Final Transition Class

You are working as a nurse in the emergency department when EMS brings in a 103 year old male found unconscious, not responsive. EMS initiated CPR and brought the pt to your ED in order to save his life. You recognize that working a full arrest is a stressful and sometimes messy ordeal, which of the following leadership styles would be most effective during this code? A. Autocratic B. Democratic C. Laissez-Faire D. Libertarian

A

You plan out your day well setting priorities and making lists. Half way through your day you have completed a lot and thing on the floor have changed. The last step in time management which you are going to do now is? A. Reprioritize B. Procrastinate C. Take a break, relax, and socialize D. Make a list

A

The national patient safety goal measures and promotes specific improvements in patient safety, and they include (select all that apply) A. Identifying patients correctly B. Preventing infection C. Using medicine safely D. Teaching the patient how to use the TV remote control

A, B, C

Which of the following are distinguishing characteristics of a standard? Select all that apply A) They are predetermined B) They are established by an authority C) They are communicated to and accepted by the people affected by them D) They are used to grade an individuals performance

A, B, C

After planning and organizing, staffing is the third phase of the management process. What are some of the steps in this phase? select all that apply. A: recruits B: selects C: places D: indoctrinates personal E: changes the budget

A, B, C, D

Under the functional model, an RN assesses patients where as other- ( select all that apply) A. giving bath to patient B. Administering medications C. take vital signs D. changing linens E. changing IV dressing

A, B, C, D

You are a nurse working in the ICU, when you see your neighbor, Susan, being admitted to your unit. Then you get a frantic call from Susan's husband Bob, who states that he is worried about Susan because she is suffering from a mental illness and has left the house. Can you please tell him how she is doing? What law prohibits you from disclosing Susan's condition? A. EHR B. HIPPA C. American Nurses Association Code of Ethics D. Patient Care Partnership.

B

A stemi is about to arrive at your ER. Most of you are RN new grads and this is everyone's first real stemi. Everyone is looking at each other unsure of where to go from hearing the call from dispatch. You begin to assign people roles for when the patient arrives based off how you would handle this and take charge of the situation. This is an example of what type of management/leadership style? A.) Democratic B.) Laissez-faire C.) Autocratic

C

Match the definition to the stage of group development: 1. Forming 2. Storming 3. Norming 4. Performing A. Resistance to task requirements and differences surface regarding demands imposed by the task B. Problems are solved; constructive efforts are taken to complete the task. C. Identifies tasks, appropriate rules and methods suited to the task's performance. D. Cooperation develops as differences are expressed and resolved.

1. C 2. A 3. D 4. B

A person that is giving consent must fully comprehend all of the following EXCEPT: 1. Expected or desired outcomes 2. Alternative treatments that are available 3. Expected complications or side effects that may occur as a result of treatment 4. The risks involved 5. How many times the doctor has successfully preformed the procedure 6. The procedure being preformed

5

A building fire causes a rush of injured patients to the ER. A nurse takes charge in delegating tasks and triaging. All the other nurses available start working on tasks delegates to them without question. The nurse in charge is exemplifying what leadership style? A. Autocratic B. Democratic C. Laissez Faire D. Servant

A

An outcome audit measures A. The end result of care B. How nursing care is provided C. Nursing staff shortages D. Alarm response time

A

Defamation with the written word or photographs, is known as: A. Libel B. Invasion of Privacy C. Assault D. Slander

A

Mr. Smith is an 80 y/o RN. He is very disciplined, & highly respectful of authority. He doesn't like to protest, and some refer to him as "the traditionalist." Which generation is Mr. Smith apart of? A. Silent generation B. Baby Boomer C. Generation X D. Generation Y

A

SBAR stands for: A. Situation, background, assessment, recommendation B. Situation, background, assignment, recommendation C. Situation, backtalk, assessment, recommendation D. Situation, background, assessment, record

A

The RN who is responsible for hiring addition nursing staff recognizes that she can not ask the following question to the interviewee: A. Religious beliefs B. Certifications C. Previous employment D. When can you start

A

The nurse is calling the health care provider about a patient's changing condition. Which of the following would be included in the SBAR communication? A. Situation, background, assessment, and recommendation B. Subjective information, background, assessment, and revisions needed C. Situation, background, all vitals, and review of orders D. Summary, better plan, accurate diagnosis, and rights

A

The nurse manager in your unit asks if you would be willing to lead a new project aimed at improving patient safety. This position will require you to employ your leadership abilities. You decline the offer by saying, "I'm sorry. I can't do it because I'm not a leader". What theory of leadership best describes this rationale? A. Great Man Theory B. Behavioral Theories C. Interactional Leadership Theories D. Transitional and Transactional Leadership

A

What would be an appropriate task to delegate to a CNA Tech? A: Taking vital signs on a stable patient B: Administering medications C: Assessing a patients neuro status D: Placing an IV on a newly admitted patient

A

When an organization uses the process of measuring products, practices and services against the best performing organizations this is known as _______ A. Benchmarking B. Control Criteria C. Best practice

A

Organizations use preceptors to help new employees clarify their role and improve their skill level carefully. What are some of role of preceptors A-helps new nurse make transition from classroom to practice. B- Demonstrate strong nursing knowledge. C- serve as a coach or advisor. D- Encourage professional and personal goals.

A, B

A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is alert and oriented and, after giving it much thought, has decided that he wants to be removed from the ventilator. The nurse believes the patient intends suicide, but supports his final decision. When the ventilator is removed, the nurse remains with the patient to support him. The nurse's action demonstrates respect for what moral principle? A) Nonmaleficence B) Autonomy C) Beneficence D) Fidelity

B

A meeting is being held for all the nurses on the floor so they can find ways to improve their patient satisfaction scores. During the meeting one particular nurse is constantly verbally attacking the other nurses and disapproves of everyone else's ideas. This nurse would be classified as what kind of group member? A. Self-confessor B. Aggressor C. Help seeker D. Playboy

B

A new graduate RN has a passion for improving healthcare standards and qualities. Which of the following settings would he seek employment? a. CDC b. Joint Commission c. State Hospital d. Local City Council

B

A nurse manager has been struggling with predicting staffing needs. What would be a beneficial strategy for this manager in trying to avoid a staffing crisis: A) Shortening the standard application process so more people could qualify for the job B) Knowing the source of the nursing pool and approximately how many new grads will be looking for hiring C) Making new hires work only weekends and holidays D) Rushing the orienting and training of new hires so they can be on the schedule as soon as possible

B

A nurse manager has implemented a new badge scanning process that will be used before giving medications to promote accountability and increase organization on the unit. The nurses this will affect are unhappy about the change and resistant about implementation due to the additional time it will take in the patient room. The nurses of the unit are currently in what stage of the group process? A. Forming B. Storming C. Norming D. Performing

B

A nurse manager is talking with a nurse whose husband passed away a few months ago. The nurse states there is a group therapy activity on Wednesday but she works. She has asked everyone and no one can cover. What leadership style is the nurse manger showing when she covers the shift putting others needs at number one priority? A. Autocratic Leadership B. Servant Leadership C. Thought leadership D. Strength Based Leadership

B

A nurse need a new order for a medication and is giving report to a patients provider. The nurse gives her opinion on what needs to be ordered. What aspect of SBAR is the nurse practicing? A. Assessment B. Recommendation C. Situation D. Background E. Read back

B

A nurse sends a AP to check on a patient's wound vac and to report on the status of the wound. What kind of delegation is that? A. Under-delegating B. Over-delegating C. Proper-delegating D. Supervised-delegating

B

A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager's authority because of the age difference. How can this nurse manager best exercise authority? A. Use critical thinking to solve problems on the unit. B. Give assignments clearly, taking staff expertise into consideration. C. Understand complex health care environments. D. Maintain an autocratic approach to influence results.

B

Mary works night shift and is always frustrated when she gets to work and has to get report from the day shift nurse Jeremy. Jeremy always leaves the night shift nurses with tasks that are not done and meds that are not given. One day Mary confronts Jeremy about her concerns and Jeremy gets very defensive and tells Mary that he works hard and has rough days once in a while. What category of conflict are these coworkers experiencing? A) Intergroup B) Interpersonal C) Intrapersonal D) Extrapersonal

B

Nurse Anne and nurse David are in disagreement about which Star Wars prequel was worse. The disagreement escalates and it creates a conflict at work. What type of conflict does this represent. A. intrapersonal conflict B. Interpersonal conflict C. Intergroup conflict D. Oedipus conflict

B

When does communication begin? A. When one wants it to happen. B. When two or more people become aware of each other's presence. C. When a person begins speaking. D. When you walk into a room of people.

