Leadership Ch.1-13 Questions and ATI Ch. 1-5

A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates an understanding? A. "The time to fill out the pathways often increases the cost of care." B. "The pathway shows an estimate of the number of days the client will be hospitalized." C. "Deviance from the pathway is a sign of improved care quality." D. "The pathway includes information about the client's history."

B. "The pathway shows an estimate of the number of days the client will be hospitalized."

A nurse is observing a newly licensed nurse and an assistive personnel (aP) pull a client up in bed using a drawsheet. Which of the following actions by the newly licensed nurse indicates an understanding of this technique? A. the nurse stands with both feet together. B. the nurse uses his body weight to counter the client's weight. C. the nurse's feet are facing inward, toward the center of the bed. D. the nurse rotates the waist while pulling the client upward

B. the nurse uses his body weight to counter the client's weight.

Which common practice puts the nurse at liability for invasion of pt privacy? 1. During care, the nurse reveals information about the patient to those in the room 2. The nurse releases information about the patient to nursing students who will be caring for the patient the next day 3. the nurse conducts a patient care session about a patient whose care is difficult and challenging 4. confidential information regarding an admitted patient is releases to third party payers

1. During care, the nurse reveals information about the patient to those in the room

APRNs generally: Select all that apply. 1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting 5. Hold advanced degrees

1. Function independently 5. Hold advanced degrees (master's level or higher)

Theory Y emphasizes: 1. Guidance, development., and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting, and time studies

1. Guidance, development., and reward

Social media is commonly used to update friends and groups on things we have going on in our live. Health care organizations routinely use social media to promote medical facts, services, and recognitions. What is important for nurses to remember when deciding to post something work related on a social media site? 1. Nurses should never post protected health information on a social media site 2. Stories with good outcomes can be posted to your media page 3. Stories and photos can always be shared if the patient's name or face is not visible 4. Posting stories on personal time is ok because the nurse is not working

1. Nurses should never post protected health information on a social media site

The health-care facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone who might have the flu. I have kids to think about." What is true of this statement? SATA 1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency 2. this statement reflects defamation and may result in legal action 3. the statement is a breach of the code of ethics for nurses 4. the nurse has this right as no nurse patient contract has been established

1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency 3. the statement is a breach of the code of ethics for nurses

Which of the following is unique to a professional standard of decision making? SATA 1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently 3. Concrete thinking 4. Anticipates when to make choices without others' assistance

1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently

Effective nurse leaders SATA 1. are also good followers 2. effectively work together with shared goals 3. never act on their ideas 4. have master's degrees

1. are also good followers 2. effectively work together with shared goals

A nurse is caring for a pt who has COPD and is 2 days post-op after lap. choly. Which intervention for airway management should the nurse delegate to an NAP? 1. assisting the patient to sit up on the side of the bed 2. instructing the patient to cough effectively 3. teaching the patient to use incentive spirometry 4. auscultation of breath sounds q4h

1. assisting the patient to sit up on the side of the bed

An experienced LPN is working under the supervision of an RN. The LPN is providing nursing care for a pt who has a resp. problem. Which activities should the RN delegate to the experienced LPN? SATA 1. auscultate breath sounds 2. administer medications via metered dose inhaler 3. complete an admission assessment 4. initiate the nursing care plan 5. evaluate the patient's technique of using MDI

1. auscultate breath sounds 2. administer medications via metered dose inhaler

An effective leader will have: SATA 1. courage and integrity 2. a critical mind set 3. ability to set priorities 4. the ability to provide feedback

1. courage and integrity 2. a critical mind set 3. ability to set priorities 4. the ability to provide feedback

A pt tells a nurse that he has an advance directive from 6 years ago. The nurse looks at the medical record for the advance directive. What content should the nurse expect to find in the advance directive? SATA 1. decisions regarding treatments 2. when to take the patient to the hospital 3. do not resuscitate orders 4. who should be notified in case of illness, injury or death 5. durable power of attorney for health care 6. HIPAA protocols

