursing practice.

~Rational: "First option: diploma, second option: ASN, third option: BSN" is correct. Source: Chapter 15, page 236, Section(s) Levels of Educational Preparation Within Nursing. "The diploma is usually offered by a hospital-based school of nursing. The associate degree is typically a 2-year degree offered in community colleges and at some hospital-based schools of nursing. The BS or BSN is a 4-year degree obtained through colleges and universities that prepares graduates for licensure and professional nursing practice." Diploma -does not require a 2-to-4-year degree and is offered by most hospital-based schools of nursing. ASN-requires an individual to attend school for 2 years. BSN -requires at least 4 years at a college or university.

Susan, an RN working on a busy rehabilitation unit, has asked the UAP to help Mr. Jones with feeding and bathing at nine o' clock this morning. The UAP has been working on the unit for five years and has experience caring for patients, so she told Susan she'd go help Mr. Jones right away. Mr. Jones was admitted to the rehab facility last night after suffering a stroke that left him with hemiplegia. As Susan was making rounds on patients, she stopped in to check on Mr. Jones and the UAP. The UAP tells Susan, "everything is going okay, but Mr. Jones seems to cough every time I get him to take a bite. I think he might be getting a cold". Susan thanks the UAP for helping but informs her that she will continue Mr. Jones' feeding instead. Susan remembered her colleague told her at shift report that speech therapy had not yet been in to see Mr. Jones. Which Right of Delegation did Susan forget in this situation?

~Rational: "Right Circumstance" is correct. Source: Chapter 6, pages 83-85, Sections: Introduction to Delegation, Box 6-1: The Five Rights of Delegation and The Nursing Process and Delegation. "The Five Rights of Delegation 1. Right task 2. Right circumstance 3. Right person 4. Right direction or communication 5. Right supervision or evaluation". Case study in book refers to a similar situation and states, "the swallowing problems place the client at risk for aspiration, which means that feeding may present a problem". Susan should not have delegated the task of feeding to the UAP, as Mr. Jones had hemiplegia and had not yet seen a speech therapist to assess for dysphagia. Mr. Jones was at risk for aspiration, so delegating the task of feeding was not the correct circumstance. The other choices are incorrect. Susan performed all other rights of delegation. Right task was addressed as it is within a UAP's scope to perform the task of feeding. Right person was addressed as the UAP had five years of experience and was comfortable performing the task. Right communication/direction was addressed as Susan gave clear direction to the UAP regarding what, who, and when to complete the task. Right supervision/evaluation was addressed as Susan went in to check on Mr. Jones and the UAP.

The Nursing Manager on a busy floor is trying to implement a new change to increase patient satisfaction. When implementing this change, she notices some resistance from the nursing staff. The Nursing Manager understands that there is a form of active and passive resistance, below are some resistance behaviors the Nursing Manger has seen, categorize whether it is passive or active: Items to categorize: Active Passive 1. Avoiding discussion 2. Ignoring the change 3. Arguing against the change 4. Agreeing but not acting 5. Attacking the idea 6. Refusing to commit 7. Refusing to change 8. Organizing resistance of others

~Rational: 1, 2, 4, and 6 are all passive resistance behaviors. 3, 5, 7, and 8 are all active resistance behaviors. Source: Chapter 10, Page 154, Table 10-1, Section: Resistance to Change. Active resistance can take multiple forms including refusal to comply, attacking, and encouraging others to resist. When the resistance is less direct, it is considered passive and also can take multiple forms including avoidance, being "busy", and agreeing but not doing anything about it.

