Leadership questions for final

The nurse assesses the preoperative patient for the use of herbal preparations. Which statement, if made by the patient causes the nurse concern? A. "I take garlic supplements daily to help lower my cholesterol level." B. "I take Echinacea on occasion to help with wound healing and the common cold." C. "I've been taking ginseng recently as an anti-aging remedy." D. "I take St. John's wort for depression."

A. "I take garlic supplements daily to help lower my cholesterol level."

A nurse approaches the nurse manager to ask for a raise. After some discussion about why the nurse feels a raise is warranted. The nurse manager suggests that they further discuss the raise over dinner. The nurse manager replies, "No dinner, no raise". Which of the following actions should the nurse take FIRST? A. Immediately document the incident. B. Immediately report the incident to the supervisor C. Immediately inform the nurse manager that the nurse does not want to go out to dinner D. Immediately contact the nurses family

C. Immediately inform the nurse manager that the nurse does not want to go out to dinner

Nurse Marlon understands that the delivery of quality of care to a specific client is the responsibility of the A. Institution providing the care B. Joint Commission C. Individual care provider D. Institution's medical staff and nursing administration

C. Individual care provider

Which of the following is one of the major issues people have faced with the Affordable care act? A. They are just saving too much money B. Not every state allows the ACA C. Many policy holder's premiums have increased and not decreased D. The ACA doesn't allow for pre-existing conditions

C. Many policy holder's premiums have increased and not decreased

To avoid hospital readmission, a patient requires services at a specialty clinic. As the services are not covered under the patient's healthcare plan, a nurse case manager intercedes with the patient's insurance company. In this situation, the nurse case manager is acting in the role of: A. Broker B. Consultant C. Negotiator D. Provider

C. Negotiator

Which of the following is not a scale from the EQ 2.0 model? A. Self- expression B. Interpersonal C. Personal relationships D. Decision making

C. Personal relationships

The most important features of the Affordable Care Act of 2010 that the community-oriented nurse needs to understand to provide resource information to clients are that the Act: (select all that apply) A. Uses piecemeal approach to strengthen the safety net. B. Replaces the rational equitable health care system. C. Provides insurance reform. D. Increases access to affordable health care insurance.

C. Provides insurance reform. D. Increases access to affordable health care insurance.

The nurse caring for a patient with Parkinson's disease. The patient informs the nurse that he has been angry with God because of his worsening health, but after talking to the hospital chaplain, he is ready to return to church choir and become active again in the men's group at the church. Why is an appropriate nursing diagnosis for this patient? A. Spiritual distress B. Impaired religiosity C. Readiness for enhanced spiritual well-being D. Risk for loneliness

C. Readiness for enhanced spiritual well-being

The nurse is about to enter her 8th hour of her fourth shift this week on a Medical Surgical floor. She is tired and feels overworked. One of the nurses becomes ill and leaves the floor. The nurse manager asks the nurse if she can care for two of the ill nurse's patients until a replacement nurse comes in. What is the BEST example of emotional intelligence when replying to the nurse manager? A. She grudgingly agrees, but internally prepare to blame the ill nurse if anything bad happens to the patients." B. She agrees to do so because she want to help. She'll find a way somehow. C. She informs the nurse manager of her current workload and asks if a nursing assistant is available to help her with the extra patients. D. She tells the nurse that she has enough on her plate and that it's not her responsibility to do anyone else's work.

C. She informs the nurse manager of her current workload and asks if a nursing assistant is available to help her with the extra patients.

Authoritative statements addressing the foundational knowledge and skills of a nurse case manager's actions are: A. Codes of conduct B Codes of ethics C. Standards of practice D. State licensures

C. Standards of practice

A nurse manager suspects that someone in her staff is being sexually harassed by a doctor what is the NEXT step in solving the problem? A. Confront the doctor about the suspicion B. Report the doctor to the overhead C. Therapeutically approach the nurse about the suspicion to confirm D. Don't do anything about the issue she is a grown women

C. Therapeutically approach the nurse about the suspicion to confirm

The 23-year-old patient tells the nurse that she has been experiencing extreme anxiety caused by problems at her workplace. The patient stated that sitting at a desk all day while at work increases her anxiety. Which alternative therapy is most appropriate for the nurse to suggest for this patient? A. Acupressure B. St. Johns Wort C. Walking meditation D. Cupping

C. Walking meditation

A nurse wants to decrease the anxiety of her patient's in the acute care facility... what is the BEST way to predict what the patient's anxiety level is going to be? A. Does the patient have a spouse and children? B. How many family members does the patient have that died of cancer? C. What's the patient's level of emotional intelligence? D. How many comorbidities does that patient have?

