Coarse Point Questions Exam 2
The new nurse manager is learning about staff development. Which are characteristics of pedagogy? (Select all that apply.)
Competition is encouraged, Learners depend on the teacher, The teacher sets the goals, The teacher evaluates
The charge nurse is making assignments for the next shift. Which patient should be assigned to the new graduate nurse who has just successfully completed her unit orientation?
A 60-year-old who needs teaching about the use of incentive spirometry
The nurse working on a medical-surgical nursing floor should plan to assess which client first?
A patient admitted with renal failure with a previous day's urinary output of 900 cc.
After receiving report, which client should the nurse see first?
A patient who was admitted with kidney stones and is crying with back pain.
What is the definition of competency?
A person's ability to correctly perform a skill or task
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?
Budgeted NCH/PPP for the unit
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.)
General medical-surgical units, Home health care, Operating room, Specialty care units
A root cause analysis (RCA) is a process during which participants:
Identify risk points before, during, and after the event and the impact on the incident
A new graduate nurse is interviewing for a position on a medical-surgical floor at a local hospital. During the interview, the nurse manager states, "Tell me about your wife and kids." Which response by the new graduate nurse best addresses the inappropriateness of the question while maintaining a positive interview environment?
If you are concerned that family may interfere with my work, my record of attendance speaks for itself.
A nurse manager is evaluating the effectiveness of staff development activities that have occurred in the past year. Which criteria should be included in this evaluation? (Select all that apply.)
Learner's reaction, Behavior change, Organizational impact, Cost-effectiveness
The Institute of Medicine (IOM) would consider which behaviors as an indicator of quality care? (Select all that apply.)
Nurses returning to school to obtain a baccalaureate degree in nursing, Nurses taking population-specific classes to keep their professional knowledge updated, The use of nationally developed and approved patient education materials, A hospital requiring annual retraining for all staff in CPR and AED use
A new nurse manager is learning about staff development. Which statements reflect elements of Bandura's social learning theory? (Select all that apply.)
People learn as a result of direct experiences., Knowledge may be gained vicariously., Learning may occur from judgments of peers., People evaluate new information from reasoning.
A nurse manager is evaluating the critical thinking competency of a staff member. What method would be most effective in making this evaluation?
Request the staff member's rationale for decision making, and share the nurse manager's own rationale.
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.)
Staff on duty for 24 hours beginning at 11 p.m., Patient census as of midnight on day two, Work hours for each staff member on duty
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.)
The first step is to calculate the number of staff for the 24-hour period., The total staff for 24 hours is divided by the patient census at 12 a.m. (midnight), The calculation should include all members of the nursing staff on duty.
When a new nurse executive identifies the goal of creating a "just culture" environment in their healthcare organization, the staff understands that such an environment is characterized by a culture where:
The focus is on system processes that caused an error, not on individual blame.
A nurse manager has evaluated a recent staff development activity. Which variables may have limited the transfer of knowledge and ultimately the success of the activity? (Select all that apply.)
The training context of the staff development activity was different from the work context, The training included one example so that the staff could apply information specifically
An experienced nurse is applying for a nurse manager position on a similar unit at another hospital. In developing a list of appropriate questions to ask of the recruiter at the first interview, which should the nurse applicant select? (Select all that apply.)
What is the turnover rate for staff nurses on this unit? Do you provide continuing education opportunities? Can you tell me about shared governance for nursing at the facility? How does the unit currently handle staff scheduling?
The nurse should plan to see which patient first when planning morning care?
a 12 year old who was admitted for chemotherapy via central venous catheter
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
A nurse manager is reviewing current staff development activities. Which is critical to ensure that staff development activities are successful?
communicating shared responsibilities for education and training
A nurse manager evaluates the performance of a staff member and provides the following feedback: 'When you didn't contact the attending physician after you registered the patient's low blood pressure reading, the patient went into respiratory arrest that might have been prevented. Next time you have a patient with an unexpected change in their vitals and can't get in touch with their doctor, contact the nursing supervisor so we can get help to that patient sooner.' What type of feedback has the nurse manager provided?
constructive
It is not necessary for the nurse leader to develop a budget cycle; the emphasis should be on assessing departmental needs.
false
Identify the following obstacles that prevent adults from learning. (Select all that apply.)
institutional barriers, time, self-confidence
The nurse recruitment staff at a long-term care facility has decided to move to a team approach to interviewing qualified applicants. What is the most important reason for the staff to move to a team approach?
reduce individual bias toward applicants
The nurse manager may use which quality assurance or performance improvement technique to identify underlying process flaws in the reporting of suspected child or elder abuse?
root cause analysis
Complete the following sentence: according to adult learning theories, adult learners _____.
should be actively involved in the evaluation of their progress
Adults learn differently than children; therefore, nurse leaders need to be familiar with teaching and learning styles to effectively educate staff members.
true
Evaluation methods that nurse leaders should include to evaluate the effectiveness of staff education are observation, communication, learner self-evaluation, and pre- and post-testing.
true
The budget uses numerical data to predict short- and long-term needs of an organization.
true
There are three types of feedback that a nurse leader may use: positive, negative, and constructive feedback.
true
A nurse-recruiter determined that an applicant lied about a previous nursing position. Which ethical principle did the applicant violate in providing false information to the nurse-recruiter?
veracity
A new graduate nurse plans to administer early morning medications after receiving change-of-shift report. Which medication should the nurse administer first?
A scheduled IV antibiotic for a client who has resolving pneumonia
A hospital is hiring a nurse manager for the facility's new neonatal intensive care unit set to open in 3 months. In order to find the most acceptable and qualified candidate, which type of interview should be conducted with potential applicants?
structured interview
A new nurse manager is learning about staff development. Which statements about the implications of Knowles' learning theory are accurate? (Select all that apply.)
Adults learn best by using experiential techniques., Mistakes should be viewed as opportunities to learn., Assessment of need is absolutely essential.
A nurse manager is evaluating the effectiveness of the most recent staff development activity. Which strategy would be most useful in validating competency of each of the staff on the unit after a staff development activity?
Assessing whether the participants can transfer knowledge to practice
A nurse manager is reviewing acceptable and unacceptable inquiries prior to conducting new-hire interviews in the coming week. Which interview questions are acceptable inquiries for the nurse manager to ask during the interview? (Select all that apply.)
How long are you hoping to stay in this position if you are hired?, How long have you lived in the area?, Do you have a license to practice nursing in the state?
The nurse in the emergency department should see which of these four patients first?
a patient reporting a headache, photosensitivity, and stiff neck
A new nurse manager is learning about staff development. Which statement about either training or education is most accurate?
training ensures knowledge and skills necessary for the job
A nurse has been late to work several times per week for the last three weeks. When questioned, the nurse states that her tardiness issues are related to new road construction on her route to work. The nurse manager deems that disciplinary action is necessary for the excessive unexcused tardiness. As this is the nurse's first infraction, what should be the nurse manager's choice of discipline?
verbal admonishment
A nurse was suspended following excessive absences. The absences continued after the suspension, and now the nurse is to be terminated. The nurse manager is completing a termination conference with the nurse. What response would be the most appropriate for the nurse manager to conclude the conference?
you are a skilled nurse and I wish you the best
