Leadership Final

Differences in status and authority within the health-care team can generate conflict. What is the most common cause of conflict? 1. Disrespect and incivility 2. Inappropriate language and sarcasm 3. Blaming and finger pointing 4. Physical violence - -

1. Disrespect and incivility

Which common practice puts the nurse at liability for invasion of patient privacy? 1. During care, the nurse reveals information about the patient to those in the room. 2. The nurse releases information about the patient to nursing students who will be caring for the patient the next day. 3. The nurse conducts a patient care session about a patient whose care is difficult and challenging 4. Confidential information regarding an admitted patient is released to third-party payers. - -

1. During care, the nurse reveals information about the patient to those in the room.

What is the best explanation of authority? 1. It is position dependent. 2. It is based upon the ability to lead others. 3. It is expertise-driven. 4. It resides primarily in the clients served. - -

1. It is position dependent.

Social media is commonly used to update friends and groups on things we have going on in our lives. Health-care organizations routinely use social media to promote medical facts, services, and recognitions. What is important for nurses to remember when deciding to post something work related on a social media site? 1. Nurses should never post protected health information on a social media site. 2. Stories with good outcomes can be posted to your media page. 3. Stories and photos can always be shared if the patient's name or face is not visible. 4. Posting stories on personal time is OK because the nurse is not working. - -

1. Nurses should never post protected health information on a social media site.

A nurse is caring for a patient who has pulmonary embolus. The patient is receiving anticoagulation with IV heparin. What instructions should the nurse give the NAP who will help the patient with activities of daily living? *SATA* 1. Use a lift sheet when moving and positioning a patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 4. Use a rectal thermometer to obtain a more accurate body temperature. 5. Be sure the patient's footwear has a non-slip soul when the patient ambulates. - -

1. Use a lift sheet when moving and positioning a patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 5. Be sure the patient's footwear has a non-slip soul when the patient ambulates.

Nursing management and the nursing union are having differences on several issues. There may be a need for negotiation. Which of the following is a serious disadvantage to using collective bargaining to resolve this conflict? 1. Protecting the right to fair treatment 2. Creating an adversarial relationship between staff and management 3. Lacking professionalism on the part of the collective bargaining unit members 4. Failing to uphold important standards of care - -

2. Creating an adversarial relationship between staff and management

A nurse manager has two team members who continually criticize each other despite being told to stop. Which approach is the most appropriate for this situation? 1. Refer each of them to HR for employee counseling. 2. Engage in problem resolution. 3. Bring in a union representative. 4. Engage in a formal negotiation process. - -

2. Engage in problem resolution.

A unit team leader who fails to provide direction to his or her nursing care team is a(n): 1. Democratic leader 2. Laissez-faire leader 3. Autocratic leader 4. Situational leader - -

2. Laissez-faire leader

Nurses who feel empowered can make significant contributions to a health-care organization. Feeling empowered includes feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. What is essential to nurse empowerment? 1. Belonging to a professional organization 2. Participating on a unit practice council 3. Reasonable work assignments 4. A rewards and recognition program - -

2. Participating on a unit practice council

Which best describes the difference between patient privacy and patient confidentiality? 1. Confidentiality occurs between persons who are close, whereas privacy can affect anyone 2. Privacy in the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information. 3. Confidentiality involves the use of technology for protection, whereas privacy uses physical components of protection. 4. Privacy involves protection from being watched, whereas confidentiality involves protection from verbal exchanges - -

2. Privacy in the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information.

Health Insurance Portability and Accountability Act (HIPAA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? [SATA] 1. The patient is from a correctional institution. 2. The situation involves child abuse. 3. An injury occurred from a firearm. 4. The patient is a physician. 5. The breach of information was unintentional. - -

2. The situation involves child abuse. 3. An injury occurred from a firearm

A respiratory therapist is performing suctioning on a client with a closed head injury who has a tracheostomy. Afterwards, the NAP obtains vital signs. The nurse should communicate that the NAP needs to report which vital sign value or values immediately? SATA 1. Respiratory rate of 22 breaths/min 2. Tympanic temperature of 101.4 F (38.6 C) 3. Pulse oximetry of 97% 4. Heart rate of 98 BPM. - -

