RN professionalism and Leadership Assessment
A nurse is preparing a presentation on the regulation of nursing practice. Place the hierarchy of the regulation of practice in the correct order, beginning with the highest level.
1. Nursing regulatory board (each state has a BON) 2. nurse practice act (Each BON determines laws of practice) 3. organization policies and procedures 4. individual self regulation
A charge nurse is overseeing an AP who has been assigned care for a group of clients. Which of the following actions by the charge nurse demonstrates accountability?
Files an incident report when the AP performs a task that is outside their scope of practice. (An incident report is a risk assessment tool that identifies an unusual occurrence. By filing the report, the charge nurse is demonstrating accountability and ensuring safety standards are met, thus protecting the client from potential harm.)
A nurse is exploring leadership styles of nurse managers as a part of a quality improvement project. Which of the following statements by a nurse manager should the nurse identify as an example of transactional leadership?
The staff members who complete their online learning courses before the deadline will receive a gift card. (Transactional leaders use rewards or punishments to encourage compliance for an established goal. They communicate specific expectations, focusing on tasks and completion of short-term goals.)
A nurse follows the six rights of medication administration when caring for a client. Which of the following concepts is the nurse demonstrating?
accountability (The nurse is demonstrating accountability because they are administering medications in a way that reduces errors and harm to the client.)
A nurse is advocating for a client who is seeking treatment for an eating disorder. In which order should the nurse take the following steps?
1. Determine the client's level of understanding regarding their eating disorder. The nurse should collect data regarding the client's level of understanding, interests, personal values, mental function, and awareness of rights in order to advocate for the client. 2. Assist the client in establishing goals for treatment. The nurse should assist the client in identifying the goals for treatment, which are based on the client's needs and beliefs, in order to advocate for the client. 3. Encourage the client to communicate their preferences during the team meeting to establish the steps of treatment. The nurse should next assist the client in communicating their preferences to the rest of the health care team to implement the advocacy plan. 4. Review the client's weight prior to each treatment session. The nurse should monitor the outcomes of the plan and make adjustments as needed to advocate for the client.
A nurse is discussing shared governance with a newly licensed nurse. Which of the following components should the nurse include in the discussion? (Select all)
1. Guides decisions toward accountability is correct. Guiding decisions toward accountability is a function of shared governance. 2. Improves client outcomes is correct. Improving client outcomes is a function of shared governance. 3. Promotes professional development is correct. Promoting professional development is a function of shared governance.
A nurse is preparing a poster about professional accountability for an in-service. Which of the following examples should the nurse include? (Select all)
1. Lowers a client's bed to the lowest position after assisting the client to lie down is correct. A nurse is accountable to the client as well as the facility to take actions to ensure a client's safety. This includes lowering the client's bed to reduce the risk of falls if the client tries to get out of bed. 2. Administers pain medication to a client 30 min before the client is scheduled for physical therapy is correct. Planning actions, such as providing pain medication to a client prior to physical therapy, demonstrates planning and accountability for ensuring the client receives quality care. This action allows the medication time to take effect prior to the client having to perform physical activities, allowing for a more effective physical therapy session and decreasing the risk of client injury and discomfort. 3. Provides instructions to assistive personnel (AP) on how to provide culturally competent care to a client is correct. Professional accountability involves not only ensuring the safety and quality of nursing care, but also delivering it in a culturally competent manner.
A nurse is discussing chain of command with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the discussion?
"The chain of command clarifies the steps I need to take when I have a concern about a client's care." (The chain of command is the process of making an immediate supervisor aware of a client concern or situation. The nurse should report concerns to the charge nurse on the unit initially and move up the chain of command only if the charge nurse does not address the concern.)
A nurse is planning a presentation about shared governance. Which of the following examples should the nurse plan to include?
A group of staff nurses in a clinic work together to recommend new equipment purchases for the unit. (Shared governance is a leadership structure that encourages group collaboration to make shared decisions. Being a contributing partner in decisions promotes interprofessional collaboration, professional development and accountability, and improves client outcomes.)
A nurse is discussing leadership styles with a newly licensed nurse. The nurse should include that which of the following is a characteristic of situational leadership.
Adjusts quickly to different circumstances. (A situational leader looks at each situation quickly and adjusts strategies based on the circumstances. The situational leader aligns their style to assist in the development and growth of others and the overall effectiveness of the organization. This leader communicates, problem-solves, organizes, and prepares with their employees to accomplish tasks and improve overall efficiencies.)
A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates professionalism?
Asks a client for their name, DOB, scans their medical ID bracelet before med administration
A nurse is discussing nursing roles with a newly licensed nurse. which are roles of the nurse?
Caregiver, Advocate, Change agent
A charge nurse uses transformational leadership style when working with other staff on the unit. Which of the following actions by the charge nurse demonstrates transformational leadership?
Challenges a nurse to investigates evidence-based approaches to reduce the client fall rate on the unit
A nurse is discussing the Model of Professionalism with another nurse. Which of the following concepts should the nurse include as an outer process?
Clear communication (Clear communication is an outer process because it is a behavior or action that the nurse performs.)
A nurse is discussing leadership styles with a newly licensed nurse. Which of the following characteristics should the nurse identify as describing a bureaucratic leader? (select all)
Decisions are controlled by policies, enforces the rules, inflexible to creative suggestions
A nurse manager is observing a newly licensed nurse provide care for a client. Which of the following actions should the manager identify as unprofessional behavior?
Documents in advance to save time (falsified documentation), Stays logged into clients EHR while obtaining supplies (runs the risk of another person accessing clients EHR), Contacts clients on social media to be friends (overstep of professional boundary between nurse and client, inappropriate conduct)
A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I don't understand what my treatment options are." Which of the following statements by the nurse demonstrates advocacy?
I will contact your provider to review your treatment options. (The nurse is demonstrating advocacy by contacting the provider to communicate the client's concerns so that the client can make an informed decision regarding their health care.)
A nurse is preparing for a presentation on professional identity in nursing. Which of the following statements should the nurse use to describe professional identity?
Professional identity is how one describes themselves as a professional
A nurse is caring for a client who is postoperative and has sanguineous drainage on their dressing. The nurse is unable to reach the client's provider. Which of the following members of the chain of command should the nurse contact next?
The charge nurse (According to evidence-based practice, the first person in the chain of command that the nurse should contact is the charge nurse. The nurse should initiate the chain of command to make the charge nurse aware of the situation and to ensure the client receives safe and effective care.)
A nurse is discussing professional commitment with their supervisor during an annual performance review. Which of the following actions by the nurse demonstrates professional commitment?
The nurse attends an educational course to learn about the treatment and prevention of pressure ulcers. (Professional commitment includes a motivation to improve oneself in the domain of their profession. Attending a course that expands current knowledge contributes to promoting one's professional commitment.)
A nurse is discussing responsibility, which of the following actions should the nurse include as an example of responsibility?
checks client to determine if pain meds worked (this action represents responsibility bc nurse identified client need, intervened, and is now determining the outcome of intervention)
A nurse is teaching a newly licensed nurse about professional competence. Which of the following examples should the nurse include in the teaching?
present a summary of evidence-based journal (A component of maintaining professional competence is to seek out and implement improved evidence-based practices. This ensures the nurse's practice remains current, evidence-based, and promotes safe and competent care.)
A nurse is preparing a poster describing leadership styles for a unit in-service. Which of the following terms should the nurse use to describe a nurse manager who exerts little control over the decisions made by the charge nurse?
laissez-faire (Under a laissez-faire style of leadership, nurses are given the freedom to work independently to accomplish goals with little control asserted by the nurse manager.)