1. decisions regarding treatments 2. when to take the patient to the hospital 3. do not resuscitate orders 5. durable power of attorney for health care

The pt with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? 1. observe how well the patient performs pursed lip breathing 2. plan a nursing care regimen that gradually increases activity intolerance 3. assist the patient with basic activities of daily living 4. consult with the PT department about reconditioning exercises

1. observe how well the patient performs pursed lip breathing

The EMR has advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new patient for the very first time who informs her that he was recently hospitalized. Jane pulls up the patient's EMR and sees no information regarding his recent hospital stay. How could this have happened? 1. The patient's discharge was so recent that it is not available yet 2. EMRs are usually practice or hospital specific so the patient's information would not be accessible to Jane 3. The patient was hospitalized out of state 4. The patient has not signed the necessary consents to give Jane access

2. EMRs are usually practice or hospital specific so the patient's information would not be accessible to Jane

Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the most important to share with the oncoming nurse? 1. Telling the oncoming nurse what happened on the unit during the shift 2. Introducing the client and his or her diagnosis to the oncoming nurse 3. Sharing the nurse's personal opinion of the client 4. Reviewing new medication orders and the medication administration record (MAR)

2. Introducing the client and his or her diagnosis to the oncoming nurse

TJC attributes 80% of all medical errors to: 1. Poor hygiene and hand washing 2. Poor hand-off communication 3. Poor work environment 4. Lack of care

2. Poor hand-off communication

Which best describes the difference between patient privacy vs patient confidentiality? 1. Confidentiality occurs between persons who are close whereas privacy can affect anyone 2. Privacy is right to be free from intrusion into personal matters whereas confidentiality is protection from sharing a person's information 3. Confidentiality involves the use of technology fro protection whereas privacy uses physical components of protection 4. Privacy involves protection from being watched whereas confidentiality involves protection from verbal exchanges

2. Privacy is right to be free from intrusion into personal matters whereas confidentiality is protection from sharing a person's information

A nurse is working on an ethics committee to determine the best course of action for a patient who is dying. The nurse considers the positive and negative outcomes of the decision to assist with choices. Which best describes the distinction of using a list when making an ethical decision? 1. The nurse can back up her reasons for why she has decided to provide a certain type of care 2. The nurse can compare the benefits of one choice over another 3. The nurse can communicate the best choice of action to the interdisciplinary team 4. The nurse can provide care based on developed policies and standards

2. The nurse can compare the benefits of one choice over another

Health Insurance Portability and Accountability Act (HIPAA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? SATA 1. The patient is from a correctional institution 2. The situation involves child abuse 3. An injury occurred from a firearm 4. the patient is a physician 5. the breach of information was unintentional

2. The situation involves child abuse 3. An injury occurred from a firearm

A nurse's S.O. undergoes explanatory surgery at the hospital where the nurse is an employee. What practice is most appropriate? 1. the nurse is an employee therefore access to the chart is permissible 2. access to the chart requires a signed release form 3. the relationship with the client provides the nurse special access to the chart 4. the nurse can ask the surgeon to discuss the outcome of the surgery

2. access to the chart requires a signed release form

When should a new grad consider taking on management responsibilities? 1. as soon as they are offered 2. after developing clinical expertise 3. after 15 years on the job 4. before developing leadership expertise

2. after developing clinical expertise

A unit team leader who fails to provide direction to his or her nursing care team is a(n): 1. democratic leader 2. laissez-faire leader 3. autocratic leader 4. situational leader

2. laissez-faire leader

What is the difference between management and leadership? 1. management focuses on budget 2. management is an assigned position 3. leadership is not concerned with getting work done 4. leadership is more focused on people

2. management is an assigned position

George S has just become a nurse manager in a long term care facility. He knows he has a lot to learn- what should he tell his staff? 1. nothing; he should pretend he has experience 2. that he is still learning, too, and values their input 3. that the staff needs to manage themselves 4. how little he knows about management

