RN professionalism and Leadership Assessment
A nurse is preparing for a presentation on professional identity in nursing. Which of the following statements should the nurse use to describe professional identity? "Professional identity is how one describes themselves as a professional." "Professional identity refers to public image about the role of nurses." "Professional identity is a term describing the belief and acceptance of the standards and values of the profession." "Professional identity begins with licensure and training within a health care setting."
"Professional identity is how one describes themselves as a professional" Professional identity is a personal interpretation of how one sees themselves within a professional role. It is often described as the self-image, self-concept, or personal view an individual has of themselves in their professional role.
A nurse is discussing chain of command with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the discussion? "The use of the chain of command is reserved for natural disasters or acts of terrorism." "The steps for the chain of command consist of notifying my superiors starting from the top to the bottom." "I will wait to document the communication I used while following the chain of command until the end of the process." "The chain of command clarifies the steps I need to take when I have a concern about a client's care."
"The chain of command clarifies the steps I need to take when I have a concern about a client's care." The chain of command is the process of making an immediate supervisor aware of a client concern or situation. The nurse should report concerns to the charge nurse on the unit initially and move up the chain of command only if the charge nurse does not address the concern.
A nurse is advocating for a client who is seeking treatment for an eating disorder. In which order should the nurse take the following steps?
1. Determine the client's level of understanding regarding their eating disorder. The nurse should collect data regarding the client's level of understanding, interests, personal values, mental function, and awareness of rights in order to advocate for the client. 2. Assist the client in establishing goals for treatment. The nurse should assist the client in identifying the goals for treatment, which are based on the client's needs and beliefs, in order to advocate for the client. 3. Encourage the client to communicate their preferences during the team meeting to establish the steps of treatment. The nurse should next assist the client in communicating their preferences to the rest of the health care team to implement the advocacy plan. 4. Review the client's weight prior to each treatment session. The nurse should monitor the outcomes of the plan and make adjustments as needed to advocate for the client.
A nurse is planning a presentation about shared governance. Which of the following examples should the nurse plan to include? A supervisor at a home health agency makes a unilateral decision to cut staff. Two assistant directors at an ambulatory care center write the policy manuals for the center. A group of staff nurses in a clinic work together to recommend new equipment purchases for the unit. Nurses on a medical-surgical floor follow instructions made by the charge nurse.
A group of staff nurses in a clinic work together to recommend new equipment purchases for the unit. Shared governance is a leadership structure that encourages group collaboration to make shared decisions. Being a contributing partner in decisions promotes interprofessional collaboration, professional development and accountability, and improves client outcomes.)
A nurse is discussing leadership styles with a newly licensed nurse. The nurse should include that which of the following is a characteristic of situational leadership. Follows leadership directives exactly as stated Controls situations by paying attention to details Adjusts quickly to different circumstances Refuses to allow staff to make exceptions to established guidelines
Adjusts quickly to different circumstances. A situational leader looks at each situation quickly and adjusts strategies based on the circumstances. The situational leader aligns their style to assist in the development and growth of others and the overall effectiveness of the organization. This leader communicates, problem-solves, organizes, and prepares with their employees to accomplish tasks and improve overall efficiencies.
A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates professionalism? Asks a client for their name, date of birth, and scans their medical identification bracelet before administering medications Determines that a client's rash is a response to being overly stressed about a new diagnosis Suggests a client's family member translate medical information for a client who speaks a different language than the nurse Documents that a client's medication was administered when retrieving the medication from the pharmacy
Asks a client for their name, DOB, scans their medical ID bracelet before med administration The nurse demonstrates professionalism by practicing the rights of medication administration to promote client safety.
A nurse is discussing nursing roles with a newly licensed nurse. which are roles of the nurse? Diagnostician Caregiver Advocate Change agent Dispenser of medications
Caregiver is correct. The role of the nurse includes providing care to clients with respect and empathy, engaging in therapeutic communication, and providing physical, mental and emotional support. Advocate is correct. The role of the nurse includes advocating for client needs and assisting clients to make informed decisions regarding their care. Change agent is correct. The role of the nurse includes guiding a client to recognize the need for change, engage in the plan, and take a proactive role in their health status.
A charge nurse uses transformational leadership style when working with other staff on the unit. Which of the following actions by the charge nurse demonstrates transformational leadership? Tells assistive personnel if the morning care for a group of clients is completed by noon they will receive a free lunch Challenges a nurse to investigate evidence-based approaches to reduce the client fall rate on the unit Provides a nurse with the written protocol for changing a dressing and encourages them to work independently Adjusts direction to nursing staff based on the nurses' experience and client needs
Challenges a nurse to investigates evidence-based approaches to reduce the client fall rate on the unit A transformational leader focuses on a person's willingness to change and stimulates them to review current structures and come up with fresh new ways to improve them, such as finding a way to decrease client falls.
