N481 Exam 3 Practice Question
A new nurse manager on a med-surg unit is not satisfied with the consistently low scores on patient-satisfaction surveys in the area of staff responsiveness. The manager has also noticed that staff morale is quite low compared to other units. Which strategy is a priority for this new nurse manager? a) Schedule a special staff meeting to address the survey results and add "patient survey results" as a standing agenda item for each monthly staff meeting b) Request assistance in dealing with the situation from another nurse manager on a similar unit c) Develop an action plan to address the patient safety results d) Inquire about strategies being used in other areas of the hospital to improve patient satisfaction
a) Schedule a special staff meeting to address the survey results and add "patient survey results" as a standing agenda item for each monthly staff meeting
Conflict can have a negative or positive influence on those involved a) TRUE b) FALSE
a) TRUE
Delegation by a licensee professional such as the registered nurse to an unlicensed profession can assist with time management if the delegation has been correctly accomplished a) TRUE b) FALSE
a) TRUE
Nurse leaders can use the nursing process to develop a budget for their unit or department a) TRUE b) FALSE
a) TRUE
The new nurse recalls that which strategies promote evidence-based practice? Select all that apply. a) Use and encourage use of multiple sources of evidence b) Collaborate with other nurses locally and globally c) Interact with other disciplines to bring nursing evidence to the table d) Continue to use older and outdated practices if requested by the patient and family e) Use sources that are only authored by nurses to stay true to nursing practice
a) Use and encourage use of multiple sources of evidence b) Collaborate with other nurses locally and globally c) Interact with other disciplines to bring nursing evidence to the table
A nurse-manager is chairing a workplace committee. What should the manager prioritize in this role? a) keeping members on task and promoting productivity b) promoting members' career development c) resolving interpersonal conflicts and preventing groupthink d) providing information on each agenda item
a) keeping members on task and promoting productivity
A nurse-manager makes lists of tasks for each day. What should the manager do in order to ensure that lists accurately reflect changes in priorities? a) reevaluate the lists on a regular basis and adjust them as needed b) ensure that each day's list is significantly different from the previous day's list c) make lists as detailed as possible in terms of the time allocate and the specifics of each task d) have the lists reviewed by a trusted colleague on a regular basis
a) reevaluate the lists on a regular basis and adjust them as needed
What best describes someone who is an informal nursing leader? a) A nurse is appointed to be the charge nurse because of recent BSN completion b) A well-respected nurse with years of experience on the unit becomes a team leader c) A nurse is given legitimate authority to act as the leader of a team d) A nurse is chosen by nursing administration to be a leader because of competency and knowledge
b) A well-respected nurse with years of experience on the unit becomes a team leader
A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process? (Select all that apply.) a) Ask for volunteers b) Communicate what the task is c) Train the person delegated for the task d) Monitor the person until the task is done e) Communicate the time frame in which the task should be completed
b) Communicate what the task is c) Train the person delegated for the task d) Monitor the person until the task is done e) Communicate the time frame in which the task should be completed
7) A chemically impaired night shift nurse has completed a treatment program and is returning to the work setting. The nurse manager is reviewing reentry guidelines with the returning nurse. What should the returning nurse expect as part of these guidelines (Select all that apply.) a) Give an in-service to unit nurses about his experience in the drug treatment program b) Consent to random urine screening for drugs and alcohol c) Assignment to the day shift for the first two months after returning to work d) Provide evidence of continued involvement in support groups (e.g., Narcotics Anonymous) e) Peer mentoring and support from a successfully recovered nurse
b) Consent to random urine screening for drugs and alcohol d) Provide evidence of continued involvement in support groups (e.g., Narcotics Anonymous) e) Peer mentoring and support from a successfully recovered nurse
The nursing student recalls that evidence-based practice (EBP) is defined as: a) Nursing care based on historical nursing tradition and history b) Scholarly inquiry into the nursing and medical research literature c) A problem-solving approach to clinical practice based on best practices d) Quality nursing care provided in an efficient and economically sound manner
c) A problem-solving approach to clinical practice based on best practices