2. that he is still learning, too, and values their input

An RN sees an older woman fall in the mall. The RN helps the woman. The woman later complains that she twisted and sprained her ankle. The RN is protected from litigation under: 1. hospital malpractice insurance 2. good faith agreement 3. Good Samaritan law 4. personal professional insurance

3. Good Samaritan law

ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for: 1. Identify, Study, Background, Assess, Recognize, Readback 2. Issue, Situation, Better, Advise, Refer with Recommendations 3. Introduce, Situation, Background, Assess, Recommend, Readback 4. None of the above

3. Introduce, Situation, Background, Assess, Recommend, Readback

Jane is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at the meeting? 1. Talking to the staff 2. Laughing with them 3. Listening 4. Crying

3. Listening

An important competency that nurse leaders need to develop in order to lead effectively is the: 1. ability to be firm and inflexible 2. ability to be close minded and to ignore negative feedback 3. ability to communicate effectively with others 4. ability to follow orders without questioning them

3. ability to communicate effectively with others

Servant leadership focuses on: 1. helping patients care for themselves 2. removing incompetent managers 3. creating a supportive work environment 4. resolving conflicts quickly

3. creating a supportive work environment

An RN new to the emergency department documented that "the pt was intoxicated and acted in a crazy manner." The team leader told the RN that this type of documentation can lead to: 1. assault 2. wrongful publication 3. defamation of character 4. slander

3. defamation of character

Transformational nursing leaders have the ability to: 1. increase the negativity of the team 2. works best alone 3. define the group's mission and communicate that mission to others 4. pay close attention to the weaknesses and shortcoming of others

3. define the group's mission and communicate that mission to others

A nurse is caring for a pt who is diagnosed with coronary artery disease and sleep apnea. Which action should the nurse delegate to the NAP? 1. discuss weight loss strategies such as diet and exercise with the patient 2. teach the patient how to set up the CPAP machine before sleeping 3. remind the patient to sleep on his side instead of back 4. administer modafinil to promote daytime wakefulness

3. remind the patient to sleep on his side instead of back

A democratic nurse leader consistently works to: 1. move the group toward the leader's goals 2. make little or no attempt to move the group 3. share leadership with the group 4. dampen creativity

3. share leadership with the group

Which of the following is a major reason why newly licensed nurses resign? 1. poor pay scales 2. needles tick injuries 3. unsupportive management 4. lack of advancement opportunities

3. unsupportive management

Implicit bias affects our understanding in an unconscious manner. A person's ability to recognize these biases can improve communication with patients and colleagues alike. Which of the following statements is true about implicit bias? 1. Implicit bias forms during a lifetime 2. Implicit bias can influence clinical decision making and treatment 3. Implicit bias contributes to an individual's social behavior 4. All of the above

4. All of the above

You are working on the trauma unit today and your new patient with a femur fracture complains of leg pain and seems a little diaphoretic and short of breath. You assess the patient and prepare to contact the surgeon. In preparation for contacting the physician you: 1. Immediately page the MD; it could be a pulmonary embolism and time is of the essence. You will give him the particulars when the MD arrives 2. Wait for the MD to round on his patient because it should be within the next hour or so 3. Medicate the patient for pain and plan to contact the MD when he rounds 4. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient

4. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient

Who stated that the function of the nurse is to assist the individual, sick, or well, in the performance of those activities contributing to health or its recovery? 1. Henderson 2. Rogers 3. Robb 4. Nightingale

4. Nightingale: nursing functions in both the sick and well state

An ANM is making assignments for the next shift. Which pt should the ANM assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit? 1. 58 year old on airborne precautions with TB 2. 68 year old who just returned from bronchoscopy and biopsy 3. 69 year old with COPD who is vent dependent 4. a 72 year old who needs teaching about use of incentive spirometry

4. a 72 year old who needs teaching about use of incentive spirometry

Which of the following demonstrates a nurse as advocating for a patient? The nurse: 1. calls a nursing supervisor in conflicting situations 2. reviews and understands the law as it applies to the client's clinical condition 3. documents all clinical changes in the medical record in a timely manner 4. assesses the client's point of view and prepares to articulate this point of view

