Exam #1

c. "Tell me how you take care of yourself and what you like about your work."

A colleague tells you, "I'm so burned out, I think it's time for me to resign." What can you tell your colleague? a. You probably need a break from work. Why don't you ask for a 6-month leave of absence?" b. "Why don't you apply for a position at out rival hospital?" c. "Tell me how you take care of yourself and what you like about your work." d. "We're all burned out. Welcome to the club."

d. Back injuries

A common ergonomic occupational-related risk in the health-care environment is: a. Indoor air pollution b. Active shooters c. Nosocomial infections d. Back injuries

d. CDC

A federal agency that partners with other agencies throughout the nation to investigate health problems, conduct research, implement prevention strategies, and promote safe and healthy environments is known as the: a. FDA b. IOM c. ANA d. CDC

a. Further professional education. c. Seek new experiences. d. Volunteer to work on committees. e. Find a mentor.

A new graduate plans on moving into nursing administration. What steps should the graduate take to ensure this goal is achieved? Select all that apply. a. Further professional education. b. Meet the specific requirements for the entry-level job position. c. Seek new experiences. d. Volunteer to work on committees. e. Find a mentor.

d. Confront the bullying behavior and discuss strategies for responding to it.

A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. What should she do? a. Ignore it because it is not physical violence and will not hurt anyone. b. Model this bullying behavior so that staff can see how it affects people. c. Keep a log of observed bullying behavior to discuss during the employees' annual evaluation. d. Confront the bullying behavior and discuss strategies for responding to it.

b. Share information and the new schedule and discuss its impact on the new unit

A new nurse manager plans to implement a new scheduling process. This was met with resistance from staff who were very happy with the current scheduling process. How can the nurse manager lower their resistance to this change? a. Tell the staff that their concerns about the new schedule are unfounded and plan to post the new schedule b. Share information and the new schedule and discuss its impact on the new unit c. Post the schedule and deal with staff on an individual places d. Ask the staff to come up with an alternative for the nurse manager's consideration.

a. Health-care organizations b. Online job boards e. Recommendations from peers and professionals

A nursing student is graduating in 3 months. The student is looking for a position. Where should the student begin the search? Select all that apply. a. Health-care organizations b. Online job boards c. National Council of State Boards of Nursing d. American Association of Colleges of Nursing e. Recommendations from peers and professionals

c. Become familiar with the organization's mission and core values.

A nursing student is preparing for a first job interview. What should the nursing student research about the organization before going to the interview? a. Review the salary scale. b. Research the benefits package offered to employees. c. Become familiar with the organization's mission and core values. d. Ask nurses who work at the agency how many patients they are assigned.

a. Responsibility and accountability b. Integrity c. Interpersonal skills

A nursing student is preparing for a resume to send to prospective employers. What qualities should the nursing student emphasize? Select all that apply. a. Responsibility and accountability b. Integrity c. Interpersonal skills d. Social skills e. Family values

b. Educational degrees d. Employment experience

A nursing student who is graduating in a few weeks is preparing a resume. What should the nursing student highlight first? Select all that apply. a. Family status b. Educational degrees c. Community service d. Employment experience e. Leadership experiences in school

a. Allow self-scheduling by staff nurses in each unit. c. Allow staff members to request consistent days off.

A suburban hospital recently announced that staff nurses could no longer choose their shift. Instead, they would be assigned to either a 12-hour day shift or a 12-hour night shift on an as-needed basis. An informal group of staff nurses met to discuss this new policy. They came up with several arguments against it. Which of the following suggestions would help to alleviate the deleterious effects of this new policy? a. Allow self-scheduling by staff nurses in each unit. b. Provide free dinner for nursing staff at the end of the night shift. c. Allow staff members to request consistent days off. d. End visiting hours before the day shift ends so that the night shift nurses do not have to deal with visitors.

c. In a health-care facility

A surprisingly dangerous job in the United States is working: a. In a coal mine b. As a window cleaner in New York City c. In a health-care facility d. As a police officer

b. Allergic contact dermatitis

According to NIOSH, a common reaction to latex allergy is: a. Increased appetite b. Allergic contact dermatitis c. Increased falls d. An increase in violent outbursts

a. Identifying factors that contribute to violence and controlling as many as possible c. Assessing staff attitudes and knowledge regarding responses to violence

Actions to address violence in the health-care workplace include: Select all that apply. a. Identifying factors that contribute to violence and controlling as many as possible b. Allowing violence to escalate c. Assessing staff attitudes and knowledge regarding responses to violence d. Providing weapons training to those identifies and having a potential for physical violence

a. Provide equal opportunities for advancement

An effective way to help a diverse staff work together is to: a. Provide equal opportunities for advancement b. Pretend there are no cultural differences c. Promote uniformity in communication styles d. Establish an English-only policy institution-wide

a. Telling jokes about sexual identity issues d. Demanding a daily kiss for writing a favorable evaluation

