Leadership/Mgmt module questions
What is the term for the notion that the person with the most direct control or influence on financial elements such as revenues, expenses, assets, and liabilities should be held accountable for them?
responsibility accounting
What do you think Diana will say? Is this considered informed consent?
yes
What is the term used to identify the ommission of doing something that a reasonable person would do, guided by the considerations that ordinarily regulate human affairs?
negligence
A nurse manager has a high turnover rate of assistant managers in the unit. The current assistant manager states to the manager, "I may not be the right fit for this position. I can't keep up with the amount of work and delegated tasks." What delegation error is the manager making?
overdelegating
Which legal act gives patients the right to determine their desired end-of-life care?
patient self-determination act
The budget uses numerical data to predict short- and long-term needs of an organization. (t/f)
true
Health care reimbursement affects both the operational budget and the departmental budget. (t/f)
true
What area do consumers value the most when seeking health care?
high quality, low cost, and ability to meet patient outcomes
Which combination of burden of proof and consequence indicate a CIVIL case?
Burden of proof: based on a preponderance of evidence consequence: monetary damages
The diversity in current health care work force affects how each member approach specific assigned goals which influence completion of delegated tasks. this is thought to be related to the ____.
Differences in approach to tasks related to priority setting
Which one of the following legislations guarantees overtime?
Fair labor Standards Act (FLSA)
A nurse would be considered liable if he or she fails to report a witnessed violation of the nurse practice act. (t/f)
true
A nurse manager is evaluating the current fiscal year budget. Which statement regarding the evaluation stage of the budgetary process is most accurate?
Large variations from the projected budget must be examined
Which one of the following establishes criteria for the education and licensure of nurses?
Nurse practice acts
A nurse manager is considering revising the budget cycle for the nursing unit. Which budget cycle has the greatest probability for error?
Planning for the distant future
Which one of the following legislations extends civil rights to people with disability?
Rehabilitation Act
HIPPA gives the nurse leader a platform in which the nurse leader can prevent conflicts resulting from ineffective communication among staff members and patients. (t/f)
true
A nurse manager is performing a daily assessment of staffing needs. When determining if staffing adjustments are needed, which data should the current NCH/PPP calculation be compared ti?
The budgeted NCH/PPP for the unit
A nursing manager is considering the budget for a nursing unit as compared with the overall institutional budget. Which is the most negative outcome of multiple nursing units "padding" or inflating their department budgets to cushion against administrative cuts?
The entire institution's budget may be ineffective
A nurse manager is performing a daily assessment of staffing needs. If the current NCH/PPP is greater than the budgeted NCH/PPP for the unit, which action should be implemented to keep staffing on track?
The nursing staff should be reduced for the current shift
Why should nurses be aware of the rights and duties of legal matters?
They are better able to protect themselves
What is the focus of the Patient Self-Determination Act (PSDA)? (Select all that apply.) a. Informing patients about advance directives (AD) b. Educating the patient to the various spiritual and religious services the facility offers c. Educating staff concerning end-of-life issues d. Educating patients regarding the role of a health-care proxy e. Providing patients with written information about health care durable power of attorney
a. Informing patients about advance directives (AD) c. Educating staff concerning end-of-life issues d. Educating patients regarding the role of a health-care proxy e. Providing patients with written information about health care durable power of attorney
The Equal Employment Opportunity Commission defines discrimination as including which forms of discrimination? (Select all that apply.) a. Sexual harassment b. Age c. Political affiliation d. Race or color e. Pay/compensation
a. Sexual harassment b. Age d. Race or color e. Pay/compensation
A charge nurse has delegated specific tasks to the team and feels as though one of the nurses is resistant to the task delegated. What might be reasons that the nurse is resistant? (select all) a. the nurse has an inherent resistance to authority b. the task is well communicated c. the task has a specific time frame d. the nurse feels overloaded e. the nurse feels incapable
a. the nurse has an inherent resistance to authority d. the nurse feels overloaded e. the nurse feels incapable
When considering the MORAL decision-making model, what step is the nurse engaging in when developing a plan of care?