4. assesses the client's point of view and prepares to articulate this point of view

Scientific management focuses on: 1. interpersonal relations 2. servant leadership 3. staff development 4. efficiency

4. efficiency

An RN has asked a LPN to trim the toenails of a diabetic pt. The LPN trims them too short, which results in a toe amputation from infection. The pt files a lawsuit against the hospital, the RN, and the LPN. What might all 3 be found guilty of? 1. unintentional tort 2. intentional tort 3. negligence 4. malpractice

4. malpractice

A respiratory therapist performs suctioning on a pt with a closed head injury who has a trach. Afterward, the NAP obtains vital signs. The nurse should communicate that the NAP needs to report which vital sign value or values immediately? SATA 1. heart rate of 96 2. respiratory rate of 24 3. pulse ox of 95% 4. temp of 101.4F

4. temp of 101.4F

An emotionally intelligent nurse leader: 1. seeks the emotional support of others 2. can't juggle multiple demands 3. works alone without help 4. welcomes constructive criticism

4. welcomes constructive criticism

An RN calls a HCP to report that a pt's condition is deteriorating. The physician gives orders on the telephone to draw ABGs. What should the nurse do next when receiving telephone orders from a HCP? 1. call the respiratory therapist to obtain the blood gases 2. give the order to the unit secretary to ensure it is entered quickly 3. enter the order directly into the system as it was given to the RN 4. write the order down and read it back to the provider

4. write the order down and read it back to the provider

Several studies have shown that although care planning and advance directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to the completing of an advance directive? 1. African American race 2. Younger age 3. history of chronic illness 4. lower socioeconomic status 5. higher education

5. higher education

A nurse witnesses an AP under her supervision reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? A. Assault B. Battery C. False imprisonment D. Invasion of privacy

A. Assault

A nurse is planning safety interventions at a new clinic. Which of the following interventions should the nurse include? A. Have staff who will be performing X-rays wear dosimeters B. Provide both latex and non-latex gloves for employees C. Place sharps containers outside of client rooms D. Provide electrical tape for staff to repair frayed cord

A. Have staff who will be performing X-rays wear dosimeters

A home health nurse is assessing the safety of a client's home. The nurse should identify which of the following factors as increasing the client's risk for falls? (Select all that apply.) A. History of a previous fall B. reduced vision C. impaired memory D. takes rosuvastatin E Uses a night light F. Kyphosis

A. History of a previous fall B. reduced vision C. impaired memory F. Kyphosis

A nurse on an acute care unit is caring for a client following a total hip arthroplasty. The client is confused, moving his leg into positions that could dislocate the new hip joint, and he repeatedly attempts to get out of bed. After determining that restraint application is indicated, which of the following actions should the nurse take? (Select all that apply.) A. Secure the restraint to the frame of the bed. B. Get a prescription for restraints from the provider. C. Have a family member sign the consent for restraints. D. Tie the restraint to the side rail using a double knot e. ensure that only one finger can be inserted between the restraint and the client.

A. Secure the restraint to the frame of the bed. B. Get a prescription for restraints from the provider. C. Have a family member sign the consent for restraints.

A nurse manager is explaining the use of incident reports to a group of nurses in an orientation program. Which of the following information should the nurse manager include? (select all that apply.) A. a description of the incident should be documented in the client's health care record. B. the client should sign as a witness on the incident report. C. incident reports include a description of the incident and actions taken. D. a copy of the incident report should be placed in the client's health care record. E. the risk management department investigates the incident.

A. a description of the incident should be documented in the client's health care record. C. incident reports include a description of the incident and actions taken. E. the risk management department investigates the incident.

