MGMT Quiz 2: Chp 13, 14, 19, 20

The role of the CNL is directly associated with successful leadership of interprofessional health care team. Which statements made by CNL express components of that role?

-Ive worked with clients dx with cardiac issues for nearly 15 years -The unit nurses have talked with family and ID need for social services consult -We need to to determine what if any safety issues exist r/t client ability to ambulate independently -Ill share the patients care outcomes with PT today

What statements demonstrate pt benefits derived from care provided by IPT?

-we have been so pleased with care my mother has been given since she fell -the nurses seem to really care about their pts -the PT and my nurse worked together to schedule my therapy -my dr, nurse, social, and dietician had meeting with me about discharge

In the SBAR model, what should be conveyed when explaining the situation? (Select all that apply.) A. Events currently happening B. Objective statement of the problem C. Assessment data collected D. Recommendations for treatment changesE. Information in a narrative or story form

ABCD

When you explain what the nurse believes the issue is, which stage of SBAR would the nurse be demonstrating? A. situation B. background C. assessment D. recommendation

C

The nurse manager is aware there will be critical changes made to staffing d/t low census & staff lacking trust in admin. What is best way to handle situation?

a) be truthful in regarding situation about staffing and census

What behaviors should manager exhibit to narrow the power-authority gap?

be accountable, hold others accountable, and ask personal questions

A health care provider is attempting to improve their connection with the nursing staff. What communication strategy would be appropriate for the healthcare provider to use to make this change? A. Maintain eye contact and nod or vocalize to show interest in conversation .B. Use touch as a nonverbal cue of acceptance. C. Interrupt nurses going off on tangents in order to model keeping them focused. D. Hesitate prior to responding.

A

A new nurse leader asks for strategies to improve communication skills since there has been a large turnover of nursing staff. What suggestion from the director would be beneficial for the nurse leader? A. 'Be congruent in your verbal and nonverbal communication.' B. 'Use aggressive communications to show the staff you are in charge. 'C. 'Allow them to think you are listening to their complaints.' D. 'Restate messages using passive language.'

A

A nurse leader is introducing a new glucometer protocol to members of the staff. What method of communication would best be used to make all staff aware of this change? A. Written communication B. Verbal communication C. Nonverbal communication D. Telephone communication

A

Rapidly advancing communication technology has great potential for increasing the productivity and effectiveness of an organization. What is the threat or challenge that exists with new methods that include intranet and electronic information systems? A. Pose a threat to patient confidentiality B. Ineffective communication tool C. Will replace nonverbal communication D. Replace active listening

A

Which of the following is a form of communication that allows people to express themselves in direct, honest, and appropriate ways reducing tension in the workplace? A. Assertive communication B. Aggressive communication C. Passive-aggressive communication D. Passive communication

A

In the SBAR model, when giving recommendations, what kinds of things should be communicated? (Select all that apply.) A. Any new treatments or changes ordered B. Opinions for further action C. The background or context of the situation D. The patient's condition and state what you think the problem is. E. A concise evaluation of the situation in a couple of sentences

A & B

A nurse manager wants to increase the effectiveness of communication with a staff member since the staff member did not respond positively to the same message previously. What action by the manager would improve the communication? (Select all that apply.) A. Make the message clear and concise. B. Use common terminology. C. Stay positive when sending the message. D. Have the staff member state understanding of the message. E. Use the previous technique with the staff member.

A, B, C, D

A nurse manager is assessing the internal climate of communication with a group of staff members prior to a meeting. What would the manager consider to be a part of the internal climate of communication? (Select all that apply) A. Values B. Feelings C. Status D. Stress E. Power

A, B, D

A nurse manager is conducting a meeting with staff. What factors may significantly influence how communication is received and perceived during the meeting? (Select all that apply.) A. The level of the manager B. The unit mission C. Stress levels D. Gender differences E. The age of the manager

A, C, D

A nurse has repeated infractions, and the nurse manager is preparing a written admonishment to be reviewed with the nurse and placed in the nurse's personnel file. What elements should the nurse manager include in the written admonishment? A) List of policies that have been violated B) statements by other nurses demonstrating a pattern of behavior C) plan of action for addressing behavior D) Consequences for further violations E) Date and time violation occurred F) List of patients affected by violation

A, C, D, E

A student nurse is taking home a print-out from the EHR in order to have data to complete a care plan. Which PHI must the student remove prior to taking the print-out home? A) birth date B) medical conditions C) room number D) maritial status E) insurance group number F) Date of care G) Med list

A, C, E, F

When the nurse manager found out about Sara's inappropriate access of med record, she term her. What info provided by the nurse manager indicated that Sara had adequate forewarning, one of the four rules of fair and effective discipline? A) Hospital policies and procedures B) conference attendance C) online continuing education D) orientation E) annual tranining

A, D, E

Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? Select all that apply. A. Patient's name and room number B. Admitting diagnosis C. Past medical history D. Current medications E. Issues identified for discussion