An incident of sexual harassment as identified by the EEOC is: Select all that apply. a. Telling jokes about sexual identity issues b. Separate restrooms c. Providing coffee and doughnuts to the nursing staff d. Demanding a daily kiss for writing a favorable evaluation

a. Match with an experienced nurse mentor d. Opportunities to network with peers

As a new graduate, what features should you look for in a TPP program? a. Match with an experienced nurse mentor b. Shortest transition time possible c. Rapid movement to full assignment d. Opportunities to network with peers

b. Provision of lower-cost health insurance

Benefits of membership in the ANA include all but which one of the following? a. Advocacy for nurses' rights b. Provision of lower-cost health insurance c. Work toward a safer workplace d. Improvement of patient safety

a. Expressions of frustration and powerlessness

Burnout at work can be identified best by: a. Expressions of frustration and powerlessness b. Fatigue and refusal to work double shifts c. Allergic reactions d. A preference for efficiency

d. All of the above

Communities and regulatory agencies continually challenge hospitals, skilled nursing facilities, and home health companies to enhance, improve, or change care delivery and the care environment to ensure safe, high-quality care. Which factors are important in improving a hospitals care environment? a. Adequate staffing b. Collegial relationships among staff c. Emphasis on staff development d. All of the above

c. Adherence to staffing ratios

Creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety? a. Provision of adequate resources to provide care and service b. Use of interprofessional collaboration to solve problems and assess risk c. Adherence to staffing ratios d. Encourages the reporting of errors and near misses

a. Encouraging critical thinking and new ideas

Enhancing the quality of work life can be achieved by: a. Encouraging critical thinking and new ideas b. Discouraging a working relationship with one's peers c. Being negative d. Endangering a client's health or safety

a. Ability to provide quality care d. Civility and respect

Factors found to increase nurses' joy at work include: Select all that apply. a. Ability to provide quality care b. Consistently high workload c. A pattern of continuous conflict and disagreement d. Civility and respect

d. Give them time to learn the new procedure.

How can you increase your staff's receptivity to an important change in procedures? a. Assign the new procedure to the newest staff member. b. Apologize for making their work more complicated. c. Provide them with a booklet on preparing for change. d. Give them time to learn the new procedure.

c. For-profit

If you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong? a. Publicly (government) supported b. Voluntary, not-for-profit c. For-profit d. All of the above

b. If the benefits will be realized years from now

In which of the following situations would a personal change probably be the hardest to make? a. When the need is immediate b. If the benefits will be realized years from now c. When the reward is immediate d. If it is change that keeps you in your comfort zone

d. Opportunity to advance knowledge and skills in his profession

Jean Paul has practiced nursing for 5 years and wants to continue his education. He has an associate degree and is trying to decide whether to pursue a nursing degree or a non nursing degree. Which of the following is an advantage of choosing a nursing degree? a. Higher time demand of the non nursing degree b. Opportunity to learn and other professions outside nursing c. Broader focus of the non nursing degree d. Opportunity to advance knowledge and skills in his profession

a. Review the patient's medication administration record during bedside shift report.

Medical errors account for 250,000 deaths per year. It is estimated that as many as 50% of these errors may be preventable. What steps would you take to avoid a medication error? a. Review the patient's medication administration record during bedside shift report. b. Ask your colleagues to get your medication so that you can give it on time. c. Call the pharmacist. d. Review the medication administration policy.

d. Excitement about the new position

New graduates usually experience a "honeymoon" period at their first job, which is characterized by: a. Extreme criticism from colleagues b. Long hours and low pay c. Feeling undervalued d. Excitement about the new position

b. Participating on a unit practice council

Nurses who feel empowered can make significant contributes to a health-care organization. Feeling empowered included feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. What is essential to nurse empowerment? a. Belonging to a professional organization b. Participating on a unit practice council c. Reasonable work assignments d. A rewards and recognition program

d. All of the above

Nursing standards of care and the organization's policies and procedures greatly decrease risk to patient safety. Which of the following steps can a nurse take to further reduce risk? a. Submit event or incident reports for near misses. b. Follow medication administration policies and procedures. c. Always report significant data on care to patients and providers in a timely manner. d. All of the above

d. Developing and enforcing workplace safety and health regulations

OSHA, a federal government agency, is responsible for: a. Providing training to handle difficult clients and their families b. Providing research and education training c. Upholding the standards of nursing practice d. Developing and enforcing workplace safety and health regulations

d. An enduring set of shared values and beliefs

Organizational culture is best defined as: a. The stated vision and mission of an organization b. Policies and procedures c. The type of decor that was chosen for the facility d. An enduring set of shared values and beliefs

b. Harvest phase

Professional careers typically go through several phases. Which of the following would be the final phase of a successful career? a. Promise phase b. Harvest phase c. Transition phase d. Momentum phase

a. They represent nurses in the political arena.