A nurse is discussing the Model of Professionalism with another nurse. Which of the following concepts should the nurse include as an outer process? Trustworthiness Clear communication Self-awareness Capacity for reflection
Clear communication Clear communication is an outer process because it is a behavior or action that the nurse performs.
A nurse is discussing leadership styles with a newly licensed nurse. Which of the following characteristics should the nurse identify as describing a bureaucratic leader? (select all) Decisions are controlled by policies Enforces the rules Inflexible to creative suggestions Uses a variety of strategies based upon the circumstances Motivates staff with the use of rewards or punishments
Decisions are controlled by policies is correct. A bureaucratic leader bases their decisions on policies and strictly follows the rules. Enforces the rules is correct. A bureaucratic leader strictly follows and enforces the rules. Inflexible to creative suggestions is correct. Bureaucratic leaders abide by the specific policy and procedures and are not open to creativity, suggestions, or ideas.
A nurse manager is observing a newly licensed nurse provide care for a client. Which of the following actions should the manager identify as unprofessional behavior? Documents in advance to save time Stays logged into the client's electronic health record while obtaining supplies from the supply room Contacts a client on social media to become friends Informs a provider that a requested action is outside the nurse's scope of practice Provides a certified medical translator for a client who speaks a different language than the nurse
Documents in advance to save time is correct. This is falsification of documentation. The nurse should document during or after providing care to ensure accurate documentation. Stays logged into the client's electronic health record while obtaining supplies from the supply room is correct. The nurse should log off the computer to reduce the risk of another person accessing the client's personal health information. Leaving a computer unattended while still logged in places the nurse at risk for a HIPAA or confidentiality violation. Contacts a client on social media to become friends is correct. Contacting a client on social media oversteps professional boundaries between the nurse and the client and is considered inappropriate conduct.
A charge nurse is overseeing an AP who has been assigned care for a group of clients. Which of the following actions by the charge nurse demonstrates accountability? Assigns the AP to provide care for clients who are in rooms next to each other Files an incident report when the AP performs a task that is outside their scope of practice Promises to write a letter of recommendation for the AP if they complete all their assigned tasks Discusses advancing their education with the AP
Files an incident report when the AP performs a task that is outside their scope of practice. An incident report is a risk assessment tool that identifies an unusual occurrence. By filing the report, the charge nurse is demonstrating accountability and ensuring safety standards are met, thus protecting the client from potential harm.
A nurse is discussing shared governance with a newly licensed nurse. Which of the following components should the nurse include in the discussion? (Select all) Guides decisions toward accountability Improves client outcomes Assures money is being used for its intended purpose Promotes professional development Monitors activities of directors
Guides decisions toward accountability is correct. Guiding decisions toward accountability is a function of shared governance. Improves client outcomes is correct. Improving client outcomes is a function of shared governance. Promotes professional development is correct. Promoting professional development is a function of shared governance.
A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I don't understand what my treatment options are." Which of the following statements by the nurse demonstrates advocacy? "I will contact your provider to review your treatment options" "Why don't you understand your options?" "Your provider thinks you need an operation" "You will need to cut living costs so you can pay for the treatment"
I will contact your provider to review your treatment options. (The nurse is demonstrating advocacy by contacting the provider to communicate the client's concerns so that the client can make an informed decision regarding their health care.)
A nurse is preparing a poster about professional accountability for an in-service. Which of the following examples should the nurse include? (Select all) Informs a client's family that the assistive personnel (AP) failed to get the client out of bed during the day Lowers a client's bed to the lowest position after assisting the client to lie down Administers pain medication to a client 30 min before the client is scheduled for physical therapy Provides instructions to assistive personnel (AP) on how to provide culturally competent care to a client Documents a dressing change on a client's wound prior to completing it
Lowers a client's bed to the lowest position after assisting the client to lie down is correct. A nurse is accountable to the client as well as the facility to take actions to ensure a client's safety. This includes lowering the client's bed to reduce the risk of falls if the client tries to get out of bed. Administers pain medication to a client 30 min before the client is scheduled for physical therapy is correct. Planning actions, such as providing pain medication to a client prior to physical therapy, demonstrates planning and accountability for ensuring the client receives quality care. This action allows the medication time to take effect prior to the client having to perform physical activities, allowing for a more effective physical therapy session and decreasing the risk of client injury and discomfort. Provides instructions to assistive personnel (AP) on how to provide culturally competent care to a client is correct. Professional accountability involves not only ensuring the safety and quality of nursing care, but also delivering it in a culturally competent manner.
