NSG 230 QUIZZES

A nurse is responsible for supervising staff on a unit that includes RN's, LPN's, and UAP's. Which statement is related to the supervision of staff as opposed to the delegation of tasks? A. Statement to another RN: "Please start an IV on Mr. Smith in room 212. B. Statement to a health unit coordinator: "There are new orders on Mr.Goll's chart that need to be entered." C. Statement to the LPN: "Please give 8:00 am meds to the client in 222." D. Statement to a UAP: "Please answer the call light for the client in room 210."

B. Statement to a health unit coordinator: "There are new orders on Mr.Goll's chart that need to be entered."

When making assignments, two legal responsibilities the RN must take into consideration are: A. Knowing the job requirements and evaluating the outcomes B. Writing job descriptions and communicating them to all staff members C. Assessing how much supervisory time is necessary and assessing the competence of each staff member

C. Assessing how much supervisory time is necessary and assessing the competence of each staff member

A nurse educator is planning a class for a group of nursing students regarding risk management. Which information should the educator include in this presentation? Select all that apply. A. Risk management seeks to prevent harm. B. Risk management empowers clients. C. Risk management controls the cost of supplies. D. Risk management examines past mistakes and identifies potential hazards. E. Risk management assures that nurses are truthful.

A. Risk management seeks to prevent harm. D. Risk management examines past mistakes and identifies potential hazards.

A managed care facility is attempting to increase participation by nursing staff in decision making throughout the organization. Which model should the facility leadership select to best achieve this outcome? A. Team nursing B. Shared governance C. Case management D. Managed care

B. Shared governance

________ occurs when two or more individuals show or feel honor or esteem toward one another, and it is an important element of successful collaborative practice. A. Trust B. Effective communication C. Conflict management D. Mutual respect

D. Mutual respect

In which order should the steps of the quality improvement process be reviewed to determine whether it was completed correctly?

1. Analyze current protocols of care and associated outcomes. 2. Compare outcomes to benchmarks. 3. Identify areas for improvement. 4. Research factors that contribute to better outcomes. 5. Implement changes to improve outcomes. 6. Analyze client outcomes to determine effectiveness of changes.

A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital. As part of the emergency response, the charge nurses in the emergency department (ED) and intensive care unit (ICU) are responsible for which tasks? Select all that apply. A. Assessing the priority of the current clients for the ED or ICU B. Assigning care for the clients as they are admitted to the unit C. Exceeding their scope of practice when and if required D. Providing any care that any patient needs E. Delegating staff nurses to gather needed supplies for the arriving clients

A. Assessing the priority of the current clients for the ED or ICU B. Assigning care for the clients as they are admitted to the unit E. Delegating staff nurses to gather needed supplies for the arriving clients

A nurse is providing hospice care for an older adult client. The nurse is approached by the client's adult child. The adult child believes that her other parent, who is in a nursing home, is being neglected. What should the nurse do in this situation? Select all that apply. A. Contact the client advocate at the nursing facility. B. Contact the local newspaper. C. Encourage the daughter to immediately place her other parent in a different facility. D. Contact the consumer protection agency. E. Report suspicions to the licensing agency.

A. Contact the client advocate at the nursing facility. E. Report suspicions to the licensing agency.

A nursing supervisor has been told to ensure that the hospital's new electronic records system is properly implemented on the nursing unit. Which actions by the supervisor are the best use of exercising the managerial role? Select all that apply. A. Creating a "buddy" system that pairs staff members who are more technologically comfortable with staff members who may require more assistance with the new system B. Providing regular training sessions in the new system C. Informing staff that the new system is optional D. Establishing a regular spot check of each staff member's effective use of the system E. Continuing to use paper records until the staff is completely comfortable with the new system

A. Creating a "buddy" system that pairs staff members who are more technologically comfortable with staff members who may require more assistance with the new system B. Providing regular training sessions in the new system D. Establishing a regular spot check of each staff member's effective use of the system

Centers for Medicare and Medicaid (CMS) has initiated a policy which: A. Denies hospitals reimbursement for specified hospital-acquired conditions. B. Dictates safe levels of nurse staffing. C. Prevents Medicare and Medicaid patients from receiving care at hospitals which have poor patient safety records. D. Requires hospitals to pay a penalty for each hospital-acquired event that occurs.

A. Denies hospitals reimbursement for specified hospital-acquired conditions.

The nurse manager encourages the nurses on the unit to attend educational offerings to stay current by providing a small stipend and time off to attend one offering a year. Which management responsibility is the nurse manager fulfilling through this provision? A. Enhancing employee performance B. Managing time C. Managing resources D. Holding nursing staff accountable

A. Enhancing employee performance

The nurse manager is interested in initiating self-scheduling on the medical-surgical unit. Which are stages of the planning process for the initiative that the nurse manager will use? Select all that apply. A. Establish objectives (goals). B. Evaluate the present situation and predict future trends and events. C. Formulate a planning statement (means). D. Coordinate the work to be done. E. Convert the plan into an action statement.