A nurse who has just assumed the role of unit manager is examining her skills in interprofessional collaboration. Which of the following actions support interprofessional collaboration? (select all that apply) A. Use aggressive communication when addressing the team B. Recognize the knowledge and skills of each member of the team C. Ensure that a nurse is assigned to serve as the group facilitator for all interdisciplinary meetings D. Encourage the client and family to participate in the team meeting E. Support team member request for referral

B. Recognize the knowledge and skills of each member of the team D. Encourage the client and family to participate in the team meeting E. Support team member request for referral

A nurse is caring for a client who is being prepared for surgery. The client hands the nurse information about advance directives and states, " Here, I don't need this. I am too young to worry about life- sustaining measures and what I want done for me." Which of the following actions should the nurse take? A. Return the papers to the admitting department with a note stating that the client does not wish to address the issue at this time B. Explain to the client that you never know what can happen during surgery and that he should fill the papers out "just in case" C. Contact a client representative to talk with the client and offer additional information about the purpose of advance directives D. Inform the client that surgery cannot be conducted unless he completes the advance directives form

C. Contact a client representative to talk with the client and offer additional information about the purpose of advance directives

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A nonnursing colleague asks about this code. Which of the following statements best describes this code? A. Improves communication between the nurse and the patient B. Protects the patient's right of autonomy C. Ensures identical care to all patients D. Acts as a guide for professional behaviors in giving patient care

D. Acts as a guide for professional behaviors in giving patient care

A nurse manager is providing information to the nurses on the unit about ensuring client rights. Which of the following outlines the rights of individuals in health care settings? A. American Nurses Association Code of Ethics B. HIPAA C. Patient Self- determination Act D. Patient Care Partnership

D. Patient Care Partnership

A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? (Select all that apply) a. a structure audit evaluates the setting and resources available to provide care b. an outcome audit evaluates the results of the nursing care provided c. a root cause analysis is indicated when a sentinel event occurs d. retrospective audits are conducted while the client is receiving care e. after data collection is completed, it is compared to a benchmark

a. a structure audit evaluates the setting and resources available to provide care b. an outcome audit evaluates the results of the nursing care provided c. a root cause analysis is indicated when a sentinel event occurs e. after data collection is completed, it is compared to a benchmark

An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN? a. obtain vital signs for a client who is 2 hr post-procedure following a cardiac catheterization b. administer a unit of packed red blood cell (RBCs) to a client who has cancer c. instruct a client who is scheduled for discharge in the performance of wound cared. d. develop a plan of care for a newly admitted client who has pneumonia

a. obtain vital signs for a client who is 2 hr post-procedure following a cardiac catheterization

A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? (Select all that apply) a. skill proficiency b. assignment to a preceptor c. budgetary principles d. computerized charting e. socialization into unit culture f. facility policies and procedures

a. skill proficiency b. assignment to a preceptor d. computerized charting e. socialization into unit culture f. facility policies and procedures

A nurse is discussing disaster planning with the board members of a hospital. Which of the following individuals should the nurse expect to request extra supplies and staffing for the facility? a. incident commander b. Medical command physician c. triage officer d. Media liaison

b. Medical command physician

A nurse on a sixth‐floor medical‐ surgical unit is advised that a severe weather alert code has been activated. Which of the following actions should the nurse take? (select all that apply.) a. open window shades or drapes to provide better visibility of the external environment. b. Move beds of nonambulatory clients away from windows. c. relocate ambulatory clients into the hallways. d. Use the elevators to move clients to lower levels. e. turn the radio on for severe weather warnings.

b. Move beds of nonambulatory clients away from windows. c. relocate ambulatory clients into the hallways. e. turn the radio on for severe weather warnings.

A community experiences an outbreak of meningitis, and hospital beds are urgently needed. Which of the following clients should the nurse recommend for discharge? a. a client newly admitted with angina and a history of myocardial infarction 1 year ago b. a client who was preadmitted for rotator cuff surgery and has type 2 diabetes mellitus c. a client admitted the day before with pneumonia and dehydration d. a client who has a fractured hip and is scheduled for total hip replacement the next day

b. a client who was preadmitted for rotator cuff surgery and has type 2 diabetes mellitus