affirming
A nurse leader identifies that a competent RN is incapable of completing a task that falls within the RN scope of practice. The RN's inability is due to lack of training. Which of the following actions should the nurse leader take next
assign a mentor or coach to the RN to achieve competence
A nurse manager is performing a daily assessment of staffing needs. Which statements about calculating the NCH/PPP are most accurate? (select all that apply) a. The calculation of the NCH/PPP absolutely determines staffing needs b. The calculation should include all members of the nursing staff on duty c. The first step is to calculate the number of staff for the 24-hour period d. The calculation includes the total staff for any 12-hour shift that day e. The total staff for 24 hours is divided by the patient census at 12 a.m.
b. The calculation should include all members of the nursing staff on duty c. The first step is to calculate the number of staff for the 24-hour period e. The total staff for 24 hours is divided by the patient census at 12 a.m.
A nurse manager is performing a daily assessment of staffing needs. Which types of nursing units can successfully use a predetermined standard of nursing staffing for the patient census? (select all that apply) a. emergency department b. speciality care units c. operating room d. home care e. general medical-surgical units
b. speciality care units c. operating room d. home care e. general medical-surgical units
The nurse engages in actions to promote the good of the patient. the nurse is engaging in fulfillment of which ethical principle?
beneficence
which combination of burden of proof and consequence is required for a CRIMINAL case?
burden of proof: beyond a reasonable doubt consequence: incarceration, probation, fines
Which type of law regulates the practice of nursing?
civil law
A nurse manager is preparing the annual budget for the coming fiscal year, and is considering what the goal is of using the allocated funds. What stage of the budgetary process is this?
diagnosis
What action is not necessary to correct this HIPPA violation?
diana must find another patient to use as an example
Which of the following creates the potential for successful delegation as emphasized by the National Council State Board of Nursing?
effective communication
Which budgeting approach can foster overspending?
incremental
Elements that affect the nurse leader's ability to properly delegate to members of the diverse work force include which of the following?
social organization
A nurse manager is reviewing the budget for the nursing unit. Which budget covers the expenditures for the unit's workforce?
personnel
Which of the following refers to the system in which facilities join a payment system, whereby they receive a specified fixed payment for each medicare patient's admission, regardless of the actual cost?
prospective payment system (PPS)
Litigation is the process of bringing forth and trying a lawsuit. (t/f)
true
what percentage of nurses receive no ethical training?
25%
A nurse manager is performing a daily assessment of staffing needs. Which data would be needed to calculate the NCH/PPP? (select all that pply) a. work hours for each staff member on duty b. census for the entire calendar year c. staff on duty for 24 hours from 11 p.m. d. staff on duty for 24 hours from 12 a.m. e. patient census as of midnight on day two
a. work hours for each staff member on duty c. staff on duty for 24 hours from 11 p.m. e. patient census as of midnight on day two
You could encounter many potential legal issues as a Nurse Leader. Which of these things do you think could happen? (select all that apply) a. you could get sued for malpractice b. a plaintiff against you could be awarded money for negligence c. you could lose your license as a result of a lawsuit d. you are at increased risk of legal liability in today's modern health care system.
a. you could get sued for malpractice b. a plaintiff against you could be awarded money for negligence c. you could lose your license as a result of a lawsuit d. you are at increased risk of legal liability in today's modern health care system.