According to Edgar Schein, a well-known scholar, identified three levels of organizational culture. What are those three levels? Select all that apply. A. Artifact level B. Underlying assumptions C. Shared values D. Culture of Safety E. Espoused beliefs

~Rational: A, B, and E are all correct. Source: Chapter 9, page 135, Section(s) Understanding Organizational and Organizational Culture. "Edgar Schein, a well-known scholar of organizational culture, identified three levels of organizational culture: Artifact level - Visible characteristics such as layout, paint color, lobby design, logo, directional, signs, and so on. Espoused beliefs - Written goals, philosophy of the organization. Underlying assumptions - Unconscious but powerful beliefs and feeling, such as a commitment to cure every patient, no matter the cost." Answers C and D are incorrect. 'Shared values' is part of the enduring set of an organizational culture, not a level. 'Culture of Safety' is the shared values, attitudes, and behaviors that are directed to preventing or reducing patient harm and not a level in organizational culture.

What four factors are most important to consider when implementing the 'Change'? Select all that apply. A. Magnitude B. Personal Change C. Pace D. Stress E. Complexity

~Rational: Answer choices A,C, D, E are all correct. Source: Chapter 10, page 156, Section(s) Leading Change, and Implementing the Change. Magnitude, Pace, Stress, and Complexity are all factors when on a journey of change and innovation. Magnitude - Is it a major change that impacts everyone? Complexity - Is this a difficult change? New knowledge required? Stress - Is this the only change taking place or is there more? How can we keep stress at tolerable levels? Pace - How urgent is this change? Gradual or Immediate? Personal Change is incorrect. Although, personal change is very important part in the development of a leader it is not important when implementing change and was not labeled as so.

A unit team leader who gives orders and makes decisions for the group is a (n): A. Situational leader B. Laissez-faire leader C. Autocratic leader D. Democratic leader

~Rational: C. Autocratic leader is the correct answer. Source: Chapter 4, page 59. Autocratic leadership (also called directive, controlling, or authoritarian). "The autocratic leader gives orders and makes decisions for the group," (Weiss, Tappen, & Grimley, 2019). **(see note) The other choices are incorrect. Situational Leaders are adaptive but will spell out team members' responsibilities. Laissez-faire leaders do very little planning or decision making. Democratic leaders share leadership.

A patient enters the ER and is diagnosed with a DVT and pneumonia. The physician orders a heparin drip starting at 18 units/kg/hr. The physician also puts in an order for the anti-Xa and aPTT levels to be drawn q6. The physician puts in orders for the patient to be transferred to intensive care once a bed is available. The patient then becomes combative and screaming at whoever enters the room. The nurse ignores the behavior and fails to evaluate the patient's current status. The nurse also did not document the heparin. The ER nurse also the heparin drip at 16 unit/kg/hr. A bed is now available and before transfer, the nurse calls report and explains the patient's current status as stable and cooperative. Which of the following actions could lead to the nurse being called into court for negligence? Select ALL that apply. A. Failure to assess a client B. Failure to report changes in client status C. Attempting to alter a patient's records D. Incomplete documentation E. Failure to communicate

~Rationale: "A, B, D, & E" are correct. Source: Chapter 3, page 46,47, Section(s) Staying out of court. Common actions leading to malpractice suits. "The adage "not documented, not done holds true in nursing". "Negligence is an unintentional tort of acting or failing to act as an ordinary, reasonable, prudent person, resulting in harm to the person to whom the duty of care is owed" (2018, p. 38). **(see note) The other choice is incorrect. Attempting to alter a patient's records infers that the nurse documented the necessary information about the heparin administration and the client's current status. The nurse failed to document which leads to this answer being incorrect.

A patient was admitted to the intensive care unit due to heroin use and suicidal intention. The patient was agitated and punched the nurse the nurse while she was giving IV medication. This caused the nurse to fall backwards and hit her head on the floor. The nurse had to be admitted to the hospital because she suffered a hemorrhage in her brain. This event is an example of: A. Sentinel B. Never C. Near Miss D. No Harm Event

~Rationale: "Sentinel" is correct. Source: Chapter 11, page 166 Section(s) Error Identification. "A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury to a staff member or a patient." In this case, it is a physical assault on a staff member which needs immediate investigation and intervention. It caused damage that could possibly end in permanent neurological damage or death. Therefore, it can have a serious adverse outcome making it a sentinel event. **(see note) The other choices are incorrect. Beneficence- refers to good being done to benefit others, this includes healthcare providers possibly withholding information, therefore, keeping them from making a decision. In this example, all the necessary information is provided. Justice- refers to treating everyone the same regardless of their gender, sexual orientation, disease, or social standing as stated in the text. This involves the fair allocation of resources, not the patient's decision on a matter. Fidelity - Although it has to do with loyalty, in this case, fidelity would not apply. In fidelity, you are taking responsibility for your actions and fulfilling the commitments you made to the patient.