Several of your colleagues are going to join the American Nurses Association (ANA). You know the annual dates are a little more than you can afford right now, but you know you want to learn more. Your friends think that joining ANA will help empower them. How do professional organizations empower nurses? a. They represent nurses in the political arena. b. They equalize power between employees and staff. c. They provide opportunities for promotion. d. They provide health insurance.

d. Report the incident and obtain post exposure prophylaxis (PEP) within 2 hours.

Stephanie Beals was a little nervous during her first week of wok as a licensed nurse. Distracted by a lead nurse behind her, her hand slipped, and she was struck by the needle she had just used. What is most important for Stephanie to do? a. Disinfect the site of the needle stick. b. Apologize to the patient, clean the site, and properly dispose of the needle. c. Update her hepatitis B immunization. d. Report the incident and obtain post exposure prophylaxis (PEP) within 2 hours.

b. Used to create a stable set of performance indicators to measure outcomes

Structured care methodologies (SCM) are: a. Nursing tools designed to identify best practices and facilitate standards of care b. Used to create a stable set of performance indicators to measure outcomes c. Used to assist employees with wellness and injury prevention d. Helpful when making staffing assignments

c. Near miss event

Studying errors and identifying how they occur helps orfanizations improve patient safety. Which category of errors is the most useful in identifying and remedying vulnerabilities in an organization? a. Sentinel event b. Adverse event c. Near miss event d. Wrong procedure event

a. Post-acute care reform initiative

The HHS is charged with protecting the health of all Americans and providing essential health services. Which of the following HHS quality initiatives is currently under way? a. Post-acute care reform initiative b. National health-care research and quality aimed at helping improve access to care c. NDNQI d. Health IT

c. EEOC

The occurrence of sexual harassment may be reported to: a. IHI b. ANA c. EEOC d. CDC

b. It is a data-driven approach to improving process.

The purpose of QI is to continuously improve the capability of everyone involved to provide safe, high-quality patient care. What is important to know about the QI process? a. It is independent of teamwork. b. It is a data-driven approach to improving process. c. Common safety indicator are not used to evaluate quality of care. d. Opportunities for QI are selected by organization leadership.

a. Authority

There are numerous sources of power in an organization. Several are available to nurses. Which one is not? a. Authority b. Reward c. Control of information d. Coercion

c. Tell a compelling story about why change is needed.

There has been a sudden increase in catheter-associated UTIs that must be addressed on Jane's unit. What is the best way for Jane to persuade the staff to implement a new Foley catheter care protocol? a. Tell them the change has been ordered by the administration. b. Present statistics providing the need to change. c. Tell a compelling story about why change is needed. d. Explain the importance of the change in simple terms

a. Transparency, openness, reporting of errors is rewarded, blame-free environment

To achieve safe patient care, a culture of safety must exist. What are characteristics of an organization with a culture of safety? a. Transparency, openness, reporting of errors is rewarded, blame-free environment 2. Honesty, studying of serious events 3. Privacy, reporting of errors appreciated 4. Blame-free environment, openness, error reporting is encouraged

c. Learn about the organization as a whole as well as about your assigned unit.

What can the new graduate do to make a successful transition from student to practicing nurse? a. Try to maintain one's student identity. b. Move into nursing management as soon as possible. c. Learn about the organization as a whole as well as about your assigned unit. d. Focus on the stress of making this difficult transition.

S = strengths W = weaknesses O = opportunities T = threats

What does SWOT stand for?

c. Career development information

What does the NSNA provide to its members? a. Help in improving course grades b. Guidance in choosing a good nursing school c. Career development information d. Opportunities for graduate school

a. Setting standards for specialty practice

What is an important contribution of the nursing specialty organization? a. Setting standards for specialty practice b. Improving nursing's image on television c. Supporting the associate's degree in nursing education d. Providing collective bargaining agreements

b. Emphasizes behaviors

What is the STAR method of interviewing? a. Focuses on communication? b. Emphasizes behaviors c. Allows the employer to ask personal questions d. Creates a relaxed interviewing environment

a. It is position dependent.

