Professional Identity Mastery
Which rules or responsibility would the nurse leader fulfill when setting priorities for achieving success by using the simplest & fastest method of communication?
Maintaining balance
Which term refers to a nurse's ability to plan, direct, control, & evaluate others in different situations?`
Management
While auditing unit doc., the nurse finds some omissions. Which term best describes how to discuss the findings & communicate ways to achieve the desired goals w/ the staff?
Management
Which primary goal can be achieved w/ delegation?
Maximizing client care outcomes
During a health symposium the nurse teaches the group how to prevent food poisoning. Which statement by one of the participants indicates the teaching is understood?
Meats & cream-based foods need to be refrigerated
Which health care team member is responsible for analyzing the knowledge & work of newly hired unlicensed assistive personnel before delegating a task?
Registered Nurse (RN)
Which professionals in a healthcare organization can be delegators?
Registered Nurses
Which action of the emergency dept. nurse caring for a group of clients injured in a community disaster would need correction?
Removing people from danger
Which models of ethics considers broad social issues & involves accountability of the overall institution?
Social justices model
Which member of the health care team would the nurse claim performs functions through passive delegation?
The pharmacist
Which nurse collaborates w/ the client to establish & implement a basic plan of care on admission?
The primary nurse
Which conclusion would the nurse suggest after identifying 12 mm of induration at the site of a client's tuberculin purified protein derivative (PPD) test?
The result indicates a need for further tests & a chest x-ray
Which is true regarding delegation?
Open lines of communication must occur between delegator & delegatee. Delegation occurs only when at least 2 people are involved in a mutual work situation Delegation involves sharing activities w/ other appropriate authorities to accomplish the work.
Which role task would the nurse leader carry out as a member of the human resource team?
Nurse stays clear on group outcomes
As part of an informed consent, a surgeon explains the details of the surgery & related care to the client. The nurse leader witnesses the complete process. The nurse leader would ensure the surgeon provided which info to the client?
Surgical procedure Name of surgeon Explanation of possible risks
Which description does beneficence in health ethics refer to?
Taking positive actions to help others
A client w/ asthma & depression is admitted to the hospital. Which tasks delegated by the delegator would be completed by the registered nurse?
Teach the client how to use a metered dose inhaler
How many rights of delegation in nursing practices are there?
The 5 rights
Which member of the health care team is accountable for initial assessment & ongoing evaluation of client care?
The RN
The RN is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction?
The delegator would recheck & redo the work of the delegatee
Which legal defense is important for the nurse to develop?
Accountability
The nurse who promotes freedom of choice for clients in decision-making best supports which principle?
principle of autonomy
Which is the MOST independently functioning nurse?
Advanced practice nurse
Which is the role of a case manager in a healthcare organization?
Follow up w/ client after discharge
After administering an antihistamine to a client w/ an allergy, the nurse finds the client is drowsy & dizzy. According to Maslow's hierarchy of needs, which type of need would the nurse prioritize for the client?
Safety needs
The nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the health care system is the RN practicing?
Assignment, both accountability & responsibility transferred
Which action would the nurse take when the client still has moderate to severe anxiety after the health care provider has explained the scheduled head & neck surgery?
Attempt to discover the client's concerns
Which role would the nurse demonstrate when questioning staff about a change in the client's plan of care?
Authority
Which action would the nurse take for a client w/ borderline personality disorder?
Be firm, consistent, & understanding while focusing on specific target behaviors
Which function is part of Hersey's 2006 model related to delegation?
Core competencies of a situational leader
When performing a physical assessment on client, which term would the nurse use to describe a flat, poorly defined mass on the sole over a bony prominence & caused by pressure?
Callus
The nurse is helping a client & family to set & meet goals. Which professional role is the nurse displaying?
Caregiver
The advanced practice registered nurse (APRN) is caring for a pregnant woman ready to deliver. Which type of APRN would care for this client?