5) A nurse educator is providing an in-service on substance use disorder among nurses. Which substance does the nurse educator stress is the most frequently used? a) Meperidine b) Oxycodone c) Alcohol d) Morphine
c) Alcohol
A nurse manager is performing a daily assessment of staffing needs. If the current NCH/PPP is greater than the budgeted NCH/PP for the unit, which action should be implemented to keep staffing on track? The nurse should: a) Remain the same for the current shift b) Should be increased for the coming shift c) Be reduced for the current shift d) Be reduced for the coming shift
c) Be reduced for the current shift
A healthcare organization has adopted a new philosophy statement. What observation best shows that the philosophy is being implemented? a) the philosophy is displayed prominently in client care areas and staff areas b) the philosophy aligns with the organization's vision and mission c) the philosophy is reflected in the care that clients and families receive d) the philosophy was created by an interdisciplinary group that included nurses
c) the philosophy is reflected in the care that clients and families receive
A new graduate RN has a desire to work in a trauma hospital facility located in Los Angeles but has an aging mother who lives in a small town in Pennsylvania and is reluctant to leave her alone. What type of conflict is this? a) Intergroup b) Interfunctional c) Interpersonal d) Intrapersonal
d) Intrapersonal
A nurse manager is performing a daily assessment of staffing needs. When determining if staffing adjustments are needed, to which data should the current NCH/PPP calculation be compared? a) Budgeted NCH/PPP for the unit b) Unit's maximum NCH/PPP c) Average of the unit's NCH/PPP d) Unit's maximum NCH/PPP
a) Budgeted NCH/PPP for the unit
A nurse manager is reviewing the budget for the nursing unit. Which budget covers the expenditures for the unit's workforce? a) Personnel b) Operating c) Capital d) Volume
a) Personnel
Which action by a nurse can result in disciplinary action by a State Board of Nursing? (Select all that apply). a) Release of a client's diagnosis to a neighbor b) Refusal of a nurse to work on Sundays due to religious reasons c) Refusal to care for a pediatric client who has not been immunized d) Administration of a prescribed medication from which the client experienced an anaphylactic reaction e) Caring for patients in an intoxicated state
a) Release of a client's diagnosis to a neighbor c) Refusal to care for a pediatric client who has not been immunized e) Caring for patients in an intoxicated state
The nurse leader should respond to resistance of authority in a calm but firm fashion a) TRUE b) FALSE
a) TRUE
Which nursing action demonstrates compliance with the American Nurses Association (ANA) principles for social networking by nurses? a) strictly avoiding the use of social networking in a professional setting b) participating in the development of institutional policies governing online conduct c) ignoring any information that appears to have the potential to harm a patient's welfare d) realizing that social networking is not related to a nurse's professional boundaries
b) participating in the development of institutional policies governing online conduct
A nursing unit in a busy hospital is planning to undergo a major restructuring, and several staff members have expressed anxiety about the impending change. What type of conflict exists in this situation? a) Latent conflict b) Perceived conflict c) Felt conflict d) Manifest conflict
c) Felt conflict
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? a) Underdelegating b) Overdelegating c) Improperly delegating d) Delegating the wrong task
c) Improperly delegating
The members of a nursing staff claim that the lab department is not reporting patients' critical values fast enough, but the lab department claims that it is. The nursing manager and the lab department director are sent to conflict resolution to come to a solution that will be in the best interest of patient continuity. Based upon this scenario, which type of conflict exists? a) Interpersonal conflict b) Intrapersonal conflict c) Transpersonal conflict d) Intergroup conflict
d) Intergroup conflict
The nurse-manager is addressing a nurse's suspected breach of client confidentiality in social medial posting. What function of the management process is this nurse-manager demonstrating? a) organizing b) staffing c) directing d) controlling
d) controlling
The managers of a hospital unit have been approached by a nurse educator who wants to conduct research into a particular nursing intervention. In order to ensure the rights of clients who may participate are protected, the mangers should: a) ask the hospital ethics committee to approve or deny the application b) discuss the educator's values, beliefs, and ethics c) compare the study methodology to the code of ethics d) refer the educator to the institutional review board
d) refer the educator to the institutional review board