B

Which of the following Lewin's change theory occurs when the change agent convinces members of the group to change or when guilt, anxiety , or concern can be elicited? A. Movement B. Unfreezing C. Refreezing D. None of the above

B

Which of the following departments assess, facilitates, and organizes care based on the individual's health needs and available resources to promote cost-effective outcomes? A. Patient Experience Services B. Case Management C. Billing Services D. Infection Control

B

You have gone to the Med-Surg floor as a student nurse. The nurse you are working with loves that they have an opportunity to work with you one-to-one as you care for patients. They share their knowledge with you and support you when you are doubting yourself. The person you are with is a A. Role Model B. Preceptor C. Mentor D. Peer Advisor

B

What are features of HIS that support a culture of safety? (Select all that apply) A. Workarounds B. Alerts for reminders of possible complications C. Verifying medications and dosages D. Distractions

B, C

Cassidy is working on the computer charting and wants to make sure she is following the rules when it comes to privacy. What are the 3 P's of privacy? A.) protect your screen B.) protection of privacy C.) password protection D.) provides trust and confidence

B, C, D

Which of the following fall under the category of a "Theory X Employee"? (Select all that apply) A) Like and enjoy work B) Must be directed C) Need close supervision D) Motivated by rewards and punishment E) Seek responsibility

B, C, D

At St. Luke's hospital, staff is encouraged to see themselves as being connected to the whole organization and work activities are seen as having an impact beyond the individual to create a sense of community. This is which of Senge's Five Disciplines of Learning? (Staff and Personal Development PowerPoint) A. Team Learning B. Mental Models C. Systems Thinking D. Personal Mastery E. Building a shared vision

C

At St. Mary's hospital the unit manager for each department has control over the schedule. If any type of trading or scheduling conflict occurs contact your unit manager first. Which type of staffing is this? A. Centralizing staffing B. In-house staffing C. Decentralized staffing D. Unit staffing

C

Regarding group building, what is the responsibility of the gatekeeper? A) Mediating, harmonizing, and resolving conflict B) Accepting and praising the contributions and viewpoints of group members C) Facilitating and promoting open communication of all group members D) Recording the group's process and providing feedback to the group

C

Staff development activities are typically carried out for all of the following, except: A. To establish competence B. To meet new learning needs C. To see who the best RN on the unit is D. To satisfy staff interests on certain topics

C

Susan, a floor nurse on a med surg unit was born in 1972, she has been an RN for 30+ years but doesn't find staying with the same employer a priority, she has worked at 50 different hospitals over the years. Which generation is Susan a part of? A. Silent generation B. Baby boomer C. Generation X D. Generation Y

C

The charge nurse is rewarding staff for their ability to successfully complete all of their charting and punishing then when it is not completed. This is an example of what type of motivation? A. Intrinsic B. Leadership C. Extrinsic D. Organized

C

Which of the following external constituents plays a role in quality improvement in healthcare? A. UnitedHealth Group B. Medtronic C. Joint Commission D. CVS Health

C

Which of the following is NOT a way how HIS supports quality care? A. Prevents adverse effects B. Improved patient compliance C. Performs drug calculations for the nurse D. Research

C

Which strategy would not create a motivating climate? A. Positive reinforcement. B. Establish a supportive and encouraging environment. C. Micromanaging D. Avoid constant praise

C

While working on your shift, another nurse mentions how much money she is making. You know that you've been a nurse for 5 years longer than her and you're getting paid way less. You begin to feel anger towards your employer, this is an example of A) manifest conflict (Overt) B) latent conflict C) affective conflict (Felt) D) perceived conflict

C

Who is in the best position to identify problems and correct them in order to have the greatest impact on patient care? A. Family members B. Neighbors C. Direct Caregiver/Nurse D. Doctor

C

A nurse is working on a medical-surgical unit that is understaffed and has to use critical thinking skills. Which of the following characteristics display this skill? a. Observant b. Creative c. Communicative d. Energetic e. all of the above

E

What are obstacles to learning? select all that apply. A: Time B: Self-confidence C: Family reaction/situation D: individual obstacles E: all of the above

E

Which is the correct order of the stages of group process? a. Norming, forming, storming, performing b. Forming, norming, storming, performing c. Forming, storming, norming, performing d. Forming, performing, storming, norming

C

Which of the following does not help create a motivating work environment? A. Worker empowerment B. Incentives and rewards C. Cutting hours to give employees more time off D. The relationship between the employee and their supervisor

C

Which of the following is NOT one of the 5 rights of delegation? A. right person B. right level of supervision C. right medication D. right task

C

A nurse working in an operating room posts on Instagram a picture of a patient and discusses his multiple diagnoses including heart failure and what surgery they did on him that day and how it went. What type of intentional tort is this? A. Invasion of privacy B. Defamation C. Libel D. Slander

A

A nurse working on the floor has an idea to implement change in her unit. She asks the manager for their opinion and help in carrying out this change and the manager tells her to do whatever she wants. This is an example of what type of leadership? A. Laissez-faire B. Autocratic C. Role Model D. Transactional

A

A nurse manager on a medical-surgical unit goes around the unit asking for input from the employees on how to best improve the unit. She then uses this information to make a decision. What type of management style are they using? A. Democratic B. Autocratic C. Laissez-faire D. Transformational

A

A nurse on a med surg unit notices that once her patients on antibiotics go down for a procedure in the OR, the patient's antibiotics are stopped and never restarted resulting in a missed does of antibiotics. Which of Lewin's Change Theory is occurring when the nurse convinces the charge nurse that change needs to occur? A. Unfreezing B. Refreezing C. Movement D. Changing Environment

A

In order to meet their professional responsibilities, Nurses must be knowledgeable in which of the following areas? (Select all that apply) A. Client Rights B. Confidentiality and Information Security C. Informed Consent D. Patient Preferences E. Disease Specific Complications

A, B, C

A nurse on the floor has a problem and goes to the charge nurse for help. The Charge nurse puts aside her current task and listens carefully to the problem. She calmly helps the nurse come to a solution, and helps to implement it. This is an example of what type of leadership? A. Servant Leadership B. Autocratic Leadership C. Laissez-Faire Leadership D. Strength-Based leadership

A

A future nurse is interviewing for a job. The manager pulls out a form with the company letterhead on it and a printed list of questions. There is very little conversation happening and the manager is mainly just asking questions going down the list. What type of interview style is this? A- Structured B- Unstructured C- Semistructured D-Impersonal

A

Your manager disregards complaints of employees regarding her new implementation that there no longer will be "seniority" and that everyone is required to work four night shifts and seven weekend shifts during a eight week scheduling time frame. Nurses that have been there many years are very upset that they no longer have their day shifts only and are required to now work night shifts as well. This manager approach style would be known as: A) autocratic B) democratic C) transactional D) transformational

A

A leader-manager is looking to hire a few young nurses, she needs to fill the positions of 2 older nurses who have worked with their department for 40 years and are retiring. It has been a while since they hired anyone new. She recognizes that the hiring of these new nurses will help the department in what way? Select all that apply. A. It will give the department fresh new ideas B. It reduces the probability of "groupthink" in the department C. It will not help the department in any way D. It will help the department because the new nurses are young and can get things done faster than the older nurses.

A, B

A new nurse has recently been hired onto a Medical Surgical unit. Indoctrination of the new nurse seeks to...(Select all that apply) A. Establish favorable employee attitudes toward the organization, unit, and department B. Provide necessary information and education for success in the position C. Instill a feeling of belonging and acceptance D. Allow the nurse to float to several units before deciding where to work E. Increase the nurse's workload to make sure she is capable of handling her assignments

A, B, C

A new nurse on a fast paced Med/Surg floor is overwelmed, but does not want to ask for help in fear she will be seen as weak so she does all the tasks by her self. This is an example of? A. Best practice B. Underdelegating C. Overdelegating D. Improper delegating

B

A nurse at a local hospital is always arriving 20-30 minutes late to her shift and this is causing conflict with the night shift since they are required to stay to give report. The charge nurse has been notified but she refuses to address the issue because she doesn't like conflict and once the nurse arrives she's does her job. What conflict resolution is the nurse using? A. Compromising B. Avoiding C. Collaborating D. Competing

B

It is predicted that in the upcoming years we huge increase in nursing needs. This is mostly due to which of the following retiring? A. Silent Generation B Baby Boomers C. Generation X D. Generation Y

B

Who is not part of the joint liability? A. Physician B. Patient C. Nurse D. Employing organization

B

You have been working as a clinical nurse on your unit for 3 years and enjoy your job and your co-workers. Your UM receives a promotion and will be getting transferred to another location immediately, the CNO asks you to help out as an Assistant UM until they sort out applicants for the position. You receive informal training following the departing UM for three days and then you are left on your own, while at the same time your unit does not hire another floor nurse so you have to take on some patients as well. You end up staying 2-4 hours late everyday completing your clinical nursing duties and the additional duties as AUM. You feel overwhelmed and exhausted and you regret accepting the position in the first place. What is most contributing to your stress? A. Role ambiguity B. Role Overload C. Too little pay D. Ethical dilemma

B

Which is an invaluable skill that must be developed by the nurse manager that wants to achieve a balanced work and personal life? A. IV starting skills B. Second language abilities C. Effective time management D. Bow staff skills

C

Jen is evaluating her options when it comes to joining a Nurses Union or not. Which two of the following options would be considered Cons when it comes to Nursing Unions? A.) moves focus to care, not profit B.) must pay regular dues C.) provides security for nurses D.) it could result in termination

B, D

40% of the people who attended a smoking cessation clinic were not smoking 1 year after the clinic closed. What type of audit provided this type of data? A) Structure Audit B) Process Audit C) Outcome Audit D)Concurrent Audit

C

A Charge Nurse is walking around the unit offering Candy Bars to anyone who finishes their quarterly simulation modules by the end of their shift. What type of climate is the CN promoting? A. Negative B. Time Efficient C. Motivating D. Nursing Process

C

A RN on an Med-Surg floor witnesses an AP repeatedly turn off a clients call light without attending to the client. What would this be classified as in an Ethics investigation? a. Beneficence b. Veracity c. Negligence d. Battery

C

Adverse drug events or medical errors are is the 8th leading cause of death according to a 1999 study. Since then many updates to nursing practice have been changed to prevent these life threatening errors. All of the following are catch errors EXCEPT? A. Scanning the patients wristband and medication before administration. B. Using a smart IV pump to give medication. C. Drawing up the insulin and administering it as soon as the BG reading is available D. Using readback when getting a verbal medical order.

