N471 Final Module Questions

A nurse instructor is creating a lesson plan to help develop the learning needs of a diverse staff. What should the instructor do to make an effective plan?

Incorporate a variety of teaching strategies in the lesson plan.

operational budgets are financial plans for the entire organization day-to-day operations. This type of budget includes which of the following?

Payroll, supplies, and expenses

Adult's learning needs differ in their degree of importance.

True

What is the best way for a nurse instructor to evaluate whether a staff member has learned an important new procedure as part of an educational development program?

observe if the staff member has adopted the desired behavior change.

A member of a nursing team reports that being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage this situation?

Examine the workload and assist the individual in reprioritizing.

A nurse manager wants to ensure that a staff member attends a particular training session. What is the best way to achieve this?

Communicate the benefits of learning the ideas that will be taught in the training.

The nurse leader should assess which of the following when planning learning activities for their staff?

Perceived learning needs

Elements that affect the nurse leader's ability to properly delegate to members of the diverse workforce include which of the following?

Social organization

A new nurse manager is implementing an educational needs assessment. Why is it necessary to conduct this assessment?

Staff and management may prioritize learning needs differently

A charge nurse is delegating to a LPN/LVN. What would be considered improper delegation for the charge nurse to delegate?

The employee is given highly detailed exact instructions to complete the task.

A nurse manager is mentoring a new nurse manager regarding strategies for teaching staff. What does the new nurse manager learn is the goal of staff training?"

To transfer new learning to the work setting

According to the adult learning theories, adult learners _____.

Should be actively involved in the evaluation of their progress

Which reasons would a nurse manager consider for carrying out staff development? (Select all that apply.)

To establish competence To meet new learning needs To satisfy specific interests of staff

The nurse delegates a task to an incompetent individual. Who is held accountable for the outcome of the task?

The nurse delegator

Gender differences do not lead to power struggles in nursing.

False

A new nurse manager is learning about staff development. Which statements reflect elements of Bandura's social learning theory? (Select all that apply.)

People learn as a result of direct experiences. Knowledge may be gained vicariously. Learning may occur from judgments of peers. People evaluate new information from reasoning.

Which of the following is important for ensuring team collaboration efforts will be successful?

Shared vision, role clarity, and use of effective communication

What factors are considered when determining the appropriateness of implementing care via the interprofessional team? Select all that apply.

Skill of the attending staff The acuity level of the patient population The facility's yearly budget The complexity of the required patient care

Some facilities have included an "Introduction step" to SBAR now called ISBAR in efforts to include an introduction for clinicians during a patient handoff.

True

A nurse instructor is teaching a student who often asks for thorough explanations of each new concept. What learning style does this student have?

Auditory

A nurse leader should not rely on peer learning activities when developing staff development because this can cause confusion among the attendees.

False

Implementation problems are not common in multiprofessional teams because all health care workers typically like being part of a team.

False

It is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all healthcare workers receive similar training.

False

It is the charge nurse's responsibility to effectively delegate and provide the right direction and communication for the delegated task for the staff nurses.

False

A nurse informs the nurse leader that it would be beneficial to delegate more to the UAP but the nurse leader is reluctant to do so, stating, "Whenever I do, they always come back with so many questions. I need them to just do it!" What kind of delegation error is the nurse making?

Improperly delegating

A new nurse manager with limited budgeting expertise is considering what approach to use to determine the budget of the nursing unit for the upcoming fiscal year. Which approach would be the easiest to implement?

Incremental

Identify the following obstacles that prevent adults from learning. (Select all that apply.)

Institutional barriers Time Self-confidence

A nurse manager is evaluating the current fiscal year budget. Which statement regarding the evaluation stage of the budgetary process is most accurate?

Large variations from the projected budget must be examined.

A nurse manager is evaluating the effectiveness of staff development activities that have occurred in the past year. Which criteria should be included in this evaluation? (Select all that apply.)

Learner's reaction Behavior change organizational impact Cost-effectiveness

A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks are delegated to unlicensed assistive personnel (UAP). What would be important for the nurse to consider when delegating to UAP? (Select all that apply.)

Qualifications of the person who will carry out the task What can and can't be delegated safely

A new nurse manager is learning about staff development. What are driving forces or assets that motivate adult learners? (Select all that apply.)

Self-motivation Self-direction

A charge nurse has delegated specific tasks to the team and feels as though one of the nurses is resistant to the task delegated. What might be reasons that the nurse is resistant? (Select all that apply.)

The nurse feels overloaded. The nurse feels incapable. The nurse has an inherent resistance to authority.

Health care is not only financed by private insurance, government funding, and private donations but also by individual out-of-pocket expenses.

True

The nurse leader should include a variety of teaching and learning methodologies when developing learning activities for staff members.