The RN on a medical-surgical unit that has experienced several changes in its administrative structure due to conflicts with the mission of the hospital. The RN realizes that conflict should be managed to allow for what outcomes? (Select all that apply.) a) Growth within the organization b) Reduced employee satisfaction c) Enhanced productivity d) Diminished productivity e) Innovation
a) Growth within the organization c) Enhanced productivity e) Innovation
Which statement is the most appropriate for a nurse manager to use when counseling an employee about repeated absences for the first time? a) I am concerned about your attendance because you have called in sick every Monday for the last few weeks b) I have to address your frequent absences because our unit policy is that two absences in one month requires a verbal warning c) If there something going on in your life that is making it difficult for you to work on Mondays, I can work with you to give you that day off d) If you can you promise me that you will not call in sick on Mondays anymore, I will not have to give you a written warning
a) I am concerned about your attendance because you have called in sick every Monday for the last few weeks
What are recent examples of National Patient Safety Goals as identified by the Joint Commision for Accreditation of Healthcare Organizations (JCAHO)? Select all that apply. a) Improve staff communication b) Identify patients correctly c) Reduce blood transfusion reactions d) Use medications safely e) Identify patient safety risks f) Prevent falls in our older adult population
a) Improve staff communication b) Identify patients correctly d) Use medications safely e) Identify patient safety risks
The nurse delegates a task to an incompetent individual. Who is held accountable for the outcome of the task? a) The nurse delegator b) The individual who was delegated to c) Both individuals d) It depends on the situation or circumstance
a) The nurse delegator
The new graduate nurse recalls that when looking at a model for evidence-based practice, what is the final step of the process? a) Implementation of the new practice b) Evaluation of the new practice change c) Submitting a description of the new practice change for publication d) Including the practice change in all the unit policies
b) Evaluation of the new practice change
Before developing a procedure on prevention of falls in older adult patients, a nurse reviews all current research-based literature on this topic. What type of nursing will be practiced based on this review? a) Expert practice b) Evidence-based practice c) Data-drive practice d) Standards of care practice
b) Evidence-based practice
The new nurse manager identifies what reason for the need to thoughtfully use a change management process? a) Staff members are more likely to change if they know it comes from a recent management theory b) If all critical human and organizational elements are addressed in a structured manner, it increases the likelihood of sustainable change c) The nurse manager can follow change management instructions step-by-step from a manual so as not to forget any critical element d) Since change is infrequent in a health care organization, this is a new skill that managers may not have to use frequently
b) If all critical human and organizational elements are addressed in a structured manner, it increases the likelihood of sustainable change
4) A chemically impaired nurse asks the nurse manager to serve as treatment counselor. What is the nurse manager's best response to the nurse? a) I am happy that you trust me to assist in your recovery. Let's set up a regular schedule to meet b) It is important that you receive counseling from someone with expertise in this area. Here are some resources we have c) I'm sorry but I can't help you. You need to find help, or you may lose your job d) I'm glad you came to me. Let's talk about what has led you to this point and what I can do to help.
b) It is important that you receive counseling from someone with expertise in this area. Here are some resources we have
A nurse is deeply concerned about a proposed piece of legislation. Which action will best influence a local legislator who will be voting on the legislation? a) signing an online petition b) phoning the legislator's office repeatedly c) writing a succinct, personalized letter to the legislator d) forwarding the legislator online articles that related to the legislation
c) writing a succinct, personalized letter to the legislator
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? a) Assign a mentor or coach to the RN to achieve competence b) Suggest the RN transfer to another place of work c) Cease delegating to this particular RN d) Delegate a different task to the RN
a) Assign a mentor or coach to the RN to achieve competence
Nurse leaders understand that there are various stages of conflict. What is the final stage? a) Conflict aftermath b) Latent conflict c) Manifest conflict d) Conflict resolution
a) Conflict aftermath
Which of the following creates the potential for successful delegation as emphasized by the National Council State Board of Nursing? a) Effective communication b) Monitoring difficult tasks very closely c) Evaluating difficult tasks very closely d) Determining how to monitor and supervise
a) Effective communication
