Leadership Questions

Which of the following must be done by an RN and not a nursing assistant? (Select all that apply.) A. Admitting a patient from the post-anesthesia care unit B. Ambulation post-op day 1 C. Ambulation post-op day 4 D. Normal skin care E. Patient teaching F. Suctioning

A, B, E, F A. Admitting a patient from the post-anesthesia care unit B. Ambulation post-op day 1 E. Patient teaching F. Suctioning

The nurse is reviewing her yearly evaluations and sees her supervisor lists altruism as one of her strong assets as a nurse. Altruism can be defined as: A. "The concern of well being and welfare of others." B. "Honesty and providing care according to code of ethics." C. "Treats all patients fairly and equally." D. All of the above

A. "The concern of well being and welfare of others."

The RN knows that an example of a diagnostic error is: A. A failure to act on critical lab results reported. B. The failure of an IV pump to infuse at the programmed rate. C. Error in administering a PO medication. D. Error in calculating an IV drug dose.

A. A failure to act on critical lab results reported.

The charge nurse is assigning patients to a floating nurse in the emergency room. Which of the following patients should be assigned to the floating nurse? A. A patient who cannot sleep B. A patient complaining of chest pain C. A 20 year old with asthma who has audible wheezes D. A patient with sudden shortness of breath and cyanosis

A. A patient who cannot sleep

Which task would you not delegate to a nurse's assistant? A. Reposition patients every two hours. B. Taking patients vitals. C. Administer ordered Tylenol to patient. D. Give an immobile patient a bed bath.

C. Administer ordered Tylenol to patient.

Group members feel dissatisfied with their inflexible and impersonal leadership. The leader relies on rules and policies to direct the group's efforts. Which leadership style best reflects this example? A. Shared leadership B. Laissez-faire leader C. Bureaucratic leader D. Situational leader

C. Bureaucratic leader

A float nurse is assigned to a surgical unit. The nurse is receiving 2 clients from the post anesthesia care unit (PACU) at the same time. When delegating tasks to other PACU personnel who are not known to the nurse, which question would be most important to ask? A. Are you comfortable in performing the tasks being assigned? B. What is your highest educational level? C. How long have you worked on the floor? D. Who provided you the unit training?

A. Are you comfortable in performing the tasks being assigned?

Jenna is a nurse from the medical-surgical unit of a tertiary hospital. She was asked to float to the orthopedic floor, in which she has no prior experience working. Which client should be assigned to her? A. Client who had a total hip replacement two days ago and needs blood glucose monitoring. B. Client with a cast for a fractured femur and who has numbness and discoloration of the toes. C. A client with balanced skeletal traction and needs assistance with morning care. D. A client who had an above-the-knee amputation yesterday and has currently has a temperature of 101.4ºF.

A. Client who had a total hip replacement two days ago and needs blood glucose monitoring.

According to Benner et al. (2010) the definition of professional behaviors is: A. Effective nursing actions that form helping relationships based on technical knowledge and expertise. B. A process that facilitates the transformation of an individual from a lay person to a professional nurse. C. Adherence to a strict moral or ethical code. D. Any attempt to use one's position or authority to shame, control, demean, humiliate, or denigrate another individual in order to gain emotional, psychological, or physical advantage over that individual.

A. Effective nursing actions that form helping relationships based on technical knowledge and expertise.

A client reports of a headache to an unregulated care provider (UCP). The UCP reports the client's concerns to the nurse, who is busy with other clients. What is the best action by the nurse to address the client's headache? A. Have the UCP inform another nurse that the client needs assistance. B. Delegate the UCP to administer acetaminophen. C. Ignore the UCP and continue with other clients. D. Ask UCP to do a thorough assessment of patient and determine best action.

A. Have the UCP inform another nurse that the client needs assistance.

A nurse who is a young unit manager is in charge of staff nurses who are senior to her, very articulate, confident, and sometimes aggressive. The nurse believes that she is the scapegoat of everything that goes wrong in her department. Which of the following is the best action for the nurse to take? A. Identify the source of conflict and understand the points of friction. B. Disregard what she feels and continue to work independently. C. Seek help from the Director of Nursing. D. Quit her job and look for other employment.

A. Identify the source of conflict and understand the points of friction.

The selection of a nursing care delivery system (NCDS) is critical to the success of client care in a nursing area. Which factor is essential to the evaluation of an NCDS? A. Identifying who will be responsible for making client care decisions. B. Determining how planned absences, such as vacations, will be scheduled so that all staff are treated fairly. C. Deciding what dress code will be implemented. D. Identifying salary ranges for various types of staff.

A. Identifying who will be responsible for making client care decisions.

The charge nurse is going over the Rights of Delegation with a staff nurse. The charge nurse recognizes that further teaching is needed when the staff nurse names which of the following as a Right of Delegation? A. Right room B. Right task C. Right supervision D. Right direction

A. Right room NEVER use the room as an identifier!

A charge nurse tells a new nurse, "You really need to get your skills up to speed." The statement hurts and embarrasses the new nurse. How can she best handle the situation? A. Tell the charge nurse she feels hurt by her statement. B. Ask for a private meeting to explore the charge nurse's concerns in detail. C. Tell the charge nurse she needs to be more specific about what she means. D. Discuss her feelings with a coworker in order to vent.