What is the best explanation of authority? a. It is position dependent. b. It is based upon the ability to lead others. c. It is expertise-driven. d. It resides primarily in the clients served.

a. Introduces the applicant

What is the purpose of a cover letter when applying for a position? a. Introduces the applicant b. States the employment goal c. Outlines the applicant's position in the community d. Describes the reason for entering nursing

d. Resistance based upon fear of losing one's job

What type of resistance to a change is the hardest to overcome? a. The resistance that comes from inertia: "We always fo it this way." b. Active resistance to changing a preferred procedure c. Passive resistance to an unpopular change d. Resistance based upon fear of losing one's job

b. Chronological

What type of resume is useful in showing stable employment without gaps or many job changes? a. Standard b. Chronological c. Functional d. Combination

b. Threats to obtaining a position

When conducting a SWOT analysis, the "T" represents: a. Time spent in education b. Threats to obtaining a position c. Terminal degree expectations d. Talking points for the interview

d. All of the above

When designing a technical change, which of the following should be considered? a. Will it work better the old way? b. Is this change needed? c. Is there a simple way to do this? d. All of the above

b. Preparing a patient for discharge

When evaluating the quality of care, a health-care organization must consider structures, processes, and outcomes of care delivery. Which of the following is a good example of an organization process? a. Budgeting adequate money for nursing salaries b. Preparing a patient for discharge c. Monitoring for infections d. Increasing time between clinic visits

b. In an emergency

When is it most appropriate to dictate (order) change? a. When the change is very complicated b. In an emergency c. When resistance is very high d. If the change is unimportant

a. Modification of the work schedule d. Adjustment of work procedures

Which of the following are considered reasonable accommodations for an employee with a disability? Select all that apply. a. Modification of the work schedule b. Salary reduction to reflect lower output c. Additional days off and extended vacations d. Adjustment of work procedures

b. Tasks she's done many times

Which of the following best describes what is most likely to be within a nurse's comfort zone? a. A new assignment b. Tasks she's done many times c. Change to a different shift d. Addition of several new tasks

a. Increased number of assigned patients c. Greater emphasis on efficiency in practice

Which of the following characterize the transition from nursing student to practicing nurse? Select all that apply. a. Increased number of assigned patients b. Higher productivity expectations for the student compared with the practicing nurse c. Greater emphasis on efficiency in practice d. Shorter hours, fewer workdays back to back in practice

a. A patient is placed in a broken wheelchair that tips over. b. A staff member tells a neighbor about the famous athlete who is a patient. c. An employee reports to work under the influence of alcohol.

Which of the following events should be reported? Select all that apply. a. A patient is placed in a broken wheelchair that tips over. b. A staff member tells a neighbor about the famous athlete who is a patient. c. An employee reports to work under the influence of alcohol. d. A patient spills her supplemental protein drink on the floor; the certified nursing assistant (CNA; aide) mops it up.

c. Rigid unit structures

Which of the following is a characteristic of a bureaucratic organization? a. Organic structure b. Flexible teams c. Rigid unit structures d. Self-correction and self-control

a. Shift in Medicare payment policy

Which of the following is a macro-level change? a. Shift in Medicare payment policy b. Change in shift differentials c. Opening a new unit d. Changing visiting hours

a. When no one talks about it anymore

Which of the following is the best indication that a change has been integrated? a. When no one talks about it anymore b. If adoption occurred rapidly c. When resistance turns from active to passive d. When a full year has passed since change was introduced

b. NLN

Which of the following organizations supports nursing education? a. NINR b. NLN c. AMA d. ANA

b. More powerful ventilation systems and air filtration

Which of the following procedures and modifications contributes to reducing indoor air pollution? a. Windows that may be opened by staff as needed b. More powerful ventilation systems and air filtration c. Selecti ofon products with more polyvinyl chloride (PVC) d. Increased use of medical waste incinerators

a. Flexibility

Which of the following represents the "S" in SWOT analysis? a. Flexibility b. Difficulty adapting to change c. Nursing shortage d. Competition among health-care facilities

a. Associate degree program students c. Diploma school students d. Baccalaureate degree students

Who may become a member of the NSNA? Select all that apply. a. Associate degree program students b. Graduates of associate degree programs c. Diploma school students d. Baccalaureate degree students

a. The hospital has a good catch program from staff who recognize errors and near misses.

You are a new nurse. The hospital where you work is committed to providing safe, high quality care. Which of the following activities would let you know that your organization is committed to improving patient safety? a. The hospital has a good catch program from staff who recognize errors and near misses. b. The hospital subscribes to TJC safety publications. c. The hospital measures performance every month, monitors quality indicators, and regularly reports on quality. d. All of the above

c. Nurses setting nursing standards for daily practice

You have been asked to serve on your unit practice council. This is an important role and one that you re excited to perform. What should you know about professional governance so that you are prepared for this work? Professional governance in nursing involves: a. Working longer hours b. Attending a lot of meetings c. Nurses setting nursing standards for daily practice d. Changing the organization's culture

d. All of the above

Your new organization is committed to quality patient care. Which of these are considered characteristics of quality health care? a. The nurses use evidence-based research to guide care delivery. b. The nurses are respectful and responsive to their clients' individual preferences. c. The nurses perform an independent double check when administering chemotherapy medication. d. All of the above