C

A new nurse is beginning to show signs and symptoms of role overload. The nurse leader is trying to help the new nurse to develop appropriate coping behaviors. Which of the following behaviors would the nurse leader encourage a. encourage the nurse to balance her home and work life. b. tell her to call in sick anytime it's needed c. if she feels her value's aren't being supported and encouraged to report it to her manager d. both A and C

D

A charge nurse is observing all the employees on the unit and is grateful to work in her department. She recognizes that the employees have the highest level and most effective form of discipline where they feel secure, validated and affirmed in their essential worth, identity and integrity. What kind of discipline do these nurses have? A. Group discipline B. Constructive discipline C. Destructive discipline D. Self- discipline

D

What channel of communication is "From Superior to subordinate"? A. Upward B. Horizontal C. Diagonal D. Downward

D

Which of the following is a type of verbal communication? A. Passive B. Passive-Aggressive C. Assertive D. Aggressive E. All of the above

E

A group of nurses are unhappy with some of the way things are done and handled at their jobs. They work for a union and collectively decide to go on strike until their needs are at least listened to and hopefully changed is the end goal. A third party is brought in to discuss and negotiate problems between the nurses and the upper levels of management. This third party reviews the issues and listens to both sides and ultimately makes the final decision. What kind of bargaining strategy is this? A- Arbitration B- Lockout C-Mediation D-Grievance

A

A manager on a med-surge unit feels that the staff performance is in decline. He comes up with a reward system to try to improve performance. What is a problem that can arise from using rewards to improve performance? A. Employees are no longer intrinsically driven. B. Rewards have never improved performance before. C. Employees will ask for better rewards before actually improving. D. Employees might perceive management as weak for resorting to a rewards system.

A

A new nurse in a hospital notes that her unit is a healthy work environment that is safe, empowering, and satisfying. Her team is patient centered and performs with a sense of professionalism, accountability, transparency, involvement, efficiency, and effectiveness. Which organization is over making work environments such as this one? a. American Nurses Association b. HIPPA c. JCAHO d. Nursing Practice Act

A

A new nurse in orientation is asking her trainer about how to care for clients with different educational and cultural needs. What is the best response by the trainer? A. People from different cultures and age groups may have different socialization and learning needs. B. Provide care to your client based on your level of education and personal beliefs. C. Care for you client using the standard 5th grade learning level and without any cultural influence. D. Don't make eye contact and speak quietly so you do not offend anyone.

A

A new nurse starts working on a unit and builds a supportive, formal relationship with an experienced nurse that lasts 4 years. What type of team building does this most resemble? a. Mentor b. Preceptor c. Role Models d. Case Manager

A

A newly graduated nurse has been working on her floor for a couple weeks. During that time she as noticed that one charge nurse particularly is not very approachable. Whenever she would ask this charge nurse for help or advice, she was met with eye rolls and made to feel stupid for not knowing something. Eventually she stopped asking the nurse for help because she was intimidated and afraid of her. What type of power is the charge nurse exhibiting? A- Coercive B- Legitimate C- Expert D- Authoritative

A

A nurse has just been moved into management and wants to reinforce the driving forces to motivate her team. She has decided to implement an employee of the month program and has successfully selected, recognized, and rewarded the first employee of the month. She would like this to become a reoccurring monthly tradition. What stage of the Lewin change theory needs to occur in order to make this happen? A. Refreezing B. Unfreezing C. Thawing D. Movement

A

A nurse is dealing with a difficult patient that keeps asking the nurse what they are doing and why they are doing that. The nurse takes their time to explain everything and does not lie about anything, which form of Ethical reasoning are they using. A. Veracity B. Fidelity C. Autonomy D. Justice

A

A nurse is preparing to administer digoxin to a patient for heart failure. The nurse explains what the medication is and what it's for. The patient refuses to take the medication. The patient is using what ethical principle? A. Autonomy B. Fidelity C. Veracity D. Beneficence

A

A nurse is reviewing a patient chart and realizes she is 2 hours late on giving the patient their antibiotic. The nurse decides to inform the patient and ask for forgiveness. This is an example of which ethical principle. A. Veracity B. Autonomy C. Utility D. Justice

A

A nurse manager interviewed a possible candidate for the new graduate position this morning. She did not have questions prepared for the interview in advance & spent the majority of time talking about her upcoming vacation. What type of interview was this? A. Unstructured interview B. Semi-structured interview C. Structured interview D. None of the above

A

A nurse understands she has broken the principle of veracity when what has occurred? A. The nurse lied to the patient. B. The nurse threatened the patient. C. The nurse neglects the patient. D. The nurse treats the patient fairly.

A

A patient on a Med Surg floor is upset. He is being irrational and inappropriate. The nurse assistant recognizes that he may be in danger and so is the staff. She reports her findings to the nurse, and the nurse responds with "Hes okay, he just needs to calm down and hell be okay" the tech doesn't feel right with her response so she goes to the charge nurse with her findings in hopes to get help. By going a step above the nurse she is using which type of Organizational Structure? A. The chain of command B. Scalar Chain C. Span of Control D. Centrality

A

A patient's family members calls the nurses station and requests to talk to the nurse in charge of the their family member. They ask for information about how they are doing and what's going on. The nurse gives them the information they are asking about without a signed consent. What law did the nurse just break? A. HIPAA B. Good Samaritan C. Electronic Health records D. Group Communication

A

A student nurse on their first day of nursing school asks the instructor to explain what the acronym HIPAA stands for, what would the instructor tell the student? A. Health Insurance Portability and Accountability Act B. Health Introduction Protection Acknowledge Assess C.Health Insurance Privacy and Accountability Act

A

A survey is sent out to hospital employees, and the results show that the employees are generally unsatisfied working for the organization. Management realizes they need to implement change to raise employee satisfaction. They are currently in what stage of Lewin's Change Theory? A. Unfreeze B. Norming C. Refreeze D. Change

A

A wrongful act or injury committed by an entity or person against another person or another person's property is called a________? A. Tort B. Veracity C. Fidelity D. Moral Indifference

A

Although a patient refused a procedure, the nurse still went ahead and inserted a Foley catheter. The administration of the hospital decides to settle the lawsuit because the nurse is most likely to be found guilty of which of the following? A: Battery B: An unintentional tort C: Assault D: Invasion of privacy

A

An aid on a medical surgical unit at IMC wishes to continue her education. The IMC organization recognizes this and offers the aid tuition reimbursment as they believe such an investment will have a future pay-off. This is an example of what theory? A. Human capital B. Emotional intelligence C. Principal agent D. Servant leadership

A

An off-duty nurse observed an individual fall off her mountain bike, hit her head, and lose consciousness. The nurse helps the person and stabilizes the head and neck and attends to some active bleeding. When the girls friends catch up to her, they yell at the nurse and claim she is causing harm even though the nurse is acting reasonable and prudent. Which law protects this nurse? A. Good Samaritan Laws B. Patient Self-Determination Act C. Liability Laws D. Civil Law

A

As a nursing manager you are trying to use the Lewin's change theory to implement a change to better the care in your unit. You find that the new way is being used for a week or two but after that the employees tend to go back to the old ways of doing things. What phase of the the Lewin's theory needs more attention in this situation . A. Refreezing B. Movement C. Unfreezing D. Freeze drying

A

Before the end of shift bed side report, the nurse compiles a list of medications the patient is currently taking and a list of medication the provider has prescribed. The nurse compares these lists with the night shift nurse. What joint commission recommendation is the nurse exhibiting to prevent medication errors? A. Medication Reconciliation B. National Patient Safety Goals C. Core Measures D. Sentinel Event Reporting

A

Brian a new RN, has just gained employment at a hospital where there is a union representation for nurses, he is tying to weigh the pros and cons of joining the nurse's union. He is discussing some of the pros with a fellow worker. Which of the following would be considered a con rather than a pro. A. Fear of employer reprisal B. To increase the power of the individual C. To eliminate discrimination and favoritism D. To increase their input into organizational decision making

A

CNA Samantha is stressing out and saying she cannot perform her duties of giving the patient her bed bath due to the patient's lack of effort and how she must do all of the work. RN Ryan is very busy with charting but takes the time to listen to Samantha's concerns and stays calm to remind Samantha of the patient's needs and what the goals are instead of demanding Samantha to just do her job. Which leadership style is Ryan? A. Servant Leadership B. Laissez-fair Leadership C. Democratic Style D. Autocratic Style

A

In which of the following stages of Tuckmans group developement identifies tasks, appropriate rules and methods suited to the task's performance. A) Forming B) Storming C) Norming D) Performing