Which of the following are factors that affect the ability to forecast the budget? a. economics b. political culture c. mission and philosophy of the organization d. legislative climate e. social climate
all of the above
When the care required of a patient comes into conflict with the nurse's personal beliefs, what situation exists?
an ethical dilemma
What is the nurse manager's focus when addressing issues represented by Title VII?
civil rights of staff and patients
A charge nurse is delegating to a staff member who is resistant to authority. After delegating a task to the staff member, what action should the charge nurse have the staff member do to ensure compliance?
ensure the staff member has a voice in how the task is completed
A member of a nursing team reports being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage this situation?
examine the workload and assist the individual in reprioritizing
A patient can give informed consent by verbalizing understanding prior to receiving a complete explanation of medical-surgical treatment options. (t/f)
false
It is not necessary for the nurse leader to develop a budget cycle; the emphasis should be on assessing departmental needs. (t/f)
false
Nurse leaders are responsible for licensing nurses. (t/f)
false
The nurse leader does not need to be concerned with the budgeting process steps. (t/f)
false
a wrong committed against another person or property is a tort. (t/f)
true
it is important that the nurse understands the difference between controlling a patient's decision and assisting the patient with an informed decision (t/f)
true
nurses should be concerned with the various laws and statuses that govern health care. (t/f)
true
the nurse acts as the patient advocate with regard to informed consent (t/f)
true
As a nurse advocate, how would you ethically represent your patient?
you immediately request that the surgeon reconsider the patient's current needs. And if he will not, you escalate the issue to the attention of your supervisor and notify the attending primary care provider for further orders.
Which of these do you think is not a patient right?
your patient has the right to jeopardize your safety
A new charge nurse is leaving work each day feeling overwhelmed and not completing tasks. What kind of delegation error is the charge nurse making?
underdelegating
Which of the following is not a provision in the American Nurses Association Code of Ethics?
vacation and compensation
A new nurse manager is learning about fiscal planning. Which are barriers for nurse managers' participation in fiscal planning? (select all that apply) a. Nursing education lacks preparation in fiscal planning b. Nursing input in fiscal planning is undervalued c. Many nurses perceive that fiscal planning is difficult d. Nurses are directly involved in fiscal planning e. Nurses lack the intuition necessary for fiscal planning
a. Nursing education lacks preparation in fiscal planning c. Many nurses perceive that fiscal planning is difficult
The nurse manager has an obligation to act as advocate for which entities? (Select all that apply.) a. The profession b. The institution c. The staff d. Themselves e. The patient
a. The profession c. The staff d. Themselves e. The patient
Health care is not only financed by private insurance, government funding, and private donations but also by individual out-of-pocket expenses
true
What is the nurse's best safegaurd against legal prosecution?
competent practice
A new nurse manager with limited budgeting expertise is considering what approach to use to determine the budget of the nursing unit for the upcoming fiscal year. Which approach would be the easiest to implement?
incremental
Operational budgets are financial plans for the entire organization day-to-day operations. This type of budget includes which of the following?
payroll, supplies, and expenses
A nurse manager is considering the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate?
they can be used to monitor quality of care
What is the primary purpose of law and legislation governing nursing practice?
to protect the patient and the nurse
The Health Insurance Portability and Accountability Act ensures strong privacy protections for the patient without threatening access to which areas of care? (Select all that apply.) a. Sharing of information with family b. Legally reportable information c. Exchange of patient information among appropriate health care providers d. Health care plans e. Health care clearinghouses
c. Exchange of patient information among appropriate health care providers d. Health care plans e. Health care clearinghouses
Nurse leaders can use the nursing process to develop a budget for their unit or department. (t/f)
true
A nurse manager determines that a nurse on the team comes from a future-oriented culture. What task may be best delegated to this nurse?
working on a strategic team plan for the unit
It is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all health care workers receive similar training. (t/f)
false
The HIPAA Privacy Rule provides protection for individually identifiable health information on a state level and may differ state by state. (t/f)
false
The nurse leader understands when delegating, subordinate resistance should never occur among staff members. (t/f)
false
The key role that a nurse leader plays in regard to ethics in the workplace is to create an ethical working environment. (t/f)
true
A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse?
negligence
Which of the following pieces of legislation governs your patients' right to privacy?