2. Tympanic temperature of 101.4 F (38.6 C) and only B

Nursing leaders knows that scientific management focuses on: 1. Interpersonal relations. 2. Servant leadership. 3. High efficiency. 4. Staff development. - -

3. High efficiency. (maybe A? she's going to look into it)

You have been asked to serve on your unit practice council. Th is is an important role and one that you are excited to perform. What should you know about professional governance so that you are prepared for this work? Professional governance in nursing involves: 1. Working longer hours 2. Attending a lot of meetings 3. Nurses setting nursing standards for daily practice 4. Changing the organization's culture - -

3. Nurses setting nursing standards for daily practice

A nurse is caring for a patient who is diagnosed with coronary artery disease and sleep apne1. Which action should the nurse delegate to the NAP? 1. Discuss weight-loss strategies such as diet and exercise with the patient. 2. Instruct the patient how to set up the CPAP machine before sleeping. 3. Remind the patient to sleep on his side instead of his back. 4. Administer modafinil to promote daytime wakefullness. - -

3. Remind the patient to sleep on his side instead of his back.

Communities and regulatory agencies continually challenge hospitals, skilled nursing facilities, and home health companies to enhance, improve, or change care delivery and the care environment to ensure safe, high-quality care. Which factors are important in improving a hospital's care environment? 1. Adequate staffing 2. Collegial relationships among staff 3. Emphasis on staff development 4. All of the above - -

4. All of the above -

A nurse is caring for a patient who has COPD and is 2 days postoperative after a laparoscopic cholecystectomy. Which intervention for airway management should the nurse delegate to the NAP? 1. Assisting the patient to sit up on the side of the bed 2. Instructing the patient ton cough effectively 3. Teaching the patient to use an incentive spirometry 4. Auscultating breath sounds every 4 hours - -

1. Assisting the patient to sit up on the side of the bed

There are numerous sources of power in an organization. Several are available to nurses. Which one is not? 1. Authority 2. Reward 3. Control of information 4. Coercion - -

1. Authority

The Situational Leadership Model focuses on: 1. Both followers and the task 2. The task 3. The follower 4. The behavior of others - -

1. Both followers and the task

APRNs generally: [SATA] 1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting 5. Hold advanced degrees - -

1. Function independently 5. Hold advanced degrees

A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice? 1. Justice 2. Veracity 3. Autonomy 4. Nonmaleficence

1. Justice

George S. has just become a nurse manager in a long-term care facility. He knows he has a lot to learn-- What should he tell his staff? 1. Nothing, he should pretend he has experience 2. That he is still learning, too, and values their input 3. That the staff needs to manage themselves 4. How little he knows about management - -

2. That he is still learning, too, and values their input

A nurse is working on an ethics committee to determine the best course of action for a patient who is dying. The nurse considers the positive and negative outcomes of the decision with choices. Which best describes the distinction of using a list when making an ethical decision? 1. The nurse can back up her reasons for why she has decided to provide a certain type of care. 2. The nurse can compare the benefits of one choice over another. 3. The nurse can communicate the best choice of action to the interdisciplinary team. 4. The nurse can provide care based on developed policies and standards.

2. The nurse can compare the benefits of one choice over another.

Jane is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at the meeting? 1. Talking to the staff 2. Laughing with them 3. Listening 4. Crying - -

3. Listening

A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feeling with her family and health-care provider. The nurse realizes that this is an example of: 1. Affirming a value 2. Choosing a value 3. Prizing a value 4. Reflecting a value

3. Prizing a value

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which of the following statements best describes this code? 1. Improves communication between the nurse and the patient 2. Protects the patient's right of autonomy 3. Ensures identical care to all patients 4. Acts as a guide for professional behaviors in giving patient care - -

