leadership final

After completing a crisis intervention course, the nurse recognizes the signs of escalating violence as:\ a. pacing and cursing. b. repeatedly pushing the call bell. c. crying and complaining of no pain relief. d. staring out the window and not responding to questions.

a. pacing and cursing

A public health nurse is discussing disaster planning with family. What suggestions can be made to help them be prepared? (Select all that apply.) a. Discuss probable disasters in the area. b. Create a family disaster preparedness kit. c. Establish family emergency communication. d. Only prepare if there is a guarantee of a disaster in the area. e. Create an evacuation plan.

A,B,C,E

What can be suggested to a nurse wanting to protect back health while caring for patients? (Select all that apply.) a. Use proper body mechanics. b. Use assistive patient-handling devices. c. Use ergonomic equipment. d. Only care for patients that can move independently. e. Be aware of potential risk.

A,B,C,E

Which of the following describes reward power used by the nurse manager? (Select all that apply.) a. A nurse manager who uses fear of consequences to motivate staff b. A nurse manager who uses salary increases to motivate staff c. A nurse manager who is perceived as an expert due to specialized knowledge d. A nurse manager who is well liked by the majority of staff e. A nurse manager who has information that others need to perform their jobs

A,B

A nurse is discharging a patient who primarily speaks German. Which action(s) should the nurse take to communicate effectively with the patient? (Select all that apply.) a. Contact interpreter services to interpret discharge instructions to the patient. b. Provide discharge instructions for the patient that are written in German. c. Ask the patient to repeat the discharge instructions back to the interpreter as he understands them. d. Forego the interpreter because you are just showing him how to change a dressing. e. Give the patient discharge instructions that are written in English

A,B,C

A nurse is educating a coworker on the similarities between conducting research and research utilization. The nurse judges the teaching to be effective when the coworker states: (Select all that apply.) a. "Both are a step-by-step process." b. "Both involve critical thinking." c. "Decision making must occur in both processes." d. "Knowledge generation is essential in both processes." e. "Collecting new data occurs in both." f. "Reviewing published research studies is part of both processes."

A,B,C

The nurse has an adequate understanding of evidence-based practice when the nurse states which of the following? (Select all that apply.) a. "Evidence-based practice is similar to research utilization." b. "Evidence-based practice is becoming important in all areas of health care." c. "Evidence-based practice incorporates many additional sources of data that may contribute to improved nursing care." d. "Evidence-based practice is not accepted as best research evidence." e. "Evidence-based practice is not used in nursing care."

A,B,C

Which statement(s) will help the nurse give feedback to a coworker? (Select all that apply.) a. "Can you tell me what happened?" b. "You did a great job positioning the postoperative patient." c. "What do you think can be done to ensure that the blood pressures are charted?" d. "I don't understand why you didn't do what I asked you to do." e. "I only gave you one job to complete."

A,B,C

A nurse is listening to a pharmacist lecture about factors that contribute to medication errors. The teaching has been effective when the nurse states: (Select all that apply.) a. "Problems within the system contribute to medication errors." b. "Human factors contribute to medication errors." c. "Work-design problems contribute to medication errors." d. "Environmental factors contribute to medication errors." e. "The nurse alone contributes to medication errors."

A,B,C,D

The charge nurse is determining tasks that can be delegated to keep the unit running smoothly. What factors should the charge nurse consider before delegating? (Select all that apply.) a. Staff who are working b. Acuity of patients c. Community needs d. Teaching obligations of the nurses e. How many patients are waiting for beds on the unit

A,B,C,D

Which actions by the nurse show an understanding of what the nurse is accountable for? (Select all that apply.) a. Assessing patients according to priority b. Determining the need to delegate a task to a nursing assistant c. Deciding that the nursing assistant is competent to perform the task delegated d. Following up to determine completion of the task that was delegated e. Delegating assessments of low-acuity patients to the nursing assistant

A,B,C,D

Which steps can the nurse take to apply evidence-based research into nursing practice? (Select all that apply.) a. Identify, review, and evaluate the data applicable to the problem. b. Define the problem. c. Design a practice change based on the data. d. Implement the change in nursing practice. e. Continue to work around the problem.

A,B,C,D

A nurse manager is educating unit staff about HCAHPS. The manager judges the teaching to be effective when a staff nurse states that the HCAHPS survey contains rating about (Select all that apply.) a. communication. b. pain management. c. responsiveness. d. cost of hospital stay. e. discharge information.

A,B,C,E

Which of the following actions is consistent with a manager? (Select all that apply.) a. Planning the agenda for a staff meeting b. Directing nurse assistants in how to divide up patient care assignments c. Organizing a group of nurses to present a topic at a staff meeting d. Giving blood at the local hospital blood drive e. Assume control of the guidelines for how hourly rounding will work on the unit

A,B,C,E

Which of the following are considered core measures and monitored by The Joint Commission? (Select all that apply.) a. Code arrests infection rates b. Advance directives c. Medication error rates d. Nurse staffing and vacation patterns e. Restraint use f. Numbers of hospital admission

A,B,C,E

A new nurse is preparing to start a new job. What actions should the nurse take to be prepared in case workplace violence occurs? (Select all that apply.) a. Take a crisis intervention course to understand signs of escalating violence. b. Become familiar with the organization's policy regarding violence. c. Be prepared to handle any violent situation alone. d. Be aware of procedures that can be used to defuse situations. e. Appear intimidating so that the violent person will back down.

A,B,D

A nurse manager is educating a new nurse on how to prevent back injuries in the workplace. The teaching has been effective when the new nurse states: (Select all that apply.) a. "Back injuries can be caused by lifting." b. "Back injuries can be caused by transferring." c. "Back injuries are not common in the workplace." d. "Back injuries can occur when reaching for something."

A,B,D

A nurse manager is lecturing staff nurses on the barriers to the full integration health information technology. The nurse manager judges the teaching to be effective when a staff nurse states: (Select all that apply.) a. "Barriers include lack of standardization across care areas." b. "A barrier to the full integration is funding." c. "Currently there are no barriers." d. "A current barrier is privacy laws." e. "Barriers to full integration are not likely to be overcome."

A,B,D

How does the IN/INS use HIPPA regulations and TJC requirements in daily practice? (Select all that apply.) a. Investigation of violations b. Writing of policies c. Involvement in the discipline process d. Writing of procedures e. Managing the nursing unit

A,B,D

If the nurse had an adequate understanding of continuous quality improvement, which of the following statements would the nurse? (Select all that apply.) a. "The accountability for quality is vested in quality circles that function along service lines to improve patient care." b. "After quality standards are achieved, the nurse strives to maintain that standard of care." c. "Quality standards must incorporate the expectations of patients and their families." d. "Systems within the hospital must be reviewed to determine how care can be enhanced." e. "Reducing costs to provide for substantial pay increases for nursing staff is an example of continuous quality improvement." f. "Computerized electronic documentation systems that provide continuous assessment of patient charges are an example of continuous quality improvement."

A,B,D

The new nurse has an adequate understanding of bullying when stating which of the following? (Select all that apply.) a. "The purpose of bullying is to control the target b. "Bullying can verbal, behavioral, or sabotage." c. "Bullying usually occurs as a single event." d. "Bullying is initiated by the perpetrator." e. "The victim usually deserves the bullying."

A,B,D

Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.) a. Lifelong learners b. Courageous change agents c. Slow to change d. Value-driven visionaries e. Hesitant to follow

A,B,D

nurse is preparing to delegate work to the nurse aide. What can be done to ensure that work is delegated in a manner that is understood by the nurse aide? (Select all that apply.) a. Determine if the nurse aide understands what is being asked b. Ensure that the directions giving are in accordance with policy c. Delegate more difficult tasks because the nurse aide is experienced d. Ask the nurse aide if he or she has the info needed to complete the task e. Refrain from delegating and complete the tasks themself

A,B,D

A nurse manager is delegating a task to another nurse. Which of the following action(s) would help the manager effectively communication with the nurse? (Select all that apply.) a. Get the full attention of the nurse. b. Ask the nurse to repeat back what he or she heard. c. Give directions to the nurse as the nurse is walking away. d. Give clear, simple instructions. e. Give instructions while multitasking.

A,B,D,

A new graduate is preparing for a job interview. Which questions would be appropriate to ask the manager in regards to health care economics? (Select all that apply.) a. How is the acuity of patients factored into staffing? b. What is the turnover rate on this unit? c. How long are the breaks for staff on this unit? d. What is the overtime rate on this unit? e. What are the budgeted hours per patient day on this unit?

A,B,D,E

A nurse is preparing a presentation on core measures. Which medical diagnosis should the nurse plan on presenting during the lecture? (Select all that apply.) a. Myocardial infarction b. Congestive heart failure c. Diabetes d. Pregnancy-related conditions e. Deep vein thrombosis

A,B,D,E

A nurse manager is brainstorming creative solutions to mandatory overtime. Which of the following actions would help prevent the occurrence of mandatory overtime? (Select all that apply.) a. Create an on-call system with one or two extra nurses on per shift. b. Create an incentives system for part-time nurses to pick up extra shifts. c. Ask the nurses to take on extra patients during the short shifts. d. Reward nurses who put forth an extra effort for the organization. e. Create shifts for high-volume times.