True

There are three type of feedback that a nurse leader may use: positive, negative, and constructive feedback.

True

A nurse manager has a high turnover rate of assistant managers in the unit. The current assistant manager states to the manager, "I may not be the right fit for this position. I can't keep up with the amount of work and delegated tasks." What delegation error is the manager making?

over delegating

A charge nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP). What is the first action the nurse should do before delegating?

Determine whether the task is within the scope of UAP.

A nurse delegates a task to unlicensed assistive personnel (UAP). After the UAP informs the nurse that the task is complete, what is the appropriate action by the nurse?

Evaluate the outcome of the task

In the SBAR model, when giving recommendations, what kinds of things should be communicated? (Select all that apply.)

Any new treatments or changes ordered opinions for further action

A nurse manager is evaluating the effectiveness of the most recent staff development activity. Which strategy would be most useful in validating competency of each of the staff on the unit after a staff development activity?

Assessing whether the participants can transfer knowledge to practice

How can a nurse leader bridge the authority-power gap?

Make a genuine effort to know and care for each individual

A nurse manager is instructing a staff member with a pragmatic learning style who is interested in applying information immediately to solve problems in the real world. What would be the best teaching strategy in this situation?

Present content that is problem-focused rather than theory-focused.

A new nurse manager is learning about staff development. Which are the most important reasons that staff require education? (Select all that apply.)

To ensure the employee's competency Staff must learn about new technology Staff must keep abreast of current science

What are some of the primary focuses of the health care interprofessional team? (Select all that apply.)

Collaborative problem solving Reducing mortality rates Improving quality patient care Providing patient centered care Increasing professional experiences for health care workers

The SBAR tool was first used in the hospital to facilitate safe patient handoffs.

False

In an interprofessional team, the role of a nurse leader is elevated from caregiver to include which essential responsibilities? (Select all that apply.)

Implementing a team approach to care delivery. Integrating all aspects of client care. Assuring client and client family satisfaction. Supporting client autonomy related to care decisions. Assuring the effective transition from facility to home care.

What action can a nurse take to ensure that when delegating to unlicensed assistive personnel (UAP), creativity and independent thinking is encouraged for task completion?

Provide consistent and constructive feedback.

What is one challenge that the interprofessional team faces?

Role confusion

A charge nurse has delegated a task to unlicensed assistive personnel (UAP). When the nurse is met with resistance after delegating, what is the best action to be taken?

The charge nurse should meet with the person to find out why the task was not completed .

What is the definition of competency?

A person's ability to correctly perform a skill or task

Choose the four major reimbursement methods:

Charge, Rate based on services rendered, Flat-rate, Cost-based

Which of the following creates the potential for successful delegation as emphasized by the National Council State Board of Nursing?

Effective communication

A nurse has just been promoted to a managerial position in the ICU of a busy hospital, and is worried that members of the nursing staff will not treat the nurse's requests with the same respect and seriousness as they did the requests of the previous manager, who was well-regarded. What behaviors would reinforce the new manager's authority and power in the eyes of the staff? (Select all that apply.)

Reminding staff how their efforts contribute to the unit's goals Demonstrating influence with the hospital's senior leadership team

A nurse manager determines that a nurse on the team comes from a future-oriented culture. What task may be best delegated to this nurse?

Working on a strategic team plan for the unit

A nurse manager is using a budgeting approach that requires justification for each budgetary need. What approach is being used?

Zero-based

Which of the following are factors that affect the ability to forecast the budget? SATA

Mission and philosophy of the organization Political culture Economics Social climate Legislative climate

A nurse manager evaluates the performance of a staff member and provides the following feedback: "When you didn't contact the attending physician after you registered the patient's low blood pressure reading, the patient went into respiratory arrest that might have been prevented. Next time you have a patient with an unexpected change in their vitals and can't get in touch with their doctor, contact the nursing supervisor so we can get help to that patient sooner." What type of feedback has the nurse manager provided?

Constructive

A nurse manager has evaluated a recent staff development activity. Which variables may have limited the transfer of knowledge and ultimately the success of the activity? (Select all that apply.)

The training context of the staff development activity was different from the work context The training included one example so that the staff could apply information specifically

Adults learn differently than children; therefore, nurse leaders need to be familiar with teaching and learning styles to effectively educate staff members.

True

Delegation by a licensed professional such as the registered nurse to an unlicensed professional can assist with time management if the delegation has been correctly accomplished.

True

Evaluation methods that nurse leaders should include to evaluate the effectiveness of staff education are observation, communication, learner self-evaluation, and pre- and posttesting.

True

A new nurse manager is learning about staff development. Which statements about the implications of Knowles' learning theory are accurate? (Select all that apply.)

Adults learn best by using experiential techniques. Mistakes should be viewed as opportunities to learn. Assessment of need is absolutely essential.