Certified nurse midwife (CNM)
Which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem
Change slowly from sitting to standing
During the delegation process, which health care professional acts as a liaison between the team leader & health care provider?
Charge Nurse
During the delegation process, which healthcare professional acts as a liaison between the team leader & healthcare providers?
Charge Nurse
Which health care team member functions as a liaison between team leaders & other health care providers?
Charge Nurse
Which healthcare team member is responsible for the coordination & assignments of client care?
Charge Nurse
The RN is reviewing the clinical data of four clients. Which client's care can be delegated to the LPN?
Client A dental pain
Which potential effect will the nurse teach to a client receiving metoprolol?
Dizziness with strenuous activity
The nurse is caring for a client admitted w/ fluid overload. Which tasks are MOST appropriate to be delegated to the UAP?
Documenting vital signs, record urine output, repositioning the client every 1-2 hours
Which tasks can be delegated to a cross-trained tech when paired w/ a RN
Drawing blood samples
Which component of the nursing process includes tasks that can be delegated?
Implementation
Which external barriers can prevent a nursing professional from making morally correct actions?
Inadequate staffing, lack of organizational support, poor relationships w/colleagues
Which mechanism of action explains how hydrochlorothiazide increases urine output?
Increases the excretion of sodium
Which statement refers to the accountability element of the decision making process?
Individuals being answerable for their actions
The RN is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is MOST suitable for being delegated the task of administering vaccinations?
Licensed Practical Nurse LPN
Which healthcare team member is most suitable to provide oral medication to a client?
Licensed practical nurse
The RN reviews the qualification of the UAP before delegating a task. Which right of delegation is followed by the nurse?
Person
The RN reviews the qualification of the unlicensed assistive personnel (UAP) before delegating a task. Which right of delegation is followed by the nurse?
Person
When examining a healthcare organization under rubric of the Magnet Recognition Programs' 14 Forces of magnetism, the nurse would review the structural empowerment of the orgz. for which force of magnetism?
Personnel policies & programs
The RN is caring for a client who underwent a hysterectomy. Which tasks can be delegated to the UAP to provide quality care to the client?
Recording vital signs, & assisting the client w/ bathing
In which order would the nurse arrange the human needs of Maslow's hierarchy?
Physiological Safety Social Esteem & Self-actualization
Which responsibility of the nurse manager differs from the responsibility of the nurse leader?
Planning the budget
To be effective, which characteristic would be important for a nurse leader?
Problem solving skills
Appropriate delegation in a healthcare organization achieves which outcomes?
Reduces stress, & improves treatment outcome
In providing effective nursing care for clients from different cultural backgrounds, which strategy would the nurse follow?
Provide care that fits the clients' cultural beliefs
Which team member acts as a liaison between the health care facility & the media
Public info officer
Which part of the electrocardiogram (ECG) represents depolarization of the ventricles?
QRS Interval
Which action would the nurse take for an adolescent w/ a long history of drug abuse, stealing, & refusal to comply w/ rules?
Serve as a role model for mature behavior while providing a structured setting
The nurse in a hospital skilled nursing unit witnesses a client's spouse vigorously shaking the elderly client who has dementia after the client has had an episode of incontinence. After discussing concerns w/ the nurse manager, whom would the nurse report this observation?
Adult protective services
Nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty?
Advocacy
When informing the healthcare provider of a client requesting pain mediation after surgery, which role did the nurse play?
Advocate
Which interventions are in the scope of a licensed practical nurse (LPN)?
Ambulating the client, assisting the client w/ bathing, & administering intramuscular medications
Which entity outlines the principles of delegation for registered nurses (RNs)?
American Nurses Association (ANA)
The nurse manager transfers the task of caring for a client who has had an appendectomy to the registered nurse. Which element of health care system is the rn practicing?
Assignment
The nurse manager transfers the task of caring for a client who had an appendectomy to the registered nurse (RN). Which element of the health care system is the RN practicing?
