NMNC 4320 Synthesis EAQ

The nurse leader taught the student nurse the principles of quality management and improvement. Which statement made by the student nurse indicates ineffective learning? 1 "Managers define the quality." 2 "Decisions should be based on data." 3 "Quality improvement focuses on outcomes." 4 "Managers and workers must be committed to quality improvement."

1 "Managers define the quality."

Which nursing action is essential when delegating tasks to nursing assistive personnel? Select all that apply. One, some, or all responses may be correct. 1 Matching tasks to the delegatee's skills 2 Assessing knowledge and skills of delegatee 3 Clearly communicating the task, time frame, and outcome 4 Listening attentively to delegatee's response to the task request 5 Providing feedback on performance to delegatee after task completion

1 Matching tasks to the delegatee's skills 2 Assessing knowledge and skills of delegatee 3 Clearly communicating the task, time frame, and outcome 4 Listening attentively to delegatee's response to the task request 5 Providing feedback on performance to delegatee after task completion

The nurse is explaining the nursing process to a student nurse. Which step of the nursing process would include interpretation of data collected about the client? 1 Evaluation 2 Assessment 3 Implementation 4 Diagnosis

2 Assessment

The nurse leader wants to implement the principle of nonmaleficence while evaluating the staff. Which is an effective way to perform this action? 1 Fulfilling the commitment of promotion to a preceptor position within the unit 2 Emphasizing the good qualities of the staff and giving positive direction for growth 3 Acknowledging the right of individuals to make decisions and to live by these decisions 4 Deciding which staff members to promote or to recommend for development opportunities

2 Emphasizing the good qualities of the staff and giving positive direction for growth

How would the nurse adopt the element of right circumstances during a task delegation? 1 Giving a clear and concise description of the task 2 Providing appropriate monitoring, evaluation, and intervention as needed 3 Delegating right tasks to the right person to be performed on the right person 4 Considering the appropriate client setting, available resources, and other relevant factors

4 Considering the appropriate client setting, available resources, and other relevant factors

Which factor would the nurse consider when setting priorities for care during a shift? Select all that apply. One, some, or all responses may be correct. 1 Client acuity 2 Unit organization 3 Availability of resources 4 Own experience and expertise 5 Philosophies and models of care

1 Client acuity 2 Unit organization 3 Availability of resources 4 Own experience and expertise 5 Philosophies and models of care

Which health care team member is considered the priority person to provide medications to the client receiving intravenous therapy? 1 Registered nurse (RN) 2 Nursing manager 3 Patient-care associate (PCA) 4 Unlicensed nursing personnel (UNP)

1 Registered nurse (RN)

The nursing team is providing care for a client. The team leader develops client care plans and coordinates care among the team members. Which member of the team acts as a team leader? 1 Charge nurse 2 Registered nurse (RN) 3 Licensed practical nurse (LPN) 4 Unlicensed assistive personnel (UAP)

2 Registered nurse (RN)

Which action would the nurse manager employ during implementation and evaluation of a quality improvement project to decrease hospital readmissions for heart failure clients? Select all that apply. One, some, or all responses may be correct. 1 Meeting regularly with staff throughout project implementation 2 Using readmission data for heart failure clients to evaluate project effectiveness 3 Collaborating with staff to address continuing high readmission rates post-project implementation 4 Ensuring that staff are provided time to participate in development and implementation of the new project 5 Coaching staff on effective implementation of the transition of care for heart failure clients being discharged

1 Meeting regularly with staff throughout project implementation 2 Using readmission data for heart failure clients to evaluate project effectiveness 3 Collaborating with staff to address continuing high readmission rates post-project implementation 4 Ensuring that staff are provided time to participate in development and implementation of the new project 5 Coaching staff on effective implementation of the transition of care for heart failure clients being discharged

Which factor supports task delegation to nursing assistive personnel (NAP) according to the National Council of State Boards of Nursing (NCSBN) Decision Tree? Select all that apply. One, some, or all responses may be correct. 1 The task is within the nurse's scope of practice. 2 The task may be performed with a predictable outcome. 3 Agency policies and protocols are available for the task or activity. 4 The task is performed according to an established sequence of steps. 5 NAP have the appropriate knowledge, skills, and abilities required to complete the task.

1 The task is within the nurse's scope of practice. 2 The task may be performed with a predictable outcome. 3 Agency policies and protocols are available for the task or activity. 4 The task is performed according to an established sequence of steps. 5 NAP have the appropriate knowledge, skills, and abilities required to complete the task.

The nurse manager asks the nurse, "How would you implement clinical decision-making in a group of clients?" Which answer(s) provided by the nurse show(s) effective critical thinking? Select all that apply. One, some, or all responses may be correct. 1 "I will avoid involving clients as decision-makers and participants in care." 2 "I will discuss complex cases with other members of the health care team." 3 "I will identify the nursing diagnoses and collaborative problems of each client." 4 "I will consider the time it takes to care for clients whose problems have higher priority." 5 "I will decide to perform activities individually to resolve one client problem at a time."

2 "I will discuss complex cases with other members of the health care team." 3 "I will identify the nursing diagnoses and collaborative problems of each client." 4 "I will consider the time it takes to care for clients whose problems have higher priority."