Select types of adult priority learning needs. (Select all that apply.)

Fatal Fundamental Frequent Fixed

A nurse is to provide an in-service training on cultural factors that influence delegation and enhance nursing care. Which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages?

Learning specific communication strategies

A nurse manager is reviewing the budget for the nursing unit. Which budget covers the expenditures for the unit's workforce?

Personnel

A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current U.S. healthcare system. Which statement about resource utilization is most accurate?

The health care resources that are available in the United States are not used cost-effectively.

The gap that exists between a position of authority and subordinate is often referred to as the ______.

Authority-power gap

The nurse leader does not need to be concerned with the budgeting process steps.

False

A nurse manager is considering how to gain more staff involvement in meeting budgetary goals. Which activity is most likely to result in staff understanding and participating in budgetary goals?

Communicating budgetary planning goals to staff

The case manager is part of the interdisciplinary team who is a nurse leader whose role is to _______. (Select all that apply.)

Coordinate patient care Evaluate options for patient care Monitor patient care Advocate for the patient

The diversity in current health care workforce affects how each member approach specific assigned goals which influences completion of delegated tasks. This is thought to be related to the _____.

Differences in approach to task relation to priority setting

A new nurse from a foreign country is training in the surgical unit. After working and meeting with the nurse, the charge nurse observes that there is a discomfort in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse?

Educating a patient and ensuring full understanding

What factors contribute to the success of interprofessional teams? (Select all that apply.)

Having role clarity Acknowledging the shared vision Forming clear and efficient communication

A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (Select all that apply.)

Routine tasks that are done every day Tasks that require imagination, vision, and strategic planning Tasks with a degree of predictability requiring independent thinking to accomplish

Nurse leaders can use the nursing process to develop a budget for their unit or department.

True

What is the best focused response when asked, "What does clear and efficient communication mean"? (Select all that apply.)

A thorough handoff of the situation, including background, your assessment, and any recommendations. Checking for the receiver's understanding before moving on. Information is presented in language the receiver can understand.

A new charge nurse is leaving work each day feeling overwhelmed and not completing tasks. What kind of delegation error is the charge nurse making?

Under Delegating

What behaviors should a nurse manager exhibit to narrow the power-authority gap that exists between the manager and the staff? (Select all that apply.)

Asking personal questions of your staff Being accountable Holding others accountable

The nurse manager is aware that there will be critical changes made to staffing due to low census in an acute care facility, and staff is already lacking trust in administration. What would be the best way for the nurse manager to handle the situation?

Be truthful regarding the situation about staffing and census.

Health care reimbursement affects both the operational budget and the departmental budget.

True

A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process? (Select all that apply.)

Communicate what the task is Train the person delegated for the task Monitor the person until the task is done Communicate the time frame in which the task should be completed

SBAR and ISBAR provide the nurse leader with tools to effectively communicate between team members.

True

A client who experienced a traumatic musculoskeletal injury to the right arm was transported to the local hospital's emergency department. The initial care was delivered by an interprofessional team. What specialized, patient-focused care should this form of care delivery provide this patient?

Effective communication between individual team members and with the patient will be a priority.

A nurse is planning to delegate tasks to the transcultural team. What situation would be considered appropriate delegation to the team members? (Select all that apply.)

Giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of her cultural tradition. Holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face". Delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition.

A nurse manager is considering the reasons for the current problems with the healthcare system. Which are negative consequences of higher spending in health care? (Select all that apply.)

Higher spending may result in duplication of services. Higher spending may result in overuse of technology. Higher spending may result in overutilization of services

Which budgeting approach can foster overspending?

Incremental

A nurse manager wants to improve the efficiency and effectiveness of budgetary expenditures. Which budgeting approach would be the best to use in this situation?

Performance

Which of the following refers to the system in which facilities join a payment system, whereby they receive a specified a fixed payment for each Medicare patient's admission, regardless of the actual cost?

Prospective payment system (PPS)

What is the term for the notion that a person with the most direct control or influence on financial elements such as revenues, expenses, assets, and liabilities should be held accountable for them?

Responsibility accounting

A nurse-educator has a very narrow power-authority gap when interacting with students in the clinical setting. What negative student outcome may occur because of this narrow gap?

The students will question their ability to make independent decisions.

A nursing manager is considering the budget for a nursing unit as compared with the overall institutional budget. Which is the most negative outcome of multiple nursing units "padding" or inflating their department budgets to cushion against administrative cuts?

The entire institution's budget may be ineffective.

In order to determine when not to delegate, the nurse needs an in-depth understanding of _____.

The nurse practice act

A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this? (Select all that apply.)

The right task The right person The right communication The right level of supervision The right circumstance

What does an interprofessional team member need to understand about role clarity for the team to be successful?