A. Establish objectives (goals). B. Evaluate the present situation and predict future trends and events. C. Formulate a planning statement (means). E. Convert the plan into an action statement.

The nurse is caring for an older adult client who will undergo surgery in the morning. While assessing the client, the nurse discovers that the client does not have an adequate understanding of the procedure. The nurse discusses the situation with the charge nurse to determine the best course. Which is the reason for the nurse to take action in this situation? A. The client has a right to informed consent. B. The family needs to agree to surgery. C. The client is very old and has multiple health problems. D. The nurse witnessed the consent.

A. The client has a right to informed consent.

The nurse is sitting in on a meeting for clients on a behavioral health unit. Which of the following characteristics of the group indicate that the group is functioning effectively? Select all that apply. The expertise of group members is being used. The discussion focuses on all issues brought by group members. Members feel satisfied with their participation. The group listens to the ideas of certain group members. The group atmosphere is positive.

All of the above

Several nurses are discussing the use of electronic medical records when providing client care. Which statements by the nurses indicate that they understand the advantages of electronic health records (EHRs)? Select all that apply. A. "The record reduces the cost of healthcare." B. "The record allows trending of client progress." C. "Client education can be documented in the system." D. "Quality metrics can be observed to reduce readmission rates." E. "Coordination of care is improved."

B. "The record allows trending of client progress." C. "Client education can be documented in the system." D. "Quality metrics can be observed to reduce readmission rates." E. "Coordination of care is improved."

A group of staff nurses is discussing the importance of uniform language within healthcare documentation. Which statement made by one of the nurses indicates an understanding of uniform language in healthcare documentation? A. "Uniform language is useful only when communicating with other staff nurses." B. "Uniform language is the consistent use of the same terminology among all providers." C. "Uniform language decreases the value of nursing interventions in the eyes of other providers." D. "HIPAA and HITECH are examples of uniform languages used by nurses."

B. "Uniform language is the consistent use of the same terminology among all providers."

Which of the following would be considered sentinel events? Select all that apply. A. Administration of a compatible blood transfusion B. Delivery of radiation to the wrong body region C. Homicide of a staff member while at the facility D. Homicide of a client while at the facility E. Invasive surgical procedure at the wrong site

B. Delivery of radiation to the wrong body region C. Homicide of a staff member while at the facility D. Homicide of a client while at the facility E. Invasive surgical procedure at the wrong site

The unit nurses describe the unit nurse manager as someone who encourages them to be involved in decision making and discussions about matters concerning the unit. Which types of leadership style is the nurse manager exhibiting? A. Authoritarian and participative B. Democratic and laissez-faire C. Laissez-faire and autocratic D. Bureaucratic and democratic

B. Democratic and laissez-faire

A nurse attempts to become more involved in the political process. Which of the following statements accurately describes the political arena in which this nurse may become involved? A. Most traditional nursing organizations are government-mandated groups and therefore are deeply involved in political activity. B. Nurses can be involved in the political process as individuals, but they are far more effective when working in groups. C. Nurses who testify for decision-making bodies must do so as an official representative of a nursing organization. D. Political action committees are nonprofit organizations that are registered as political action groups and are free to try to affect the political process.

B. Nurses can be involved in the political process as individuals, but they are far more effective when working in groups.

The nurse is caring for a client who has a condition that is not responding to standard interventions. How could accessing the clinical decision support system (CDSS) help with this client's care? A. Decreases the need to use critical thinking skills B. Provides evidence-based recommendations for care C. Tells the nurse what the next step should be D. Supports the nurse's "gut" instinct when providing care

B. Provides evidence-based recommendations for care

Which of the following statements is true with regard to monopolizing in the group setting? [Note: this was not a SATA but should have been] A. Group members who engage in monopolizing behavior do so intentionally. B. When one member of a group engages in monopolizing behavior, the other group members may become angry or frustrated with the group's leader. C. Monopolizing behavior may be motivated by anxiety or a need for attention, recognition, and approval. D. One useful strategy for dealing with monopolizing is to simply and directly interrupt the individual who is engaging in this behavior.

B. When one member of a group engages in monopolizing behavior, the other group members may become angry or frustrated with the group's leader. C. Monopolizing behavior may be motivated by anxiety or a need for attention, recognition, and approval. D. One useful strategy for dealing with monopolizing is to simply and directly interrupt the individual who is engaging in this behavior.