Britney has just graduated from nursing school and is starting a job as a professional nurse. She has had a tough time transitioning into practice even though she is in a residency program. Her mentor has shown her what a nurse is expected to do each shift but it is overwhelming. 1. Why is it beneficial to Britney that she chose to be in a transition to practice program? Give two examples. 2. What are some ways that Britney could do to help ease the transition? Give four examples.

1. Any of the following reasons could be used as an example. They could be tailored to the case study as necessary. It can lead to benefits such as higher confidence and competence, lower stress and anxiety, and job satisfaction. It helps to prepare you for the expectations that will need to be met as a new nurse. A mentor can help support the transition and help the new nurse learn new skills, the environment of the organization, and what their new role will be. Develop a support group of peers. - All of these reasons are found in the book as reasons why the transition to practice programs is beneficial. Source: Chapter 15, pages 237-239, Section- Solutions including all subtopics. 2. Four of these responses would be correct: develop a professional identity, learn about the organization, use energy more wisely, communicate effectively, seek feedback often and persistently, develop a support network, and/or give time to transition. These answers can be customized to the case study. These are the correct answers as they are listed in the book as ways to make the transitioning process easier. - Source: Chapter 15, page 239, Section- Additional Suggestions to Facilitate the Transition

A patient arrives on the Mother Baby unit. The patient's nurse is given report. The nurse finds out that the patient has no antenatal records and there are no signs of prenatal care. Every lab needed except for the HIV lab was drawn. It is standard care on the unit to include an HIV lab on a mother with no prenatal care or antenatal records. The nurse then discovers that the patient has been breastfeeding on the Labor and Delivery unit. The HIV lab is drawn by the Mother Baby nurse and shows that the patient is HIV positive. Now the baby has been exposed to HIV through breastfeeding. What has occurred? A. Libel B. Quasi-Intentional Tort C. Malpractice D. Negligence

A. The nurse has not written a false statement, so this cannot be correct. p. 40 B. This nurse has committed a wrongful act, but for it to be considered Quasi-Intentional Tort, the nurse would have committed a wrongful act through speech such as slander or libel. p. 37 C. This is the correct answer. The nurse had a professional duty to perform the standard care for this patient, and the nurse did not do so. This resulted in the hospital being sued, therefore this occurrence ended in malpractice. p. 37 D. This occurrence is not negligence because this was a professional matter not an ordinary one, and this resulted in the hospital being sued. p. 37

Drag only the examples from the left box that match to terms in the right box to the right box. Slander and Libel (basically asking which of the following are slander and libel?) A. A nurse accuses another nurse of having an opioid addiction, which turns out to be false. B. A nurse dislikes another nurse, so she makes up a written report on that nurse. C. A nurse physically restrains a nonviolent patient D. A nurse will not let a patient leave AMA.

A. This is correct. This falls under slander because this is a false statement put against another nurse in the form of speech. p. 40 B. This is correct. This falls under libel because this is a false written report on another nurse. p. 40 C. This answer is not correct. It falls under false imprisonment because the patient is being restrained but they are nonviolent. p. 41 D. This answer is not correct. It falls under false imprisonment because the patient wants to leave, and the nurse is not allowing them to leave. p. 41

Extended Drag and Drop Example Instructions: Drag the potential steps an employee should take to prevent sharps injuries? Potential Steps: Keep your training up to date Choose a unit where you may not have a lot of exposure to sharps Carefully recap all needles after use Use and dispose of sharps properly Comply with post-exposure follow-up procedures and policies Obtain immunizations against Hepatitis A Always wear latex gloves Appropriate Steps:

Answer: Appropriate Steps: Keep your training up to date Use and dispose of sharps properly Comply with post-exposure follow-up procedures and policies Rational: Keep your training up to date, use and dispose of sharps properly, and comply with post-exposure follow-up procedures and policies are the correct answers. Source: Unit 3, Chapter 12, pg. 188 under Employee Responsibilities. Choosing a unit where you may not have a lot of exposure to sharps is incorrect because it unrealistic and may limit an employee from growing within a company. Recapping needles is incorrect because recapping of needles is prohibited in a hospital setting and considered unsafe. Obtaining immunizations against hepatitis A is incorrect; it recommended that one be immunized against hepatitis B in regard to needle stick injuries. Wearing latex gloves is incorrect because that will not prevent a needle stick injury.

Match the type of value with the definition and the example given. Multiple examples may go with one type of value. Types of Values: -Intrinsic values -Extrinsic values -Personal values -Professional values Definition: -Values that people consider important in their private lives -Values related to sustaining life -Values considered important by a professional group -Values that are not essential to life but may offer a means of achieving something else Examples: -A family heirloom -Food -Acceptance by others -Integrity -Water -Commitment -Your grandmother -Strong family ties -Autonomy

Correct Answers: Intrinsic Values: -values related to sustaining life -food -water Extrinsic Values: -Values that are not essential to life but may offer a means of achieving something else -your grandmother -a family heirloom Personal Values: -Values that people consider important in their private lives -acceptance by others -strong family ties Professional Values: -Values considered important by a professional organization -autonomy -commitment -integrity

The "I PASS the BATON" method of communication includes which of the following? Select all that apply. A. Safety Concerns B. Setting C. Actions D. Readback E. Owner F. Procedure

Correct Answers: A, C, E Rational: Simple Definition from textbook. Chapter 7 Page 110, Table 7-3.

The Delegation Decision-Making Grid is a tool used to help nurses delegate appropriately, and it consist of seven components. Which of the following are components of the Delegation decision-Making Grid? Select all that apply. A. Patient's ability for self care B. Right direction or communication C. Level of Patient acuity D. Possibility for injury E. Level of licensed nurse capability F. Right supervision or evaluation

Correct Answers: A,C,D,E. Source Chapter 6, page 86, box 6.2. Rational: The seven components of the Delegation Decision-Making Grid are level of client acuity (answer C), level of unlicensed assistive personnel capability, level of licensed nurse capability (answer E), possibility for injury (answer D), number of times the skill has been performed by the unlicensed assistive personnel, level of deciton making needed for the activity, and client's ability for self care (answer A). The other answers are incorrect. Answer B, right direction or communication, and answer F, right supervision or evaluation are included in the five rights of delegation. (Source: Chapter 6, page 83, box 6.1)

Which of the following is not a way that nurses can support the nursing profession? 1. Voting 2. Community service events 3. Speak to local, state, and national representatives about concerns 4. Speak to a local radio about the problems in your hospital

Correct: 4 ~Rational: While speaking to a local radio about problems in healthcare might be acceptable, the nurse might be accused of slander if attacking one specific hospital. (Page 259)

The nurse manager is involving all staff on the unit with initiating a new, better scheduling process. Which stage of change is this unit currently in? A. Change B. Unfreezing C. Discomfort Zone D. Refreezing

Correct: B. Unfreezing Source: Chapter 10 page 151. "Unfreezing stage involves actions to create readiness to change" By involving all the staff the nurse manager is getting everyone ready for this new scheduling process to be implemented. The other options are incorrect. Change- the actions needed to make the change which the nurse manager hasn't implemented yet. Discomfort zone is another term for the Change stage. Refreezing is the final stage where the change becomes a regular part of everyday functions.