ABCD

Which aspects of creating a successful interprofessional team are addressed by SBAR? (Select all that apply.) A. Maintaining a shared vision B. Communicating effectively and efficiently C. Ensuring role clarity D. Offering a recommended plan of action or next steps E. Determining leadership of the team

ABCD

A nurse receives a telephone call requesting patient info. In which instance can the nurse legally breach confidentiality and provide requested info? A) neighbor calling to find out results of a patient's MRI B) a public health official asking about a suspected case of Ebola C) an insurance provider seeking information about drug and alcohol screening D) ED nurse following up on a patient the nurse had sent to the unit

B

Kelly decided to report Sara to the nurse manager for leaving for extended period of time without giving report. The nurse manager feels that Sara's actions constitute neglect of duty. THis is the 2nd time the manager has discussed with Sara her leaving unit without proper handoff. What form of discipline should nurse manager use? A) verbal admonishment B) written admonishment C) suspension D) dismissal

B

Nonverbal communication is thought to make up what percentage of the communication process? A. Over 90% B. 50%-70% C. 35%-50% D. Less than 35%

B

A nurse manager is using face-to-face communication when discussing a staff member's performance evaluation. What does the manager determine are the benefits of this method of communication in this situation? (Select all that apply.) A. The staff member will agree with all aspects of the evaluation. B. It will strengthen the connection between the manager and staff member. C. The manager can determine if the staff member understands the evaluation. D. It will combine verbal and non-verbal communication to convey messages. E. It will prevent any misunderstandings from occurring

B, C, D

A charge nurse informs a staff nurse that they will be admitting the next patient that arrives on the unit. The staff nurse states acceptance and then proceeds to tell the other nurses that the charge nurse is unfair. What type of communication is the staff nurse displaying? A. Passive communication B. Aggressive communication C. Passive-aggressive communication D. Assertive communication

C

A nurse working in a large, diverse university hospital informs the charge nurse, 'I never know how far apart to stand from someone since we have patients from many cultures.' What is the best response by the charge nurse? A. 'It really doesn't matter; people should just accept it.' B. 'For personal interactions, you should stand at least 5 feet away.' C. 'The degree of space is going to vary with cultural norms.' D. 'About 14 inches is appropriate for a social interaction.'

C

In the next case scenario, Sara left her pt without providing a proper report and was gone for extended time. In which of following situations would pt be able to take legal action against her for patient abandonment? A) pt overheard nurses talking about the situation B) pt had allergic reaction to prescribed antibiotic C) patient who is a fall risk fell and broke hip D) pt was angry due to a lack of response to call bell

C

Nurse manager says if staff doesn't increase productivity by 15% there will be jobs lost. What form of power is this?

Coercive power

A nurse manager is relaying information about staffing changes to the staff on the night shift. What form of communication is the nurse manager using to deliver the changes? A. Grapevine B. Diagonal C. Horizontal D. Downward

D

A nurse takes a break without informing any of the nurse's colleagues. Which ethical principle has the nurse violated in relation to the nurse's patients? A) Veracity B) Justice C) Confidentiality D) Fidelity

D

Two unit nurses are having lunch in the hospital cafeteria when one of the nurses begins talking about a difficult patient. What response by the second nurse indicates the best understanding of the HIPPA? A) you need to speak more quietly so people cannot overhear B) be careful not to mention any names or room numbers C) I'm worried the family may be near. Tell me when we are walking back. D) it is not appropriate for us to discuss patients in the lunch room.

D

T/F The SBAR tool was first used in the hospital to facilitate safe patient handoffs

False

A nurse-educator has a very narrow power-authority gap when interacting with students in the clinical setting. What negative student outcome may occur because of this narrow gap?

The students will question their ability to make independent decisions.

T/F Channels of communication include upward communication, downward communication, horizontal communication, diagonal communication, and grapevine

True

T/F Effective leadership requires the nurse manager or leader to develop verbal communication skills in order to decrease tension in relationships, decrease anxiety, and prevent depression

True

T/F SBAR and ISBAR provide the nurse leader with tools to effectively communicate between team members.

True

T/F Some facilities have included an 'Introduction step' to SBAR now called ISBAR in efforts to include an introduction for clinicians during a patient handoff.

True

T/F The American Nurses Association and the National Council of State Boards of Nursing have established principles for social networking.

True

What factors are considered when determining the appropriateness of implementing care via the interprofessional team? a) physical design b) skill of attending staff c) acuity level of patients d) physical location e) facility's yearly budget f) complexity of required pt care

b, c, e, f

A nurse has just been promoted to managerial position in ICU & worried about members of nursing staff will not treat nurse's request with same respect as previous manager. What behaviors would reinforce new manager's authority and power? a) frequently delegating critical decisions b) withold important info c) demonstrate influence with hospitals senior leadership team d) practicing making outright commands e) reminding staff how their efforts contribute

c, e