A

Jeff is an experienced nurse who provides knowledge and emotional support, as well as a clarification of role expectations on a one-to-one basis. He is an effective role model and can adjust teaching to each learner as needed. What role does Jeff fulfill? A) Preceptor B) Role model C) Mentor D) Teacher

A

The nurse wants to look up where activities that are used to evaluate, monitor, or regulate services rendered to consumers. What would the nurse look up to find her answer? A. Quality control B. Report cards. C. Key concepts D The Joint Commission

A

There are three call lights going off on a Medsurg floor. The first two patients are both requesting pain medications. The third patient needs help to the restroom. The nurse sends the CNA to help the third patient. Which of the five rights of delegation is the nurse utilizing? A. Right Task B. Right Time C. Right supervision D. Right communication

A

Upon arriving to work, the nurse finds out that he will be taking care of a local VIP. After a long day at work, he goes home to unwind. At the dinner table his wife asks how is day was. He proceeds to tell her all about his day including the VIP he took care of. The nurse is violating what privacy law? A. HIPAA (Health Insurance Portability and Accountability Act) B. The Patient Self-Determination Act C. HCQIA (Healthcare Quality Improvement Act D. EMTALA (Emergency Medical Treatment and Active Labor Act)

A

What is The Joint Commission? A: An independent, not-for-profitorganization that accredits health-care organizations and programs in the United States. B: An organization that helps hospitals establish work place safety. C: An organization that mandates all laws regarding pharmaceuticals. D: All of the above.

A

What is a healthcare facility accreditation agency that sets higher standards for patient care and coordination of care? Voluntary, but highly sought after. A. JACHO: Joint Commission B. National Healthcare Initiative C. National Patient Safety Goals D. None of the above

A

What is quantum leadership? A) Leaders who work together to develop common goals, exploit opportunities, and empower staff. B) Leaders who are true to themselves. C) Leaders who have innovative ideas and challenge the status quo. D) Leaders who surround themselves with different strengths.

A

Which is an example of centralized staffing? A. A hospital where staffing decisions are made by personnel in a central office or staffing center B. A Surgical unit where priority is given to hiring family members C. a telemetry unit where hiring is made primarily by the charge nurse. D. A clinic where jobs are handed out on a first come first serve basis

A

Which of the following methods of information exchange are in compliance with HIPAA? A. End of shift report given at bedside between 2 nurses assigned to that patient. B. Shift exchange given in which all nurses hear report on all of the patients on the unit. C. A phone request by an employer to verify that an employee is currently being hospitalized. D. A nursing student to read any health record they want to help them get more knowledge.

A

Which overseeing agency is able to award the magnet status? A. Joint Commission (JACHO) B. Center for Disease Control (CDC) C. Health Department D. American Nursing Association (ANA)

A

Which president set a goal for Americans to have an EHR? A. G Bush B. B Obama C. A Lincoln D. F Roosevelt

A

You are the manager of a unit and are approached by an employee about constant arguing between two coworkers. And how it is beginning to make them uncomfortable. And they really dislike working with them due to the constant tension. This is an example of what type of conflict? A. Intergroup Conflict B. Intrapersonal Conflict C. Interpersonal Conflict D. None of the above

A

You just started a job as a unit manager at a SNF and you are having difficulty getting the staff motivated to help each other out with shift coverage. As the leader, which of the following strategies to create a motivating climate would be most effective for this situation? A. Develop the concept of team work B. Set clear expectations for employees C. Remove traditional blocks between the employee and the work to be done D. Provide experiences that callange or "stretch" the employee and allow opportunities for growth.

A

You work in the NICU and your nursing director tell you that all diaper weighing scales must be kept in a closet out of site and wiped down after use to keep quality and cleanliness up to proper standards. What is the external source that requires these quality measures be taken? A. The Joint commission B. HIPPA C. The CNO of the hospital D. The Food and Drug administration

A

How do computers and technology improve patient care? Select all that applies: A) Improves information shared between hospitals. B)Gives the client a voice in care provided. C) Medication verification and less errors D) Gives something for the RN's and Ap's to do when their are bored.

A, B, C

The leader- manager is preparing for the new employee indoctrination. Which of the followings should the leader- manager include in employee indoctrination? ( Select all that apply) A. Organization history, mission, and philosophy B. Work schedule and scheduling policies C. Safety and fire programs D.Reference check and background screening

A, B, C

What must the RN do when a client is leaving against medical advice? (Select all that applies) A) Let the client know that insurance may deny payment to facility for their visit and the cost could be on them. B) RN must document patients refusal as well as get a signature from them on AMA form. C) Client was informed of potential risks by leaving facility. D) Notify the provider E) Notify family

A, B, C, D

You come on shift and are immediately bombarded with stuff to do. Which of the following tasks are appropriate to delegate to the aide working with you. Select ALL that apply. A. Bladder scanning a patient who just voided and needs to be cathed if there is a post void residual of 200 ml or more. B. Taking patients blood sugar C. Removing patients IV D. Taking patient for their first walk after coming out from surgery

A, B, C, D

What is considered a time waster? Select all that apply A. Technology (Internet, gaming, e-mail, and social media sites) B. Socializing C. Paperwork overload D. A poor filing system E. Interruptions

A, B, C, D, E

A nurse is starting their shift in the ICU. They are making a list of tasks and prioritizing what needs to be done during their shift. The nurse understands that the categories of prioritization include (select all that apply): A. Don't do B. Do Now C. Reschedule D. Do Later E. Remove task

A, B, D

A nurse manager has noticed a nurse has been showing increased signs of irritability with patients and colleagues, she has had difficulty meeting schedules and deadlines, has been caught sleeping on duty and has had increased absences on Monday's and Friday's. What are some appropriate interventions for this type of behavior. Select all that apply A. begin to gather data or hard evidence to document suspicions of chemical impairment B. request that the nurse undergo immediate drug or alcohol testing. C. in order to avoid showing judgment do not suggest the nurse should seek help D. if the manager suspects the employee is chemically influenced immediately remove the nurse from the floor.

A, B, D

Which of the following tasks can be delegated to a NAP (Nurse Assistant Personal)? (select all that apply) A) Feeding, cutting up food, placing of meal trays. B) ambulation, positioning and turning. C) Handing out and giving medications. D) Taking vital signs.

A, B, D

Who is allowed to give informed consent? (select all that apply) A. Parent of a minor child B. A competent adult C. Friend D. Court order E. Neighbor

A, B, D

A same day surgery nurse is checking in their patient and making sure informed consent has been obtained. Informed consent means the patient fully understands which of the following (select all that apply)? A. Risks involved with the surgery B. Expected complications or side effects C. Understanding of other hospitals that will do the surgery as well D. Procedure that is being performed E. Alternative treatments that are available

A, B, D, E

A nurse manager is interested in switching to decentralized staffing. What are some limitations of decentralized staffing? (select all that apply) A. more time consuming for the unit manager. B. Provides less flexibility for the workers schedule. C. Can result in more special pleading and arbitrary treatment of employees. D. Managers may be less responsive to personnel budget control in scheduling and staffing matter.

A, C

Which of the following are examples of quality assurance? Select all the apply. A. target currently existing quality B. Train staff how to start an IV C. ensure quality currently exists D. Teaching managers how to be leaders E. Hosting interviews for qualified candidates

A, C

"Auditing in health-care organizations provides managers with a means of applying the control process to determine the quality of services rendered." These can occur: (select all that apply) A. Concurrently B. Intermittently C. Prospectively D. Retrospectively E. Reactively

A, C, D

A client expressed concern about to having a living will or knowing what it entails. The RN explains that it should include which of the following? (select all that apply) A-CPR B-feeding by mouth C-wishes regarding end of life care D-mechanical ventilation E-Incarciration

A, C, D

Loree, a new RN graduate, is concerned about finding employment. An experienced nurse reassures her that she doesn't need to worry due to which of the following: Select all that apply A. Growing elderly population B. The experienced nurse is quitting C. Baby boomers are entering retirement D. Life expectancy is lengthening

A, C, D

Quality control process entails which of the following?. ( select all that applies) A. Take educational action if the criterion has not been met. B.The process of measuring products. C.Determine the criterion or standard. D. Collect the information to determine whether the standard has been met. E Support the top administration.

A, C, D

Which of the following is TRUE about organizational communication strategies (select all that apply) A. Leader managers must assess organizational communication B. Communication is a one-way channel C. Senders should seek feedback regarding whether their communication was accurately received D. Communication must be clear, simple and precise

A, C, D

You are a nurse working on Medical/Surgical unit. After receiving the report, you start organizing tasks that need to be done. You are thinking about delegating some tasks to the nursing assistive personnel (NAP). Which of the following tasks can be assigned to a NAP? (Select all that apply) A. Feeding a patient with bilateral arms weakness B. Perform basic assesment on the patient C. Measure temperature, pulse, respirations, and blood pressure D. Perform vaginal irrigations and giving cleansing enema

A, C, D

What are the 5 rights of delegation? (Select all that apply) A)right task B)right route C)right person D)right circumstances E)right drug F)right direction/communication G)right dose H)right level of supervision

A, C, D, F, H

During an interview what are acceptable interview inquiries? (select all the apply) A. if applicate has another name B. marital status C. proof of US citizenship D. Number of children E. if the applicate is older than 18

A, C, E

Which of the following is true regarding incident reports? Select all that apply A. Incident reports are records of unusual or unexpected incidents that occur in the course of a client's treatment. B. Incident reports are a formal way to place blame on a member of the medical profession for negligent care. C. Incident reports are generally considered confidential communications and cannot be subpoenaed by clients or used as evidence in their lawsuits in MOST states. D. Incident reports need to be linked or mentioned in a patient's chart to be valid. E. Attorneys use incident reports to defend the health agency against lawsuits brought by clients.