A,B,D,E

A nurse manager is educating a staff nurse on the four top agents for potential bioterrorism. The nurse manager judges that the teaching has been effective when the staff nurse states that the top agents include (Select all that apply.) a. smallpox. b. anthrax. c. flu virus. d. botulism. e. plague.

A,B,D,E

A patient has been exposed to chlorine gas. What symptoms can the nurse expect the patient to have? (Select all that apply.) a. Nose and throat irritation b. Eye redness c. Ear pain d. Cough e. Suffocation

A,B,D,E

The nurse manager is in charge of a busy nursing unit. Today the nurse manager is planning to evaluate the work of nurses on the unit. Which of the following actions would help complete this task in an effective manner? (Select all that apply.) a. Provide feedback as necessary to staff. b. Verify the tasks are being performed according to standards of practice. c. Allow nurses to complete all tasks, even if performed incorrectly. d. Provide directions with clear expectations of how the task is to be performed. e. Evaluate the performance of the task by the staff.

A,B,D,E

The nurse understands the function of The National Institute of Nursing Research (NINR) when stating: (Select all that apply.) a. "The NINR is a major source of federal funding for nursing research." b. "The NINR supports education in research methods." c. "The NINR funds local hospitals." d. "The NINR supports education in research career development." e. "The NINR establishes National Nursing Research Agenda."

A,B,D,E

Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.) a. Only bringing needed supplies into a patient's room b. Accurately documenting the patient's condition c. Minimally documenting in the patient's chart d. Taking breaks as scheduled e. Remaining healthy and able to function on the job

A,B,D,E

Which action by the nurse shows fiscal responsibility to the employing organization? (Select all that apply.) a. Wash hands after each patient contact. b. Turn patients every 2 hours. c. Round on patients. d. Toilet patients frequently to prevent falls. e. Use resources of the institution wisely.

A,B,D,E

Which action by the nurse shows fiscal responsibility to the payer of care? (Select all that apply.) a. Understand Medicare and Medicaid insurance coverage. b. Efficiently and effectively use resources to provide patient care. c. Document minimally in the patient chart. d. Select interventions which are cost effective. e. Document the patient's plan of care.

A,B,D,E

Which actions can the nurse take to improve personal credibility? (Select all that apply.) a. Wear well-fitting clothes. b. If female, wear a reasonable amount of make-up. c. Be as original as possible at work. d. Maintain a flattering, neat haircut. e. Maintain a reasonable weight.

A,B,D,E

Which of the following actions can the nurse take to communicate with the supervisor? (Select all that apply.) a. Keep the supervisor informed. b. Focus on problem solving. c. Use "you" statements. d. Calm down before speaking. e. Choose words wisely

A,B,D,E

A nurse is preparing to graduate with a degree in nursing informatics. The nurse is explaining career options to friends. The nurse understands the options when stating: (Select all that apply.) a. "I can work alongside engineers as they create new products." b. "I can work for a consulting firm and specialize in workflow improvement." c. "I cannot work for third-party payers." d. "I do not have the option of working for the government." e. "I am excited to work for an educational institution."

A,B,E

A nurse manager is educating new hires on the different perpetrators of bullying. The teaching has been effective when the new hires state: (Select all that apply.) a. "A perpetrator can be a manager." b. "A perpetrator can be coworker." c. "A perpetrator is always the same licensure as the victim." d. "A perpetrator is never someone in management." e. "Perpetrators are sometimes supervisors

A,B,E

A nurse manager is in the planning phase in a new job. Which action shows this? (Select all that apply.) a. Developing goals that reflect the mission and vision of the organization b. Defining strategies to meet the mission and vision of the organization c. Providing direction for staff to perform the work of the organization d. Retaining accountability for all work completed by the staff e. Planning for contingencies which may interfere with the work of the organization

A,B,E

Which action would be occurring if a group of nurses were in the analyze phase of the DMAIC process? (Select all that apply.) a. Identify gaps between current performance and the goal. b. Identify possible sources of variation. c. Determine the goal. d. Write the problem statement. e. Determine where to begin making a change.

A,B,E

A nurse notices that a coworker has been taking longer lunch breaks. The nurse is frustrated by this and wants to use assertive communicate techniques to effectively handle the situation. Which statement(s) would be the most beneficial? (Select all that apply.) a. "I feel frustrated about the length of your breaks because I am really busy with my patient assignment today." b. "You need to stop taking such long lunch breaks while the rest of us pick up your slack!" c. "I am willing to compromise so that we can both get the breaks and help that we need." d. "I am having a hard time keeping up with both of our assignments today." e. "You are putting my nursing license in jeopardy."

A,C,D

A manager told a nurse to float to another unit. The nurse is nervous about floating. Which of the following actions would be the best to take? (Select all that apply.) a. Remain calm. b. Refuse to float. c. Focus on the patients. d. Ask for a quick tour of the unit. e. Inquire about the units standards of care.

A,C,D,E

A nurse has an adequate understanding of barriers to quality improvement when stating which of the following? (Select all that apply.) a. "Cost is a barrier in quality improvement." b. "There are no barriers to quality improvement." c. "Nurses' loyalty to old practices is a barrier." d. "Failure to recognize that change is needed is a barrier." e. "Being unwilling to change is a barrier."

A,C,D,E

A nurse manager is evaluating her computer chair. What should the nurse manager look for to make sure the chair is a good ergonomic design? (Select all that apply.) a. Appropriate padding b. Arm rests that are locked into place c. Strong lumbar support d. Easily adjustable e. Wheels that allow easy movement

A,C,D,E

It is important for the nurse to understand strategies that promote a fiscally responsible clinical practice. From the following listing, select those strategies that would achieve a fiscally responsible clinical practice. (Select all that apply.) a. Completes charge slips or scans bar code of nursing supplies used when changing a surgical dressing b. Participates in the annual hospital fund-raising activity c. Visits the Centers for Medicare & Medicaid Services to understand what services are provided during an inpatient visit d. Immediately reports any development of a patient medical complication to the health care provider e. Volunteers to participate in a hospital program initiative to reduce central line associated bloodstream infection (CLABSI) f. Completes a patient's discharge plan on the morning of discharge

A,C,D,E

The nurse manager understands the causes of performance weaknesses when making which of the following statements? (Select all that apply.) a. "The employee does not know what is expected." b. "The employee is getting adequate feedback." c. "The employee requires additional education." d. "The employee lacks motivation." e. "The employee needs additional supervision."

A,C,D,E

Which action by the nurse incorporates standard practice for protecting patient privacy on mobile devices? (Select all that apply.) a. Keep careful physical control of the device at all times. b. Avoid use of mobile devices. c. Use a password and a time-out to authenticate the re-activation. d. Enable encryption. e. Keep security software up to date.

A,C,D,E

Which action(s) can the nurse take during report to ensure patient safety? (Select all that apply.) a. Give report at the bedside. b. Give report while the nurse is finishing up charting on another patient, so that the new nurse doesn't have to wait. c. Use I-SBAR-R during shift change report. d. Focus on giving report, not on answering telephones. e. Be prepared for report.

A,C,D,E

A nurse is receiving education on disaster levels. The teaching has been sufficient when the nurse states that a Level III disaster includes (Select all that apply.) a. earthquakes. b. house fires. c. tsunamis. d. train derailment. e. hurricanes.

A,C,E

A nurse manager is discussing the "five rights of clinical delegation?" Which statement indicates understanding? (Select all that apply.) a. "The nurse should determine if the task can safely be delegated." b. "The nurse should determine if this is a task that will fit into schedule." NURSINGTB.COM NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST BANK NURSINGTB.COM c. "The nurse should delegate the task to the right person." d. "The nurse should determine whether this is a task that would enhance learning." e. "The nurse should provide feedback to the delegate."

A,C,E

The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in (Select all that apply.) a. "health information privacy law." b. "bedside nursing care." c. "nursing report communication." d. "data security standards." e. "electronic transaction standards."

A.D.E

A nurse has received an abnormal result on a critical test for an assigned patient. The nurse has been trying to reach the resident for 20 minutes but has been unsuccessful. What should be done to ensure the best care for the patient? (Select all that apply.) a. Page the resident once and document this in the chart; he will make rounds soon. b. Page the attending physician. c. Continue to provide care for the patient and document all actions in the medical record. d. Wait until the resident makes rounds to review the test results with him. e. Begin treating the patient for the test result because the nurse knows what the resident will likely order.

B,C

A nurse is working on a medical-surgical unit and receives phone call from a physician who would like to give orders for a new patient. What should the nurse do to make the telephone order safer for the patient? (Select all that apply.) a. Refuse to accept the telephone order and request that the physician come to the unit to write the order. b. Accept the order and perform a "read back." c. Write down the telephone order as it is being given. d. Accept the telephone order, but write it down later. e. Ask another nurse to accept the telephone order.

B,C

A nursing professor is educating students on barriers to incorporating nursing research into practice. The nurse professor judges the teaching to effective when a student states: (Select all that apply.) a. "Because of advances in research, there are no barriers." b. "A barrier is time lag from completion of research until the project report is published." c. "Resistance of individuals involved can cause a barrier." d. "Budget constraints are a barrier." e. "Personnel constraints are rarely a barrier."