A PN ending her shift reports to the RN that a newly hired AP has not calculated the intake and output for several clients. Which of the following actions should the RN take? a. complete an incident​ report b. delegate this task to the PN c. ask the AP if she needs assistance d. notify the nurse manager

c. ask the AP if she needs assistance

A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure? a. frequency with which procedure is performed b. client satisfaction with performance of procedure c. incidence of complications d. accurate documentation of how procedure was performed

c. incidence of complications

A nurse enters the room of a client who is on contact precautions and finds the client lying on the floor. Which of the following actions should the nurse take first? a. call the provider b. ask a staff member for assistance getting client back in bed c. inspect the client for injuries d. instruct the client to ask for help if he needs to get out of bed

c. inspect the client for injuries

Which of the following represent the knowledge and skills expected of the professional nurse? SATA 1. Accountability 2. Advocacy 3. Autonomy 4. Social networking 5. Participation in nursing blogs

1. Accountability 2. Advocacy 3. Autonomy

The ANA code of ethics with interpretive statements guides nurses in ethical behaviors. Provision 3 states "The nurse promotes, advocates for and strives to protect the health, safety, and rights of the patient. Which of the following best describes an example of this provision? 1. Respecting the patient's privacy and confidentiality when caring for him 2. Serving on a committee that will improve the environment of patient care 3. Maintaining professional boundaries when working with a patient 4. Caring for oneself before trying to care for another person

1. Respecting the patient's privacy and confidentiality when caring for him

Professional accountability serves the following purpose. SATA 1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones 5. To belong to a professional organization

1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones

A pt is transported to the ED by rescue after being involved in a motor vehicle accident. The pt is alert & oriented but keeps stating he is having trouble breathing. Oxygen is started, but the pt is still showing signs of dyspnea. The pt suddenly develops respiratory arrest and dies. During the resuscitation process, it is discovered that the nurse failed to open the correct oxygen valve. The family sues the hospital and the nurse for: 1. malpractice 2. negligence 3. nonmaleficence 4. equipment failure

1. malpractice

Mara Z wants to become a nurse manager. She has been offered an opportunity to take a nursing management course. Which topic is most important for her to learn? 1. managing people 2. managing the unit's budget 3. planning for the future 4. redesigning the unit's workflow

1. managing people

The nursing assistant tells a nurse that a pt is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should the nurse suggest to improve the pt's comfort for this problem? 1. suggest that the patient's oxygen be humidified 2. suggest that a simple face mask be used instead of nasal cannula 3. suggest that the patient be provided with extra pillow 4. suggest that the patient sit up in a chair at bedside

1. suggest that the patient's oxygen be humidified

A nurse is helping an NAP provide a bed bath to a comatose pt who is incontinent. Which of the following actions requires the nurse to intervene? 1. the NAP answers the phone while wearing gloves 2. the NAP log rolls the client to provide back care 3. the NAP places an incontinence diaper under the client 4. the NAP positions the client on the left side, head elevated

1. the NAP answers the phone while wearing gloves

Nursing practice in the 21st century is an art and science that focuses on 1. the client 2. the nursing process 3. cultural diversity 4. health care facility

1. the client

An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? SATA 1. the client is not sedated 2. doctor is present 3. family member is a witness 4. signature is in ink 5. patient understands the procedure

1. the client is not sedated 5. patient understands the procedure

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical? 1. the hospital was supportive and assistive as the nurse coped with this event 2. the nurse was dismissed for incompetence 3. the hospital quality department advised the nurse not to tell the patient about the error 4. the nurse was reassigned to an area in which there is no direct patient care responsibility

1. the hospital was supportive and assistive as the nurse coped with this event

A patient asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the patient about his concerns. Which ethical principle applies. SATA 1. beneficence 2. autonomy 3. veracity 4. justice

2. autonomy

Effective followers are those who are: 1. passive employees 2. skilled and self directed employees 3. less valuable employees 4. employees who are never supportive of new ideas

2. skilled and self directed employees

The NCLEX for nurses is exactly the same in every state in the U.S. The examination 1. Guarantees safe nursing care for all patients 2. Ensures standard nursing care for all patients 3. Ensures that honest and ethical care is provided 4. Provides a minimal standard of knowledge for a registered nurse in practice