Health Insurance Portability and Accountability Act of 1996
which one of the following legislations governs documentation of hiring and employment practices?
Lyndon B. Johnson's Executive Order 11246/11375
How many legal safeguards do you think are available to you as a Nurse Leader?
Many, there are a lot of legal safeguards for nurses
Which statement is true regarding the Good Samaritan law? (select all) a. Protection provided is generally limited to emergency situations. b. All care needs are considered an emergency when situations occur out-of-doors. c. Health care providers are required to stop and provide emergency care. d. The provider may not exceed scope of practice limits. e. A volunteer at a free clinic is covered by this law.
a. Protection provided is generally limited to emergency situations. d. the provider may not exceed scope of practice limits
Which labor standards were set in place by the Fair Labor Standards Act? (Select all that apply.) a. A maximum of an 80-hour regular pay period b. Illegal employment of minors c. Minimum wage d. Guaranteed paid overtime e. Overtime is required to be at least 2 times regular base pay
a. A maximum of an 80-hour regular pay period b. Illegal employment of minors c. Minimum wage d. Guaranteed paid overtime
A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which elements are considered essential to the effective establishment of informed consent? (Select all that apply.) a. Competence of the patient must be determined prior to consent b. Such consent is not necessary in cases where the focus is clinical research c. Full disclosure of information regarding the procedure d. Comprehension of the information by the patient or guardian e. Information must be provided by a professional nurse
a. Competence of the patient must be determined prior to consent c. Full disclosure of information regarding the procedure d. Comprehension of the information by the patient or guardian
What must a person giving informed consent for surgery or a procedure fully comprehend in order to give informed consent? Select all that apply. a. Expected complications or potential side effects that may occur as a result of the treatment. b. The risks involved c. The procedure to be performed d. Expected or desired outcomes e. The nurse's personal opinion about the treatment.
a. Expected complications or potential side effects that may occur as a result of the treatment. b. The risks involved c. The procedure to be performed d. Expected or desired outcomes
A nurse is planning to delegate tasks to the transcultural team. What situation would be considered appropriate delegation to the team members? a. Giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of her cultural tradition. b. Delegating a task that requires educating a hard of hearing patient to a nurse who is shy and reserved as a result of her cultural tradition. c. Delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition. d. Holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face". e. Delegating a task that requires calming a hysterical patient and family to a nurse who is uncomfortable with touch as a result of her cultural tradition.
a. Giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of her cultural tradition. c. Delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition. d. Holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face".
which combination of burden of proof and consequence reflects an ADMINISTRATIVE case?
burden of proof: clear and convincing standard consequence: suspension or loss of license
A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks are delegated to unlicensed assistive personnel (UAP). What would be important for the nurse to consider when delegating to UAP? (Select all that apply.) a. Qualifications of the person who will carry out the task b. Whose turn it is to be delegated to c. What can and can't be delegated safely d. The monetary cost of the delegation e. If the UAP wants to do the task
a. Qualifications of the person who will carry out the task c. What can and can't be delegated safely
A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (Select all that apply.) a. Routine tasks that are done every day b. Tasks that require direct supervision c. Tasks that require imagination, vision, and strategic planning d. Tasks that are ambiguous e. Tasks with a degree of predictability requiring independent thinking to accomplish
a. Routine tasks that are done every day e. Tasks with a degree of predictability requiring independent thinking to accomplish c. Tasks that require imagination, vision, and strategic planning
Which statement is true about an incident report? (Select all that apply.) a. The document is generally considered confidential. b. An entry about the existence of an incident report should be made in the medical record. c. A disclosed incidence report can be subpoenaed in court. d. The chart should contain all the variables related to the incident. e. A copy of the incident report should be attached to the medical record.
a. The document is generally considered confidential. c. A disclosed incidence report can be subpoenaed in court. d. The chart should contain all the variables related to the incident.