B,C,D

A nurse has noticed that a coworker consistently has a negative attitude, criticizes others, and even shows aggression toward other members of the healthcare team. Which action(s) by the nurse would help to limit time with this individual? (Select all that apply.) a. Try to help the coworker deal with personal problems during work. b. Steer clear of the coworker. c. Use assertive communication. d. Learn to say "no." e. Set clear boundaries with the coworker

B,C,D,E

A nurse manager is educating a group of nurses on common medication errors. The manager judges the teaching to be effective when one of the nurses states that common medication errors include (Select all that apply.) a. good communication b. look-alike packaging c. wrong-dose errors d. inadequate monitoring e. rule violations

B,C,D,E

A staff nurse recognizes the need for a change in practice regarding hand hygiene. How can the nurse implement a change in practice? (Select all that apply.) a. Ignore the problem until management enforces a change. b. Ask if the manager can hold a staff in-service. c. Implement the change on the unit. d. Monitor the change. e. Evaluate the effectiveness of the change.

B,C,D,E

What action can the nurse take to reduce the risk of repetitive motion disorders? (Select all that apply.) a. Avoid frequent position changes. b. Frequently alternate between standing and sitting. c. Have a good understanding of ergonomic principles. d. Engage in routine stretching of shoulders, neck, arms, hands, and fingers. e. Attend training on how to reduce injury

B,C,D,E

Which action by a group of nurses involves brainstorming? (Select all that apply.) a. List one solution to the problem. b. Identify stakeholders. c. Think about solutions to the problem. d. Write the problem statement. e. Write a goal statement

B,C,D,E

Which action by the nurse demonstrates fiscal responsibility to the patient? (Select all that apply.) a. Discharging a patient home with prescriptions and no health insurance to cover the cost b. Assessing the patient's resources and determining their ability to pay for prescriptions c. Setting the patient up for Meals on Wheels d. Giving the patient information on free support groups e. Calling local churches to see what services they can offer the patient

B,C,D,E

A nurse is caring for patients after a major disaster has occurred. What is the best action in caring for these patients? (Select all that apply.) a. Avoid discussing the disaster that has occurred. b. Encourage patients to talk about their experience. c. Empathize with patients and their emotions and experiences. d. Ask patients not to discuss the disaster until they are under the care of a psychologist. e. Reinforce their emotions and reactions as normal.

B,C,E

Which of the following statements made by the charge nurse indicates appropriate delegation? (Select all that apply.) a. The LPN can delegate dressing changes to the nursing assistant. b. The LPN can administer a DPT immunization to a child. c. The LPN can add a dose of Bleomycin to an existing IV infusion. d. The nursing assistant can transfer a paraplegic patient from a wheelchair to the bed using a lift, as long as the nursing assistant has received training and demonstrated competency. e. The nursing assistant can assess vital signs on a patient 15 minutes after the transfusion has been started.

B,D

A new nurse understands that organization is key to providing safe, effective care. Which of the following actions would help to achieve this? (Select all that apply.) a. Memorize her assignment and patient reports. b. Create a work organization sheet. c. Keep info about each patient on separate sheets of paper. d. Write down all pertinent patient info. e. Minimize distractions during report.

B,D,E

Which of the following statements about listening indicate the nurse's adequate understanding? (Select all that apply.) a. "Listening is the hearing of words." b. "Listening requires most of our communication time." c. "We pay most attention to our listening skills." d. "People remember 1/3 of the messages that they have heard." e. "Listening requires a lot of energy."

B,D,E

The Delegation Decision Tree, which was prepared and adopted by ANA and NCSBN, has specific steps. Identify the steps in this Decision Tree. (Select all that apply.) a. Monitoring b. Surveillance and supervision c. Readback and response d. Assessment and planning e. Evaluation f. Communication

B,D,E,F

The nurse interprets which of the following to be a Level III disaster? (Select all that apply.) a. Car accident b. Train derailment c. Hurricane d. Tsunami e. House fire f. Tornado

C,D

A nurse manager is educating a group of new nurses on workplace violence. The nurse judges the teaching to be effective when one of the nurses states: (Select all that apply) a. "Workplace violence is uncommon in today's society." b. "Workplace violence does not include threats of assault." c. "Workplace violence includes physical assaults." d. "Workplace violence includes unwanted sexual advances." e. "At least 80% of nurses have experienced workplace violence."

C,D,E

Which statement by the nurse indicates understanding of the control phase of the DMAIC process? (Select all that apply.) a. "In the control phase, only the leader should be informed of changes." b. "Only those directly affected by the new process should be educated." c. "In the control phase, steps in the new process should be standardized." d. "Changes should be monitored to ensure compliance." e. "Standard operating procedures should be written."

C,D,E

A nurse manager is educating a group of staff nurse on violation of HIPPA standards. The manager judges the teaching to be effective when one of the staff nurses states: (Select all that apply.) a. "Violations of HIPPA standards no longer occur because the consequences are so severe." b. "Violations of HIPPA standards can result in termination of employment." c. "Violations of HIPPA standards can result in an indictment." d. "Violations of HIPPA standards are waived if it is your first offense." e. "Violations of HIPPA standards can result in prison time."

C,E

The Needlestick Safety and Prevention Act of 2000 was implemented to prevent health care workers from experiencing needlestick injuries. Which of the following is required to be documented regarding a needlestick injury? a. Notify the patient's physician. b. Advise the hospital risk management department. c. Document the department or work area in which the exposure occurred. d. Send the injured staff person to the emergency room for documentation of the incident.

Document the department or work area in which the exposure occurred.

Which statement best describes effective leadership by the nurse manager? a. Directs a staff nurse to modify his or her communication skills b. Fosters behavior changes in one staff member that have positive effects on the nurse manager and his or her peers c. Encourages behavior changes through the annual evaluation process d. Uses the group process to determine what behavior is distressing to staff

Fosters behavior changes in one staff member that have positive effects on the nurse manager and his or her peers

What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force? a. More flexible work time and increased personal responsibility for work outcomes b. Increased loyalty to the institution and the need for a well-defined work environment c. Increased interest in the goals and needs of the institution d. Increased structure within the nursing environment to more effectively predict outcomes

More flexible work time and increased personal responsibility for work outcomes

What do the responsibilities of the nurse manager include? a. Planning and organizing how nursing care can most effectively be delivered on the nursing unit b. Establishing the nursing care standards to be implemented on the unit c. Developing educational programs to assist staff to meet licensure requirements d. Assisting staff to adhere to organizational policies and procedures

Planning and organizing how nursing care can most effectively be delivered on the nursing unit

A female patient in the medical-surgical unit is diagnosed with anemia and complains of weakness. Which of the following assignments could be given to the nursing assistant? a. Organize the patient's meal tray for dinner. b. Talk with the patient about managing her rest and activities. c. Get a diet history and list of the patient's favorite foods. d. Take an apical pulse and listen to the lungs for crackles.

a. Organize the patient's meal tray for dinner.

The nurse manager is teaching a new nurse about computer monitoring on a telemetry unit. The nurse manager judges the teaching to be effective when the new nurse states: a. "Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly." b. "Computer monitoring provides for continuous around-the-clock direct observation of patients." c. "Computer monitoring improves documentation of patient care." d. "Computer monitoring reduces the need for additional nurses to provide patient care."

a. "Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly."

The charge nurse is assigning patient care activities to the nursing care team. In supervising the team, what is the most effective activity to determine that the nursing care has been completed satisfactorily? a. Have hourly checks with personnel to determine how effectively nursing care is being completed. b. Review with personnel at the end of the shift regarding the status of patients and how care was delivered. c. Discuss with each person the status of their assigned patients and what type of nursing care each will require. d. Schedule routine patient care rounds to evaluate the patients and the nursing care that has been completed.

a. Have hourly checks with personnel to determine how effectively nursing care is being completed.

Which statement by the nurse indicates understanding of general systems theory in regards to nursing informatics? a. "General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce." b. "General systems theory provides theory support for a system that maintains confidentiality when handling patient data and information." c. "General systems theory incorporates external databases from state agencies to allow for performance comparison within a specific institution." d. "General systems theory is a nursing theory regarding the use of nurse informatics to integrate the systems within health care for support of nursing education and practice."

a. "General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce."

Which statement by the nurse indicates understanding of the major factors influencing the increase in health care costs? a. "Health care expenditures are exceeding the cost of the gross domestic product (GDP) in excess of 14%." b. "Older adult patients consume more of the health care product than they can afford to finance." c. "The cost of prescription drugs is soaring so rapidly that the majority of people cannot afford them." d. "Because of the limited payment of Medicare, institutions are not being reimbursed at the same level of expenditures."

a. "Health care expenditures are exceeding the cost of the gross domestic product (GDP) in excess of 14%."

A student asks the nurse manager, "When I was reading an article about research utilization, I ran across the phrase 'practice context.' What does that mean?" What is the best response? a. "It is made up of the factors and systems that contribute to delivery of nursing care in a particular setting." b. "It refers to the specific group of patients who are to receive care in a particular setting." c. "It describes the type of health care delivery system that is currently in place in a particular setting." d. "It refers to the policies, procedures, and staffing patterns of a nursing unit."

a. "It is made up of the factors and systems that contribute to delivery of nursing care in a particular setting."