4. Acts as a guide for professional behaviors in giving patient care

Organizational culture is best defined as: 1. The stated vision and mission of an organization 2. Policies and procedures 3. The type of décor that was chosen for the facility 4. An enduring set of shared values and beliefs - -

4. An enduring set of shared values and beliefs

An RN calls a health care provider to report that a patient's condition is deteriorating. The physician gives orders on the telephone to draw arterial blood gases, What do next when receiving telephone orders from a health care provider? 1. Call the respiratory therapist to obtain the blood gases. 2 Give the order to the unit secretary to ensure it is entered quickly 3. Enter the order directly into the system as it was given to the RN 4. Write the order down and read it back to the provider. - -

4. Write the order down and read it back to the provider.

Nurse managers who use the Servant Leadership model focus on: 1. Resolving conflicts promptly 2. Helping patients to care for themselves. 3. Removing incompetent nurse managers. 4. Creating a supportive work environment. - -

d. Creating a supportive work environment.

What is brainwriting? 1. A strategy to encourage the free flow of ideas 2. A mutually beneficial negotiation result 3. A winning approach to formal negotiation 4. A devaluation reaction to negotiation - -

1. A strategy to encourage the free flow of ideas

Which of the following represent the knowledge and skills expected of the professional nurse? [SATA] 1. Accountability 2. Advocacy 3. Autonomy 4. Social networking 5. Participation in nursing blogs - -

1. Accountability 2. Advocacy 3. Autonomy

Effective nurse leaders: *SATA* 1. Are also good followers 2. Effectively work together with shared goals 3. Never act on their ideas 4. Have master's degrees. - -

1. Are also good followers 2. Effectively work together with shared goals

An experienced LPN is working under the supervision of the RN. The LPN is providing nursing care for a patient who has a respiratory problem. Which activities should the RN delegate to the experienced LPN? SATA 1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI). 3. Complete in-depth admission assessment. 4. Initiate the nursing care plan. 5. Evaluate the patient's technique for using MDIs. - -

1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI).

Mara Z. wants to become a nurse manager. She has been offered an opportunity to take a nursing management position course. Which topic is *MOST* important for her to learn? 1. Managing people 2. Managing the unit's budget 3. Planning for the future 4. Redesigning the unit's workflow - -

1. Managing people

The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? 1. Observe how well the patient performs pursed-lip breathing. 2. Plan a nursing care regimen that gradually increases activity intolerance. 3. Assist the patient with basic activities of daily living. 4. Consult with the physical therapy department about reconditioning exercises. - -

1. Observe how well the patient performs pursed-lip breathing.

Several of your colleagues are going to join the American Nurses Association (ANA). You know the annual dues are a little more than you can afford right now, but you want to learn more. Your friends think that joining the ANA will help empower them. How do professional organizations empower nurses? 1. They represent nurses in the political aren1. 2. They equalize power between employees and staff . 3. They provide opportunities for promotion. 4. They provide health insurance. - -

1. They represent nurses in the political aren1.

Professional accountability serves the following purpose: [SATA] 1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones 5. To belong to a professional organization - -

1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones

An emotionally intelligent nursing leader: 1. Welcomes constructive criticism. 2. Seeks out the emotional support of others. 3. Has difficulty juggling multiple demands. 4. Usually works alone without any help. - -

1. Welcomes constructive criticism.

You would like to become a nurse manager. You have been offered an opportunity to take a nursing management course. Which topic is *MOST* important for you to learn? 1. Planning for the future. 2. How to manage people. 3. Managing the unit's annual budget. 4. Redesigning the unit's workflow process. - -

2. How to manage people.

What is the difference between management and leadership? 1. Management focuses on budget. 2. Management is an assigned position. 3. Leadership os not concerned with getting work done. 4. Leadership is more focused on people. - -

2. Management is an assigned position.

A registered nurse is assigned to care for the following clients. Which client should the nurse assess *FIRST*? 1. A 70-year-old with pneumonia who needs IV antibiotics. 2. A 64-year-old client on a ventilator for whom a sterile sputum must be sent to the laboratory. 3. A 50-year-old with asthma who complains of SOB after using a bronchodilator. 4. A 55-year-old with COPD and a pulse oximetry reading from a previous shift of 94% saturation. - -