The role and responsibilities of all teammates

A nurse manager is considering the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate?

They can be used to monitor quality of care

Which statements demonstrate the patient benefits derived from care provided by an interprofessional team? (Select all that apply.)

"We have been so pleased with the care my mother has been given while she recovering from her fall." "The nurses all seem to really care about each of their patients." "The physical therapist and my nurse worked together to schedule my therapy before my wife came to visit." "My doctor, the nurse, the social worker, and the dietitian had a meeting with me today about my discharge plan."

A nurse manager is reviewing current staff development activities. Which is critical to ensure that staff development activities are successful?

Communicating shared responsibilities for education and training

Education development requires a sequence of steps. Select all of these steps you would include as a nurse leader when planning for staff development.

Assess learner needs Determine knowledge levels Identify educational resources Identify learning objectives Evaluate learning outcomes

A nurse manager is evaluating the critical thinking competency of a staff member. What method would be most effective in making this evaluation?

Request the staff member's rationale for decision making, and share the nurse manager's own rationale.

The role of the clinical nurse leader (CNL) is directly associated with the successful leadership of an interprofessional healthcare team. Which statements made by the CNL express the components of that role? (Select all that apply.)

"I've work with clients diagnosed with cardiac issues for nearly 15 years." "The unit nurses have talked with the family and identified a need for a social services consult." "We need to determine what, if any, safety issues exist related to this client's ability to ambulate independently." "I'll share the patient's care outcomes with the physical therapist today."

When you explain what the nurse believes the issue is, which stage of SBAR would the nurse be demonstrating?

Assessment

A nurse leader identifies that a competent RN is incapable of completing a task that falls within the RN scope of practice. The RN's inability is due to lack of training. Which of the following actions should the nurse leader take next?

Assign a mentor or coach to the RN to achieve competence.

A nurse manager informs the staff that if they do not increase productivity by 15%, there will be people losing their jobs. What form of power is the nurse manager displaying with the staff members?

Coercive power

The new nurse manager is learning about staff development. Which are characteristics of pedagogy? (Select all that apply.)

Competition is encouraged Learners depend on the teacher The teacher sets the goals The teacher evaluates

In an interprofessional team, what do teammates need to understand in order to have a shared vision? (Select all that apply.)

Desired outcomes Potential challenges to meeting outcomes After-care options

Which of the following are steps included in the flexible budgeting process? (Select all that apply.)

Determine the time period for the budget Analyze the cost patterns over that period of time Separate the costs into fixed, variable, or mixed categories Forecast the cost for each of these categories of activities

A nurse manager is preparing the annual budget for the coming fiscal year, and is considering what the goal is of using the allocated funds. What stage of the budgetary process is this?

Diagnosis

A charge nurse is delegating to a staff member who is resistant to authority. After delegating a task to the staff member, what action should the charge nurse have the staff member do to ensure compliance?

Ensure the staff member has a voice in how the task is completed.

The nurse leader should respond to resistance of authority in a calm but firm fashion.

True

In the SBAR model, what should be conveyed when explaining the situation? (Select all that apply.)

Events currently happening objective statement of the problem Assessment data collected Recommendations for treatment changes

Which of the following are delegation errors made by nurse leaders? (Select all that apply.)

Failure to delegate Failure to release control of task Failure to provide clear directions Failure to provide adequate directions Failure to follow up

The nurse leader understands when delegating, subordinate resistance should never occur among staff members.

False

What area do consumers value the most when seeking health care?

High quality, low cost, and ability to meet patient outcomes

A patient on a busy neurosurgical unit who just returned from surgery requires neurological checks every hour, but the nurse is too busy to do it and delegates this task to the unlicensed assistive personnel (UAP). What error in delegation has the nurse made?

Improper delegation

Which aspects of creating a successful interprofessional team are addressed by SBAR? (Select all that apply.)

Maintaining a shared vision Communicating effectively and efficiently Ensuring role clarity offering a recommended plan of action or next steps

A new nurse manager is learning about fiscal planning. Which are barriers for nurse managers' participation in fiscal planning? (Select all that apply.)

Nursing education lacks preparation in fiscal planning. Many nurses perceive that fiscal planning is difficult.

Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? Select all that apply.

Patient's name and room number Admitting diagnosis Past medical history Current medications

A nurse manager is considering revising the budget cycle for the nursing unit. Which budget cycle has the greatest probability for error?

Planning for the distant future

What is considered to be the greatest challenge to the implementation of an interprofessional primary health-care team?

overcoming the traditional provider-dominated role of determining patient care

A new nurse manager is learning about staff development. Which statement about either training or education is most accurate?

Training ensures knowledge and skills necessary for the job.

The bachelor's degree-prepared nurse is tasked with the need to understand interprofessional communication and collaboration in order to be prepared to improve patient health care outcomes.

True