The nurse developed a discharge teaching plan based on the specific needs of a hospitalized client. Which element of decision-making would the nurse exhibit in this situation? 1 Authority 2 Autonomy 3 Responsibility 4 Accountability

2 Autonomy

The registered nurse (RN) delegates a task to a licensed practical nurse (LPN). Which client task can be assigned to the LPN? 1 Client A - dehydration - evaluate whether fluid electrolyte needs are being addressed w IV therapy 2 Client B - wound care - perform sterile dressing changes on acute and chronic wounds 3 Client C - pain - notify primary HCP if client reports pain 4 Client D - presbycusis - help with hearing aid placement

2 Client B - wound care - perform sterile dressing changes on acute and chronic wounds

Which statement by the nurse would reflect autonomy when the client is being discharged? 1 "I accept the task of providing a discharge teaching plan." 2 "I understand my task of preparing a discharge teaching plan." 3 "I will independently develop and implement a discharge teaching plan." 4 "I will consult with other team members to find out why the discharge teaching plan is delayed."

3 "I will independently develop and implement a discharge teaching plan."

Which organization provides scope and practice guidelines on the roles and responsibilities for nursing and nursing specialties? Select all that apply. One, some, or all responses may be correct. 1 State Nursing Association 2 National League of Nursing 3 American Nurses Association 4 Academy of Medical Surgical Nurses 5 Quality and Safety Education for Nurses

3 American Nurses Association

Which activity would be included in the "do" phase of the rapid-cycle change approach? Select all that apply. One, some, or all responses may be correct. 1 Defining the objectives of the initiative 2 Determining how the change will occur 3 Determining if the change occurred as expected 4 Identifying which data collection methods are needed 5 Predicting how the identified change will contribute to design

3 Determining if the change occurred as expected

Which distinguishes evidence-based practice from quality improvement? 1 Evidence-based practice is a part of a regular clinical practice. 2 Evidence-based practice aims to improve client care and outcomes. 3 Evidence-based practice focuses on the implementation of evidence already known into practice. 4 Evidence-based practice consists of internal funding and can be conducted by practicing nurses.

3 Evidence-based practice focuses on the implementation of evidence already known into practice.

The unit nurse manager comes to work obviously intoxicated. Which action is the staff nurse ethically obligated to take? 1 Call the security guard. 2 Tell the nurse manager to go home. 3 Have the supervisor validate the observation. 4 Offer the nurse manager a large cup of coffee.

3 Have the supervisor validate the observation.

The nurse manager is planning to develop leadership skills in direct-care nurses. Which activities would the nurse encourage the direct-care nurses to participate in to develop these skills? Select all that apply. One, some, or all responses may be correct. 1 Participate in public forums 2 Participate in civic gatherings 3 Serve on practice councils 4 Join local professional associations 5 Participate in American Heart Association activities

3 Serve on practice councils 4 Join local professional associations 5 Participate in American Heart Association activities

A client engages in angry outbursts and places excessive demands on the staff. An unlicensed health care worker tells the nurse, "I've had it. I am not putting up with that behavior. I'm not going in there again." Which is the correct response by the nurse? 1 "You need to try to be patient. The client is going through a lot right now." 2 "I'll talk with the client. Maybe I can figure out the best way for us to handle this." 3 "Just ignore it and get on with your work. I'll assign someone else to take a turn." 4 "The client is frightened and taking it out on the staff. Let's think of approaches we can take."

4 "The client is frightened and taking it out on the staff. Let's think of approaches we can take."

The spouse of a comatose client refuses to allow transfusions of whole blood because they are Jehovah's Witnesses. The client does not have a durable power of attorney for health care (DPAHC). Which action by the nurse is correct? 1 Institute the prescribed blood transfusion because the client's survival depends on volume replacement. 2 Clarify the reason why the transfusion is necessary and explain the implications if there is no transfusion. 3 Phone the primary health care provider for an administrative prescription to give the transfusion under these circumstances. 4 Give the spouse a treatment refusal form to sign and notify the primary health care provider that a court order now can be sought.

4 Give the spouse a treatment refusal form to sign and notify the primary health care provider that a court order now can be sought.

Which statement is true about the nursing model of team nursing? 1 The registered nurse (RN) is responsible for all aspects of client care. 2 Client care can be delegated to other members of the health care team. 3 The registered nurse (RN) works directly with the client, family members, and health care team members. 4 Hierarchical communication exists from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members.

4 Hierarchical communication exists from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members.

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee? 1 Right task 2 Right person 3 Right supervision 4 Right communication

4 Right communication

Which example is representative of a passive strategy for health promotion? Select all that apply. One, some, or all responses may be correct. 1 Offering healthy nutrition classes 2 Engaging clients in wellness programs 3 Ensuring that parents to properly use child safety seats 4 Encouraging client engagement in exercise programs 5 Lobbying for government funds to address potential lead in local water

5 Lobbying for government funds to address potential lead in local water

Which statement reflects a pairing approach to delegation of registered nurse (RN) and nursing assistive personnel (NAP) assignments? Select all that apply. One, some, or all responses may be correct. 1 NAP serves the unit and has minimal RN direction. 2 RN and NAP are consistently scheduled to work together. 3 NAP works from a task list as outlined in the job description. 4 RN is recognized as having the authority to make the delegation decisions. 5 RN and NAP only provide care together for a given set of clients during a given shift.

5 RN and NAP only provide care together for a given set of clients during a given shift.