C. What's the patient's level of emotional intelligence?

A patient is admitted to the Emergency Department with shortness of breath. Upon assessment the nurse determines that the patient is in respiratory distress and calls the physician for orders. The MD orders a STAT ABG and CXRAY. The nurse is performing which key roles in this situation? A) Provider of Care B) Collaborator C) Patient Advocate D) All of the above

D) All of the above

Doctor of Nursing Practice (DNP) programs differ from Master level programs because education includes which of the following key focuses? A) Leadership B) Evidenced based practice C) Quality improvement D) All of the above

D) All of the above

What services can an ARNP provide? A) Interpret an ECG B) Prescribe antibiotics C) Perform an excision on a Squamous Cell Carcinoma D) All of the above

D) All of the above

The ANCC does a recognition process to evaluate a hospitals adherence to the standards that are needed to be met. What are the benefits for nurses at a magnet status hospital? A. Better work environment B. Better patient to nurse ratios C. Better nurse retention D. All of the above

D. All of the above

Healthy People 2020 is published by the: A. Centers for Disease Control and Prevention. B. Department of the Interior. C. World Health Organization. D. Department of Health and Human Service

D. Department of Health and Human Service

The nurse, while working with a client to support and assess spirituality should first: A. Refer the client to the agency chaplain B. Assist the client to use faith to get well C. Provide a variety of religious literature D. Determine the client's personal belief system

D. Determine the client's personal belief system

What issue should concern nurses because of the implementation of the Affordable Care Act? A. Nurses are getting paid less money B. Nurses are getting taxed at a higher rate due to the reform C. Nurses don't qualify for the ACA D. Nurses are receiving higher patient loads

D. Nurses are receiving higher patient loads

The nurse cares for a patient who has suffered a severe head injury after a traumatic car crash. THe Patient"s family asks the nurse if they can do anything to help their family member who is unconscious. Which complementary and alternative medicine therapies may the nurse offer for the family? A. Herbs B.Massage therapy C. Journaling D. Prayer

D. Prayer

Ideally, nursing case management planning identifies goals that are: A. Anticipated, acceptable, and appropriate. B. Challenging and timely. C. Patient-focused and cost-effective. D. Realistic, measurable, and specific.

D. Realistic, measurable, and specific.

Which description best describes the role of a parish nurse? A. A nurse who works to reintegrate the healing tradition into the life of a faith community B. A trained layperson who provides the spiritual needs of the congregation or parish C. Spiritual leader, such as a minister, who is also a registered nurse D. A nurse who provides home health services similar to a visiting nurse

A. A nurse who works to reintegrate the healing tradition into the life of a faith community

Which of the generations is challenged by sharing leadership with other generations? A. Baby boomers B. Generation Y C. Generation X D. Generation Z

A. Baby boomers

What is a critical factor for achieving magnet status based on nurses? A. Baccalaureate degree nurse B. Associates degree nurse C. Licensed practical nurse D. Masters degree nurse

A. Baccalaureate degree nurse

A nurse, when documenting the health details of a client in an acute care agency, fills out all the details under assessment, diagnosis, planning, and implementation. What did the nurse miss as per the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) standards? A. Client's past medical history. B. Physician's feedback. C. Client's diet chart. D. Evaluation of outcomes.

A. Client's past medical history.

You have been identified as a Millennial Generation nurse. You are working with a team of three LVNs, two of whom are Baby Boomers and one is a Generation X nurse. You also are working with two CNAs both who are Baby Boomers. What should you focus on when working with your team? A. Communication and teamwork among the staff of all generations is critical in assuring a positive work milieu that can affect safe patient care and good working relationships. B. All of the staff members will resent you because you are much younger and more educated than any of them. C. Your reputation is dependent on whether the team members acknowledge your authority and provide you with respect even if you are the youngest person on the team. D. Providing the LVNs with additional responsibilities and have then supervise the CNAs in whatever manner they choose

A. Communication and teamwork among the staff of all generations is critical in assuring a positive work milieu that can affect safe patient care and good working relationships.