What statement (s) are considered actions leading to Malpractice lawsuits? Select all that apply A. Client Falls B. Failure to assess a patient appropriately C. Failure to communicate D. Medication errors E. Failure to provide appropriate education to patients and families

Correct: BE ~Rational: Failure to assess a patient appropriately & Failure to provide appropriate education to patients and families. Source: Chapter 3, pages 46 & 47. Sections: on page 46 table 3-1 Common Causes of Negligence & page 47 Common Actions Leading to Malpractice Suits. Bullet point list under Common Actions Leading to Malpractice Suits include but are not limited to "Failure to assess a patient appropriately" & "Failure to provide appropriate education to patients and families" **(see note) Incorrect answers: Client falls, Failure to communicate, and medication errors are all considered negligence. They are not malpractice lawsuits.

A new unit manager is hired onto the CCU. The new manager takes time on their first shift to get to know their unit staff and put emphasis on interpersonal relationships with their unit staff. The new manager makes sure to let the unit staff know they are committed to improving the way their employees are treated. What theories of management does this manager best align with? A. Scientific Management B. Human Relations-Based Management C. Servant Leadership Management D. Theory X

Correct: C ~Rational: Servant Leadership Management" is the correct answer choice. Source: Chapter 5, page 73, section Management Theories & Servant Leadership lists the characteristics of servant leadership. "The emphasis on people and interpersonal relationships is taken on step further..." "The manager is committed to improving the way each employee is treated at work." They are "employee first." The other choices are incorrect. Scientific management analyze work to improve efficiency through assessments of the unit, equipment needed, and strategies needed. Human relations-based management has two theories based on the way the manager views and threats their employees to achieve goals. Theory X is within the human relations-based theory.

In an autocratic leadership, which one defines the style of the leadership? A. Shared leadership among the individuals in the group B. Leader is not involved and does little planning and fails to encourage others C. There is no leader involved D. The leader gives orders and makes decisions for the group

Correct: D ~Rational: "The leader gives orders and make decisions for the group" is correct. Source: In chapter 4, page 59 - 60, section(s) Behavioral Theories. "The autocratic leader gives orders and make decisions for the group." **(see note) The other choices are incorrect. Democratic leadership involves sharing leadership among the leader and group. In laissez-faire leadership, the leader is not involved and does very little planning. The leader also does not encourage others to make decisions.

Mary, a new pediatric nurse who works on the acute care pediatric floor has accepted an assignment for the shift in the pediatric ICU based on staffing needs. A new patient comes to the PICU from surgery and is assigned to Mary. The patient is intubated and receiving medications Mary is not familiar with. Mary is uncomfortable with this assignment, worried that she cannot provide adequate and safe care to this patient. What should she do? A. Swap patients with another nurse who has had intubated patients before B. Speak to the charge nurse about her worries about caring for this patient and proceed with her original assignment C. Take the patient and spend 2 hours looking up the medications and vent settings she is unfamiliar with D. Call the nurse supervisor to express her concerns and talk about if a change in assignment can be made

D. is correct. Source: Appendix 2, page 288, Section-Staffing. "In the event an RN determines in his or her professional opinion that he or she has been given an assignment that does not allow for appropriate patient care, he or she shall notify the supervisor or designee, who shall review the RN's concerns. The other choices are incorrect. Swapping patients with another nurse would have to be approved by the supervisor. Proceeding with her original assignment after talking to the charge nurse constitutes abandonment of the patient. Spending 2 hours learning about the patient's medications and vent settings would take away time from caring for all of Mary's patients.

2. The nurse understands that changes can lead to personal growth and the development of leadership skills. Correctly identify the best current stages of personal change from the following statements: Precontemplation Contemplation Preparation Action Maintenance I am looking up on the internet ways to exercise on a busy schedule. I'm working out weekly, but I wish I were more consistent. I've wanted to work out for years but never have the time. I don't have a problem. Jan and I are going for a walk during lunch today.