A nurse delegates a task to an unlicensed assistive personnel (UAP). After the UAP informs the nurse that the task is complete, what is the appropriate action by the nurse? a) Evaluate the outcome of the task b) No further action is required since the task is complete c) Redo the task if not acceptable d) Inform the UAP that you will confirm that the work is complete
a) Evaluate the outcome of the task
A nurse manager who grew up in a home with a father with alcohol use disorder suspects an unlicensed assistive person (UAP) of alcohol use and possibly coming to work impaired. In order to fairly deal with the UAP, what should the nurse manager consider as an immediate priority? a) Examine personal biases related to chemical and alcohol dependence b) Review hospital policies and procedures on chemical impairment c) Call the state board of nursing to inquire about nursing treatment programs d) Confront the UAP about suspicions of alcohol impairment
a) Examine personal biases related to chemical and alcohol dependence
Which of the following are delegation errors made by nurse leaders? (Select all that apply.) a) Failure to delegate b) Failure to release control of task c) Failure to provide clear directions d) Failure to provide adequate directions e) Failure to follow up
a) Failure to delegate b) Failure to release control of task c) Failure to provide clear directions d) Failure to provide adequate directions e) Failure to follow up
8) A nurse manager suspects a staff nurse of being chemically impaired. Which changes may have prompted the nurse manager to suspect impairment? (Select all that apply.) a) Increasing absences without adequate explanation b) Reports that a patient's pain medication regimen is ineffective c) Frequent breaks and leaving the unit without explanation d) Poor handwriting for nursing notes e) Defensiveness related to high frequency of medication errors g) Frequently volunteering to pull narcotics for other nurses
a) Increasing absences without adequate explanation c) Frequent breaks and leaving the unit without explanation e) Defensiveness related to high frequency of medication errors g) Frequently volunteering to pull narcotics for other nurses
A new graduate nurse has been assigned to a RN preceptor with a history of being tough, uncivil, and intimidating to new nurses. During the first day on the job, the graduate nurse has a harsh exchange with the RN. What type of conflict is this? a) Interpersonal conflict b) Resolution conflict c) Intergroup conflict d) Intrapersonal conflict
a) Interpersonal conflict
Operational budgets are financial plans for the entire organization day-to-day operations. This type of budget includes which of the following? a) Payroll, supplies, and expenses b) Supplies, expenses, and equipment purchases c) Expenses, equipment purchases, and payroll d) Payroll, monthly expenses, and large purchase items
a) Payroll, supplies, and expenses
While focusing on preparing for an upcoming accreditation visit, a new charge nurse becomes aware of an interpersonal conflict between two nurses occurring on her shift. Given the pending accreditation visit, she decides to disregard the conflict. The nurse manager explains that which outcome may result from this avoidance approach? a) The conflict will remain and reemerge at a later time in a more exaggerated way b) The conflict may resolve itself if the conflict is not of high value to the staff c) Both staff members may enjoy a win-win feeling since the issue was not addressed d) Both staff members may withdraw from the conflict until the accreditation visit is complete
a) The conflict will remain and reemerge at a later time in a more exaggerated way
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 that apply.) a) The nurse feels overloaded b) The nurse feels incapable c) The nurse has an inherent resistance to authority d) The task is well communicated e) The task has a specific time frame
a) The nurse feels overloaded b) The nurse feels incapable c) The nurse has an inherent resistance to authority
In order to determine when not to delegate, the nurse needs an in-depth understanding of ____. a) The nurse practice act b) The patient privacy act c) Informed consent d) Legal issues
a) The nurse practice act
A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this? (Select all that apply). a) The right task b) The right person c) The right time d) The right communication e) The right level of supervision f) The right circumstance
a) The right task b) The right person d) The right communication e) The right level of supervision f) The right circumstance
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? a) Underdelegating b) Overdelegating c) Improperly delegating d) Delegating the wrong task
a) Underdelegating
A manager has been experiencing challenges during a planning process and must implement strategies to overcome barriers that impeded planning. What is the manager's best action? a) reevaluate whether the goals and objectives are appropriate and achievable b) establish a fixed goal that is unaffected by changes in the organization c) limit membership in the planning team to administrators, leaders, and executives d) make the goals of the plan more general so that they can be more easily achieved
