N390 Synthesis Quiz

Which type of behavior by the registered nurse results in a low-to-stable level of commitment?

1) Punitive

Which action makes a nurse manager also a nurse leader?

4) Helping employees reach the highest level of their potential excellence.

A client is admitted to the hospital with severe burns. Which client response should the nurse anticipate during the acute phase of burn recovery?

1) Unstable vital signs

The nurse observes a dispute between staff members due to differences in perspective concerning nursing practices. Which approaches of the nurse as a leader would be appropriate in building up negotiation "loop-backs" to resolve the conflict? Select all that apply.

3) Allowing a cooling-off period if the resolution falls. 4) Informing of the full consequences of failing to resolve the issues.

Which of these clients can be provided care safely by unlicensed nursing personnel? Select all that apply.

3) A client who is stable 4) A client who is recovering

What qualities does the professional nurse require to lead, manage, and follow in a team? Select all that apply.

3) Exercising self-awareness. 4) Motivating self and others. 5) Managing emotions in self and others.

A client had a laparoscopic cholecystectomy. Postoperatively the client experiences nausea and vomiting and is admitted overnight for observation and hydration. What should the nurse include in the teaching plan when preparing this client for discharge? Select all that apply.

2) Call the healthcare provider if you have a fever of 100o F (37.8oC) or more for two days. 4) Check the puncture sites daily for redness, tenderness, swelling, heat, or drainage.

The nurse leader working in a 50-bed surgical unit accrued 765 client days in November and 189 of the clients were discharged during the month. What is the average length of stay for November? Record your answer using a whole number. _____ days

4 days.

While managing the aftermath of a massive fire in a rural area, a physician is quickly examining clients and shifting them to urban health centers if required. What are the other duties of the physician in this role? Select all that apply.

2) Determining the resource needs of the clients. 3) Deciding the number and acuity of the clients.

While serving as a leader, the nurse uses contingent variables recognized by the path-goal theory of leadership. Which actions of the nurse reflect the use of contingent variables? Select all that apply.

2) Setting clear expectations. 4) Eliminating obstacles to goal achievement. 5) Increasing opportunities for follower satisfaction.

Which subdimension would form a part for the caring process "doing for" according to the Swanson's theory of caring? Select all that apply.

2) Protecting 3) Comforting

Which are the core roles for an advanced practice registered nurse (APRN)? Select all that apply.

2) Nurse Practitioner (NP) 4) Clinical Nurse Specialist (CNS) 5) Certified nurse midwife (CNM) 6) Certified registered nurse anesthetist (CRNA)

A registered nurse is teaching a group of student nurses about concepts of triage in a mass casualty incident. Which statement of the student nurse indicates effective learning?

3) "I will issue a green tag to class III, nonurgent clients.

The client is admitted to the medical unit with a diagnosis of pulmonary edema. The client care is assigned to the registered nurse (RN) by the charge nurse. The RN admits and provides a written plan and assigns the client to a licensed practical nurse. Which healthcare personnel is accountable and responsible for the client if there is development of any complications in the client?

3) Registered Nurse (RN)

The nurse is giving unlicensed assistive personnel (UAP) strategies to care for a 2-year-old child admitted to the hospital with severe diarrhea. Which strategies should the nurse provide?

3) Weighing the child at the same time every day.

Who functions as a liaison between team leaders and other healthcare providers?

1) Charge Nurse

The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching?

1) "A leader has a formal position."

When assigning a task, the delegator should understand the delegatee's personal values and align them with the organizational values. Which task can be achieved from this delegation?

1) Affirming

What key points should the nurse keep in mind about the legal implications of nursing practice? Select all that apply.

1) Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever possible. 2) Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. 5) Ensure that the nurse can make a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.

Which drawback indicates an improper follow-through on the part of a delegatee?

1) Failure to report results and findings.

A client with an inoperable cancer of the head of the pancreas involving the common bile duct has a T-tube inserted. During the first 48 hours after insertion of the tube, what should the nurse do?

1) Maintain T-tube patency via gravity drainage.

Which healthcare professional would the nurse know is held accountable for the tasks performed by the patient care associate (PCA)?

1) Registered Nurse (RN)

Arrange the following steps of the budgeting process performance in chronological order.

1) Setting program priorities 2) Capital budgeting 3) Developing cash budget 4) Negotiating and revising 5) Analysis and variance

What should a nurse do in order to comply with the ethic of nonmaleficence in the healthcare setting?

1) The nurse should focus on doing no harm.

The senior manager reviews the performance of the transformational leader on the basis of the feedback given by the nurse leader's team. Which statements describe the attributes of a transformational leader? Select all that apply.

2) "He/she is charismatic." 3) "He/she is motivational." 5) "He/she shows individualized consideration."

The nurse as a leader teaches staff about organizational disciplines to support change and evolution. Which statement of the nurse is relevant in the context of maintaining self-awareness and using reflection?

2) "Personal mastery fosters openness in the face of change."

An advanced practice registered nurse (APRN) is caring for a pregnant woman. Which type of APRN would care for this client?

2) Certified nurse midwife (CNM).

The registered nurse is caring for a client undergoing chemotherapy. Which statement made by the client shows a need for the registered nurse (RN) to delegate unlicensed assistive personnel (UAP) to help the client with activities of daily living (ADL)? Select all that apply.

4) "I am unable to eat by myself due to the intravenous (IV) catheter." 5) "I am unable to get out of bed because I am so weak from the therapy."

A registered nurse who has limited clinical experience must delegate in collaboration with a nursing assistant. Which communication method used by the registered nurse while supervising may affect the working performance of the nursing assistant?

4) Occasionally offering derogatory comments.

A nurse is precepting a senior-level nursing student. Which statement made by the nursing student assures the preceptor that the student understands the importance of sepsis screening?

4) Sepsis mortality is affected greatly by treatments performed in the first 6 hours.