What rights do patients have? (Select all that apply.) a. The right to informed consent b. The right to respectful care free of discrimination c. The right to protection of their privacy d. The right to end treatment without physician consent e. The right to inexpensive treatment
a. The right to informed consent b. The right to respectful care free of discrimination c. The right to protection of their privacy d. The right to end treatment without physician consent
Which steps will help the nurse minimize the risk of nursing malpractice? (select all) a. attending relevant continuing education programs to upgrade clinical skills b. periodically reviewing the scope of practice for nurses c. maintaining liability insurance independent of that provided by the facility d. asking each patient to sign an informed consent before care is given e. observing all facility policies and procedures when providing care
a. attending relevant continuing education programs to upgrade clinical skills b. periodically reviewing the scope of practice for nurses c. maintaining liability insurance independent of that provided by the facility e. observing all facility policies and procedures when providing care
Which of the following are the right steps to take to remedy this ethical issue? (select all) a. diana must inform her supervisor she has violated HIPPA b. diana must complete an incident report c. diana must inform Mrs. Yound fo the incident d. Diana's supervisor may ask her to take a continuing education class on HIPPA.
a. diana must inform her supervisor she has violated HIPPA b. diana must complete an incident report c. diana must inform Mrs. Yound fo the incident d. Diana's supervisor may ask her to take a continuing education class on HIPPA.
Which of the following are delegation errors made by nurse leaders? (select all) a. failure to delegate b. failure to provide clear directions c. failure to follow up d. failure to release control of task e. failure to provide adequate directions
a. failure to delegate b. failure to provide clear directions c. failure to follow up d. failure to release control of task e. failure to provide adequate directions
Which situations are necessary components for malpractice to occur? (select all) a. forseeability of harm must exist b. a perception that patient injury may occur c. the practitioner has failed to meet a standard of care, also called a "breach of duty" d. a direct connection between care and injury must be present e. a standard of care must be in place whereby the provider has accepted duty for the patient
a. forseeability of harm must exist c. the practitioner has failed to meet a standard of care, also called a "breach of duty" d. a direct connection between care and injury must be present e. a standard of care must be in place whereby the provider has accepted duty for the patient
A nurse manager is considering the reasons for the current problems with the health care system. Which are negative consequences of higher spending in health care? (select all that apply) a. higher spending may result in overutilization of services b. higher spending may result in overuse of technology c. higher spending may result in duplication of services d. higher spending may result in higher quality of care e. higher spending guarantees a higher quality of care
a. higher spending may result in overutilization of services b. higher spending may result in overuse of technology c. higher spending may result in duplication of services
What is the role of the nurse manager in assuring ethical nursing practice on the unit? (select all) a. implementing the best decision with attention to cost b. primary decision maker c. identifying desired outcomes d. expert problem solver e. addressing the results of undesirable consequences
a. implementing the best decision with attention to cost b. primary decision maker c. identifying desired outcomes d. expert problem solver
Choose the legal safeguards nurses can refer to and practice to prevent litigation against them. (select all) a. informed consent b. documentation c. patient bill of rights d. risk management programs e. competent practice
a. informed consent b. documentation c. patient bill of rights d. risk management programs e. competent practice
Choose the method of reimbursement that includes the cost of providing the service plus a markup for profit.
charge
A nurse manager is considering how to gain more staff involvement in meeting budgetary goals. Which activity is most likely to result in staff understanding and participating in budgetary goals?