B. Ask for a private meeting to explore the charge nurse's concerns in detail.

Which of the following is not a goal of functional nursing? A. Emphasize use of group collaboration B. One-to-one nurse patient ratio C. Provides continuous, coordinated and comprehensive nursing services D. Concentrates on tasks and activities

B. One-to-one nurse patient ratio

A nurse is caring for a patient with an order for placement of an indwelling urinary catheter. The nurse knows it is appropriate to delegate this task to which of the following personnel? A. This task can be delegated to the certified nursing assistant (CNA). B. This task can be delegated to the licensed practical nurse (LPN). C. This task can be delegated to the unlicensed assistive personnel (UAP). D. This task may only be performed by a registered nurse (RN).

B. This task can be delegated to the licensed practical nurse (LPN).

A nurse is completing discharge teaching for a client who is about to be discharged to home following a total hip replacement. The client asks the nurse why there is a case manager involved and expresses confusion about who is in charge. The client states, "I thought the doctor manages my care." Which is the best response by the nurse? A. "No, I manage your care." B. "You are correct; the doctor is responsible for managing your care." C. "A case manager coordinates everyone involved in your care to ensure your needs are met." D. "The case manager delegates your care to the nurse."

C. "A case manager coordinates everyone involved in your care to ensure your needs are met."

The registered nurse is planning the client assignments for the day. Which is the most appropriate assignment for an Unlicensed Assistive Personnel (UAP)? A. A client requiring a colostomy irrigation. B. A client receiving continuous tube feedings. C. A client who requires urine specimen collections. D. A client with difficulty swallowing food and fluids.

C. A client who requires urine specimen collections.

An unlicensed assistive personnel (UAP) is providing care to a client with left-sided paralysis. Which action by the UAP requires the nurse to provide further instruction? A. Elevating the foot of the bed to reduce edema B. Providing passive range of motion exercises to the left extremities during the bed bath C. Pulling up the client under the left shoulder when getting the client out of bed to a chair D. Putting high top tennis shoes on the client after bathing

C. Pulling up the client under the left shoulder when getting the client out of bed to a chair

Samantha has been promoted as the new nurse manager. She wants to be an effective leader who exhibits dedication for serving her staff rather than being served. She wants to take the time to listen, prefers to be a teacher first before being a leader, which is a characteristic of? A. Transformational leader B. Charismatic leader C. Servant leader D. Transactional leader

C. Servant leader

_________is the means by which an interdisciplinary team works with a client to ensure that the client receives the care necessary to meet his needs across the healthcare continuum.

Care Coordination

The nurse is helping a nursing assistant who is giving a bed bath to a comatose patient who is incontinent. The nurse should intervene if she notices which of the following actions? A. The nursing assistant log rolls the patient to perform back care. B. The nursing assistant places an incontinence pad under the patient. C. The nursing assistant elevates the patient's head and rolls them onto their left side. D. The nursing assistant answers the phone with gloves on.

D. The nursing assistant answers the phone with gloves on.

A document that lists the medical treatment a person chooses to refuse if unable to make decisions is the: A. Durable power of attorney. B. Informed consent. C. Will. D. Advance directive.

D. Advance directive.

Barriers to coordinated care may include: A. Deficient patient knowledge. B. Limited access to resources. C. Non-adherence to the care plan. D. All of the above

D. All of the above

Samantha, the nurse manager, has realized that one of her nurses is experiencing burnout. Which of the following is the best thing for her to do? A. Advise the nurse to take a long vacation. B. The nurse manager should ignore what she has observed; it will be resolved without intervention. C. Remind the nurse of her loyalties to the hospital. D. Let the nurse verbalize her feelings and ask how she could help.

D. Let the nurse verbalize her feelings and ask how she could help.

A registered nurse on telemetry floor is preparing to discharge a patient. The patient has a 22 gauge IV on the left forearm that needs to be removed. While the preparing for the patient's discharge instructions, the registered nurse can delegate this task to which of the following? A. Charge nurse B. Unlicensed assistant personnel (UAP) C. The physician D. Licensed practical nurse (LPN)

D. Licensed practical nurse (LPN)

At a staff meeting, a nurse manager shares that the unit is over budget by 2% and needs to reduce costs. A staff nurse suggests that report could be shortened so that nurses could finish their shifts on time. How should the nurse manager measure the success of this idea? A. Observe the change of shift report to determine how many nurses are leaving on time at the end of the shift. B. Delegate end-of-shift monitoring to the charge nurses C. Review the capital budget on a monthly basis D. Monitor for a reduction in hours per client day

D. Monitor for a reduction in hours per client day

A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP). Which principle would the nurse follow when delegating tasks? A. The RN must directly supervise all delegated tasks. B. Follow-up with a delegated task is only necessary if the UAP is untrustworthy. C. After a task is delegated, it's no longer the RN's responsibility. D. The RN delegates a task based on the UAP's skill set.

D. The RN delegates a task based on the UAP's skill set.

The nurse is making team assignments and is assigning tasks to the unlicensed assistive personnel (UAP). What information should the nurse know before delegating tasks to the UAP? A. Whether the UAP has previously completed and practiced the delegated activities. B. All nursing activities performed by the UAP should be directly supervised by a registered nurse. C. Some nursing activities performed by the UAP should be directly supervised by a registered nurse. D. The UAP's level of knowledge and comfort level in performing specific nursing activities should be considered.

D. The UAP's level of knowledge and comfort level in performing specific nursing activities should be considered.

When delegating to other nurses, the delegator must use critical thinking and professional judgment and must follow the __________?

Five rights of delegation. 1. Right task 2. Right circumstance 3. Right person 4. Right direction 5. Right supervision

_________is the belief in the importance and moral worth of work.

Work Ethic