A nurse is preparing a presentation on the regulation of nursing practice. Place the hierarchy of the regulation of practice in the correct order, beginning with the highest level. Nursing regulatory board (each state has a BON) Organization policies and procedures Nurse practice act (Each BON determines laws of practice) Individual self regulation
Nursing regulatory board is the highest level in the hierarchy of regulation (step one). Each state has a board of nursing that reports to the National Council of State Board who oversees the standards for educational programs, license requirements, scope of practice, and grounds for disciplinary action, remediation, or violations. Nurse practice act is the second highest level in the hierarchy of regulation (step two). Each board of nursing determines the laws of practice or the Nurse Practice Act (NPA) for licensed nurses within that state. The NPA defines the nursing activities and ensures nurses practice within the defined laws, rules, and regulations. Nurses are responsible for knowing the details and abiding by the NPA. Nurses can be held liable when they, even in error, violate the standards of the NPA. Organization policies and procedures is the third highest level in the hierarchy of regulation (step three). Organizations establish policies and procedures that regulate and guide nursing practice within their establishments. These policies define the standards of care and responsibilities of individual nurses from assistive personal, nursing students, graduate nurses, the newly licensed, and the experienced nurse. Individual self-regulation is the lowest level in the hierarchy of regulation (step four). Each nurse is in control of their individual competence, decisions, and actions while providing client care. This is the duty to self-regulate. Nurses must use their knowledge and expertise to be prepared for all eventualities.
A nurse is teaching a newly licensed nurse about professional competence. Which of the following examples should the nurse include in the teaching? Documenting client care before it is completed Reviewing the charts of clients not assigned to the nurse Presenting a summary of an evidence-based journal Performing a surgical procedure under the direction of a surgeon
Presenting a summary of evidence-based journal A component of maintaining professional competence is to seek out and implement improved evidence-based practices. This ensures the nurse's practice remains current, evidence-based, and promotes safe and competent care.
A nurse is caring for a client who is postoperative and has sanguineous drainage on their dressing. The nurse is unable to reach the client's provider. Which of the following members of the chain of command should the nurse contact next? The charge nurse The nursing supervisor The divisional director The chief medical officer
The charge nurse According to evidence-based practice, the first person in the chain of command that the nurse should contact is the charge nurse. The nurse should initiate the chain of command to make the charge nurse aware of the situation and to ensure the client receives safe and effective care.
A nurse is discussing professional commitment with their supervisor during an annual performance review. Which of the following actions by the nurse demonstrates professional commitment? The nurse attends an educational course to learn about the treatment and prevention of pressure ulcers. The nurse tries to improve their skills by starting an unnecessary IV on a client who has dementia. The nurse covers for another nurse who the nurse suspects is chemically impaired. The nurse withholds information from a client to reduce the client's stress level.
The nurse attends an educational course to learn about the treatment and prevention of pressure ulcers. Professional commitment includes a motivation to improve oneself in the domain of their profession. Attending a course that expands current knowledge contributes to promoting one's professional commitment.
A nurse is exploring leadership styles of nurse managers as a part of a quality improvement project. Which of the following statements by a nurse manager should the nurse identify as an example of transactional leadership? "You are a smart and highly competent team. I will let you do what you do best." "We've agreed to provide excellent client care and brainstormed the steps we will take to meet our objectives." "I appreciate your suggestion, but each of you will wash your hands before exiting a client's room." "The staff members who complete their online learning courses before the deadline will receive a gift card."
The staff members who complete their online learning courses before the deadline will receive a gift card. Transactional leaders use rewards or punishments to encourage compliance for an established goal. They communicate specific expectations, focusing on tasks and completion of short-term goals.
A nurse follows the six rights of medication administration when caring for a client. Which of the following concepts is the nurse demonstrating? Laissez-faire Advocacy Professional identity Accountability
accountability The nurse is demonstrating accountability because they are administering medications in a way that reduces errors and harm to the client.
A nurse is discussing responsibility, which of the following actions should the nurse include as an example of responsibility? Informs a social worker that a client will require financial assistance with prescriptions at discharge Supports a client's decision to stop chemotherapy Checks a client to determine how well a pain medication worked Ensures a client understands their treatment options
checks client to determine if pain meds worked this action represents responsibility bc nurse identified client need, intervened, and is now determining the outcome of intervention
A nurse is preparing a poster describing leadership styles for a unit in-service. Which of the following terms should the nurse use to describe a nurse manager who exerts little control over the decisions made by the charge nurse? Bureaucratic Transactional Transformational Laissez-faire
laissez-faire Under a laissez-faire style of leadership, nurses are given the freedom to work independently to accomplish goals with little control asserted by the nurse manager.