3. A 50-year-old with asthma who complains of SOB after using a bronchodilator.

Who is responsible for accepting, transcribing, and implementing physician orders? 1. Unit clerk 2. Medical intern or resident 3. Professional nurse 4. Medical assistant - -

3. Professional nurse

Science management focuses on: 1. Interpersonal relationships 2. Servant leadership 3. Staff development 4. Efficiency - -

4. Efficiency

Which of the following demonstrates a nurse as advocating for a patient? The nurse: 1. calls a nursing supervisor in conflicting situations 2. reviews and understands the law as it applies to the client's clinical condition 3. documents all clinical changes in the medical record in a timely manner 4. assesses the client's point of view and prepares to articulate this point of view. - -

4. assesses the client's point of view and prepares to articulate this point of view.

An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? [SATA] 1. The client is not sedated. 2. The doctor is present. 3. A family member is a witness. 4. The signature is in ink. 5. The patient understands the procedure - -

1. The client is not sedated. 5. The patient understands the procedure

Nursing has its origin with: 1. Florence Nightingale 2. The Knights of Columbus 3. Religious orders 4. Wars and battles - -

3. Religious orders

You are working on the trauma unit today, and your new patient with a femur fracture complains of leg pain and seems a little diaphoretic and short of breath. You assess the patient and prepare to contact the surgeon. In preparation for contacting the physician, you: 1. Immediately page the MD; it could be a pulmonary embolism, and time is of the essence. You will give him the particulars when the MD arrives. 2. Wait for the MD to round on his patient because it should be within the next hour or so. 3. Medicate the patient for pain and plan to contact the MD when he rounds. 4. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient. - -

4. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient.

An RN has asked a licensed practical nurse (LPN) to trim the toenails of a diabetic patient. The LPN trims them too short, which results in a toe amputation from infection. The patient files a lawsuit against the hospital. the RN, and the LPN. What might all three be found guilty of: 1. Unintentional tort 2. Intentional tort 3. Negligence 4. Malpractice - -

4. Malpractice

An effective leader will have: *SATA* 1. Courage and integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback - -

1. Courage and integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback

Effective nurse managers have: *SATA* 1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy - -

1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy

A patient is transported to the emergency department by rescue after being involved in a motor vehicle accident. The patient is alert and oriented but keeps stating he is having trouble breathing. Oxygen is started, but the patient is still showing signs of dyspne1. The patent suddenly develops respiratory arrest and dies. During the resuscitation process, it is discovered that the nurse failed to open the correct oxygen valve. The family sues the hospital and the nurse for: 1. Malpractice 2. Negligence 3. Nonmaleficence 4. Equipment failure - -

1. Malpractice

'The ANA Code of Ethics with Interpretive Statements' guides nurses in ethical behaviors. Provision 3 of the 'ANA Code of Ethics' says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Which of the following best describes an example of this provision? 1. Respecting the patient's privacy and confidentiality when caring for him 2. Serving on a committee that will improve the environment of patient care 3. Maintaining professional boundaries when working with a patient 4. Caring for oneself before trying to care for another person

1. Respecting the patient's privacy and confidentiality when caring for him

Nursing practice in the 21st century is an art and science that focuses on: 1. The client 2. The nursing process 3. Cultural diversity 4. The health-care facility - -

1. The client

A patient asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this situation? [SATA] 1. Beneficence 2. Autonomy 3. Veracity 4. Justice

2. Autonomy

TJC attributes 80% of all medical errors to: 1. Poor hygiene and hand washing 2. Poor hand-off communication 3. Poor work environment 4. Lack of care - -

2. Poor hand-off communication

The purpose of learning how to negotiate conflict is to: 1. Eliminate conflict entirely 2. Resolve conflicts more effectively 3. Win 4. Reduce stress - -