A nurse is self-educating on the role of the informatics nurse/informatics nurse specialist. The nurse has an adequate understanding when listing which as a primary success indicator? a. "Making sure that information technology did no harm to the patient." b. "There were no primary success indicators listed for the IN/INS." c. "There are not enough data on primary success indicators for the IN/INS role." d. "Primary success indicators include excellence in bedside patient care."

a. "Making sure that information technology did no harm to the patient."

The nurse has an adequate understanding of productive time when stating: a. "Productive time is the amount of time the nurse is available to give care to patients." b. "Productive time is the amount of time the nurse is attending a continuing education activity." c. "Productive time is counted when the nurse is not directly giving bedside care, such as going to lunch and taking a break." d. "Productive time is counted when the physician is at the patient's bedside."

a. "Productive time is the amount of time the nurse is available to give care to patients."

The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership? a. "Requires more time and effort to make decisions and accomplish goals" b. "Discourages participation from quieter members of the group" c. "Increases the possibility of "scapegoating" or argumentative behavior" d. "Is difficult to control the outcomes and decisions of the group"

a. "Requires more time and effort to make decisions and accomplish goals"

Which statement by the nursing professor shows understanding of the major function of the National Institute of Nursing Research? a. "Serves as a major source of federal grants to fund nursing research" b. "Provides direction to nurses interested in research utilization" c. "Collects data about the major nursing schools in the country" d. "Provides money to fund the education of nurses"

a. "Serves as a major source of federal grants to fund nursing research"

The nurse manager has an adequate understanding of Six Stigma when making which of the following statements? a. "The primary goal of Six Stigma is to increase profits and reduce problems." b. "The primary goal of Six Stigma is to attract physicians to an organization." c. "The primary goal of Six Stigma is advertisement of the organization." d. "The primary goal of Six Stigma is to attract nursing to an organization."

a. "The primary goal of Six Stigma is to increase profits and reduce problems."

A nurse manager is educating staff on how to give effective presentations. Which statement indicates an understanding of this? a. "To give an effective presentation, you should always maintain a positive attitude." b. "You should avoid planning and should create the presentation as you go." c. "Give the same presentation regardless of the audience." d. "To reduce anxiety, avoid making eye contact with the audience."

a. "To give an effective presentation, you should always maintain a positive attitude."

Which statement by the nurse shows understanding of the Rand Health Insurance Experiment? a. "When consumers were required to pay 25% co-payment, there was a considerable decline in the use of health care services." b. "There was an increase in the use of health care services when consumers were required to make a co-payment." c. "If the health care cost is being paid by insurance companies, the consumer is not concerned about the cost." d. "The implementation of the Oregon Health Policy for reimbursement of the cost of health care services led to the Rand Health Insurance Experiment."

a. "When consumers were required to pay 25% co-payment, there was a considerable decline in the use of health care services."

A nurse is educating a coworker on the intrinsic factors and cost of health care. The nurse knows that the teaching has been effective when the coworker lists the following intrinsic factor as the major cause of increased cost: a. Almost 10% of Americans over 65 years old are considered at or below the poverty level. b. The new medical technology available has increased the cost of health care. c. There are increasing labor costs in the total hospital spending budget. d. The staff nurse does not understand the responsibility of economics and money management.

a. Almost 10% of Americans over 65 years old are considered at or below the poverty level.

Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group? a. Mouse b. Motor mouth c. Self-server d. Know-it-all

a. Mouse

What is the correct sequence of activities in the research utilization process? a. Identification of practice problem, evaluation of related published research, planning, implementation, evaluation b. Planning, implementation, evaluation, review of published research, application to practice problem c. Evaluation of published research, decision to identify practice problem, planning, implementation, evaluation d. Determining question to be answered, determining data-gathering methods, data evaluation, plan for utilization, evaluation

a. Identification of practice problem, evaluation of related published research, planning, implementation, evaluation

How can nurses being to define their practice context? a. Identify characteristics that are specific to the group of people who will receive nursing care. b. Specify all types of settings that nursing occurs in. c. Determine all characteristics of the setting that contribute to nursing care. d. Determine all characteristics of the setting that inhibit nursing care.

a. Identify characteristics that are specific to the group of people who will receive nursing care.

What are critical points to communicate during a shift report or hand-off communication? a. Patient name, current physical status, activities that have contributed to current status, problems that have occurred during the shift, nursing care to address problems, and a readback or response b. Patient name, room number and date of birth, changes in current orders, provider's visits, laboratory tests that have been completed, and physical activity of the patient c. Patient name, health care provider, diagnosis, review of all current orders, family visits and involvement in care, review of history leading to hospitalization, and current status of the patient d. Physician orders for past 24 hours, patient name and date of birth, medical and social history prior to hospitalization, and review of health problems since hospitalization

a. Patient name, current physical status, activities that have contributed to current status, problems that have occurred during the shift, nursing care to address problems, and a readback or response

How can the "grapevine" best be controlled? a. Providing factual information in anticipation of employees' questions b. Using an authoritarian communication style c. Putting everything in writing d. Having a strong union to represent employees

a. Providing factual information in anticipation of employees' questions

Which action can the nurse expect in the preutilization step in nursing research utilization? a. Recognition that some aspect of nursing care could be done in a different way b. Recognizing that nurses need shortcuts in order to manage their workload c. Critical evaluation of published research d. Using electronic databases to search current literature

a. Recognition that some aspect of nursing care could be done in a different way

Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory? a. The nurse reconsiders what has caused themself to be resistant to change. b. The nurse begins the process of implementing change. c. The change has become routine. d. The change is permanent.

a. The nurse reconsiders what has caused themself to be resistant to change.

What would be the best example of delegation? a. Transferring to another nurse the responsibility of caring for a patient requiring a blood transfusion b. Providing guidance to an LPN to hang blood on a patient c. Assigning a series of nursing unit tasks to the certified nursing assistant d. Assisting a new nurse to understand the rules and regulations of the Nurse Practice Act

a. Transferring to another nurse the responsibility of caring for a

A nurse manager is providing education to a new nurse on barriers to the implementation of quality improvement processes. The manager judges the teaching to be effective when the new nurse states: a. "Expense is a primary barrier." b. "Resistance to change is a primary barrier." c. "One of the primary barriers is complacency with the status quo." d. "Not identifying the correct problem is a primary barrier."

a. "Expense is a primary barrier."

A nurse is educating a group of students about health care economics. Which statement would the students make if the teaching were effective? a. "Extrinsic factors include the cost of prescription drugs." b. "Extrinsic factors include the age of the population." c. "Extrinsic factors include the demand for health care." d. Extrinsic factors include employer-paid health insurance."

a. "Extrinsic factors include the cost of prescription drugs."

Which of the following statements indicates the nurse's understanding of fiscal responsibility? a. "Fiscal responsibility should be a concern for all nurses." b. "Fiscal responsibility is only a concern for the department manager." c. "Fiscal responsibility is only a concern for the hospital administrators." d. "Fiscal responsibility is not a concern for the nursing staff."

a. "Fiscal responsibility should be a concern for all nurses."

Which statement would be most appropriate for the nurse to make when practicing assertive behavior? a. "I feel upset when Dr. Smith yells at me in front of my patients." b. "I can't believe what a jerk Dr. Smith is; the doctor should be fired!" c. "Dr. Smith was right in her action." d. "I am reporting Dr. Smith to the medical director."

a. "I feel upset when Dr. Smith yells at me in front of my patients."

Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN)? a. "QSEN helps prepare future nurses for improving patient safety." b. "QSEN helps prepare future nurses for working mandatory overtime." c. "QSEN helps train nurses in the clinical setting." d. "QSEN provides nurses with strategies for passing the NCLEX exam."

a. "QSEN helps prepare future nurses for improving patient safety."

A nurse is explaining to another nurse about the contributions of Edward Deming. The nurse judges that the explanation is effective when the nurse states: a. "Quality is the responsibility of everyone within an organization." b. "Quality is the responsibility of the quality control inspector." c. "Quality is the responsibility of the CEO of the organization." d. "Quality is the responsibility of the manager of the organization."

a. "Quality is the responsibility of everyone within an organization."

A nursing professor is educating students on nerve agents. The nursing professor judges teaching to be effective when one of students states: a. "Sarin gas is a chemical agent that is classified as a nerve agent." b. "Mustard gas is a chemical agent that is classified as a nerve agent." c. "Ricin is a chemical agent that is classified as a nerve agent." d. "Chlorine gas is a chemical agent that is classified as a nerve agent."

a. "Sarin gas is a chemical agent that is classified as a nerve agent."

A public health nurse is giving a presentation on the recovery stage of a disaster to a group of nursing managers. The teaching has been effective when one of the nurse managers states: a. "The recovery stage deals with operations that occur after the disaster." b. "The recovery stage deals with operations during a disaster." c. "The recovery stage deals with operations before a disaster." d. "The recovery stage involves the process of dealing with disasters."

a. "The recovery stage deals with operations that occur after the disaster."

A nurse is educating students on the history of quality improvement. The teaching has been effective when one of the students states that the historically, quality improvement focused on a. "controlling process by inspection so that errors were prevented." b. "quality improvement did not begin until recently." c. "proactive approaches to lessen errors." d. "error prevention strategies."

a. "controlling process by inspection so that errors were prevented."

Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informatics a. "is to improve patient care with health care technology." b. "is to improve patient care by increasing health care expertise." c. "is to improve patient care by improving nursing performance." d. "is to improve patient care by allowing the patient access to medical records."

a. "is to improve patient care with health care technology."

The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of untoward events in the hospital setting? The primary cause of untoward events is a. "unclear, ineffective communication." b. "unclear chain of communication for reporting." c. "ineffective reporting of the untoward event." d. "lack of consistent supervision of nursing staff."

a. "unclear, ineffective communication."

The nurse is preparing assignments in a pediatric unit for the night shift. Which of the following would be appropriate to assign the LPN/LVN? a. A 5-year-old child who had an appendectomy about 6 hours ago b. A 4-year-old child admitted for severe epiglottis who is running a fever of 102° F c. A 6-year-old child admitted with dehydration and receiving IV therapy d. A 7-year-old child who has inhalation burns 2 days ago and has a tracheostomy

a. A 5-year-old child who had an appendectomy about 6 hours ago

Which of the following represents a Level II disaster? a. A building collapse that fills the local emergency room with patients. b. A freeway accident that involves multiple vehicles. c. Flooding of a three-state area affecting food and water resources. d. Earthquake that destroys homes and transportation facilities.

a. A building collapse that fills the local emergency room with patients.

Which action takes place during the design phase of the DMAIC process? a. A charter is developed. b. Key performance indicators are agreed upon. c. Analyze baseline data. d. Determine whether measures reflect the true problems.

a. A charter is developed.

Which of the following actions is consistent with a nurse leader? a. A nurse who encourages staff to give excellent patient care b. A nurse who performs chart audits on her staff c. A nurse who writes yearly staff evaluations d. A nurse who gives pain medication to an assigned patient

a. A nurse who encourages staff to give excellent patient care

10. Which action by the nurse shows a major characteristic of aggressive behavior? a. Achievement of personal goals at the expense of others b. Indirect expression of personal feelings c. Communication of personal needs d. Ability to restrict personal rights ANS: A

a. Achievement of personal goals at the expense of others

What should the nurse do to assess competence before delegating a task to an LPN? a. Ask if the LPN has previous experience performing the task. b. Ask if the LPN is willing to perform the task. c. Ask another nurse if the LPN is competent. d. Assume the LPN is competent due to her years of service.

a. Ask if the LPN has previous experience performing the task.

Based on the goal of making optimal use of the level of preparation of the licensed practical nurse (LPN), which task should the nurse (RN) delegate to the LPN? a. Assisting with a lumbar puncture b. Transporting a patient to the radiology department c. Restocking the sterile supplies d. Distributing afternoon nutrition supplements

a. Assisting with a lumbar puncture

The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily. What is the most appropriate leadership style to adopt in this situation? a. Authoritarian b. Democratic c. Laissez-faire d. Eclectic

a. Authoritarian

What is the most important way that a nurse can be fiscally responsible to the employing institution? a. By providing quality, safe nursing care b. By considering patient needs and prioritizing appropriately c. By accurately documenting the patient's condition d. By maintaining accurate charges for supplies used in patient care

a. By providing quality, safe nursing care

The nurse manager is beginning the process of problem solving. Which action should be taken first? a. Define the problem. b. Gather information. c. Analyze the information. d. Consider the alternatives.

a. Define the problem.

The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit? a. Democratic b. Authoritarian c. Laissez-faire d. Bureaucratic

a. Democratic

A nurse is working on a unit with short staffing. The nurse has voiced concerns to the charge nurse, who appears to brush them off. Which action would be the most appropriate for the nurse to take? a. Document the concerns. b. Raise a voice to get the point across. c. Talk about the charge nurse to coworkers. d. Keep the issues to themself.

a. Document the concerns.

What are examples of regulatory agencies that will affect health care policy with regard to informatics? a. Health Insurance Portability and Accountability Act (HIPAA) b. American Nursing Credentialing Center (ANCC) c. American Nurses Association (ANA) d. Medicare/Medicaid authorization

a. Health Insurance Portability and Accountability Act (HIPAA)

A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC) process. Which action would the nurse take during the define phase? a. Identify the stakeholders. b. Agree on the key performance indicators. c. Identify gaps between performance and goals. d. Identify those responsible for data collection

a. Identify the stakeholders.

The nurse manager receives the budget variance report for the assigned nursing unit. What other critical information must the nurse manager consider to evaluate this report? a. Projection of costs in the operating budget b. The amount of money allocated to meet expected costs c. Figures on which a zero-based budget were determined d. Planning needs for unit staffing based on patient acuity

a. Projection of costs in the operating budget

A nurse is working with a nurse aide to care for a group of patients. Which of the following activities would be inappropriate to delegate to the nurse aide? a. Providing discharge instructions to a patient b. Refilling water containers c. Obtaining a lift to help a patient out of a chair d. Feeding a patient who is unable to feed himself

a. Providing discharge instructions to a patient

The Occupational Safety and Health Administration (OSHA) provides guidelines to protect health care workers from needlesticks. Which action by the nurse manager shows the use of the guidelines in practice? a. Purchasing safety devices b. Providing a safe working environment c. Working with the local health department d. Establishing guidelines for safe nursing practice

a. Purchasing safety devices

How does the federal government affect environmental safety in the hospital setting? a. Requires employers to provide a safe working environment b. Identifies those nurses who are not implementing standard precautions c. Works with the state boards of nursing in disciplining nurses d. Requires employers to establish guidelines for safe nursing practice

a. Requires employers to provide a safe working environment

Which federal program provides a "push-pack" that, when requested, can be transported within 12 hours to an affected community and consists of medical assets such as medications, medical equipment and supplies, and personal protective equipment? a. Strategic National Stockpile (SNS) b. CHEMPACK federal program designed to supplement the medical response. c. Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) d. National Incident Management System (NIMS)

a. Strategic National Stockpile (SNS)

A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality. Which action would the nurse take to achieve this? a. Take an exam. b. Complete a 6-week internship. c. Have at least a bachelor's degree. d. Have at least 1 year of experience in quality management

a. Take an exam.

The staff nurse, in the tenth hour of a 12-hour shift, is told by the house supervisor that the nurse replacement will be 2 hours late and the staff nurse must work these extra 2 hours. The nurse is unable to stay over. What is the best action for the nurse to talk? a. Talk to the person over the house supervisor. b. Refuse and go home on time because from being too tired to work. c. Fix some strong coffee and call home to explain the situation. d. Ask if the supervisor could work a double because the supervisor needs the money.

a. Talk to the person over the house supervisor.

An emergency department nurse should suspect a possible bioterrorist agent if, during the Fourth of July weekend, the nurse notices which of the following? a. Three patients arrive complaining of abrupt onset of severe myalgia, fever, sore throat, and headache. b. Four patients, all from the same family picnic, arrive complaining of abdominal pain and nausea, vomiting, and diarrhea. c. Two patients arrive from the local lake complaining of tiredness, weakness, dizziness, muscle cramps, and headache. d. Two patients arrive from a local concert with superficial burns on the faces, necks, arms, and legs and complaining of pain in these areas. They are tachycardic and appear dehydrated.

a. Three patients arrive complaining of abrupt onset of severe myalgia, fever, sore throat, and headache.

A nurse is one of the first responders on the scene of a disaster. What is initial priority? a. Triage the patients. b. Delegate care to additional personnel as they arrive. c. Task assignment. d. Prioritize care.

a. Triage the patients.

A patient is tagged as "Minor" during a mass casualty event. An example of a "Minor" triage is a patient with a. a strained right shoulder. b. a large laceration to the right leg. c. an obstructed airway. d. who is unconscious.

a. a strained right shoulder.

The clinical instructor interprets the development of mutual goals and guidelines as a. norming. b. performing. c. storming. d. informing.

a. norming.

Ergonomic hazards are a major safety risk for nurses, causing serious musculoskeletal injuries. To reduce the risk, nurses should a. use assistive devices. b. take up weight lifting. c. never lift or move patients. d. stretch out after pulling or reaching

a. use assistive devices.

The nurse has an adequate understanding of capital budget when stating: a. "A capital budget is part of the expected expenses of the unit." b. "A capital budget is used to purchase or replace equipment costing more than $5000." c. "A capital budget is used to pay for nurses to work in the hospital." d. "A capital budget is used to purchase lunch for employees."

b. "A capital budget is used to purchase or replace equipment costing more than $5000."

A nurse is reviewing the technique used to identify the factors involved in an error. Which statement indicates the nurse has an adequate understanding? a. "The rapid cycle test is a technique that is widely used." b. "A root cause analysis is a process designed to investigate and categorize the root cause of the event." c. "A failure mode and effects analysis is a procedure to investigate the cause of the error." d. "Define, measure, analyze, improve, control prevents events from occurring."

b. "A root cause analysis is a process designed to investigate and categorize the root cause of the event."

A nurse is educating students on how to evaluate a website. The nurse judges the teaching to be effective when the students can state: a. "Internet information must go through careful screening before it can be posted." b. "Credibility, accuracy, and reasonableness of the information should be considered." c. "It is important to have the hospital librarian verify the authenticity of the website." d. "Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA])."

b. "Credibility, accuracy, and reasonableness of the information should be considered."