A, C, E

A new grad RN wants to make a difference, not just with patients, but in healthcare as a whole. Which of the following would you suggest that they do to become more involved in healthcare as a whole? A. Write a letter to their Congressperson B. Call the U.S. Attorney General C. Create a fake twitter account to complain about healthcare anonymously D. Write an e-mail to their Senator

A, D

Self scheduling allows more control for nurses by? (select all that apply) A) constructing their own schedule B) only being able to schedule for 1 week in advance C) The manager makes the schedule D)be given 4 to 6 week schedule worksheets to fill out several weeks in advance

A, D

A new nurse is learning to better manage their time, effective time management can be exhibited when the RN does which of the following? A. starts the day with no specific order B. sets aside time to establish priorities & plans for the shift C. delays charting assuming they will have time to do it at the end of the shift D. underestimates the amount of time a task will take

B

A nurse and her student are taking care of a patient who has had a post-op bleed and refuses to recieve blood for treatment due to religious reasons . The nurse says to the student nurse " Every religious person refuses blood transfusions because they believe God will heal them, I don't know why we bother trying". What illogical thinking is this nurse using? A. Arguing from analogy B. Overgeneralizing C. Affirming the consequences D. Brainstorming

B

A nurse delegates the task of getting vital signs on her assigned patients every four hours to a Certified Nursing Assistant. This is an example of which type of patient care method? (Group Process and Teamwork PowerPoint) A. Modular Nursing B. Functional Method C. Team Nursing D. Total Patient Care

B

A nurse is being sued for forgetting to give a client a medication that caused them serious injury and additional time in the hospital. The client is now suing the nurse for the error. What type of crime did the nurse commit? A. Assault B. Negligence C. Battery D. Libel

B

A nurse is collecting all the supplies she will need to perform a dressing change for a patient on the burn unit to avoid multiple trips to the supply closet. The nurse is creating what type of work environment by planning ahead? A. Motivating environment B. Time-efficient environment C. Autocratic environment D. Supportive environment

B

A nurse is teaching new nurses about client rights. Which of the following statements by a new nurse would require correction by the nurse? A. "Clients have the right to refuse treatment." B. "If a client asks about her mother's chart, I will allow her to see that information." C. "A client has the right to leave against medical advice." D. "A client has the right to know possible risks and adverse effects to their medication."

B

A nurse starts an argument with a patient because the patient stated they do not wish to have a blood transfusion in the event that they may need one during surgery. What right is being taken away from the patient? A. Confidentiality B. Autonomy C. Veracity D. Justice

B

A nurse take's a patients temperature, Blood pressure, auscultates his lungs and heart. what part of the nursing process is the nurse implementing. A. plan B. Assess C. evaluate D. implement

B

A nurse tells an anxious patient she will be back to check on her in an hour. The nurse promptly returns an hour later. The nurse is practicing A. Justice B. Fidelity C. Beneficence D. Autonomy

B

A nurse witnesses a car crash and assumes the responsibility to care for this victim until more help arrives. Which of the following will protect the nurse from potential liability while using nursing practices outside of the workplace: A. Nursing Practice Act B. Good Samaritan Law C. American Nurses Association D. Health Insurance Portability and Accountability Act

B

A nurse working in the ICU is preparing to transfer a patient to the Rehabilitation floor what kind of report will she plan on giving to the unit nurse? A: Writen B: Handoff C: Recorded D: None

B

A nursing floor has decided to change its staffing model. Which stage of Lewins Change theory would include developing a plan, setting goals, implementing and evaluating change? A. Unfreezing B. Movement C. Contemplation D. Refreezing

B

A nursing student is required to take labs and participate in clinicals by her school to apply her knowledge and skills. The nursing student recognizes that this is an example of: A. Change agent B. Planned change C. Continual change D. Monotous labor

B

A secretary that is cross trained as a CNA is at the nurses station and hears the tele monitor alarming that a patient is in VTACH, she becomes impatient with the phone ringing constantly and the alarming tele monitor and answers the phone while silencing the tele monitor. The patient goes into VFIB proceeding with asystole. Which TORT did the secretary perform by not informing the proper staff of what was happening with the patient? A) invasion of privacy B) negligence C) nonmaleficence D) battery

B

During what stage of the nursing process does the nurse initiate the identified plan? A. Planning B. Implementation C. Diagnosis D. Evaluation

B

During which of the 5 steps of the nursing process does the nurse decide whether outcomes of care are achieved? A: Implementation B: Evaluation C: Diagnoses D: Assessment

B

In the NICU there is an opt for a new flow of taking vital signs and performing cares. They are trying to incorporate clustering care and only performing cares when the patient is awake to promote the healing effect of sleep. The manager is the one implementing and is asking unilaterally without regard for subordinates to implement this change. The decision is made quickly and the objectives and methods of achievement are clearly defined. Which type of Nursing Management is being used? A. Democratic B. Autocratic C. Laissez- Fair D. Strength Based Leadership

B

Jalene a new RN, is at the gas station getting hot chocolate. She notices fellow employees Tracy and Karen are in line waiting to pay, she over hears them discussing a patient and the details of his treatment. This would be considered a violation of what law? A. The Anti-blabber Mouth Law (A BM) B. HIPPA C. The Eye for an Eye Law D. EMTALA

B

Johnny use to learn from a teacher and receive Starbursts for great work. Johnny is older now and decides to go by John. Now that John has become a self-directed learner that is mature and motivated by personal growth he has switched into what learning theory? A. Pedagogy B. Andragogy C. Personal Mastery D. Shared Vision

B

Nursing students are learning about the principles of shared governance in class. The teacher says that the principles of shared governance will be on the test. What are the 4 principles that shared governance is based on? A. partnership, accountability, truthfulness, and teamwork. B. accountability, ownership at point of service, equity, and partnership C. autonomy, veracity, ownership, and partnership D. ownership at point of service, longevity, accountability, and equity

B

Staff development activities are normally carried out for one of three reasons except: A. to establish competence B. to fill time during staff meeting C. to meet new learning standards D. to satisfy interests the staff may have in learning in specific areas

B

Tanalee a nurse manager on the med surge floor; often obtains compliance through threats (often implied) of transfer, layoff, demotion, or dismissal. This nurse manager who shuns or ignores an employee is exercising power through? A. Reward Power B. Punishment or coercive power C. Kindness D. Expert Power

B

The difference in performance between top-performing healthcare organizations and the national average is called the: a. benchmark b. quality gap c. best practice d. national standard

B

The nurse is interviewing for a position in a newly opened hospital. Which observation would best indicate to this nurse that the organization follows a shared governance model? A. Among the documents provided by the human resources department is an organizational chart of the nursing department, indicating that the director is the highest-ranking member. B. Conversation with a staff nurse reveals that the nurse feels empowered in making patient care decisions. C. The mission statement of the hospital describes centralized power. D. A staff nurse mentions that each individual staff member has complete autonomy.

B

The nursing staff is feeling frustrated over a lack of supplies available and the topic is brought up by a couple of nurses during a staff meeting. The nurse manager thanked them for their contribution but said there is not a problem with supplies as everyone just needs to be more resourceful. This is an example of which common conflict resolution strategy: A) Smoothing B) Avoiding C) Competing D) Compromising

B

The unit you're working at decides to initiate an employee of the month. You get a plaque of recognition for the month for going above and beyond. This is an example of... A) transactional leadership B) positive sanction C) emotional intelligence D) compromising

B

There are three phases of Indoctrination when someone is first hired. What phase would a newly hired nurse learn about activities/requirements of her specific position? A. Induction B. Orientation C. Socialization D. Team building

B

This generation of workers displays traditional work values; however, they tend to be more materialistic and thus are willing to work long hours at their jobs and are more apt then any other to be called "workaholics". A) Silent Generation or veteran Generation B) Baby boomer or boom C) Generation X early D) Generation Y early

B

Two nurses disagree on the approach to be taken when caring for a hostile patient. One nurse feels the patient should be treated in the same manner that the patient treats the nurse. The second nurse feels that the patient should be further assessed to determine the possible cause of the patient's hostility. These nurses are experiencing which type of conflict? a. Intrapersonal conflict b. Interpersonal conflict c. Organizational conflict d. System conflict

B

What are the two necessary components of leadership and management? A. Charisma/Passion B. Power/Authority C. Politics/Opinions D. Organization/Authority

B

What is something that the National Patient Safety Goals (NPSGs) pushes? A. Making acronyms like RACE B. Identifying patients correctly, using medications safety, and improving staff communication C. Making sure to hire only the best of staff from the top schools in the nation D. Making sure a mental health patient gets admitted to the right floor