4. Provides a minimal standard of knowledge for a registered nurse in practice

A nurse is caring for a client who has chest pain. The client says, "I am going home immediately." Which of the following actions should the nurse take? (SELECT ALL THAT APPLY.) A. Notify the client's family of their intent to leave the facility B. Document the client's intent to leave the facility against medical advice (AMA) C. Explain to the client the risks involved if they choose to leave D. Ask the client to sign a form relinquishing responsibility of the facility E. Prevent the client from leaving the facility until the provider arrives

B. Document the client's intent to leave the facility against medical advice (AMA) C. Explain to the client the risks involved if they choose to leave D. Ask the client to sign a form relinquishing responsibility of the facility

A nurse is preparing to transfer an older adult client who is 72hr postoperative from a surgical procedure to a long-term care facility. Which of the following should the nurse include in the transfer report? (select all that apply) A. Type of anesthesia used B. The client's advance directives status C. The client's vital signs on day of admission D. The client's medical diagnosis E. Need for special equipment

B. The client's advance directives status D. The client's medical diagnosis E. Need for special equipment

Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? A. Continuing education B. Graduate education C. In-service education D. Professional Registered Nurse Education

C. In-service education

A nurse is caring for a patient that believes that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feelings with her family and provider. The nurse realizes that this is an example of A. Affirming a value B. Choosing a value C. Prizing a value D. Reflecting a value

C. Prizing a value; satisfied with a choice and tell others

Nursing has its origins with A. Florence Nightingale B. The Knights of Columbus C. Religious orders D. Wars and battles

C. Religious orders such as the Sisters of Mercy

A nurse is reviewing the hospital's fire safety policies and procedures with newly hired assistive personnel. The nurse is describing what to do when there is a fire in a client's trash can. Which of the following information should the nurse include? (Select all that apply.) A. the first step is to pull the alarm. B. Use a Class C fire extinguisher to put out the fire. C. instruct ambulatory clients to evacuate to a safe place. D. Pull the pin on the fire extinguisher prior to use. E Close all doors.

C. instruct ambulatory clients to evacuate to a safe place. D. Pull the pin on the fire extinguisher prior to use. E Close all doors.

A nurse is caring for a child who is being treated in the ED following a head contusion from a fall. History reveals the toddler lives at home with one parent. The provider's discharge instructions include waking the child up every hour during the night to assess for indications of a possible head injury. In which of the following situations should the nurse intervene and attempt to prevent discharge? A. the parent states they do not have insurance or money for a follow up visit B. the child states my head hurts and I want to go home C. the nurse smells alcohol on the parent's breath D. the parent verbalizes fear about taking the child home and requests to be kept overnight

C. the nurse smells alcohol on the parent's breath

A nurse is reviewing a client's health care record and discovers that the client's DNR order has expired. The client's condition is not stable. Which of the following actions should the nurse take? A. Assume that the client does not want to be resuscitated, and take no action is she experiences cardiac arrest B. Write a note on the front of the provider order sheet asking that the DNR order be reordered C. Anticipate that CPR will be instituted if the client goes into cardiopulmonary arrest D. Call the provider to determine whether the order should be immediately reinstated

D. Call the provider to determine whether the order should be immediately reinstated

A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? a. avoidance b. smoothing c. cooperating d. negotiating

a. avoidance

The Situational Leadership model focuses on: 1. both followers and the task 2. the task 3. the follower 4. the behavior of others

1. both followers and the task

A nurse is providing care to a pt whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice? 1. justice 2. veracity 3. autonomy 4. nonmaleficience

1. justice

Effective nurse managers have: SATA 1. leadership capabilities 2. clinical expertise 3. business sense 4. budgeting savvy

1. leadership capabilities 2. clinical expertise 3. business sense 4. budgeting savvy

Informational aspects of a nurse manager's job include: 1. evaluation 2. resource allocation 3. being a coach 4. being a spokesperson