I am looking up on the internet ways to exercise on a busy schedule. = Preparation I'm working out weekly, but I wish I were more consistent. = Maintenance I've wanted to work out for years but never have the time. = Contemplation I don't have a problem. = Precontemplation Jan and I are going for a walk during lunch today. = Action On page 158: Precontemplation involves not acknowledging a problem. Contemplation is the acknowledgment of a problem but unsure if willing to make a change. Preparation is planning or getting ready to make a change. Action is making a behavior change. Maintenance is keeping the change of behavior (Weiss et al., 2019). Chart Question (Vannerson)

Which one of these questions would help solve an ethical dilemma? A. Who was on the unit? B. Where is the chart? C. What are the patient's wishes? D. Why are values in conflict?

Rational: "What are the patient's wishes" is correct. Source - Chapter 2, p. 25. This is correct because four questions help assess ethical dilemmas for nurses: "What are the medical facts," "What are the psychosocial facts," "What are the patient's wishes," and "What values are in conflict" (p.25). Incorrect: When a nurse assesses an ethical dilemma, ask oneself "am I directly involved in this dilemma" (P. 25) not "Who was on the unit" and "Where is the chart," which are not associated with direct involvement in an ethical dilemma. "Why are values in conflict" is incorrect - it should be "What values are in conflict" (p. 25).

According to the National Center for Health Workforce Analysis (2017), the nursing workforce in the United States will have an anticipated *shortage* or *surplus* of Registered nurses in the year 2030. Based on your response which of these states: Alabama, New York, or California, will have the opposite supply occur?

Source: Chapter 16 (unit 5), page 256, Sections(s) Nursing Issues. ~Rational "Surplus" is the first correct response. "California" is the second correct response. The National Center for Health Workforce Analysis has made claims that an estimated RN surplus will occur by the year 2030. Estimates show that the number of RNs in the United States by 2030 will be 3,895,600. The estimated number of RN's is higher at 3,895,600 than the estimated demand of 3,601.800. The surplus is not estimated to occur in California, New Jersey, South Carolina, or Texas. Those states are expected to shortages.

Explain what 'power' is and how it can be used positively or negatively. Please provide an example for each.

~Rational: Power is the ability to influence other people despite their resistance. It can be used in a positive way such as giving an incentive an exchange for labor. For example, giving a nurse an extra day off for working an extra weekend. It can also be used negatively, for example a nurse manger transferred a nurse to another unit after that nurse identified a physician error. Source: Chapter 9 , Page 141, Section(2) Power.

Short Answer: Explain what obtaining a license by endorsement means, why it is important, and where to go to get information. Use 200 words or less.

- Rationale: a nurse who wants to obtain another license in a state that is not covered under their current nursing license must go through endorsement. This process is specific to each state, and each state has different requirements for being licensed in their state. The nurse should contact the board of nursing and ask about the state in which they want to get licensed and their requirements. It is important to know if one wants to practice in multiple states and the states are not under a joint compound license.

Quality Improvement's goal in today's healthcare is to provide patients with the highest quality and safety healthcare available, List the main components of the QI process used to insure these goals? SATA A. Continuously collecting data B. Evaluating the cost C. Analyzing and evaluating the data D. Identifying the indicators E. Implementing the Changes

Rationale: "A, C, D, & E" are correct. Source: Chapter 11, page 170, Section (QI) Quality improvement. QI is a data driven approach, common safety indicators are used to evaluate the quality of care (2018, p. 170). **(see note) The other choice is incorrect. Cost is not a component of the QI process as explained in in this nursing process.

When conducting SWOT analysis what does the "W" stand for? A. Weaknesses B. Work history C. Writing D. Wishes

Rationale= "Weaknesses" is correct. Source: Chapter 14, page 217, section: SWOT analysis. "Your SWOT analysis may include the following factors: strengths, weaknesses, opportunities, threats..." The other choices are incorrect. Work history is included in the strengths section of SWOT. Writing is considered a form of analysis, but it is not appropriate for this topic. Wishes was not mentioned in this chapter of the text.

