Nursing mgmt test 1
True or False: Decision-making tools such as decision trees or consequence tables are in place to prevent errors in the decision-making process.
false
True or False: The American Nurses Association Code of Ethics is legally binding.
false
Why should nurses be aware of the rights and duties of legal matters? a. They are better able to protect their employers b. They are better able to protect their patients c. They are better able to protect their peers d. They are better able to protect themselves
d
Which legal act gives patients the right to determine their desired end-of-life care? a. Health Insurance Portability and Accountability Act b. Patient's Bill of Rights c. Kassebaum-Kenndy Act d. Patient Self-Determination Act
d
True or False: HIPAA gives the nurse leaders a platform in which the nurse leader can prevent conflict resulting from ineffective communication among staff members and patients
true
True or False: Litigation is the process of bringing forth and trying a lawsuit.
true
True or False: A nurse can have his or her license revoked if he or she is providing patient care while under the influence of drugs or alcohol.
true
True or False: Effective nurse leaders have developed critical thinking and decision making skills that assist with collaborate leadership.
true
True or false: Informed consent can be given once the patient has received a complete explanation of medical and surgical treatment options.
true
True or False: The state Nurse Practice Act is the most important law affecting nursing practice.
true
True or False: Using the first impressions guide the decision-making process is a common flaw and considered a pitfall in using decision-making tools
true
Choose the legal safeguards nurses can refer to and practice to prevent litigation against them. SATA a. Competent practice b. Patient bill of rights c. Risk management programs d. Informed consent e. Documentation
all answers are correct
You could encounter many potential legal issues as a Nurse Leader. Which of these things do you think could happen? SATA a. You could get sued for malpractice b. A plaintiff against you could be awarded money for negligence c. You could lose your license as a result of a lawsuit d. You are at increased risk of legal liability in today's modern health care system
all answers are correct
A nurse is caring for a patient that suddenly becomes short of breath and has a decrease in oxygen saturation to 86%. The nurse places the patient on 4 L of oxygen via nasal cannula and elevates the head of the bed. What decision tree would the nurse have used in this situation? a. Consequence table b. Intuitive thinking c. A decision grid d. SWOT
b
A nurse manager is making a decision based on a problem with a staff member. What would be the optimal end product of the decision? a. An alternate problem b. A chosen course of action c. A restatement of the solution d. An action that guarantees success
b
Which of these do you think is not a patient right? a. Your patient has the right to receive advocacy for his or her health. b. Your patient has the right to jeopardize your safety. c. Your patient has the right to considerate, respectful care. d. Your patient has the right to protection of his or her privacy.
b
True or False: Nurse leaders are responsible for licensing nurses
false
True or False: A patient can give informed consent by verbalizing understanding prior to receiving a complete explanation of medical-surgical treatment options
false
A nurse makes a decision using intuitive judgment regarding a patient's rapid change in condition. What action should the nurse take after the decision? a. Use evidence-based data to validate decision b. Examine alternatives visually and compare each against the same criteria c. Quantity information d. Plot decision over time
a
A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost-effectiveness of this practice. What would be an appropriate decision-making model to find a cost-efficient solution? a. Decision grid b. Consequence tables c. Intuitive judgment d. SWOT
a
A nurse educator determines that the present classroom environment is ineffective in promoting critical thinking. What methods could the educator employ in the classroom to improve critical thinking? (Select all that apply.) a. Simulation b. Problem-based learning exercises c. Case studies d. Study guides e. Lecture
a, b, c
A nurse has a difficult decision to make regarding patient care. What should the nurse do to influence a positive outcome? (Select all that apply.) a. Understand the repercussions of each option b. Gather data and input from a variety of sources c. Identify a number of different options d. Slow down the thinking process e. Make a quick decision and act on it immediately
a, b, c, d
A nursing instructor is discussing ways to improve critical thinking during a clinical rotation with a student. The student asks the nurse what critical thinking is. What is the best response by the nursing instructor? a. It is narrower in scope than decision making b. It requires reasoning and creative analysis c. It is a simple approach to decision making d. It is a synonym for the problem-solving process
b
What must be a person giving informed consent for surgery or a procedure fully comprehend in order to give informed consent? SATA a. Expected complications or potential side effects that may occur as a result of the treatment b. The procedure to be performed c. Expected or desired outcomes d. The nurse's personal opinion about the treatment e. The risks involved
a, b, c, e
What is the focus of the Patient Self-Determination Act (PSDA)? SATA a. Informing patients about advance directives (AD) b. Educating staff concerning end-of-life issues c. Educating the patient to the various spiritual and religious services the facility offers d. Providing patients with written information about health care durable power of attorney e. Educating patients regarding the role of a health-care proxy
a, b, d
The Equal Employment Opportunity Commission defines discrimination as including which forms of discrimination? SATA a. Race or color b. Pay/compensation c. Political affiliation d. Sexual orientation e. Age
a, b, d, e
Which labor standards were set in place by the Fair Labor Standards Act? SATA a. A maximum of an 80-hour regular pay period b. Illegal employment of minors c. Overtime is required to be at least 2 times regular base pay d. Guaranteed paid overtime e. Minimum wage
a, b, d, e