B

What is the first step in the staffing process? A. Create an interview panel B. Determine the type and number of personnel needed C. Indoctrination of employees D. Choosing a candidate to hire

B

What would describe a nurse who provides knowledge and emotional support, as well as a clarification of role expectations, on a one-to-one basis? A: Role Model B: Preceptor C: CNA Tech D: Nurse Manager

B

Which of the following is NOT a client right? A. refusal of treatment B. obtaining the physicians DEA number that is doing the procedure C. discussing risks of the procedure D. knowing alternatives of the procedure

B

Which of the following is not one of the 5 rights of delegation? A. Right task B. Right time C. Right person D. Right level of supervision

B

Which overseeing agency is responsible for setting higher standards of patient care and plays a role in quality improvement for healthcare? A. Center for Disease Control (CDC) B. Joint Commission (JACHO) C. Health Department D. American Nursing Association (ANA)

B

Which stage in group development identifies tasks, appropriate rules and methods suited to the task's performance? A. Storming B. Forming C. Perfoming D. Norming

B

You are calling the provider regarding your patient whose heart has been very irregular since checking in at pre-op. You ask the doctor, "should we do an ekg?" You are demonstrating what part of SBAR? A. Background B. Recommendation C. Assessment D. Situation

B

Which of the following happens during the controlling phase of the management process? Select all that apply. A. Determining success or failure. B. Measuring performance against predetermined standards. C. Action taken to correct discrepancies. D. A time to learn and grow.

B, C, D

A nurse is working full time and attends all of their required meetings. The RN notices that they have been given over time pay. Which of the following work related activities count towards the RN's "hours worked"? A. Attending the unit's Christmas party B. Orientation C. Mandatory safety classes D. A charge nurse conference E. Working on the unit

B, C, D, E

Social media and the internet can be great tools for those working in a health-care setting. However, many companies are leery to allowing it's use due to misuse or the fear of those abusing the internet usage. Which options are appropriate uses for the internet in a health-care setting. A. Checking your Twitter feed to see what your friends and family are up to while you are working. B. Googling the interactions of 2 medications that a patient is taking. C. Looking up what a medication looks like for a medication on a patient's med list because they only remember that their blood pressure pill is "a little round blue one." D. A nurse posting photos of the funny face their patient makes while sleeping on Instagram. E. Looking up the name and address of the doctor a patients was told to follow up with after discharge.

B, C, E

A new charge nurse recognizes the importance of a good leader. Which of the following are characteristics of a leader? Select all that apply. A. Party planner B. Energized C. Non risk taker D. Encourages E. Role model

B, D, E

A New Grad RN has accepted a position on an Oncology floor. They are unfamiliar with some of the medications that are administered on the floor and are not confident in how to set up the necessary tubing for blood product administration. The RN begins to research the medications during her breaks and asks a senior RN for tips on how to set up the necessary equipment for proper blood administration. This New Grad RN is exhibiting which of Senge's Disciplines of Learning? A. Systems Thinking B. Mental Modeling C. Personal Mastery D. Systems Thinking

C

A new graduate nurse is receiving report from a night shift nurse when suddenly the unit charge nurse runs through the door and shouts, "JAHCO is here! No drinks in the nurses' station!" The new grad seems puzzled and asks, "What is JAHCO?" The night shift nurse explains that JAHCO: A. Compile all current research and publish minimal standards for healthcare facilities. B. Oversees HHS and CDC enforcement within the county C. Is a healthcare facility accreditation agency that sets higher standards for patient care and coordination of care. D. Advocates for nursing practice, identifies legal and ethical practice for nurses, affiliates with state associations to approve and enforce licensing standards.

C

A new nurse is having disagreement with the other nurse who have been working on the floor for 6 years. Instead of attempting to solve the problem, the new nurse chooses not to acknowledge it. Which conflict resolution strategy is the nurse using? A. Compromising B. Collaborating C. Avoiding D. Smoothing

C

A new nurse is learning about the communication tool ISBAR. He/she understands that ISBAR adds which step to the traditional SBAR tool? A. Intervention - What you are trying to prevent from happening. B. Implementation - What you have done so far for the patient. C. Identification/Introduction - Your name and relation to the patient. D. Institution - Your employer.

C

A new registered nurse starts working on a med surg floor. She encounters her first "code blue", and is in a puzzle to find the crash cart. She never was taught during orientation where these were located. Nurse Jeff, a responding staff member to the code blue is frustrated and raises concern a week after this incidence. He advises his manager that she should do a in-service training to educate new grads/any new employee on the floor of emergent situations and how to respond as well as where vital equipment is located. Nurse Jeff would be known as a: A) utilitarian B) dual governance C) stakeholder D) union member

C

A nurse drives up to the scene of a car accident, they are the only ones there. What law protects healthcare workers outside of the workplace to provide medical care within their scope from being sued? A. Malpractice insurance B. Civil Rights Act C. Good Samaritan

C

A nurse hears about a celebrity being admitted to the hospital she works at and decides to look up the celebrity's admission notes, even though she is assigned to care for this patient. She goes on to discuss this with the other staff and her own family members. This is an example of a violation of which policy? A. EHR B. Joint commission C. HIPAA D. SBAR

C

A nurse in a neurologic unit is performing an assessment on a stroke patient. The nurse notices that the client has left sided weakness but fails to implement fall risk precautions which causes the patient to fall when he gets up to use the restroom. According to the law the nurse is liable for? A. Professional Malpractice B. Maleficence C. Negligence D. Failure to perform proper documentation

C

A nurse in pe-op is charting and sees that her patient had denied an advanced directive during pre-screening. What action should the nurse take? A. stop the surgery from happening B. make the client sign an advance directive before leaving C. proceed with the rest of the pre-op assessments D. tell the patient to call her lawyer to get one

C

A nurse is at a water park with her family. She notices a school-age child drowning and pulls him out of the water. The child is unconscious and has no pulse. The nurses start compressions right away. Paramedics arrived at the scene, take over the child and transport him to the emergency department. the family is threatened to sue the nurse because the child's ribs were broken while she was performing CPR. Which is the most correct answer to this case? A) The nurse was negligent and is not protected under the Good Samaritan Law. B) The nurse is not protected under the samaritan law because she exceeded her training. C) The nurse is completely protected under the Good Samaritan Law. D) The nurse is protected under her own RN license.

C

A nurse is delegating tasks to a Certified Nursing Assistant. Which of the following is NOT an appropriate task to delegate? (Leadership PowerPoint) A. Walking a patient to the bathroom B. Taking meal trays to patients C. Changing a central line dressing D. Collecting a urine sample

C

A nurse is frustrated that she has put in so much extra work to prepare for joint commission. She asks her manager to explain why being accredited by joint commission is so beneficial. Her manger shared the following: A. It helps us raise money from non-profits B. It allows us to charge more for procedures C. It helps us keep patients safer by implementing core measures D. It gives us better reviews

C

A nurse is going over advance directives with a client and the client's family. The nurse decides that, since she is a health care professional, she knows what would be best for the client and informs the family about what should be in the advanced directives. This is an example of which principal of ethical reasoning? A. Fidelity B. Veracity C. Paternalism D. Justice

C

A nurse is taking part in a conflict and resolution situation while on their unit. One party pursues what it wants at the expense of the other party. This resolution strategy is called... A. Collaborating B. Avoiding C. Competing D.Cooperating/Accommodating E.Smoothing

C

A nurse is trying to let the parents know their child is going to pass away within the next few days and they should start to prepare emotionally. The parents stare at the nurse in shock and walk out of the doors to the elevator. What type of communication are the parents using? A. Verbal B. Face to face C. Nonverbal D. Assertive

C

A nurse manager of three medical surgical units is conducting a job fair to attract applicants for existing positions. This is an example of: A.Enrollment B. Seeking C. Recruitment D. Enlisting

C

A nurse on a medical surgical unit is ensuring her patients receive the best possible care by questioning the provider about some of the patient's orders. What role is the nurse portraying? A. Caregiver role. B. Organizational role. C. Advocacy role. D. Legal role. E. Ethical role.

C

A nurse on the NICU unit asked her CNA to pass her patient's 1700 medications for her while she gathers supplies to start an IV. Which delegation error did the nurse make? A. Under-delegating B. Over-delegating C. Improper delegating D. None of the above

C

A older nurse is talking to a newer nurse about how she couldn't believe that she didn't know what a Purewick female external catheter was and how to place it, telling her that she should go back to school and should have never passed the NCLEX. What type of verbal communication is going on? A)Passive B)Assertive C)Aggressive D)Passive-aggressive

C

A patient in your care is prescribed Lasix via IV push to help relieve symptoms of congestive heart failure. Your facility's policy is to push any dose of Lasix at a specific and slow rate to prevent ototoxicity. As a new nurse, you were not aware of this policy and administered the full dose at a fast rate. Your patient is showing signs of hearing effects resulting from this too-fast push. Once you become aware of your error and the adverse effect on the patient, you should file a(n) a) Protocol implementation form b) Medication record update c) Adverse drug event report d) Change of shift report

C

A patient is diagnosed with a terminal cancer and makes the nurse promise she won't tell his family so he can live a normal life for as long as possible. If the nurse abides by her promise what ethical principle is she following? A. Beneficence B. Justice C. Fidelity D. Nonmaleficence

C

An RN is orienting a new graduate nurse in the trauma unit. One of their assignment is a patient involved in a motor vehicle accident while under the influence that had one fatality. While on break, another nurse floating in the unit asks the new graduate about the condition of the patient because the patient is her neighbor. What would be the most appropriate response by the new graduate nurse? A) "Why do you want to know about this patient?" B) "Patient is stable and will probably go to jail" C) "I am sorry, I cannot discuss this patient information with staff that is not assigned to the care of the patient." D) "This patient is was under the influence when the accident happened."