a) reevaluate whether the goals and objectives are appropriate and achievable
For the nurse leader to be effective in their role, the leader does not need to identify the stages of conflict but only acknowledge its existence to begin the resolution a) TRUE b) FALSE
b) FALSE
It is the charge nurse's responsibility to effectively delegate and provide the right direction and communication for the delegated task for the staff nurses a) TRUE b) FALSE
b) FALSE
The nurse leader does not need to be concerned with the budgeting process steps a) TRUE b) FALSE
b) FALSE
The nurse leader understands when delegating, subordinate resistance should never occur among staff members a) TRUE b) FALSE
b) FALSE
A nurse manager is evaluating the current fiscal year budget. Which statement regarding the evaluation stage of the budgetary process is most accurate? a) Most units will have no variation from the projected budget b) Large variations from the projected budget must be examined c) The CEO is accountable for individual unit budgetary outcome d) Budgets are usually created at the beginning and unchanged
b) Large variations from the projected budget must be examined
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? a) Assign the same routine tasks b) Provide consistent and constructive feedback c) Be sure the task is completed the nurse's way d) Have the UAP report to the nurse several times
b) Provide consistent and constructive feedback
6) A nurse manager is implementing a comprehensive program to prevent the chances of chemical impairment in the work setting. What should the nurse manager include as part of the program? a) Train and assign a dedicated narcotic administration nurse for each shift b) Provide continuing education on substance use and its detection in the workplace c) Develop a zero-tolerance policy that mandates immediate termination if impaired d) Implement mandatory staffing ratios with mandatory overtime as necessary to meet ratios
b) Provide continuing education on substance use and its detection in the workplace
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) Whose turn it is to be delegated to b) Qualifications of the person who will carry out the task c) The monetary cost of the delegation d) What can and can't be delegated safely e) If the UAP wants to do the task
b) Qualifications of the person who will carry out the task
A nurse manager is performing a daily assessment of staffing needs. Which data would be needed to calculate the NCH/PPP? (Select all that apply.) a) Census for the entire calendar year b) Staff on duty for 24 hours beginning at 11 p.m. c) Patient census as of midnight on day two d) Work hours for each staff member on duty e) Staff on duty for 24 hours beginning at 12 a.m. (midnight)
b) Staff on duty for 24 hours beginning at 11 p.m. c) Patient census as of midnight on day two d) Work hours for each staff member on duty
A charge nurse is delegating to a LPN/LVN. What would be considered improper delegation for the charge nurse to delegate? a) Momentary authority is given to support completion of a delegated task b) The employee is given highly detailed exact instructions to complete the task c) The person to whom a task is delegated considers it a challenge d) The charge nurse and the person to whom the task is delegated exchange regular updates on the task
b) The employee is given highly detailed exact instructions to complete the task
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 first step is to calculate the number of staff for the 24-hour period c) The total staff for 24 hours is divided by the patient census at 12 a.m. (midnight) d) The calculation includes the total staff for any 12-hour shift that day e) The calculation should include all members of the nursing staff on duty
b) The first step is to calculate the number of staff for the 24-hour period c) The total staff for 24 hours is divided by the patient census at 12 a.m. (midnight) e) The calculation should include all members of the nursing staff on duty
The new graduate is hoping to get his first job in a hospital that has a shared governance organizational structure. What describes shared governance? a) A process by which the Chief Nursing Office consults with all nurse managers before making patient care delivery decisions b) The governance of the hospital is shared among board members, nurse, providers, and management, which emphasizes the empowerment of nurses c) The governance of a unit occurs by unit councils who make recommendations to the nurse manager d) A process by which nurse managers from all units in the hospital work together to implement the same processes to assure that all staff are treated equally
b) The governance of the hospital is shared among board members, nurse, providers, and management, which emphasizes the empowerment of nurses
A charge nurse has discovered that a medication error was made on the previous shift. What is the nurse's best action a) share that information with the charge nurse on the previous shift b) document the incident and follow it up as per hospital policy c) write a memo to the nurse who made the error requesting an incident report be written d) document in the client's chart that an incident report will be completed