A nurse manager telephones one of her nursing staff to ask if they would be able to come in for an extra shift. The nurse responds by saying "sorry, I have plan. Maybe next time." This nurse was most likely apart of what generation? A. Generation Y B. Baby Boomers C. The traditionalists D. Generation X

A. Generation Y

What failed promise did President Obama make in 2009 before the implementation of the ACA? A. He promised he would allow people to keep their current insurance plans and current healthcare providers B. He promised that he would provide free healthcare for every American C. He promised to raise premiums D. He promised to allow pets to be included in the coverage

A. He promised he would allow people to keep their current insurance plans and current healthcare providers

What style of management do magnet status hospitals utilize? A. Participative management B. Autocratic management C. Persuasive management D. Laisssez-fair management

A. Participative management

The family members of a dying patient asked for the chaplain to help in having a member of the clergy to come to the patients bedside to perform the anointing of the sick. The nurse who is providing care for the patient should recognize the family is practicing what religion? A. Roman Catholic B. Jehovah's Witness C. Jewish D. Christian scientist

A. Roman Catholic

Which of the following are considered apart of the 5 Emotional Intelligence competencies? (select all the apply) A. Self awareness B. Intelligence C. Empathy D. Manipulation E. Self regulation

A. Self awareness C. Empathy E. Self regulation

A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child might have been physically abused? A. The child shrinks at the approach of adults. B. The child begs or steals food or money. C. The child is frequently absent from school. D. The child is delayed in physical and emotional development.

A. The child shrinks at the approach of adults.

Which scenario demonstrates horizontal violence in the workplace? A. The older experienced nurse is bullying the new nurse on the floor. B. The older doctor is bullying the new nurse on the floor. C. The dietician is bullying the new nurse on the floor. D. The patient is bullying the new nurse on the floor.

A. The older experienced nurse is bullying the new nurse on the floor.

Upon assessment, the nurse is addressing the beliefs of a newly admitted man who reports practicing the Adventist religion. Based on the nurse's familiarity with his religion, she appropriately asks the patient: A. What are your beliefs about the use of narcotics for pain? B. Is that acceptable for the healthcare team to remove undergarments in an emergency? C. What are your beliefs about blood transfusions? D. Do you receive care from a medicine man or woman?

A. What are your beliefs about the use of narcotics for pain?

A dying patient request that the nurse pray with him. The nurse is not accustomed to praying out loud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this patient? A. the nurse should select a formal prayer or Bible passage to use to pray out loud B. the nurse should defer to the patient's request to pray C. the nurse should inform the patient that she pray for the patient but not with him D. the nurse had asked the patient's roommate to pray with the patient

A. the nurse should select a formal prayer or Bible passage to use to pray out loud

To increase quality and years of healthy life, Healthy People 2020 focuses on four areas. One of those areas is: A. Allowing people to continue current behaviors to reduce the stress of change. B. Focusing only on individual health changes that will lead to better communities. C. Creating social and physical environments that promote good health. D. Focusing on illness treatment to provide fast recuperation.

C. Creating social and physical environments that promote good health.

An argument for passing "universal health care" legislation is that it would help fulfill the Healthy People 2020 goal of: A. Increasing quality of life in America. B. Prolonging healthy life in America. C. Eliminating health disparities in America. D. Promoting healthy behaviors.

C. Eliminating health disparities in America.

Who are the largest credentialing bodies for NP's? (Select all that apply) A) American Nurses Association B) American Nurses Credentialing Center C) American Academy of Nurse Practitioner's D) International Council of Nurses

B) American Nurses Credentialing Center C) American Academy of Nurse Practitioner's

The IHI defines their "Triple Aim of healthcare" as: A) Better nurses, better physicians, better specialists B) Better care, better health, lower healthcare costs C) Better food, better jobs, better outcome D) Better care, improved health, higher costs

B) Better care, better health, lower healthcare costs

Which primary resource guides the nurse case manager's practice? A. American Case Management Association Member Code of Conduct. B. Case Management Society of America's Standards of Practice. C. Nursing: Scope and Standards of Practice. D. Nursing's Social Policy Statement: The Essence of the Profession.

B. Case Management Society of America's Standards of Practice.

It is important for nurses to be aware of generational differences when caring for individuals. Baby boomers are known for their: A. Paying dues and conformity B. Defining themselves through their employment C. Being comfortable with technology D. Independence and changing employment places often

B. Defining themselves through their employment

The purpose of Healthy People 2020 is to: A. examine world health needs. B. evaluate accomplishments for years 2010-2020. C. focus primarily on infant health and mortality. D. examine funding issues for health care

B. Evaluate accomplishments for years 2010-2020.

A nurse wants to learn specific skills in order to become a change agent and improve health care. What organization should he/she look into? A. American Nurses Association (ANA) B. Institute for Healthcare Improvement (IHI) C. The Joint Commission D. National Student Nurses Association (NSNA)

B. Institute for Healthcare Improvement (IHI)

A nurse's knowledge about spirituality begins with him or her: A. Researching all popular religions B. Looking at his or her own beliefs C. Sharing his or her faith with the clients D. Providing prayers and religious articles for clients