4. being a spokesperson

A nurse manager is observing the actions of a nurse she is supervising. Which of the following actions by the nurse requires the nurse manager to intervene? (select all that apply) A. Reviewing the health care record of a client assigned to another nurse B. Making a copy of a client's most current laboratory results for the provider during rounds C. Providing information about a client's condition to hospital clergy D. Discussing a client's condition over the phone with an individual who has provided the client's information code E. Participating in walking rounds that involve exchange of client- related information outside client's rooms

A. Reviewing the health care record of a client assigned to another nurse B. Making a copy of a client's most current laboratory results for the provider during rounds C. Providing information about a client's condition to hospital clergy E. Participating in walking rounds that involve exchange of client- related information outside client's rooms

A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as advocate. Which of the following situations illustrates the advocacy role? (select all that apply) A. Verifying that a client understands what is done during a cardiac catheterization B. Discussing treatment options for a terminal diagnosis C. Informing member of the health care team that a client has a do not resuscitate status D. Reporting that a health team member on the previous shift did not provide care as prescribed E. Assisting a client to make a decision about his care based on the nurse's recommendation

A. Verifying that a client understands what is done during a cardiac catheterization C. Informing member of the health care team that a client has a do not resuscitate status D. Reporting that a health team member on the previous shift did not provide care as prescribed

A newly licensed nurse is preparing to insert an IV catheter in client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed? A. Web site B. Institutional policy and procedure manual C. More experienced nurse D. State nurse practice act

B. Institutional policy and procedure manual

A nurse discovers that a client was administered an antihypertensive medication in error. Identify the appropriate sequence of steps that the nurse should take using the following actions. a. call the provider b. check vital signs. c. Notify the risk manager. d. complete an incident report. e. instruct the client to remain in bed until further notice.

b. check vital signs. e. instruct the client to remain in bed until further notice. a. call the provider d. complete an incident report. c. Notify the risk manager.

How a team forms steps:

1. forming 2. storming 3. norming 4. performing

A nurse is caring for a patient with PE. The patient is receiving IV heparin. Which instructions should the nurse give the NAP who will help patient with ADLS? SATA 1. use a lift sheet when moving and positioning in the bed 2. use an electric razor when shaving the patient each day 3. use a soft bristled toothbrush or tooth sponge for oral care 4. use a rectal thermometer to obtain a more accurate body temp 5. patient wears non slip sole when patient ambulates

1. use a lift sheet when moving and positioning in the bed 2. use an electric razor when shaving the patient each day 3. use a soft bristled toothbrush or tooth sponge for oral care 5. patient wears non slip sole when patient ambulates

Autocratic leaders: 1. postpone decision making as long as possible 2. share leadership with members of the team 3. give orders and make decision without consulting the team 4. encourage creativity with problem solving

3. give orders and make decision without consulting the team

Which pt should the nurse assess first? 1. 60 year old on a vent for whom sterile sputum specimen must be sent to lab 2. 55 year old with COPD and a pulse ox sat from previous shift of 90% 3. 70 year old with pneumonia that needs IV antibiotics 4. 50 year old with asthma who complains of SOB after using bronchodilator

4. 50 year old with asthma who complains of SOB after using bronchodilator

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? 1. The charge nurse is unavailable to help the nurses when they have questions about policies. 2. Some staff are afraid to ask particular charge nurses for help for fear of retribution. 3. The use of acronyms is confusing to staff members who are new to the unit. 4. All of the above

4. All of the above

A nurse is assisting with the discharge planning for a client. Which of the following actions should the nurse take? (SELECT ALL THAT APPLY.) A. Determine the client's need for home medical equipment B. Provide a list of all the medications the client received in the facility C. Obtain printed instructions for medication self-administration D. Provide the family with a list of community agencies that can provide assistance E. Discuss the importance of attending follow-up appointments

A. Determine the client's need for home medical equipment C. Obtain printed instructions for medication self-administration D. Provide the family with a list of community agencies that can provide assistance E. Discuss the importance of attending follow-up appointments