C

An independent, non-profit organization that accredits health care organizations and programs in the U.S. is known as which of the following? A. American Nurses Association (ANA) B. Center for Disease Control (CDC) C. The Joint Commission (JC) D. Health Department

C

For a nurse leader to be effective he/she needs to show a measure of power. Which of the following is not an example of power. A. Reward B. Punishment/Coercive C. Dictatorial D. Expert

C

HIPAA is...? A) Home Insurance Profitability and Assistance Agency B) Healthcare Issued Protection Apparatus and Assistance C) Health Insurance Portability and Accountability Act D) Homecare Influenced Profiteering Avoidance Association

C

How are audits used as a quality control tool? A) Public Health record to keep the public informed of care provided. B) To get the nurse in trouble C) Audits are a measuring tool that is systemic and official examination to evaluate performance of the nurse for them to improve on their standards of care. D) To add more paperwork for the nurses to do.

C

On a daily basis Neuro ICU nurses work with adults who are relatively incapable of making their own medical decisions; this requires the nurses to not only be their own advocates, but also patient advocates. Which of the following is not a part of nursing advocacy? A. Advocate for those who are unable to speak or act on their own. B. Ensure that the client can make an informed decision C. Ensure that the physicians are getting a proper amount of sleep. D. Advocate for legislation that promotes public policies that create a safe environment for the client's care

C

Prior to outcome audits, evaluations focused on which two? A-survey scores &CAUTI B-Line infection risks & critical pathways C-structure & process D- Evaluation & assessment

C

The RN overhears the nurses' aide speaking in a harsh tone to Mr Keshab, who has some early Alzheimer's memory loss. Which statement will the RN make to begin addressing this issue? A)"You must remember to watch your tone of voice with patients. Someone might overhear." B)"Do you think it would be a good idea to have an in-service on dealing with Alzheimer's patients?" C)"I am concerned about your conversation with Mr Keshab. It seemed short and impatient." D)"I have decided to reassign Mr Keshab to another aide."

C

The charge nurse is working to resolve an interpersonal conflict between 2 of his/her best nurses. Which of the following strategies would the charge nurse NOT use to facilitate conflict resolution? A. Confrontation B. Behavior change C. Negotiation D. Structure change

C

The family member of your pt is threating to shank you in the chest with a rusty screwdriver, which tort are they committing? A: Battery B: An unintentional tort C: Assault D: Invasion of privacy

C

The health care organization you work for has decided to switch to a new computer software system and asks you to attend special training to teach you the new system. Then ask you to help teach the nurses in your unit as they transition into the new system. In this situation you are acting as: A. Mentor B. Leader C. Change agent D. Movement agent

C

The nurse manager is conducting an interview, what question is the nurse not allowed to ask in an interview? A. Are you between the age of 18- 70? B. Proof of US citizenship C. What religion they are D. What city or state they live in

C

The nurse, physician, and employing organization are all held liable for what they do in their professional setting collectively is called what? A. Justice B. Respondent Superior C. Joint Liability D. Malpractice

C

The purpose of the _________ is to make the employee feel like part of the team. This will reduce burnout and help new employees become independent more quickly in their new roles. A. Interview Process B. Application Process C. Orientation Process D. Staff Development Department

C

The time for shift change is going to changed, and the staff is asked for their opinion. Half of the nurses want to come at 7, while the other half would like to come in at 9. Each party gives a little and agrees on 8. This is an example of? A. Competing B. Smoothing C. Compromising D. All of the above

C

Traditionally, organizations have used structural patterns that affect communication patterns, relationships and authority. What structure is sometimes used on a temporary basis to facilitate completion of a project within a formal line organization? A. Matrix structure B. Line structure C. Ad hoc design D. bureaucratic

C

Turnover is a normal aspect of healthcare, turnover allows the work environment to have which of the following? A. Increased "groupthink" (sharing same goals and thought processes) B. Less work to do C. Fresh ideas D. Less documentation required

C

Two nurses are working a night shift on the same wing of their unit. One of the nurses notices the other allowing her patient's friends to visit past visiting hours. The other nurse ignores the violation of the visitation rules and does not tell the charge nurse to avoid causing conflict with the other nurse on the wing. This is an example of what type of verbal communication? A. Passive-Agressive B. Agressive C. Passive D. Assertive

C

What describes an internal or external discord that results from differences in ideas, values, or feelings between two or more people? A: Disagreement B: Competition C: Conflict D: Strife

C

What does 'unity of command' mean? A. How many people report to one boss. B. Having a limited number of possible managers. C. Each employee only has one boss. D. An organization that encourages participation in decision making.

C

What does HIPPA stand for? A. Health Insurance Provision and Access Act B. Human Infection Prevention Protection Act C. Health Insurance Portability and Accountability Act D. Human Insurance Petition Practice Act

C

What is Moral indifference? A: It occurs when an individual is unsure which moral principles or values apply and may even include uncertainty as to what the moral problem is. B: It occurs when the individual knows the right thing to do but organizational constraints make it difficult to take the right course of action. C: It occurs when an individual questions why morality in practice is even necessary. D: It occurs when an individual witnesses the immoral act of another but feels powerless to stop it.

C

What is the first step in quality control? A. To take corrective action when standards have not been met B.To collect data to determine whether standards have been met C. To determine criteria and standards D. To determine who will measure the standard

C

What role does the Joint Commission have? A. Assessing monetary fines for hospitals. B. Establishing clinical practice guidelines. C. Standardizing clinical outcomes collection data. D. Reducing reimbursement levels.

C

What would be a task you could not delegate to assistive personnel? A. transportation of a client within the facility. B. personal hygiene C. teaching discharge information. D. collecting vital signs

C

Which description of the characteristics of a true leader is correct? A. They are 100% trust worthy. B. They naturally have good intentions. C. They might have character flaws. D. Charisma is their strongest trait.

C

Which of the following are not involved in quality improvement within the healthcare setting: A. JCAHO B. American Nursing Association C. Division of Occupational and Professional Licensing D. Prospective Payment Plans

C

Which of the following is an example of an Electronic Health Records? A. A paper chart kept behind the nursing station B. A binder that has a schedule of when patients are to arrive to a clinic. C. A X-ray result that has been scanned digitally into the patients chart. D. A picture on a phone of current immunizations.

C

Why is the shared governance model important in the workforce? A. It gives patients the freedom to tell nurse what they can and cannot do when it comes to their plan of care B. It allows managers to set boundaries for new graduate nurses C. It empowers healthcare workers by giving them a voice in decision making and provides a personal stake in the organization D. It allows doctors to have access to all forms of communication with staff in order to deliver adequate patient care

C

You are receiving handoff report from the previous nurse regarding a patient you will be taking care of on your shift. The nurse discusses the extensive history of the patient. What component of SBAR is the nurse demonstrating? A. Assessment B. Recommendation C. Background D. Situation

C

Your nursing manager takes a very hands off approach. "They say you know what needs to be done for the day and that you have the keys to the supply room , good luck". What management style is this an example of? A. autocratic B. Democratic C Laissez-faire D. Transactional

C

___ is the process of measuring products, practices, and services against best performing organizations. A. Quality control B. Key standards C. Benchmarking D. Criteria

C

____________________ is a national set of standards for security and protection of EHR that is being stored or electronically transmitted. A. Privacy Rule B. Password Protection Standards C. Security Rule D. HIPPA Compliance

C

The Registered Nurse was discussing information about HIS with a CNA and was not sure about the information the CNA was sharing. Which of the following statements requires more education?(select all that apply) HIS provides; A-Efficient information sharing B-Effective communication C-Focus on staffing outcomes D-Increased cost E-Documentation

C, D

Which two concepts are part of Quality Improvement? A. Target currently existing quality B. Ensure quality currently exists C. Target ongoing and continually improving quality D. Assume the process is ongoing and can always be improved

C, D

Place the following in steps of the quality control process in the correct order. A. Revaluation. B. Compare collected information with the established criteria. C. Establish control criteria. D. Identify the information relevant to the criteria. E. Collect and analyze the information.