Assignment both accountability & responsibility are transfered
How can the nurse evaluate the effectiveness of communication w/ a client
Client feedback
Which ethical principles govern the nurse's behavior when making difficult decisions about a client's care at the point of care?
Clinical ethics
For intensive care of cancer clients, for which employment position would the facility hire a nurse?
Clinical nurse specialist
When teaching the staff about how the health care provider strives to work effectively w/in the cultural context of a client, which cultural principle is the nurse leader explaining?
Cultural competence
Which role is the nurse fulfilling when explaining the reason for the intravenous infusion & kit to the client?
Educator
Which characteristic is most essential for the nurse to have in caring for clients w/ mental health disorders?
Empathy
As a leader, which role would the nurse executive fulfill?
Empowerment
Which would the nurse consider to be the center of decision-making when providing client care?
Ethics
Client discussing w/ the nurse concerns about their unhealthy family relationships. During the nurse-client interaction the client begins to talk also about a job problem. The nurse's response is, "let's go back to what we were just talking about." Which therapeutic communication technique did the nurse use?
Focusing
Which model of nursing focuses on the task-oriented approach to client care?
Functional model
Which training will help nurses identify signs of biological terrorism?
Hazardous materials (HAZMAT)
Which phrase describes the meaning of the term in-service education?
Helps the nurse achieve an organization's required competencies
Which statement is true about the nursing model of team nursing?
Hierarchical communication exists from charge nurses to charge nurse, charge nurse to team leader, & T leader to team members
Which statement indicates that the nurse is in the advanced beginner stage of Benner?
Identifies the basic principles of nursing care through careful observation
The RN is caring for a client admitted w/ sudden paralysis of the legs & an inability to walk. Which intervention made by the RN indicates correct active delegation?
Instructing the licensed practical nurse (LPN) to report the client's vital signs
Which action would a nurse take to prevent a parallax error & to ensure accuracy when assessing a client's blood pressure?
Read the manometer at eye level
A client is scheduled for a cholecystectomy & asks the primary nurse about the function of the gallbladder. Which explanation would the nurse give?
Stores & concentrates bile
After signing a legal consent for hip replacement surgery & within hours before the surgery, the client states, "I decided not to go through w/ the surgery." Which response would the nurse use initially?
"Let's talk about your concerns regarding the procedure"
Which explanation would the nurse provide for administering prednisone to a client w/ an exacerbation of colitis?
Although med will decrease intestinal inflammation, it will not cure colitis
The healthcare team is caring for a client who has undergone surgery for lung cancer. The client needs respiratory therapy. Which task can be safely delegated to a respiratory therapist paired w/ a RN?
Assessing the respirations
Which intervention can be performed by an UAP in skin care?
Assist client in bathing, apply wet dressings to the skin, report changes in the skin appearance
The nurse on the medical-surg unit tells other staff members, 'that client can just wait for the lorazepam; I get so annoyed when people drink too much.' Which does this nurse's comment reflect?
Demonstration of a personal bias
Which description is correct in defining 'accountability"?
Determination of appropriate actions & providing detailed explanations of the actions
Which description is correct in defining 'accountability'?
Determination of appropriate actions & providing detailed explanations of the actions
Which action would the nurse take when preparing to share info w/ followers?
Determine which info is to be shared
Which quality is the most important tool the nurse brings to the therapeutic nurse-client relationship
The self & a desire to help
Which statement indicates the client w/ chronic kidney disease understands the purpose of using continuous ambulatory peritoneal dialysis (CAPD)?
The treatment uses the peritoneum as semipermeable membrane to clear toxins by osmosis & diffusion
How will the nurse respond to a client with cancer experiencing severe nausea & vomiting from chemotherapy who wants to know if it is true that smoking marijuana will help?