b) document the incident and follow it up as per hospital policy
The nurse is admitting a new client who is facing a serious health problem. The nurse can best apply the skills of advocacy when working with this client by: a) seeking opportunities to demonstrate professionalism b) engaging closely and genuinely with the client c) making decisions for the client and family in order to lessen their responsibilities d) providing evidence-based care
b) engaging closely and genuinely with the client
A charge nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP). What is the first action the nurse should do before delegating? a) Ask which UAP are interested in the task b) Determine who would be the best person for the task c) Determine whether the task is within the scope of UAP d) Determine whether there is enough time to adequately supervise the task
c) Determine whether the task is within the scope of UAP
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? a) Submit a progress report to the charge nurse b) Follow the charge nurse's directions exactly c) Ensure the staff member has a voice in how the task is completed d) Decide the best time to complete the task
c) Ensure the staff member has a voice in how the task is completed
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? a) Underdelegating b) Overdelegating c) Improperly delegating d) Delegating the wrong task
c) Improperly delegating
The new evening charge nurse recalls that there are both internal as well as external forces that influence changes on a unit. In a staff meeting, she explains that what is NOT an external force? a) A memo from the Director of Nursing requesting staff consider carpooling to cut down on overfilled parking lots b) Demands from the collective bargaining union to increase wages of unlicensed assistive personnel c) Low morale of the unit staff due to several unexpected resignations d) A patient safety report from the Hospital Safety Officer revealing that medication errors have increased by 15% across all inpatient units
c) Low morale of the unit staff due to several unexpected resignations
A chemically impaired nurse has voluntarily entered a state diversion program for treatment. What is the most important function of the diversion program? a) Nurse reentry to practice b) Suspension of impaired nurse c) Public safety d) Treatment for addiction
c) Public safety
During a staff meeting, a nurse manager identifies interpersonal conflict occurring between two RNs about how best to schedule new graduate nurses. The manager responds, "You both agree that the schedule for the new graduates is critical to their success, so let's start there." Which conflict resolution strategy is the manager using? a) Collaborating b) Compromising c) Smoothing d) Avoiding
c) Smoothing
A charge nurse has delegated a task to unlicensed assistive personnel (UAP). When the nurse is met with resistance after delegating, what is the best action to be taken? a) The charge nurse should just complete the task b) The charge nurse should ask someone else to do the task c) The charge nurse should meet with the person to find out why the task was not completed d) The charge nurse should report the staff member to the nurse manager
c) The charge nurse should meet with the person to find out why the task was not completed
Leadership succession planning is defined as: a) The organization has plans for future growth and development b) The nursing department has plans for future growth and development c) The organization has ensured that there were competent, qualified, well-prepared people available for future positions d) There are mentors in place to help future leaders grow and develop
c) The organization has ensured that there were competent, qualified, well-prepared people available for future positions
A healthcare provider describes a medical procedure that the staff nurse has reason to believe will harm the client. Which principle should guide the nurse's choice of action? a) the staff nurse cannot be held legally liable for any harm to the client if the procedure is carried out with due care b) the nurse may lose his or her license by refusing to carry out the procedure c) the nurse can be held legally liable for any harm if the procedure is carried out without questioning it d) liability rests with the healthcare provider, not the nurse
c) the nurse can be held legally liable for any harm if the procedure is carried out without questioning it
The nurse manager is implementing a new staffing strategy, and identifies that which response from a team member may indicate that change management strategies may be needed? a) "This is exactly what I've wanted to do! Sign me up." b) "Could you tell me exactly what you want us to do?" c) "I'd like to read more about this new plan before I agree to try this." d) "I really don't see the need for this - our current staffing plan works fine."
d) "I really don't see the need for this - our current staffing plan works fine."
