Role of PN Exam

passive-aggressive behavior

A coworker makes nasty comments to the nurse and the nurse notices the coworker shooting dirty looks at the nurse. The nurse approaches the coworker and says, "You seem angry with me. Can we talk about what is bothering you?" The coworker responds, "I am not angry with you. Everything is fine." Which behavior is this coworker demonstrating?

battery

A nurse asks you to hold a patient down against his wishes while she attempts to start an IV. If you do this, you can be prosecuted for:

The nurse documents a complete description of the happenings in the clients records.

A nurse enters a clients room and finds that the client is lying on the floor. The nurse makes the client comfortable on the bed and completes an examination. She informs the physician and the nursing supervisor about this incident and also completes an incident report. Which action by the nurse indicates correct knowledge of handling an incident report?

inform the nursing supervisor

A nurse finds that a colleague is intoxicated while on duty. What appropriate action should the nurse take?

to be financially protected against civil suits

A nurse is applying for professional liability insurance. The nurse knows that professional liability insurance is important for which reason?

- notifying the client before leaving for lunch - offering snacks and beverages to visiting family - explaining all nursing procedures clearly - listening to the client tell stories about past experiences

A nurse is caring for a hospitalized client. Which nursing action demonstrate a caring and compassionate attitude? (Select all that apply.)

Assumption of Risk

A nurse warns a client that he may fall off his bed during a seizure attack if he does not put on the side rails of the bed. Before leaving the clients room, the nurse puts on the side rails, but after the nurse has left, the client lowers them again. Later, the client has a fall from the bed and holds the nurse responsible for it. Which legal provision protects the nurse in this case?

- veracity - fidelity - nonmaleficence

A nurse who is infected with human immunodeficiency virus (HIV) accidentally gets a cut while debriding a wound, exposing the client to possible HIV infection. Failure of the nurse to report this incident violates which ethical principles? (Select all that apply.)

The principles that direct whether an act is right or wrong.

A nurse who works on a palliative care unit has participated in several clinical scenarios that have required the application of ethics. Ethics is best defined as:

breaking confidentiality

A nurse works in delivery and is attending to two women in labor. The patient in Bed A asks how dilated the patient in Bed B is. The nurse tells her, "She is further along than you. She is 7 cm dilated and 100% effaced." This is an example of:

a time frame for achieving each goal

A performance plan for improvement should include:

the team member is expert in a skill desired by the team

A team member is considered competent and successful when:

a competent staff nurse

An example of an informal leader in nursing is:

airlifting the client to a local trauma center for emergency surgery

An immigrant with no health insurance sustained life-threatening injuries following an automobile accident. Which action demonstrates the ethical principle of justice?

coaching

At a staff meeting the nurse manager tells the group of nurses, "I know census was high last month, but you all did an amazing job of taking care of your patients while keeping the quality of care high. I am very proud of you." Which is the nurse manager doing?

unethical behavior

David, a student practical nurse, is bathing Mr. Smith. He is wearing gloves to brush Mr. Smith's dentures after he used the same gloves throughout the bath. His reasoning is that he will be able to finish the bath more quickly and allow Mr. Smith to rest. This is an example of:

cleaning the mouse and keyboard regularly

How can the nurse reduce the spread of infection related to the use of the computer?

administration

If a nursing team is successful, it is receiving support from:

realize that conflict is inevitable

In order to understand conflict, which must the nurse be able to accomplish?

some conflict is beneficial to the organization

In the ideal work situation, which description of conflict is best?

assertiveness

In the profession of nursing, it is necessary to develop:

listening

One of the strongest communication skills a student can have in any setting is:

keeping the peace

Passive communication results in:

change in members as a result of job changes

Regression can occur in the four stages of team development. Which is a possible reason for this?

- ability to establish goals and objectives - understanding of the organization and how it works - interpersonal relationship skills

Staff nurses consider their manager as effective when the manager has which skills? (Select all that apply.)

formal positive feedback

Susie, an LPN, is employed in her first job. She has been there for 8 months, and yesterday she was informed that she had been chosen as employee of the month. The facility's recognition of Susie's work is an example of:

teams can address the diversity in care, as well as plan and process additional needs

Teamwork is critical in the health-care system today because:

the ability to organize and prioritize tasks

The LPN requires what skills to successfully manage care?

encourage the nurse to embrace diversity and reject prejudice

The charge nurse is preparing assignments when one of the staff nurses requests not to be assigned a specific patient, using a derogatory name to refer to the patient's ethnicity. Which is the charge nurse's best response?

improved health care

The growing number of elderly in our population is primarily due to:

the evening supervisor

The new graduate nurse often asks the experienced nurse for advice on how to handle a situation. The charge nurse often consults with this nurse. During crisis on the unit the evening supervisor asks the experienced nurse for suggestions to manage the crisis. Who is the formal leader?

"Blood sugar levels are most accurate if taken before meals. Let's figure out the best times for you."

The nurse is teaching the newly diagnosed diabetic patient how to provide self-care and demonstrates a caring paradigm with which statement?

teaching the patient about health issues and assessing learning`

The nurse assesses the patient's health literacy through what action?

- that behavior is unacceptable. you could simply ask me to remove the tray. - you seem angry. would you like to talk about what's bothering you?

The nurse brings that patient's lunch tray into the room and sets it on the over-bed table, positioning it so that it is comfortable for the patient to eat. The patient sweeps the tray off the table, screaming, "Get this slop out of here! I am not hungry." Which response by the nurse reflects therapeutic communication? (Select all that apply.)

improved accuracy in reading documentation

The nurse delivers safer health care using electronic medical records because of what feature?

logging off the computer before walking away

The nurse demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA) with what action?

nonjudgmental

The nurse demonstrates transpersonal caring for patients when maintaining which attitude?

state and federal

The nurse is attending a class on insurance and learns about Medicaid, which is financed by which level of government?

safety

The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on which level of Maslow's hierarchy of needs?