10. The nurse needs to discuss a problem with the nursing assistant. The nursing assistant has left several rooms cluttered with trash and not cleaned appropriately. Which comment by the nurse would be the best way to approach the problem? a. "I checked on the four rooms you were assigned, and they are really a mess." b. "Have you had a problem completing your work assignment today?" c. "All four of the patient rooms assigned to you today are messy with a lot of trash in them." d. "Family members have been really upset today. Why have you not cleaned up the rooms assigned to you?" ANS: B

b. "Have you had a problem completing your work assignment today?"

Which of the following statements indicate the nurses understanding of accountability in the delegation process? a. "I am solely accountable for the actions of the delagetee." b. "I am accountable for assessing the delegatee's competency before delegation." c. "The delegate is responsible for telling them if they are competent." d. "The manager is responsible for providing feedback to the delegate."

b. "I am accountable for assessing the delegatee's competency before delegation."

Which statement by the nurse indicates an understanding of the definition of nursing informatics? a. "Nursing informatics is a specialty area of hospital nursing in which management of patient care is done via computers." b. "Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science." c. "Nursing informatics includes the input and retrieval of a patient's complete medical history via electronic data." d. "Nursing informatics is an area of computer system design and analysis to provide and retrieve patient health data during the period of hospitalization."

b. "Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science."

Which statement by the nurse shows understanding of what would not be a barrier to research utilization? a. "Too few studies reported in the literature relating to the identified problem" b. "Obtaining consensus to implement a new approach to resolve the care problem" c. "Staff suggesting there is too little time to learn a new approach to the care problem" d. "Staff asking, 'Why fix it if it isn't broken?'"

b. "Obtaining consensus to implement a new approach to resolve the care problem"

A nurse professor is educating nursing students on The American Nurses Association's recommendation to use assistive devices for safe patient handling. The nurse professor judges the teaching to be effective when one of the students state: a. "Research indicated that patients were being injured by falls during transfers." b. "Research indicated that back injuries in staff nurses were occurring even with good body mechanics." c. "Research showed an increased number of lawsuits resulted from patient falls." d. "Research uncovered reports from state boards of nursing showed increased back injuries."

b. "Research indicated that back injuries in staff nurses were occurring even with good body mechanics

A nurse is reviewing delegation with a graduate nurse. The nurse knows that the teaching has been successful when the graduate nurse states which of the following? a. "The nurse can delegate assessments to the nurse assistants." b. "The nurse must create the care plan based on assessment findings." c. "The nursing assistants cannot perform bed baths on postsurgical patients." d. "The LPN can perform discharge teaching."

b. "The nurse must create the care plan based on assessment findings."

Which statement would indicate a unit nursing staff is entering the preutilization step of research utilization? a. "We've found two studies that have explored methods for reducing violent behavior on psych units." b. "We need a new approach to containing violence on the psych unit." c. "This is the plan for implementing the new antiviolence strategies." d. "This is a summary of the evaluation data we collected."

b. "We need a new approach to containing violence on the psych unit."

A nurse has received report on assigned patients and is prioritizing their care. Which of the following patients should the nurse assess first? a. A female patient who is complaining of a headache b. A patient who has just returned from surgery and has saturated his dressing c. A patient with a femur fracture that is requesting pain medications d. A male patient who needs to use the bathroom

b. A patient who has just returned from surgery and has saturated his dressing

The charge nurse is assigning patients for care. There are two nurses, a LPN, and a certified nursing assistant (CNA). The charge nurse would assign which of the following patients to the LPN? a. An older adult who is receiving IV chemotherapy through a central line and will need a dressing change b. An adult patient diagnosed with insulin-dependent diabetes who will need dressing changes on several stasis ulcers on the lower extremities c. An adult patient with a right fractured femur and right arm in a cast who needs to urinate d. An older patient with terminal cancer who will be transferred to hospice

b. An adult patient diagnosed with insulin-dependent diabetes who will need dressing changes on several stasis ulcers on the lower extremities

There is a temporary agency registered nurse assigned to the nursing unit. You have no knowledge of this nurse's skills, and you want to assign the nurse to a patient who has a fresh tracheostomy. How should you handle this situation? a. Assign the nurse to the patient with the tracheostomy and hope for the best. b. Ask the nurse about his or her competency to care for the patient with the tracheostomy. c. Assign the patient to another nurse and use the temporary agency nurse to do simple care tasks. d. Call the agency and ask for a nurse skilled in the care of a patient with a tracheostomy.

b. Ask the nurse about his or her competency to care for the patient with the tracheostomy.

A nursing professor has just joined the National Institute of Nursing Research (NINR). Which activities should the professor anticipate being a part of? a. Providing financial support for any worthy nursing research study b. Channeling federal money into nursing research related to the national nursing research agenda c. Publishing information detailing successful research utilization projects d. Arranging traineeships in development of research proposals

b. Channeling federal money into nursing research related to the national nursing research agenda

The Joint Commission publishes a Sentinel Event Alert every month. Which of the following is the best example of a sentinel event? a. Tylenol #3 is given to a patient when plain Tylenol was ordered. b. Code pink is called after a newborn is discovered missing from the nursery. c. After receiving the correct medication, the patient complains of itching all over, and a rash is noted on the patient's trunk. d. During a blood transfusion, the patient's temperature increases to 100.4° F, and the patient complains of generalized pruritus.

b. Code pink is called after a newborn is discovered missing from the nursery.

How does evidence-based practice (EBP) differ from research utilization? a. EBP has similar steps to the nursing process, which differ from research utilization. b. EBP is a systematic method of applying research findings to nursing practice that incorporates many additional sources of data that may contribute to improved nursing care. c. Research utilization is a component of nursing practice that involves the collection of data to answer a specific research question and EBP uses the data to make protocols. d. EBP uses a nursing theoretical framework for implementation of practice guidelines, which is essential for the continued development of nursing theories

b. EBP is a systematic method of applying research findings to nursing practice that incorporates many additional sources of data that may contribute to improved nursing care.

What would be the best example of supervision? a. Assigning nursing care for a group of five patients to a nurse b. Following up with a CNA on the assigned task of ambulation and feeding of two patients c. Assigning a urinary catheterization and collection of sterile culture to an LPN d. Scheduling the LPN to administer medications on the unit for the afternoon

b. Following up with a CNA on the assigned task of ambulation and feeding of two patients

A nurse manager is preparing a presentation on health care economics for unit staff. How would the nurse manager explain the definition of economics as it relates to health care to the staff? a. Economics refers to how the health care system is going to care for the older segment of the population. b. Health care is a limited resource; economics refers to how this resource is going to be allocated. c. Health care economics refers to the budgeting and financial management of the institution providing the care. d. Economics is the balance of the utilization of health care services and the monies obtained for the services provided.

b. Health care is a limited resource; economics refers to how this resource is going to be allocated

A nurse is working on a busy orthopedic floor and is on the phone with the floor manager when a physician comes up and gives a verbal order for pain medications on an assigned patient. The physician then leaves the unit. Which action by the nurse would be the most appropriate? a. Write down the order and administer the medication. b. Put the nurse manager on hold and ask the physician to write the order. c. Ignore the physician and continue the conversation with the nurse manager. d. Write down the order and document it as a telephone order.

b. Put the nurse manager on hold and ask the physician to write the order.

During clinical experience, the student nurse is assigned a patient scheduled to undergo numerous treatments. The student decides it is not possible to complete all the needed treatments in the time scheduled for this clinical day. The student nurse consults with the clinical instructor to a. delegate. b. prioritize. c. procrastinate. d. do the easiest treatment first.

b. prioritize.

Staff nurse 1: "You're stomping around and glaring at me. I'm wondering what's going on." Staff nurse 2: "I'm sick of you always going to lunch first. You don't care about anyone but yourself." What assessment can best be made about this exchange? a. Staff nurse 1's remark is challenging and obstructive. b. Staff nurse 1's remark invites clarification of the meaning of the specific behaviors of staff nurse 2. c. Staff nurse 2's remark will facilitate effective problem solving. d. Staff nurse 2's remark will keep anger at a minimum and give incentive for meeting the other's needs.

b. Staff nurse 1's remark invites clarification of the meaning of the specific behaviors of staff nurse 2.

The nurse is reviewing I-SBAR-R with a coworker at the end of the shift. Which statement indicates that they are discussing the Situation component? a. The nurse states the patient's name using two identifiers. b. The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today. c. The oncoming nurse acknowledges the info that has been received. d. The nurse states an opinion on what is happening with the patient.

b. The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.

A nurse is assigned to care for five patients. The nurse is concerned about the ability to care for this many patients. The nurse needs to a. delegate one of the patients to someone else. b. prioritize the needs of the patients and determine the sickest patient. c. procrastinate and hope that someone will offer assistance. d. do the easiest patients first to allow more time for sicker patients

b. prioritize the needs of the patients and determine the sickest patient.

An infection control nurse is educating a nurse about potential bioterrorism agents. The nurse knows the teaching has been effective when the nurse states: a. "Smallpox has three routes of exposure to humans." b. "Anthrax has three routes of exposure to humans." c. "Botulism is caused by a bacterium found only in animals." d. "Tularemia is transmitted via ingestion of toxin-contaminated food."

b. "Anthrax has three routes of exposure to humans."