2. Resolve conflicts more effectively

Effective followers are those who are: 1. Passive employees 2. Skilled and self-directed employees 3. Less valuable employees 4. Employees who are never supportive of new ideas - -

2. Skilled and self-directed employees

An important competency that nurse leaders need to develop in order to lead effectively is the: 1. Ability to be firm and inflexible. 2. Ability to be close-minded and to ignore negative feedback. 3. Ability to communicate effectively with others. 4. Ability to follow orders without questioning them. - -

3. Ability to communicate effectively with others.

Which of the following is a characteristic of a bureaucratic organization? 1. Organic structure 2. Flexible teams 3. Rigid unit structures 4. Self-correction and self-control - -

3. Rigid unit structures

A democratic nurse leader consistently works to: 1. Move the group toward the leader's goals. 2. Make little or no attempt to move the group. 3. Share leadership with the group. 4. Dampen creativity. - -

3. Share leadership with the group.

An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit? 1. A 58-year-old on airborne precautions for TB 2. A 68-year-old who just returned from bronchoscopy and biopsy 3. A 63-year-old with COPD who is ventilator dependent 4. A 72-year-old who needs teaching about using an incentive spirometer - -

4. A 72-year-old who needs teaching about using an incentive spirometer

Implicit bias affects our understanding in an unconscious manner. A person's ability to recognize these biases can improve communication with patients and colleagues alike. Which of the following statements is true about implicit bias? 1. Implicit bias forms during a lifetime. 2. Implicit bias can influence clinical decision making and treatment. 3. Implicit bias contributes to an individual's social behavior. 4. All of the above - -

4. All of the above

Information aspects of a nurse manager's job include: 1. Evaluation 2. Resource allocation 3. Being a coach 4. Being a spokesperson - -

4. Being a spokesperson

An emotionally intelligent nurse leader: 1. Seeks the emotional support of others. 2. Cannot juggle multiple demands. 3. Works alone without help. 4. Welcomes constructive criticism. - -

4. Welcomes constructive criticism.

Nurse managers know that which of the following skills are necessary in order to be effective? Select all that apply. 1. Clinical expertise 2. Leadership capabilities. 3. Budgeting skills 4. Business sense - -

1. Clinical expertise 2. Leadership capabilities. 3. Budgeting skills 4. Business sense

A patient tells a nurse that he has an advance directive from 6 years ago. The nurse looks the medical record for the advance directive. What content should the nurse expect to find in the advance directive? [SATA] 1. Decisions regarding treatments 2. When to take the patient to the hospital 3. Do not resuscitate orders 4. Who should be notified in the case of illness, injury, or death 5. Durable power of attorney for health care 6. HIPAA protocols - -

1. Decisions regarding treatments 2. When to take the patient to the hospital 3. Do not resuscitate orders 5. Durable power of attorney for health care

Theory Y emphasizes: 1. Guidance, development., and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting, and time studies - -

1. Guidance, development., and reward

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical? 1. The hospital was supportive and assistive as the nurse coped with this event. 2. The nurse was dismissed for incompetence 3. The hospital quality department advised the nurse not to tell the patient about the error. 4. The nurse was resigned to an area in which there is no direct patient care responsibility. - -

1. The hospital was supportive and assistive as the nurse coped with this event.

A nurse is helping an NAP provide a bed bath to a comatose patient who is incontinent. Which of the following actions requires the nurse to intervene? 1. The nursing assistant answers the phone while wearing gloves. 2. The nursing assistant log-rolls the client to provide back care. 3. The nursing assistant places an incontinence diaper under the client. 4. The nursing assistant positions the client on the left side, head elevated. - -

1. The nursing assistant answers the phone while wearing gloves.

A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate? 1. The nurse is an employee; therefore, access to the chart is permissible. 2. Access to the chart requires a signed release form. 3. The relationship with the client provides the nurse special access to the chart. 4. The nurse can ask the surgeon to discuss the outcome of the surgery.