communicating budgetary planning goals to staff
A nurse manager must be aware of what is happening on the unit to prevent injury to the patient and exposing the staff to a potential malpractice situation. What steps would the nurse manager take to accomplish this? (select all) a. providing disciplining those who provide inappropriate care b. personally monitoring the care provided by new nursing staff c. regularly checking the credentials of current nursing staff d. arranging for relevant staff in-services regarding the operation of equipment e. assuring adequate staffing
a. providing disciplining those who provide inappropriate care c. regularly checking the credentials of current nursing staff d. arranging for relevant staff in-services regarding the operation of equipment e. assuring adequate staffing
What information is accurate when describing the Nurse Practice Acts? (select all) a. they need to be consistent with applicable federal statures c. they identify actions that fall outside of the nurse's scope of practice d. they focus on the practice of the professional nurse e. when considering the law, they are an example of a statute
a. they need to be consistent with applicable federal statures c. they identify actions that fall outside of the nurse's scope of practice d. they focus on the practice of the professional nurse e. when considering the law, they are an example of a statute
Which behaviors by a nurse can result in the suspension or revocation of the nursing license? (Select all that apply.) a. Conviction for failure to pay court-ordered child support b. Being convicted of professional negligence c. A felony conviction for drug use d. Failing to report an incident of substandard nursing care e. Practicing on an expired nursing license
b. Being convicted of professional negligence c. A felony conviction for drug use d. Failing to report an incident of substandard nursing care e. Practicing on an expired nursing license
What guides society's ethical decision making?
legal definitions and guidelines
How can the nurse manager best minimize the personal risk for legal liability?
creating a work environment that prioritizes patient needs
A nurse is arrested for possession of illegal drugs. What kind of law governs this type of activity?
criminal
A new nurse from a foreign country is training in the surgical unit. After working and meeting with the nurse, the charge nurse observes that there is a discomfort in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse?
educating a patient and ensuring full understanding
The American Nurses Association Code of Ethics is legally binding (t/f)
false
the person who generates the lawsuit is the defendant. (t/f)
false
A patient on a busy neurosurgical unit who just returned from surgery requires neurological checks every hour, but the nurse is too busy to do it and delegates this task to the unlicensed assistive personnel (UAP). What error in delegation has the nurse made?
improper delegation
A nurse informs the nurse leader that it would be beneficial to delegate more to the UAP, but the nurse leader is reluctant to do so, stating, "Whenever I do, they always come back with so many questions. I need them to just do it!" What kind of delegation error is the nurse making?
improperly delegating
In the last World Health Report conduction by the WHO in 2000, 191 member states were surveyed on how efficiently their health care spending translates into actual health. Where do you think the U.S. ranked on this list?
in the top 20%
A nurse is to provide an in-service training on cultural factors that influence delegation and enhance nursing care. Which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages?
learning specific communication strategies
What action can a nurse take to ensure that when delegating to unlicensed assistive personnel (UAP), creativity and independent thinking is encouraged for task completion?
provide consistent and constructive feedback
Which of these is not one of the cultural elements to consider when delegating to a culturally diverse staff?
religion
According to the ANA Code of Ethics for Nurses, what is the nurse's primary commitment?
the application of ethical standards to the delivery of patient care
A charge nurse has delegated a task to unlicensed assistive personnel (UAP). When the nurse is met with resistance after delegating, which is the best action to be taken?
the charge nurse should meet with the person to find out why the task was not completed
A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current U.S. health care system. Which statement about resource utilization is most accurate?
the health care resources that are available in the United States are not used cost-effectively
In order to determine when not to delegate, the nurse needs an in-depth understanding of _____________.
the nurse practice act
What is the primary focus of the Health Insurance Portability and Accountability Act (HIPAA)?
the patient's right to confidentiality
What term is used to identify the type of law that covers most incidences of malpractice?
tort laws
A nurse can have his or her license revoked if he or she is providing patient care while under the influence of drugs or alcohol (t/f)
true
Adults learn differently than children; therefore, nurse leaders need to be familiar with teaching and learning styles to effectively educate staff members (t/f)
true
Informed consent can be given once the patient has received a complete explanation of medical and surgical treatment options (t/f)
true
The "nursing process" provides a model for ethical decision making. (t/f)
true
The nurse leader should respond to resistance of authority in a calm but firm fashion. (t/f)
true
The state Nurse Practice Act is the most important law affecting nursing practice. (t/f)
true