- what is it to be done - when the job is to be complete - any expected abnormal findings - when to seek help

The nurse is going to delegate bathing a patient to another member of the team. Which information should the nurse communicate when delegating? (Select all that apply.)

personal space needs

The nurse is standing in the hallway talking to one of the residents in the long-term care facility. Every time the nurse moves closer to the patient, he takes a step backward. Which aspect of this patient's culture does the nurse need to consider?

principled leadership

The nurse is working on a team whose leader is more focused on earning recognition than on the goals of the team. Which important characteristic is missing and causing this team to perform poorly?

critical thinking is a process, not an outcome

The nurse makes the decision to return to school to obtain a Bachelor of Science degree in nursing in order to advance their career and because they feel there is more to be learned; they aren't "done." Which theme of critical thinking is the nurse displaying

ask questions about how to improve

The nurse manager gives a staff nurse performance evaluation with several recommendation areas for improvement. Which should the staff nurse do to indicate that he or she appreciates the feedback and wants to improve?

behind the nurses desk on the unit

The nurse manager is given a fax machine to receive physician orders and fax patient information to physicians' offices. Where is the best place for the nurse manager to place the new machine?

It is a responsible behavior for a member of management to know what is going on under their watch.

The nurse manager on the 11 pm to 7 am shift periodically makes rounds, observing and checking on the staff and residents. What is the MOST likely reason the nurse manager does this on a regular basis throughout the shift?

Suggest that the physician take a quieter and more private approach to the problem.

The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. Which is the nurse's best caring response?

research findings or other reliable evidence show that the change is appropriate

The nurse talks to the nurse manager to suggest making changes to the way a procedure is performed, and the manager asks whether this change is evidence-based. What does the manager mean by evidence-based?

the employer

The patient asks the nurse how most people can afford medical insurance. The nurse explains many people get medical insurance from what source?

"Let's look at ways you could reduce the harm from smoking as much as possible."

The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with which response?

a doctor

The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?

arriving for class on time and prepared for class

The student nurse demonstrates care for classmates with which behavior?

Learn more about their own personal cultural background.

The student nurse wishes to be culturally competent. Which should the student do first?

individual goals

Unified commitment is a characteristic of a high-functioning team. Which characteristic is not required?

utilitarianism

Using animals that may be harmed or even die for research studies for human drugs is permissible under which ethical ideology?

a formal leader has been hired into a position of power

What differentiates a formal nursing leader from an informal nursing leader?

facts and instructor quidance

What does a novice (new) student nurse use to make ethical decisions?

rating an employee by comparison with other employees.

When a manager uses the contrast effect in performance analysis, this refers to:

Clearly identifies the issue based on the perspective of the persons involved.

When a nurse uses ethical reasoning, the nurse performs which action?

a severe violation of a rule occurs

When is it appropriate to give an employee a written warning as part of a disciplinary action?

collaborative

When team members or a nursing unit work together and make decisions as a group, this team demonstrates which type of environment?

get to the point and only write what is necessary

When writing a work-related e-mail, what is the best guideline for the nurse to follow related to length?

Your body language as you explain the dressing change you are doing

Which action best describes the most honest form of communication?

Acceptance of the beliefs and characteristics of a patient

Which action by a nurse is necessary to provide culturally competent care

listening carefully to your staff member as they share a problem

Which action is critical to communication?

- competitive actions of incompatibilities - mental struggle between opposing internal or external demands - hostile encounter or collision

Which are causative factors for conflict in the nurse's work environment? (Select all that apply.)

- conflict is inevitable - results of conflict can be constructive

Which are the never-changing rules of conflict the nurse must know about conflict situation? (Select all that apply.)

Baptizing comatose patients without family approval

Which example best demonstrates the concept of cultural imposition?

- caritas - transpersonal caring - high-touch - intentionality

Which features are components of Jean Watson's caring theory of nursing? (Select all that apply.)

Clinton administration health care reform

Which historical change had the most impact on increasing the manager's role for LPNs?

rising cost of providing health care to all citizens

Which is a major source of stress on the current U.S. health-care system?

being quiet and gentle

Which is necessary when the practical nursing students communicates with patients and families in the clinical area?

- physical disabilities - preconceived opinions

Which of the following are examples of a communication block? (Select all that apply.)

- research related rights - right to refuse treatment or medication - right to be fully informed about procedures the right to safe care

Which patient rights is the nurse likely to be called to advocate for? (Select all that apply.)

the patient who needs minimal assistance in performing activities of daily living but cannot live alone

Which patient would be appropriately transferred to an assisted living facility by the nurse?

- Lillian Wald - Mary Brewster - Florence Nightingale

Which persons are viewed as leaders and managers in nursing? (Select all that apply.)

there is no central agency to govern health care systems

Which statement about the U.S. health-care system made by the nurse is untrue and inaccurate?

Lassiez Faire

Which type of of leadership style do most people try to avoid?

you and the organization will lose

Which will happen if a nurse gets involved in a power struggle with an autocratic leader?

Reimbursement often influences the services that can be offered to the public.

Why is it important for nurses to have some understanding of health-care issues in the United States?

report the incident to your head supervisor

You are an LPN employed in your first job. A resident complains to you about the care and incompetence of a nurse on the previous shift. Which action is MOST appropriate.

gathering information about a client

You are the nurse manager and know that you must assess a clients needs before you can delegate a task regarding that patient to a CNA. Assessing the clients needs involves:

use process of negotiation

You work on a skilled unit in a long-term care facility. Over the past several months, there has been conflict over the schedule. Your manager should use which method to resolve this conflict successfully?