The nurse has been studying endemic diseases and understands that they can occur in clusters of people from the same geographically distinct area. Which statement by the nurse indicates the understanding of the biological agents that can be disseminated by airborne release? a. "Anthrax and plague can be disseminated 50% of the time." b. "Botulism and anthrax can be disseminated." c. "Plague and smallpox are airborne illnesses that can be disseminated." d. "Botulism and smallpox can be disseminated 100% of the time

b. "Botulism and anthrax can be disseminated."

The nurse understands the benefits of Computerized Provider Order Entry (CPOE) when stating: a. "CPOE does not change the process of patient care." b. "CPOE averts problems with hand-written orders." c. "CPOE benefits only the nurses in the health care system." d. "CPOE benefits only the pharmacists in the health care system."

b. "CPOE averts problems with hand-written orders."

The nurse has an adequate understanding of phosgene gas when stating which of the following? a. "Phosgene gas smells like bleach." b. "Phosgene gas smells like fresh cut grass." c. "Phosgene gas smells like almonds." d. "Phosgene gas smells like rotting fruit."

b. "Phosgene gas smells like fresh cut grass."

Which statement by the nurse indicates the most important goal in the management of a disaster such as one caused by a category 5 hurricane? a. "Rescue the victims." b. "Plan to prevent such disasters." c. "Give immediate first aid and medical care to the victims." d. "Evacuate the injured to medical facilities."

b. "Plan to prevent such disasters."

The nurse has an adequate understanding of smallpox when the nurse states which of the following? a. "Smallpox does not exist because of vaccines." b. "Smallpox can easily be spread from person to person." c. "Smallpox must be ingested for a person to become sick." d. "Smallpox is resistant to vaccines."

b. "Smallpox can easily be spread from person to person."

The nurse manager has an adequate understanding of the continuous quality improvement process of Six Sigma when doing which of the following? a. "Uses Six Sigma to identify errors" b. "Uses Six Sigma to increase profits" c. "Uses Six Sigma to keep standard policies and procedures consistent" d. "Uses Six Sigma to improve patient-provider communication"

b. "Uses Six Sigma to increase profits"

Which statement by the nurse indicates an adequate understanding of violence in the health care setting? a. "Violence is a new problem." b. "Violence can occur anytime and anywhere." c. "Violence is a problem in the acute care setting." d. "Violence occurs mostly in mental health settings."

b. "Violence can occur anytime and anywhere."

Your team leader reminds you that you have forgotten to complete an assigned task. What is an assertive response? a. "Not now; I'm busy." b. "You're right. I did forget. I'll do it now." c. "It's not my fault. You should have reminded me sooner." d. "I'm so sorry I've disappointed you. It won't happen again."

b. "You're right. I did forget. I'll do it now."

Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager: a. "is given information and power through an official position." b. "coordinates group activities toward a common goal." c. "is responsible for developing goals to be accomplished." d. "selects and assumes a role among a group of peers."

b. "coordinates group activities toward a common goal."

The instructor has suggested that the student nurse could improve organizational skills and manage time better by scheduling selected nursing activities in the daily assignment. Which activity should be scheduled? a. Suctioning the tracheostomy tube of a patient b. Administering medications c. Assessing patient knowledge of colostomy care d. Assisting a patient with personal hygiene

b. Administering medications

To optimally use the level of preparation of the LPN, which task should the nurse delegate to the LPN? a. Transporting a patient to the laboratory b. Assisting with a thoracentesis c. Restocking and counting the sterile supplies d. Passing afternoon nutrition supplements and waters

b. Assisting with a thoracentesis

Which action can the nurse take to evaluate an internet resource? a. Assume that the resource is credible if it is on an internet page. b. Determine if the resource provides evidence for claims made. c. Assess the popularity of the resource. d. Determine the date the resource was published; older material is more reliable.

b. Determine if the resource provides evidence for claims made.

The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table) meeting takes less time to come to a decision based on which of the following ideas? a. Contingency-style leadership b. Evidence-based management protocols and interventions c. Autocratic management style d. Presence of a clinical nurse leader (CNL)

b. Evidence-based management protocols and interventions

The nurse manager identifies which of the following as the most critical step in problem solving? a. Brainstorm all possible solutions. b. Identify the problem. c. Evaluate possible solutions. d. Choose a solution.

b. Identify the problem.

Which action shows the cyclical phase of forming? a. A group dissolving b. Individuals coming together with a common bond c. Developing mutual goals d. A group completing tasks together

b. Individuals coming together with a common bond

A nurse is discussing the Pareto principle (80/20 rule), which leads to the idea of total quality management. Which statement indicates an adequate understanding of this principle? a. Peter Pareto b. Joseph Juran c. Phillip Crosby d. Edward Deming

b. Joseph Juran

Which of the following actions by the nurse manager would indicate an autocratic management style? a. Allows staff members to make most of the decisions b. Makes most of the decisions without input from the staff members c. Exerts little control over staff d. Emphasizes effective group functioning

b. Makes most of the decisions without input from the staff members

A nurse is caring for a Latino patient. The nurse is aware of the importance of cultural competency and providing the patient with culturally competent care. What can be done to enhance communication with this patient? a. Use jargon or slang. b. Obtain an interpreter if needed. c. Give longer explanations to enhance understanding. d. Speak loudly to the patient.

b. Obtain an interpreter if needed.

The nurse wants to anticipate patient needs in order to increase patient satisfaction and decrease the use of call bells in the assigned section. What actions can be taken to achieve this? a. Tell patients to turn on their call bells if they need something. b. Perform hourly rounding on each patient. c. Check on the patient every 2 to 3 hours. d. Check on the patient only when medication needs to be

b. Perform hourly rounding on each patient.

nurse feels bullied at work. Which of the following actions should the nurse take first? a. Ignore the bullying. b. Report the bullying. c. Take action against the bully themself. d. Take time off from work.

b. Report the bullying.

Which of the following actions by the nurse leader is most likely to lead to an effective meeting? a. Creating an atmosphere in which people say very little b. Sending out an agenda ahead of time c. Creating well-designed overhead transparencies d. Completing all the tasks of the group

b. Sending out an agenda ahead of time

What is the most consistent concern of the nurse as manager? a. To develop long-range career goals b. To coordinate patient care while meeting the agency goals c. To maintain harmony within the agency d. To organize the subordinates to meet agency goals

b. To coordinate patient care while meeting the agency goals

Which statement by the nurse manager shows understanding of what initiated the development of the team Strategies and Tools to Enhance Performance and Patient Safety (STEPPS)? a. "The increased need for health care coverage" b. "The need for more qualified nurses" c. "A need for a teamwork system focused on improving communication and teamwork" d. "The increased cost of health care"

c. "A need for a teamwork system focused on improving communication and teamwork"

Which statement by the nurse manager indicates understanding of Magnet status? a. "Hospitals are granted Magnet status by the National League of Nursing." b. "The American Nurses Association grants Magnet status." c. "Hospitals are granted Magnet status by the American Nurses Credentialing Center." d. "The National Council of State Boards of Nursing grants Magnet status."

c. "Hospitals are granted Magnet status by the American Nurses Credentialing Center.

A nurse educator is teaching a nurse about research utilization. Which statement by the nurse indicates understanding? a. "Research utilization is the collection of data to answer a specific question." b. "Research utilization is the analysis of the practice context." c. "Research utilization is the process of integrating the findings of completed studies into practice." d. "Research utilization involves application of the findings of one research study."

c. "Research utilization is the process of integrating the findings of completed studies into practice."

The case manager is educating the nurse about health care costs. The case manager knows that the education has been effective when the nurse states: a. "Health care costs are increasing because demand is decreasing." b. "Health care costs are steadily decreasing." c. "The aging population is requiring more health care services, causing the costs to increase." d. "The aging population is requiring less health care services, causing the costs to decrease."

c. "The aging population is requiring more health care services, causing the costs to increase."

Which of the following represents appropriate feedback for an assignment to an LPN? a. "Did you understand the assignment that you received in the staff report?" b. "Have you completed the urinary catheterization and care of the new patient?" c. "The patient in Room 430 looks much better, and you did a good job of making the patient comfortable." d. "I know you are busy; however, you need to get caught up with your pain medications."

c. "The patient in Room 430 looks much better, and you did a good job of making the patient comfortable."

How can the nurse expect to be impacted by nursing informatics? a. The nurse would not be directly impacted unless he or she worked in nursing informatics. b. Nurses at the bedside are minimally impacted. c. Nurses are impacted by the use of barcode medication administration. d. Nurse managers are the only hospital staff who are impacted.

c. Nurses are impacted by the use of barcode medication administration.

What is the nurse's fiscal responsibility to the patient? a. To provide the best health care that the patient can afford b. To provide the best health care that the insurance company will allow c. To use the most cost-efficient resources to provide maximum health care to the patient d. To use the most efficient method of providing nursing care to patients whose resources are limited

c. To use the most cost-efficient resources to provide maximum health care to the patient

Which statement made the by the nurse indicates understanding of how to control the grapevine? a. "Grapevine rumors are generally true." b. "Avoid face-to-face communication." c. "Avoid spreading rumors." d. "Keep rumors circulating."

c. "Avoid spreading rumors."