When you accept an assignment, you are legally accountable for those patients. Withdrawal from the agreed-upon assignment without officially passing down patient care could constitute ________. Word Bank A. Negligence B. Gross negligence C. Patient Abandonment D. Maleficence E. Malpractice

The correct choice is C Abandonment. Abandonment is a form of medical malpractice that occurs when a nurse deserts or neglects a patient whom they have an established provider-patient relationship without making reasonable arrangements for the continuation of care. A is incorrect because this situation is not a matter of taking proper care it is a direct question in the matter of continuation of care. B is incorrect although patient abandonment situations could possibly fall under gross negligence, the question specifies leaving the patient without continuation of care. Correct D is incorrect because the question gives no information directing toward the conclusion that it was an act of purposeful evil. E is incorrect because there was no indication of a patient being harmed due to a negligent act.

Britney has become confident as a nurse and wants to look into ways to advance her career. Which option is not a part of the four components Britney can use to advance her career? A. Getting a certification in your specialty area B. Becoming a mentor for new nurses C. Becoming an educator in your specialty D. Joining a state nursing association

*C is the correct answer Becoming an educator in your specialty area is not part of the components to build a nurse's career so this is the correct answer. There is a component that relates to pursuing formal education and continuing your education as a nurse, but it does not say to advance your career you need to become a nurse educator. That would be something a nurse could choose to do but is not part of the "toolbox." Certification and mentoring are both specific components. Joining a state nurse association falls under the professional activities component of the "toolbox". Source: Chapter 15, page 245, Section - Paths to Advancement

SATA: Which of the following are considered to be professional behaviors in nursing? Select all that apply. a) Empathy b) Ethical Values c) Commitment to lifelong learning d) Sympathy e) Liable

Answer: A,B,C,E - Rationale: D would be incorrect because as a professional healthcare worker one must show empathy, not sympathy. We do not know what the patient is going through because we are not them. Therefore we must be empathetic, putting ourselves into that situation, and understanding the feelings that the patient is going through. As a nurse, we must be liable to own up to our mistakes by being accountable and honest. Nursing itself is a commitment to lifelong learning because we continue to care in best practice. We must be ethical in all of our professional nursing situations to get the safe, quality, patient-centered care possible.

Which of the following describes what the Civil Rights Act stands for? A. Ensure access to health care for the adult, the poor, and the disabled B. Strengthens public health services C. Guarantees equal treatment for all individuals and prohibits gender discrimination in the workplace D. Provides care to dependent mothers and children, the blind, and disabled children

Correct: C (Chapter 1, page 7) Rationale: The book states that the Civil Rights Act guarantees equal treatment for all individuals and prohibits gender discrimination in the workplace. B is wrong because it is the Social Security Act. D is wrong because it is the role of public health nursing. A is wrong because it falls under the Social Security Act.

A nurse manager has implemented a new policy. She recognizes a source of resistance from her co-workers as personal needs. This source includes Maslow's Hierarchy of Needs. Drag each of Maslow's Hierarchy of Needs in order from lowest to highest. 1. ____________ 2. ____________ 3. ____________ 4. ____________ 5. ____________ A. Safe and Security B. Esteem C. Self-actualization D. Love and belonging E. Physiological needs

Lowest to highest goes: 1. Physiological Needs 2. Safety and Security 3. Love and Belonging 4. Esteem 5. Self-actualization Source: Chapter 10 page 153: Picture showing Maslow's Hierarchy of Needs as a pyramid. Any other order of the answers would be incorrect

Which of these choices does not fall under Specific phenomena defined by the American Association of Neuroscience Nurses (AANN) that comprise the unique domain of neuroscience nursing include: A. Self-care B. Sexuality C. Safety D. Sensation

Answer C. Rationale: While safety is important in every aspect of Nursing, it is not one of the specific phenomena defined by the AANN for neuroscience nursing (Scope of Neuroscience Nursing Practice, 2016). The other choices are incorrect because they are listed as specific phenomena defined by the AANN for neuroscience nursing.