There are some tetrahydrocanacinol (THC) based meds that contain marijuana control chemotherapy-induced nausea and vomiting in some people."
Which behavior would the nurse consider suitable for an executive position according to Gardner's tasks of leading/managing?
To assist corporate leaders w/ planning & priority setting
The nurse is providing restraint education to a group of nursing students. Which reason to use restraints is incorrect to teach?
To prevent an adult client from getting up at night when there is insufficient staffing on the unit
Which responsibility did the federal government assign to the professional standards review organizations (PSROs)?
To review the quality, quantity, & cost of hospital care
A client w/ BPD hears that the nurse is leaving on vacay for two weeks. Which response would indicate the client's ability to maintain a more mature relationship?
Wishes nurse a safe trip & thanks for help received
The nurse is caring for a client w/severe menstrual bleeding & abdominal cramps. Which task is appropriate to be delegated to the LPN?
Administration of oral analgesics
In which client situations does the process of delegation become more challenging?
When client is pregnant, & when school children are receiving care
A health care team is caring for a client w/ dental pain. Which task can be delegated to unlicensed assistive personnel (UAP) to provide effective client care?
Administering mouthwash for oral hygiene
The RN teaches a group of new nurses about leadership principles. Which statement made by a new nurse indicates a need for further teaching?
"A leader has a formal position"
A pharm tech arrives on the nursing unit to deliver opioids &, following hospital protocol, asks the nurse to receive the meds. The nurse assisting a confused & unsteady client back to the client's room. How would the nurse respond to the tech?
"I can't receive them right now. Please wait a few minutes or come back"
Which questions would the delegator assess to determine the right task?
"is the task legally appropriate to delegate?" "Is the task appropriate to delegate based on institutional policies & procedures?"
Which response by the nurse is therapeutic when a male client w/ ascites is to have a paracentesis & has signed the consent but, while the nurse is caring for him, he says that he has changes his mind & no longer wants the procedure?
"tell me why you want to refuse the procedure"
The RN is caring for an older client who has been admitted to the hospital. The RN allocates several tasks to the unlicensed assistive personnel (UAP). To evaluate the understanding of the UAP, the RN asks the UAP to describe which tasks have been allocated. Which responses by the UAP indicate effective understanding of the tasks?
'i must assist the client w/ oral care." "I must give a sponge bath to client every morning" "I must record BP of client at regular intervals"
The healthcare team is caring for a client w/ dental pain. Which task is most suitable to delegate to unlicensed assistive personnel (UAP) for effective client care?
Administering mouthwash for oral hygiene
Which documentation is most informative for an assessment of drainage on a surgical dressing?
A 10 mm- diameter area of drainage at 1900
Which principle refers to the professional obligation of the nurse to assume responsibility for actions?
Accountability
Which teaching point is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?
Act in ways to prevent harm to clients
Which role is most important for the nurse to assume when providing therapeutic crisis intervention?
Active participant
Which process involves transferring responsibility to multiple individuals, usually w/ varying degrees of education & experience, while retaining the ultimate accountability for providing the client care?
Delegation
Which prof. strategy is most effective for nurse leaders & managers to implement in improving safety & quality of client-centered care?
Delegation
Which professional strategy is most effective for nurse leaders & managers to implement in improving safety & quality of client-centered care?
Delegation
Which statement reflects the role of a case manager?
Demonstrates an ability to establish an appropriate plan of care based on the assessment of clients & families
Which theory indicates leaders should expand & respond to a dynamic change
Complexity theory
When the nurse leader teaches the nursing staff about conflicts in an organization, which statement is not true of conflict in an organization?
Conflicts can be constructive if the conflict is excessive
In a community-based practice, which competency would the nurse utilize when helping a client identify & clarify personal health problems to choose appropriate courses of action?
Conselor
Which role does the nurse play when helping clients identify & clarify health problems & choose appropriate courses of action to solve those problems
Counselor
Which role does the nurse play when helping clients identify & clarify health problems & choose appropriate courses of action to solve those problems?