Which steps will help the nurse minimize the risk of nursing malpractice? SATA a. Observing all facility policies and procedures when providing care b. Asking each patient to sign an informed consent before care is given c. Periodically reviewing the scope of practice for nurses d. Attending relevant continuing education programs to upgrade clinical skills e. Maintaining liability insurance independent of that provided by the facility
a, c, d, e
Which of the following legislations guarantees overtime? a. Taft-Hartley Act b. Fair Labor Standards Act (FLSA) c. National Labor Relations Act/Wagner Act
b
Which behaviors by a nurse can result in the suspension or revocation of the nursing license? SATA a. Conviction for failure to pay court-ordered child support b. Failing to report an incident of substandard nursing care c. A felony conviction for drug use d. Being convicted of professional negligence e. Practicing on an expired nursing license
b, c, d, e
True or False: A nurse would be considered liable if he or she fails to report a witnessed violation of the nurse practice act
true
Which of the following pieces of legislation governs your patients' right to privacy? a. Age Discrimination Act b. Health Insurance Portability and Accountability Act of 1996 c. Equal Pay Act of 1963 d. Patient Self-Determination Act
b
Which one of the following establishes criteria for the education and licensure of nurses? a. Nursing process b. Nurse Practice Acts c. ANA Standards of Nursing Practice d. National League for Nursing
b
Which of the options below correctly correlate the decision-making model to the nursing process? SATA a. Assess: Identify for decision, identify alternatives b. Evaluate: Evaluate decision-making steps c. Implement: Choose alternatives, implement alternative d. Plan: Identify the decision, collect data
b, c
Which situations are necessary components for malpractice to occur? SATA a. A perception that patient injury may occur b. The practitioner has failed to meet a standard of care, also called a "breach of duty." c. A standard of care must be in place whereby the provider has accepted duty for the patient d. A direct connection between care given and injury must be present e. Foreseeability of harm must exist
b, c, d, e
Which one of the following legislations extends civil rights to people with disability? a. Rehabilitation Act b. Equal Employment Opportunity Commission (EEOC) c. Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA)
a
Which of the following is a decision-making tool often used by today's nurse leaders/mangers for program/unit evaluation? a. Flow charts b. Program outcomes c. Review techniques d. Quarterly reports
a
What is the term used to identify the omission of doing something that is reasonable person would do, guided by the considerations that ordinarily regulate human affairs? a. Negligence b. Scope of practice c. Breach of duty d. Malpractice
a
What is the nurse manager's focus when the addressing issue represented by Title VII? a. Staff's right to fair wages b. Disability discrimination towards staff c. Civil rights of staff and patients d. Patient right to confidentiality
c
How can the nurse manager best minimize the personal risk for legal liability? a. Possessing a working knowledge of current laws affecting nursing practice b. Creating a work environment that prioritizes patient needs c. Dealing with all members of the staff and all patients in a nondiscriminatory fashion d. Upholding the enforcement of laws, rules, and regulations affecting patient care
b
According to Marquis and Huston (2021), there are other critical elements that nurse managers/leaders use to complete decision-making process. From the following choices, select those that are considered crucial to problem solving and decision making. a. Carefully gather pertinent data b. Develop realistic timeline c. Think logically d. Objectives clearly define e. Generate an alternative solution f. Delay making a decision as long as possible
a, b, c, d
What information is accurate when describing the Nurse Practice Acts? SATA a. They need to be consistent with applicable federal statures b. They identify actions that fall outside of the nurse's scope of practice c. When considering the law, they are an example of statute d. The focus of the acts can vary greatly from state to state e. They focus on the practice of the professional nurse
a, b, c, e
A nurse manager must be aware of what is happening on the unit to prevent injury to the patient and exposing the staff to the potential malpractice situation. What steps would the nurse manager take to accomplish this? SATA a. Personally monitoring the care provided by new nursing staff b. Regularly checking the credentials of current nursing staff c. Providing discipline to those who provide inappropriate care d. Arranging for relevant staff in-services regarding the operation of equipment e. Assuring adequate staffing
b, c, d, e
A staff nurse is having difficulty with problem solving in patient care and the nurse manager is counseling the nurse. What suggestions by the nurse manager may assist the staff nurse in improving problem solving skills? (Select all that apply.) a. Combine personal and professional feelings b. Systematize data collection c. Override bias d. Ask closed-ended questions e. Slow down thinking
b, c, e
The Health Insurance Portability and Accountability Act ensures strong privacy protections for the patient without threatening access to which areas of care? SATA a. Sharing of information with family b. Exchange of patient information among appropriate health care providers c. Health care clearinghouses d. Legally reportable information e. Health care plans
b, c, e
A nurse manager is using the decision-making model "SWOT" to determine whether it is feasible to add another on-call team in perioperative services. What words does the acronym "SWOT" represent? a. Strengths, Worth, Options, Timing b. Superiority, Work, Opportunity, Threats c. Strengths, Weaknesses, Opportunities, Threats d. Significance, Wellness, Operating, Timing
c
What is the primary focus of the Health Insurance Portability and Accountability Act (HIPAA)? a. Sharing medical records within the health care team b. Medical record storage c. The patient's right to confidentiality d. Preventing families from accessing the medical information of patients
c
When making a decision about using a prn pool for added staffing, what can the nurse manager do to make the best decision? a. Get multiple people to give input into the decision b. Make a decision and then question the facts c. Make a decision with all the facts d. Don't question the first impression
c
Which one of the following legislations governs documentation of hiring and employment practices? a. Civil Rights Act b. Age Discrimination in Employment Act (ADEA) c. Lyndon B. Johnson's Executive Order 11246/11375
c