2. Access to the chart requires a signed release form.

When should a new graduate nurse consider taking on management responsibilities? 1. As soon as they are offered 2. After developing clinical expertise 3. After 15 years on the job 4. Before developing leadership expertise - -

2. After developing clinical expertise

A registered nurse who voices support for a client's decision NOT to undergo treatment for a life-threatening illness (despite the family's resistance) is engaging in: 1. Interpersonal communication 2. Assertive communication 3. Aggressive communication 4. All of the above - -

2. Assertive communication

Transformational nursing leaders have the ability to: 1. Reinforce the negative attitudes of the team. 2. Define the group's mission and communicate that mission to others. 3. Work best alone without assistance. 4. Focus on the weaknesses and shortcomings of others. - -

2. Define the group's mission and communicate that mission to others.

Servant leadership focuses on: 1. Helping patients care for themselves 2. Removing incompetent managers 3. Creating a supportive work environment 4. Resolving conflicts quickly - -

3. Creating a supportive work environment

If an informal negotiation session becomes too highly emotional, what should the nurse manager do? 1. Let the feelings flow. 2. Cancel the negotiation. 3. Deal with the feelings first. 4. Tell them to ignore the feelings and deal with the issues. - -

3. Deal with the feelings first.

A registered nurse arrives at work and is told to "float" to the ICU for the day because the ICU is understaffed and needs an additional nurse to care for the clients. The nurse has never worked in the ICU. Which of the following is the most appropriate nursing action? 1. Call the hospital attorney. 2. Call the nursing director. 3. Report to the ICU and identify tasks that can be safely preformed. 4. Refuse to float in the ICU. - -

3. Report to the ICU and identify tasks that can be safely preformed.

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? 1. The charge nurse is unavailable to help the nurses when they have questions about policies. 2. Some staff are afraid to ask particular charge nurses for help for fear of retribution. 3. The use of acronyms is confusing to staff members who are new to the unit. 4. All of the above - -

4. All of the above

The hospital has recently reorganized; therefore, several departments were closed. The patient census on the unit has increased. The staff have always had a strong team spirit, but the nurse manager knows that workflow changes can cause conflict. What can the nurse manager do to reduce the possibility of conflict among her team? 1. Monitor the quality of patient care. 2. Ensure that supplies and equipment are readily available. 3. Assess the equity of nursing assignments. 4. All of the above - -

4. All of the above

Several studies have shown that although care planning and advanced directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to completing an advance directive? [SATA] 1. African American race 2. Younger age 3. History of chronic illness 4. Lower socioeconomic status 5. Higher education - -

5. Higher education

Who stated that the "function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recover (or to peaceful death)"? 1. Henderson 2. Rogers 3. Robb 4. Nightingale - -

1. Henderson

The health-care facility has sponsored a continuing education offering on emergency management of pandemic influenz1. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone who might have that flu. I have kids to think about." What is true of this statement? [SATA] 1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency. 2. This statement reflects defamation and may result in legal action against the more 3. This statement is a breach of the Code of Ethics for Nurses 4. The nurse has this right as no nurse-patient contract has been established - -

1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency. 3. This statement is a breach of the Code of Ethics for Nurses

Which of the following is unique to a professional standard of decision making? [SATA] 1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently 3. Concrete thinking 4. Anticipates when to make choices without others' assistance - -

1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently

The EMR has many advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new patient for the very first time who informs her that he was recently hospitalized. Jane pulls up the patient's EMR and sees no information regarding his recent hospital stay. How could this have happened? 1. The patient's discharge was so recent that it is not available yet. 2. EMRs are usually practice or hospital specific, so the patient's information would not be accessible to Jane. 3. The patient was hospitalized out of state. 4. The patient has not signed the necessary consents to give Jane access. - -

2. EMRs are usually practice or hospital specific, so the patient's information would not be accessible to Jane.

Creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety? 1. Provision of adequate resources to provide care and service 2. Use of interprofessional collaboration to solve problems and assess risk 3. Adherence to staffing ratios 4. Encourages the reporting of errors and near misses - -