What would the new nurse identify as an example of evidence-based practice (EBP) in action on a medical-surgical nursing unit? a) Implementation of a new telemetry monitoring system with all staff attending in services b) The nurse manager working with the dietary manager to share patient concerns about cold food c) The evening charge nurse posting an "article of the month" in the staff breakroom d) A group of staff from the dietary department and the med-surg unit, organized by the Director of Nursing, meeting monthly to address the issue of cold food
d) A group of staff from the dietary department and the med-surg unit, organized by the Director of Nursing, meeting monthly to address the issue of cold food
A new graduate nurse has successfully completed orientation and has also been successfully oriented to the role of charge nurse. Over the course of several weeks, she has noticed that tasks she has delegated to a long-term, experienced certified nursing assistant (CNA) have not been completed by the end of the shift, leaving her to complete them. Which action by the new charge nurse is best? a) Inform the nurse manager that the CNA has not completed the tasks assigned to her b) Write up a counseling form to give to the nurse manager, citing specific tasks that were not completed c) Continue to complete the tasks that were assigned to the CNA while attempting to build a relationship of trust with the CNA d) Approach the CNA in private to discuss the tasks that were not completed
d) Approach the CNA in private to discuss the tasks that were not completed
A member of a nursing team reports that 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? a) Assign the work to another team member b) Take on the responsibility of the tasks c) Have the team member perform only the necessary tasks d) Examine the workload and assist the individual in prioritizing
d) Examine the workload and assist the individual in prioritizing
3) Several of a nurse's patients over the last few weeks have stated they are not getting any pain medication. However, the nurse has charted medication administration for these patients. What if the nurse manager's best initial action to address the situation? a) Confront the nurse the next time the nurse gets pain medications b) Stop the nurse in the hallway and ask why these patients are saying they did not get pain medication c) Call security and have them escort the nurse to the emergency department d) Gather data on the nurse's behavior, medication delivery, and charting inconsistencies
d) Gather data on the nurse's behavior, medication delivery, and charting inconsistencies
The nurse is planning care with the family of an older adult who is recuperating on a rehab unit for injuries sustained in a fall due to postural hypotension. As part of the QI project to reduce the number of falls on this rehab unit, what will be the most effective in preventing falls in this client? a) Complete a fall diary with the family to determine if there were any falls before the CVA b) Attach a sensor to the client's bed, so that the bed alarm will sound when the client attempts to get out of bed c) Encourage a family member to stay with the client d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly
Which response by the nurse manager is most appropriate when overhearing staff complaints about a new hospital-wide process to improve patient ID band identification? a) I understand your concerns, but since patient safety is our number one goal, we have to learn to make this work b) I've put this topic on the agenda for next month's staff meeting to we can discuss it there c) I hear your concerns and they are important to me, but this is a hospital mandate, so we have to work together to figure out how our unit can comply d) Let's start today with addressing these new patient ID bands in every huddle, and then I'll send a memo before calling a special meeting to discuss this by the end of the week
d) Let's start today with addressing these new patient ID bands in every huddle, and then I'll send a memo before calling a special meeting to discuss this by the end of the week
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 delegation tasks." What delegation error is the manager making? a) Delegating to the wrong person b) Improper delegating c) Underdelegating d) Overdelegating
d) Overdelegating
A new nurse manager is interested in a transformational leadership style. Which statement best describes this type of leadership? a) Creates a vision for the nursing organization b) Serves the followers rather than being served c) Focuses on the tasks to be done with an emphasis on efficiency d) Seeks input from all staff for joint problem solving with a focus on team building
d) Seeks input from all staff for joint problem solving with a focus on team building
A client has been diagnosed with a degenerative neurologic disease and has expressed interest in physician-assisted suicide. How should the nurse best advocate in this situation? a) document the client's statements verbatim in the medical record as a resource for the care team b) clearly explain the moral and ethical implications of physician-assisted suicide c) implement interventions that directly address the client's fear and anxiety d) ask the client and family questions that help them identify and explore their values and beliefs
d) ask the client and family questions that help them identify and explore their values and beliefs
The nurse who provides oversight to a large healthcare organization can best demonstrate leadership during a time of change by: a) clearly and assertively reminding nurses of their responsibilities to accept change b) asking permission of nurses before proposing a change process c) acknowledging that there is going to be resistance during the change process d) communicating a vision that change is an opportunity to be embraced
d) communicating a vision that change is an opportunity to be embraced
A nurse-manager has set a goal of addressing external time wasters. What phenomenon should the manager address? a) difficulty in setting clear, achievable objectives b) the manager's inability to say no to coworkers' and subordinates' requests c) the fact that the manager has a tendency to procrastinate d) the large quantity of paperwork that the manager must complete
d) the large quantity of paperwork that the manager must complete