Counselor
Which characteristic would the nurse use during the nursing process as a guide for delegation?
Critical analysis
Which quality would the professional nurse need in order to successfully lead & manage a team?
Exercising self-awareness Motivating self & others Managing emotions in self & others
Which critical thinking skill in nursing practice requires the nurse to possess knowledge & experience for choosing care strategies for clients?
Explanation
Which care settings are more suitable for unlicensed assistive personnel (UAP)
Extended & long-term care
Which failure is consistent w/ an improper follow through on part of a delegatee?
Failure to report results & findings
Which response indicates improper follow-through on the part of a delegatee?
Failure to report results & findings
Which activity indicates improper follow-through on the part of the delegatee
Failure to report results in a timely manner
Which strategy regarding the quality improvement (QI) process requires the nurse manager's revision
Focus is on correcting errors
Which feature, according to Benner, is observed in the nurse at the "proficient" level?
Focuses on managing care rather than managing skills
Which gen. of nursing professionals, being exposed to both terrorism & natural disasters, would be key members for disaster planning initiatives?
Generation Y
Which response would the nurse provide to a client who expresses malignancy fears associated w/ the pending bone biopsy report?
It is very upsetting to have to wait for a biopsy report
Which response would the nurse give to the common statement "but you don't understand" when caring for an adolescent?
It would be helpful to understand; lets talk
The primary health care provider prescribes a rectal suppository for a client w/ severe constipation. Which healthcare professional would be delegated the task of administering the suppository?
LPN
While organizing a community healthcare program for polio vaccinations, the registered nurse delegates the task of administering vaccines to members of the healthcare team. Which team member is most suitable to carry out this task?
LPN
The nurse manager is preparing a schedule for delegating appropriate tasks to different health care team members. Which health care team member can be delegated the task of administering oral meds?
Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN)
Which member of the health care team is responsible for analyzing the knowledge & skills of unlicensed assistive personnel (UAP) before delegating a task?
Registered Nurse
Which info will the nurse share about alopecia characteristics to a client who is to receive chemotherapy after surgery for cancer?
Not permanent
From lowest to highest level, which order do Benner's stages of Clinical competence occur?
Novice Advanced beginner Competent Proficient Expert
In which role does the nurse oversee the budget of a specific nursing unit or agency?
Nurse manager
Which nursing professional has the maximum span of control?
Nurse manager in charge of all
Which characteristics indicates that nursing is a profession?
Nurse required to follow a code of ethics
The nurse working in a catholic hospital discourages clients from using contraceptives per hospital policy. Which category of ethics is the nurse following?
Organizational ethics
At which point would the nurse start to discuss terminating the nurse-client relationship w/ a client?
Orientation phase, when a contract is established
Which statement made by the nurse requires correction when discussing registered nurse licensure in the United States w/ peers?
Passing the NCLEX-RN examination indicates maximal knowledge base for safe nursing practice
A client w/ internal bleeding is in the intensive care unit (ICU) for observation. At the change of shift an alarm sounds, indicating a decrease in blood pressure. Which action would the nurse take?
Perform an assessment of the client before resuming the change of shift report
The registered nurse is delegating various client care activities to four unlicensed assistive personnel (UAP). Which UAP needs more education & monitoring?
UAP A Measure blood & glucose levels after meal
The RN is delegating various client care activ. to 4 unlicensed assistive personnel (UAP). Which UAP needs more education & monitoring?
UAP A Diabetes Mellitus
Which internal factors affects the decision-making process of a leader?
Values Interest Knowledge
The nursing manager wants to transfer a nurse to the intensive care unit (ICU) & describes the roles & responsibilities of the position in detail to the nurse.
Veracity
When auscultating a client's chest, the nurse hears swishing sounds of normal breathing. How would the nurse document this finding?
Vesicular breath sounds