During the orientation of new nurses to an acute care facility, diagnosis-related groups (DRGs) are discussed. Which statement indicates an accurate understanding of DRGs? A. "DRG rates are revised quarterly to reflect the constant changes that occur in the healthcare system." B. "DRG rates are fixed, regardless of the occurrence of major uncontrollable events." C. "DRGs determine what will be paid for care by the insurer before the patient is admitted." D. "DRG rates are grouped by body system, with predetermined pay determined by system."

C. "DRGs determine what will be paid for care by the insurer before the patient is admitted."

Which statements best describe how a quality improvement process can contain healthcare costs? Select all that apply. A. "Promoting safety increases the cost of care." B. "Medication errors decrease the cost of care." C. "High nurse-to-client ratios result in decreased readmission rates." D. "Increased nursing staff has been linked to decreased infection rates." E. "Use of computers increases the number of lawsuits."

C. "High nurse-to-client ratios result in decreased readmission rates." D. "Increased nursing staff has been linked to decreased infection rates."

An older adult client experiences an extended hospitalization due to a chronic illness. The client states to the nurse, "I don't know how I can pay for this hospital stay and afford all of the new medication that I have been prescribed." Which response by the nurse is the most appropriate? A. "Don't worry. I'm sure everything will work out okay." B. "I'll have someone from the business office come and talk to you about your bill." C. "Much of your care will be covered by Medicare." D. "You need to focus on recovering and stop worrying about money."

C. "Much of your care will be covered by Medicare."

What is one advantage of the standardization of health records in relation to client education? A. It allows the nurse to print information for the client rather than reviewing the information in person. B. Families can receive education rather than clients in order to ensure that the client receives proper care at home. C. Clients can receive the same education about their condition regardless of where they receive treatment. D. Clients can look up their health information at home after discharge.

C. Clients can receive the same education about their condition regardless of where they receive treatment.

Which of the following is true with regard to ethical decision making? A. Ethical decisions are the responsibility of the physician. B. Ethical decisions must always involve an ethics committee. C. Ethical decision making cannot be avoided in nursing. D. There are few ethical situations in which nursing is involved.

C. Ethical decision making cannot be avoided in nursing.

The employer is responsible for providing a safe working environment by: A. Allowing the recapping of contaminated needles. B. Driving all employees to work. C. Following the OSHA guidelines. D. Teaching employees to use their back muscles for lifting clients.

C. Following the OSHA guidelines.

What are some reasons the nurse might withhold food and fluids from a client? Select all that apply. A. A schizophrenic client believes that they are being poisoned. B. A son decides that it is his father's time to die. C. It is determined to be more harmful to administer them than to withhold them. D. A competent and informed client refuses them.

C. It is determined to be more harmful to administer them than to withhold them.

Which strategy for coping with conflict is thought to be the best approach to achieve a win-win solution for all parties involved? A. Competing or forcing the issue B. Smoothing or accommodating conflict C. Problem solving or collaborating D. Withdrawing from or avoiding conflict

C. Problem solving or collaborating

The nurse is administering medications to a client with a nasogastric tube. Which action is most likely to lead to an adverse event? A. The nurse verifies tube placement prior to administering the medications. B. The nurse checks for known allergies prior to administering the medications. C. The nurse combines the crushed medications during administration. D. The nurse has a second nurse check the medication order.

C. The nurse combines the crushed medications during administration.

A charge nurse receives a phone call from the emergency room where the client is being admitted. The admission diagnosis of the client is renal failure. The client is confused and restless. Which is the safest room assignment for this client? A. A small private room at the end of the hall. B. A seclusion room that is monitored by a camera for client safety. C. A semi-private room 50 feet from the nurse's station. D. A large private room within the view of the nurse's station.

D. A large private room within the view of the nurse's station.

Which of the following is an example of covert conflict? A. Telling a manager that you think she is being unnecessarily harsh B. Warning a client that inappropriate contact and comments will not be tolerated C. Yelling at a coworker who has insulted another coworker D. Complaining to a friend about an assigned job task

D. Complaining to a friend about an assigned job task

A patient who is terminally ill makes an end-of-life decision that he does not want to be resuscitated. What type of document would contain this information? A. Emergency care orders B. Durable power of attorney for health care C. Patient orders for life-sustaining treatment (POLST) D. Living will

D. Living will

Health care technology has become increasingly sophisticated in recent decades. Which of the following statements describing the effects of technology on the provision of health care is true? A. New technologies have made health care less accessible to larger numbers of Americans. B. High-technology equipment requires a minimal capital investment in the short-term. C. Health technologies limit patient care and provide an incentive for innovative people to enter the healthcare field. D. Sophisticated technologies can improve patient outcomes.

D. Sophisticated technologies can improve patient outcomes.