3. Adherence to staffing ratios

An RN new to the emergency department documented that "the patient was intoxicated and acted in a crazy manner." The team leader told the RN that this type of documentation can lead to: 1. Assault. 2. Wrongful publication 3. Defamation of character 4. Slander - -

3. Defamation of character

Transformational nursing leaders have the ability to: 1. Increase the negativity of the team. 2. Work best alone. 3. Define the group's mission and communicate that mission to others. 4. Pay close attention to the weakness and shortcomings of others. - -

3. Define the group's mission and communicate that mission to others.

If you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong? 1. Publicly (government) supported 2. Voluntary, not-for-profit 3. For-profit 4. All of the above - -

3. For-profit

Autocratic leaders: 1. Postpone decision making as long as possible 2. Share leadership with members of the team 3. Give orders and make decisions without consulting the team 4. Encourage creativity when problem solving - -

3. Give orders and make decisions without consulting the team

An RN sees an older woman fall in the mall. The RN help the woman. The woman later complains that she twisted and sprained her ankle. The RN protected from litigation under: 1. Hospital malpractice insurance 2. Good faith agreement 3. Good Samaritan law 4. Personal professional insurance - -

3. Good Samaritan law

Which of the following issues may be addressed in a collective bargaining agreement? 1. Shift differentials 2. Safe working environment 3. Grievance procedures 4. All of the above - -

3. Grievance procedures

Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? 1. Continuing education 2. Graduate education 3. In-service education 4. Professional Registered Nurse Education - -

3. In-service education

ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for: 1. Identify, Study, Background, Assess, Recognize, Readback 2. Issue, Situation, Better, Advise, Refer with Recommendations 3. Introduce, Situation, Background, Assess, Recommend, Readback 4. None of the above - -

3. Introduce, Situation, Background, Assess, Recommend, Readback

Nurse managers know that Theory X emphasizes: 1. Evaluation, budgeting, and time studies. 2. Guidance, staff development, and reward. 3. Supervision, monitoring, and reprimands. 4. Leadership and influence, not management. - -

3. Supervision, monitoring, and reprimands.

Nurse leaders understand that the *MOST* important difference between management and leadership is? 1. Management focuses primarily on the annual budget 2. Leadership is more focused on people skills. 3. Leadership is not concerned with getting work done in a timely manner. 4. Management is an assigned position. - -

4. Management is an assigned position.

The NCLEX for nurses is exactly the same in every state in the United States. The examination: 1. Guarantees safe nursing care for all patients 2. Ensures standard nursing care for all patients 3. Ensures that honest and ethical care is provided 4. Provides a minimal standard of knowledge for a registered nurse in practice - -

4. Provides a minimal standard of knowledge for a registered nurse in practice

Nursing and respiratory departments both experienced job cuts. The nurse manager notices that members of his staff are having more trouble getting a fast response from a respiratory therapist. What source of conflict is probably operating here? 1. Union-management conflict 2. Interpersonal problem 3. Cultural differences 4. Work intensification - -

4. Work intensification

Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the LEAST important to share with the oncoming nurse? 1. Telling the oncoming nurse what happened on the unit during the shift 2. Introducing the client and his or her diagnosis to the oncoming nurse 3. Sharing the nurse's personal opinion of the client 4. Reviewing new medication orders and the medication administration record (MAR) - -

3. Sharing the nurse's personal opinion of the client

A nursing assistant tells a registered nurse that a client who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should the nurse suggest to improve the client's comfort for this problem? 1. Suggest that a simple face mask be used instead of a nasal cannul1. 2. Suggest that the client be provided with an extra pillow. 3. Suggest that the client's oxygen be humidified. 4. Suggest that the client should sit up in a chair at the bedside. - -

3. Suggest that the client's oxygen be humidified.

Which of the following is a major reason why newly licensed nurses resign? 1. Poor pay scales 2. Needlestick injuries 3. Unsupportive management 4. Lack of advancement opportunities - -

3. Unsupportive management

What is the most desirable result of a problem resolution? 1. Win-lose 2. Lose-lose 3. Win-win 4. None of the above - -

3. Win-win