B. Looking at his or her own beliefs

Which generation is most accustom to the recent implantation of technology in the workplace? A. Baby Boomers B. Generation X C. Generation Y D. Generation Z

C. Generation Y

The new nurse has been working on the floor for only 2 weeks and although she has been oriented she still has questions. She asks her mentor, Susan, a question. Susan puts her hand near Renee's face, gesturing for her to "Stop," and says in a loud voice, "I told you the answer to that this morning. Why are you bothering me again?". What would be the appropriate response to Susan's gesture? A. Timidly walk away and never bother her again B. Pull Susan aside and explain to her in an assertive yet polite manner that you do not appreciate her reaction to your question C. Yell back at Susan and tell her she has no right to put her hand in your face D. Run and tell your co-workers and colleagues what Susan has done

B. Pull Susan aside and explain to her in an assertive yet polite manner that you do not appreciate her reaction to your question

What is the purpose of the ANA's Scope and Standards of Practice? A. To describe the ethical responsibility of nurses B. To define the activities that are special and unique to nursing C. To establish nursing as an independent and free standing profession D. To regulate the practice of nursing

B. To define the activities that are special and unique to nursing

To provide additional information to clients regarding the Affordable Care Act, which electronic resource would be MOST helpful? A. www.findahealthcare.HRSA.gov B. www.healthcare.gov C. www.SupportObama.com D. www.pba.edu

B. www.healthcare.gov

Upon admission, the patient confirms the use of herbal remedies. Which reason should the nurse ask to determine whether additional education is needed for this patient? A. "Have you told your doctor about the use of these herbs?" B. "Did you know that herbal preparations are not regulated." C. "What do you take, and how often do you take it?" D. "What side effects do you currently have from the use of these herbs?"

C. "What do you take, and how often do you take it?"

A patient recently diagnosed with cancer informs the nurse that she values faith and finds comfort in her faith. The nurse is aware that faith is best defined as which of the following? A. Practice associated with all aspects of a person life B. An organized belief system about a higher power C. A belief in something for which there is no proof or material of evidence D. A positive outlook even in the bleakest moment

C. A belief in something for which there is no more material evidence.

All of the following are steps in developing emotional intelligence except: A. Relationship management B. Social skills C. A healthy diet and exercise D. Relationship management

C. A healthy diet and exercise

Who is responsible for the recognition hospitals for magnet status? A. ANA B. NLN C. ANCC D. AACN

C. ANCC

A nurse who provides care on a palliative unit of a hospital is aware of the importance of spiritual assessment and the integration of spirituality into patient's care. What assessment questions should the nurse use in an effort to determine the patient's spiritual beliefs? A. Do you hold a belief in the afterlife? B. what church do you normally attend? C. Are there any spiritual or religious beliefs or practices that are important to you? D. If you had to identify yourself as either a religious person or spiritual person, which would you choose?

C. Are there any spiritual or religious beliefs or practices that are important to you

The nurse notices a patient diagnosed with major depression crying in the day room. The nurse puts her hand over the patient's shoulder and states, "Let's talk about it." Which of the following ethical principles describes the nurse's action? A. Autonomy B. Veracity C. Beneficence D. Non-maleficence

C. Beneficence

What was one of the main purposes for starting the magnet recognition? A. Increasing HCAP scores B. Better patient education C. Better nurse recruitment and retention D. Running a more efficient hospital

C. Better nurse recruitment and retention

The patient with an infected wound anticipates her painful daily dressing change. Which complementary alternative medicine therapy could the nurse offer to this patient prior to the dressing change? A. Ayurvedic medicine B. Medical marijuana C. Guided imagery D. Diet modifcation

C. Guided imagery

A pediatric patient who is ventilator-dependent and has a gastrostomy button is scheduled to be discharged to home with visits from a home health nurse. Prior to discharge, the nurse case manager's most critical action is to: A. Assess the patient's long-term home care needs. B. Procure the required home medical equipment. C. Secure funding sources for home health care. D. Verify that the patient is being discharged to a safe environment.

D. Verify that the patient is being discharged to a safe environment.

Although the life expectancy has increased, Healthy People 2020 will focus on the older adult's need for: A. better pharmacy insurance coverage. B. improved extended care facilities. C. increased compliance to medical protocols. D. maintenance of independent lifestyles.

D. maintenance of independent lifestyles.

Which of the following phrases describes one of the purposes of the ANA's nursing's social policy statement? A. to describe the nurse as a dependent caregiver B. To provide standards for nursing educational programs C. to regulate nursing research D. to describe nursing's values and social responsibility

D. to describe nursing's values and social responsibility