Enhanced Hot Spot Nate has been working both days and nights. For the past month, he has struggled to stay awake during his shift but then has difficulties falling asleep once he is home. Below is his description of his routine last night. Highlight the findings that require change in order to improve Nate's symptoms. "I woke up at 1600 for my night shift. I ate breakfast, sipped on my coffee, and got ready to head to the hospital. The first half of the shift was okay, but by the end of the shift, I needed a pick me up, so I drank a large coffee. After a long 12 hours, I was able to go home. I had lots of leftovers in my fridge that I ate before getting into bed. I was so full! By the time I made it into bed, I realized I left the curtains open. I didn't think it was a big deal, so I did not get up to close them."

Rationale: "I drank a large coffee" and "I had lots of leftovers" is a finding that should change in order to improve Nate's symptoms. Source: Chapter 12, pg. 191, Section Shift Work Disorder. "If you work evenings or nights, do not eat a big meal or take caffeine or alcohol at the end of the shift as this interferes with sleep" "I left the curtains open" is a finding that should change in order to improve Nate's symptoms. Source: Chapter 12, pg. 192, Section Shift Work Disorder. "Make sure the room you are sleeping in is a comfortable temperature and as dark and noise-free as possible"

Kierra, a new manager on a Med-Surg unit, is seeking change to improve hand sanitation percentages in her unit. Some veteran nurses on this unit are opposed to wearing badges that track their location and synch up to the hand sanitizer dispensers located in each patient room. What are some ways that someone can be actively resisting change? Select all that apply. A. Attacking the idea B. Arguing about the change C. Refusing to commit to the change D. Agreeing but not acting to the change E. Arguing against the change

Rationale: A, B, and E are active ways to be resistant to change (Chapter 10, Table 10-1, pg 154). Attacking and arguing against the change a directly resisting change. C and D are both considered passive because the individual is taking a considered a "less direct" action to resist change but trying to remove themselves from the equation by doing nothing or ignoring to actively participate in the change.

After several weeks of different employees resisting Kierra's new care plan, she experiences a series of weird things happening to her and her belongings. For example, yesterday she found her lunch box in the trashcan with some of her food items missing. Earlier in the week, she found a "postage stamp" mustache scribbled on her ID badge photo that was left in her office overnight. This is an example of: A. Sexual harassment B. Discrimination C. Horizontal Violence D. Assault

Rationale: C is the correct answer (chapter 13, Horizontal violence pg 199-200). Horizontal violence, also called, incivility or bullying, includes verbal abuse, punishment, humiliating comments, and malicious gossip. Bulling is reversed here by subordinates taking action against their new floor manager over her new change to the floor by messing with her lunchbox and defacing her ID badge. A, B, and D are incorrect because there haven't been any sexual comments or actions done, race-related actions, or physical threats to Kierra, yet.

Hospitals and skilled nursing facilities use Hospital Safety Indicators (HSI) to assess harm prevention. Which of the following are included as Hospital Safety Indicators? Select all that apply. A. Urinary tract infections rate B. Pressure ulcer rate C. Postoperative sepsis rate D. In-hospital fall with hip fracture rate E. Medication error rate

Correct Answers B, C, & D Source: Chapter 11 page 164: Box 11.1 Pressure ulcer rates, postoperative sepsis rates, and in-hospital fall with hip fracture rate are used to determine hospital safety. The other options are incorrect: Facility UTI rates and medication errors do not factor in to the HSI

Which of the following are qualities of effective leadership? Select all that apply. A. Having the courage to take risk B. Persistence to push forward when others have given up C. Inability to handle stress D. Understanding one's self-awareness E. Acting on good ideas

Correct: ABDE ~Rational: "A, B, D & E are correct." Source: Chapter 4, page 64, section(s): Qualities of an effective leader. Option A is correct because, "being a leader means taking some risk which refers to having courage." Option B is correct because, "effective leaders do not give up easily. Instead they persist, continuing their efforts when others are tempted to stop trying." Option C is incorrect because, "coping with stress in a positive and healthy manner helps to consume energy and can be a model for others." Option D is correct because, "people who do not understand themselves are limited in their ability to understand people with whom they are working." Option E is correct because, "to be a good leader, you must act on good ideas."