C, D, E, B, A

A RN on a Respiratory ICU floor forgets his badge used to access facility rooms and HIS. What is an acceptable solution? a. borrow the previous nurse's badge b. leave work to retrieve it c. ask a manager for a student badge d. none of the above

D

A charge nurse in a Labor and Delivery unit is in charge of an audit to establish whether fetal heart tones were checked according to an established policy. The audit measures how nursing care is provided. Which type of audit is he/she performing? A. Quality Audit B. Outcome Audit C. Structure Audit D. Process Audit

D

A charge nurse sees the need for the nurses to become more accurate and thorough when performing new admit assessments. She schedules a staff development activity for the following reasons: a) improve competence and meet learning needs b) satisfy interests of newly graduated nurses c) for the sole purpose of meeting one of the facility's criteria for promotion d) a and b

D

A new nurse is complaining about how slow the EHR is running today. A nurse that has been practicing for 30 years tell the new nurse to be grateful for EHRs. The experienced nurse list all the following positives to EHRs EXCEPT A. Certifying medications and dosages B. More legible documentation C. Timely access D. It is the cheaper option

D

A nurse assumes total responsibility during their time on duty for meeting all the needs of an assigned patient. This oldest mode of organizing patient care where patients are assigned as cases is known as: A. Modular Nursing B. Primary Nursing C. Team Nursing D. Total Patient Care Nursing

D

A nurse attending staff meeting suggests a new way to lower the risk of a patient receiving hospital acquired pnemonia, In voicing his suggestion, which type of leadership is he practicing? a) authentic b) level five c) strength-based d) thought

D

A nurse in the NICU notices in her assessment that her patient has increased work of breathing and her oxygen saturations are dropping. The nurse decided to initiate oxygen therapy to help decrease work of breathing. The nurse initiating oxygen therapy is an example of what stage in the nursing process? A. Assessment B. Diagnose C. Plan D. Implementation E. Evaluation

D

A nurse manager has recognized a need to have double checks on opioid pain medications, and has required that two nurses must be present to verify every pain medication dose and/or waste. This implementation is an example of what phase in the Change Theory? A. Unfreezing B. Pacing C. Refreezing D. Movement

D

A nurse manager invites one of her unit's charge nurses to go to the cafeteria to grab a coffee. Once there, the manager mentions that a couple of male nurses had complained that the charge always assigned them the morbidly obese patients which they deemed unfair. The nurse manager expected the conversation to create change in the charge's assignment of patients but it did not. When she approached the charge about it, the charge stated she was unaware a change had been required. Which element of nonverbal communication could have led the charge nurse to believe no change was necessary or expected? a) Eye contact b) Appearance c) Silence d) Environment

D

An RN is concerned about the administration of two varying medications and whether they are compatible or if they will cause harm to the patient. The RN consults the medication handbook provided by the department and also researches the medications through the online resource section of the MAR for guidelines on how to administer the medications and any necessary studies concerning the medications. This nurse is demonstrating the practice of? A. Overgeneralizing B. Logic Modelling C. Clinical Reasoning D. Evidence Based Practice

D

An RN on a medical surgical unit recently had a confrontation with a CNA about the way she charts vital signs on her patients. The RN and CNA have now switched their schedules so they will not work with each other and they refuse to acknowledge each other when passing in the hallways. What type of conflict resolution strategy is this? A. Cooperating B. Compromising C. Collaborating D. Avoiding

D

An experienced nurse who provides knowledge and emotional support, as well as clarification of role expectations, on a one-to-one basis. A. charge nurse B. scheduler C. house supervisor D. preceptor

D

As a new nursing manager you have an angry employee complaining about being put on night shift and talking about how bad of a manager you are. You decide to use the GRRR method to discuss the issue with the employee. All of the following are a part of the method EXCEPT? A. Greeting B. Respectful listening C. Review D. Reprimand

D

In regards to safety, which of the following statements in most accurate? A.Bacterial contamination of foods is uncontrollable. B.Fire is the greatest cause of unintentional death .C.Temperature extremes seldom affect the safety of clients in acute care facilities. D.Carbon dioxide levels should be monitored in home settings.

D

Nurse April and nurse Sara cannot seem to come to an agreement about how awesome Halloween is. What type of conflict is this? A. Intergroup B. Intrapersonal C. Interstitial D. Interpersonal

D

Performance is measured against predetermined standards, and corrective action is taken if performance doesn't meet the standards. This is during which phase of the management process? A. planning B. setting objectives C. measurement D. controlling

D

The Nurse Manager of MICU has received complaints that the current shift scheduling method is unfair. Currently, the schedule book is put at the nurses' station every month on the same day and time. The same nurses work that shift every week so are always the first to pick their schedules. To allow all nurses an opportunity to get the shifts they want, the nurse manager has changed the process so that all nurses submit their shift requests via email and are assigned their preference on a first-come first-served basis. The ethical framework the nurse utilized and designed this process after is the: a) Duty based b) Intuitionist c) Rights based d) Utilitarian

D

The nurse is working on developing a more efficient work day by implementing new time management skills. She has gathered all needed supplies and equipment that will be needed before starting the nursing intervention. What additional time management skills can she use? a. Stay late to catch up on charting b. group activities that are in the same location c. use the time an IV medication will take to complete to plan another activity that can be done simultaneously. d. Both B and C

D

The only treatment alternative left for a patient diagnosed with advanced cancer is a rare, highly experimental bone marrow transfusion with a 10% success rate. The insurance company refuses to authorize payment for the $200,000 procedure, arguing that the money could be better spent providing well-baby screening for 2,000 residents in the service area. What does this decision by the insurance company reflect? A)Unethical conduct B)Maleficence C)Paternalism D)Utility

D

The practice of allocating organs for transplantation based on a person's worth to society is an example of what ethical principle for decision making? A) Autonomy B) Beneficence C) Utility D) Justice

D

Upon receiving morning report, you delegate which of the following tasks to an LPN: a) obtain a blood sample for a glucose reading b) administer packed RBCs for a patient with a bleeding ulcer c) obtain a urine specimen d) administer a peptide formula through an NG tube.

D

What four elements must be present to make discipline as fair and growth-producing as possible? A. verbal warning, written warning, strict punishment, termination B. education, warning, punishment, termination C. Communication, education, warning, punishment. D. forewarning, immediate consequences, consistency, impartiality

D

What is the disadvantage of adding new members to an established working group? A) New members may disagree with the font color used in the presentation B) Change is scary C) Disruption of productivity and group development D) The working group secretly doesn't really work and they don't want to be found out.

D

What is the key to adequate staffing in the long term? A. Effectiveness B. Accountability C. Proffesionalism D. Healthy work environment/ employee retention

D

What is the oldest form of patient care organization? A. Case Management B. Primary Nursing C. Partial Patient Care D. Total Patient Care

D

What is the process of measuring products, practices, and services against best performing organizations? A. Organization's standards B. CPG C. Quality control D. Benchmarking

D

When you are aware at the beginning of your shift that you already have many things to get done, what is the best approach? (Ch. 9, page 208) A) Start with the first thing that comes to your mind B) Get the easy jobs out of the way as soon as you can C) Tell your aids that you will need them to work extra hard D) Give time to planning and figuring out priorities

D

Which generation lacks interest in lifetime employment at one place? A. Boom generation B. Silent generation C. Generation Y D. Generation Xers

D

Which method of nursing care for patient care delivery blends team and primary nursing? A. Functional nursin B. Total patient care C. Relationship based nursing D. Modular nursing

D

Which of the following is included in the internal climate? A. Status. B. Weather. C. Authority. D. Values.

D

Which of the following management functions process includes establishing the structure to carry out plans, determining the most appropriate type of patient care delivery, and grouping activities to meet unit goals. A. Planing B. Directing C. Planning D. Organizing

D

Which of the following methods of information exchange are NOT in compliance with HIPAA? A: Discussing treatment with the pt's dialysis tech B: End of shift report given at bedside between 2 nurses assigned to that patient C: Letting the CNA know that the pt needs help going to the bathroom D: A phone request by an employer to verify that an employee is currently being hospitalized

D

While at work you learn that one of your coworkers is being sued for malpractice. You worry that it could happen to you and decide to review what you can do to prevent it. You should implement all of the following EXCEPT? A) Practice within your scope of practice. B) Be up to date on agency policies and procedures. C) Spend time developing a positive nursing relationship with your patients. D) Chart that you completed an assessment to cover your back when in fact you were to busy to complete it.

D

Who is often placed in situations where they are expected to be agents for patients, physicians, and the organization simultaneously, all of which may have conflicting needs, wants, and goals. A. Administration B. Social worker C. Physical therapist D. Nurse

D

You are working as a new graduate nurse in the Emergency Dept. of a Level 3 trauma hospital in a small town located near a popular outdoor recreation area. As such your facility works closely with AirMed for transport out of critical trauma patients. One of the flight nurses, Susi is extremely knowledgeable and experienced in the field of Trauma nursing and you look up to her - thinking that's the kind of bada** nurse I want to be one day! Nurse Susi is an example of a...... A. Preceptor B. Mentor C. Work Crush D. Role Model

D

An RN is training a newly graduated nurse in the medical unit about medication reconciliation. When reviewing the information, the following are part of the steps except: A) Develop a list of current medications. B) Develop a list of medications to be prescribed. C) Compare the medications on the two lists. D) Make a clinical decision based on the comparison E) Find the information about the medications in the nurse drug book. F) Communicate the new list to appropriate caregivers and to the patient.

F

Improper delegation would include such mistakes as (select all that apply): A. Delegating at the wrong time B. Delegating to the wrong person C. Delegating for the wrong reason D. Delegating tasks or responsibilities that are outside the employee's scope of practice E. Delegating without providing adequate information F. All of the above

F