A nurse manager is educating a new hire on which form of standardized structure is implemented in the hospital during an emergency response. The teaching has been effective when the new hire states: a. "Emergency System for the Advance Registration of Volunteer Health Professionals (ESARVHP) is implemented to coordinate and standardize command and operations." b. "START system of triage is implemented to coordinate and standardize command and operations." c. "Hospital Incident Command System (HICS) is implemented to coordinate and standardize command and operations." d. "Initiation of the Medical Reserve Corps (MRC) is implemented to coordinate and standardize command and operations."

c. "Hospital Incident Command System (HICS) is implemented to coordinate and standardize command and operations."

Which of the following task can the nurse safely delegate to the nursing assistant? a. Assessing the patients who are being discharge later today b. Give discharge instructions to a patient c. Help a patient select food according to their diet d. Educating the patient on what foods to eat for his diet plan

c. Help a patient select food according to their diet

A day shift nurse has come into work and notices that the glucometers were not tested overnight as they typically are. What is the best way for the nurse to question the nurse assistant, in order to give feedback? a. "Why didn't you test the glucometers?" b. "What did you do last night?" c. "How was your night? I noticed the glucometers weren't tested." d. "Couldn't you have asked one of the nurses to check the glucometers if you were busy?"

c. "How was your night? I noticed the glucometers weren't tested."

The charge nurse is educating a nurse on the process of surveillance for the outbreak of disease in the hospital setting. The charge nurse judges the education to be effective when the nurse states: a. "Surveillance is primarily the responsibility of the safety officer." b. "Surveillance is primarily the responsibility of the risk manager." c. "Safety is primarily the responsibility of the infection control nurse." d. "Safety is primarily the responsibility of the hospital surveillance officer."

c. "Safety is primarily the responsibility of the infection control nurse."

The nurse manager has an adequate understanding of research utilization when stating which of the following? a. "In the process of research utilization, the emphasis is on finding new data." b. "A major component of the process is reviewing current nursing practices." c. "The process involves transferring research findings into practice." d. "The process is solely based on critical thinking."

c. "The process involves transferring research findings into practice."

The nurse is making assignments for the team. There are 2 LPNs and a nursing assistant on the team. Which of the following assignments would the nurse choose for themself? a. A patient who had a cerebrovascular accident (CVA) with leftsided paralysis who will need help with bathing b. A patient with a chest tube who is ambulating in the hall c. A patient receiving chemotherapy for bone cancer d. A patient receiving tube feedings with a J-tube

c. A patient receiving chemotherapy for bone cancer

A nurse has been assigned the following patients. Which patient is a priority to assess first? a. A patient with abdominal pain b. A patient who has been NPO all morning and wants to eat c. A patient with pneumonia and O2 saturation of 88% d. A patient complaining of ear pain

c. A patient with pneumonia and O2 saturation of 88%

An experienced nursing assistant could be assigned by the nurse to do which of the following? a. Help in the teaching of new diabetic clients to give themselves injections. b. Report on quality and quantity of urine and adjust drip rate on continuous bladder irrigation. c. Assist the client to obtain a clean-catch urine specimen. d. Chart the dietary intake for a client with an eating disorder

c. Assist the client to obtain a clean-catch urine specimen.

A nurse is caring for a group of sick patients. Which patient would the nurse be less likely to use isolation precautions with? a. Tuberculosis (TB) b. Plague c. Botulism d. Smallpox

c. Botulism

In understanding terrorist threats as they relate to public health and medical preparedness, the nurse understands the current acronym that categorizes the scope of threats is a. BOMB. b. THREAT. c. CBRNE. d. ESAR-VHP.

c. CBRNE.

The nurse manager tells the patient that he must eat his breakfast before getting out of bed. What type of power is the nurse manager using? a. Legitimate power b. Expert power c. Coercive power d. Referent power

c. Coercive power

nurse is unhappy about the way medications are being administered on the unit. What does the nurse need to do first to facilitate a change in the process? a. Initiate a new method starting with assigned patients. b. Discuss concerns with fellow nurses. c. Develop a better method to administer the medications. d. Inform the charge nurse of how it can be done better.

c. Develop a better method to administer the medications.

What action would be an appropriate first step for the nurse to take toward becoming an effective manager? a. Learn how to effect and direct the change process. b. Assess individuals' sources of power. c. Develop communication and interpersonal skills. d. Implement effective nursing care plans.

c. Develop communication and interpersonal skills.

Which unit's responsibilities include triage of victims at a disaster site, medical care at the site, and staging locations outside the disaster site for transportation of patients to alternative health care facilities? a. Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) b. Medical Reserve Corps (MRC) c. Disaster Medical Assistance Teams (DMAT) d. NIMS National Incident Management System (NIMS)

c. Disaster Medical Assistance Teams (DMAT)

A nurse manager is brainstorming quality improvement methods. Which action would help implement these methods on the assigned unit? a. Continue without change. b. Resist change from upper management. c. Empower employees to carry out needed strategies for change. d. Agree to change what is directly beneficial.

c. Empower employees to carry out needed strategies for change.

Which task could a staff nurse delegate to a certified nursing assistant (CNA)? a. Evaluating a patient's response to pain b. Making rounds with a physician c. Feeding a stroke patient who has minimal dysphagia d. Assessing a patient's central venous line site

c. Feeding a stroke patient who has minimal dysphagia

What would be a good assignment for an experienced nursing assistant? NURSINGTB.COM NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST BANK NURSINGTB.COM a. Help teach patients newly diagnosed with diabetes to give themselves injections. b. Report on the quality and quantity of urine on a continuous bladder irrigation. c. Obtain a clean-catch urine specimen from a patient. d. Chart a diet for a patient with an eating disorder.

c. Obtain a clean-catch urine specimen from a patient.

A nurse wants to implement a change in the work environment. Which of the following actions would be the most important thing to do? a. Ask for suggestions from peers working in other institutions. b. Explain to coworkers how a different plan would work better. c. Seek input from coworkers from the beginning. d. Incorporate all suggestions into the plan before implementing.

c. Seek input from coworkers from the beginning.

A nurse is using the decision-making process. Which action should be taken first? a. Evaluate the outcome. b. Identify and evaluate options. c. Set the objective. d. Implement the options.

c. Set the objective.

A nurse is passing medications when interrupted by a colleague. Upon resuming work, the nurse realizes a medication was given to the wrong patient. What should the first action be? a. Document the medication error according to hospital policy. b. Keep the medication error to themself. c. Tell her immediate supervisor or charge nurse. d. Keep the medication error to themself, but assess the patient every hour.

c. Tell her immediate supervisor or charge nurse.

A nurse has been floated to another department, and things are not going well. What should the nurse do? a. Leave the unit. b. Refuse to provide care to the patients. c. Tell the immediate supervisor. d. Keep any problems to themselves

c. Tell the immediate supervisor.

The continuous quality improvement (CQI) committee has performed a retrospective chart audit to investigate whether outcomes recorded in each nursing care plan are patient centered and written in behavioral terms. The expected standard is 98% compliance. The sample size was 200. Results showed that 180 charts met the standard. What assessment can be made? a. The standard was met. No action plan is necessary. b. The standard was not met, but no action plan is necessary because the rate of compliance was close to the standard. c. The standard was not met. An action plan should be developed. d. The standard was not met. An immediate re-audit is necessary.

c. The standard was not met. An action plan should be developed.

A nurse is interested in moving into a management position. Which action would assist with accomplishing this? a. Use of reward power b. Use of coercive power c. Use of expert power d. Use of legitimate power

c. Use of expert power

What action can nurses take to be fiscally responsible? a. Give patients their discharge instructions and let them determine if the cost of their medications fit into their budget. b. Allow nurses to work on the unit when the census drops. c. Use proper hand hygiene. d. Document minimally on each patient.

c. Use proper hand hygiene.

The nurse interprets assertive behavior as a. apologetic. b. coercive. c. direct. d. self-denying.

c. direct.

The primary role of The Joint Commission (TJC) is a. granting magnet status to excellent hospitals. b. lobbying Congress on behalf of Medicare/Medicaid patients. c. ensuring medical facilities meet patient safety guidelines. d. inspecting hospitals for compliance of infection control standards.

c. ensuring medical facilities meet patient safety guidelines.

To provide quality care, the Affordable Care Act of 2010 a. reduced the number of patients accepted into Medicaid. b. kept the Medicaid system the same. c. made changes to slow growth in spending. d. increased Medicaid spending to ensure adequate patient care.

c. made changes to slow growth in spending.

A member of a nursing committee frequently disregards the rules of the group and feels that the rules do not apply to the member personally. The president of the committee recognizes the term that best describe this person a. critical conservative. b. motor mouth. c. self-server. d. mouse.

c. self-server.

A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers. The nurse manager judges the teaching to be effective when the coworker states: a. "National Council of State Boards of Nursing has a role in overseeing any environmental hazard." b. "American Nurses Credentialing Center oversees all environmental hazards in the United States." c. "Ambulatory Care Nursing Administration and Practice oversees only local environmental hazards." d. " The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."

d. " The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."

Which statement by the nurse indicates understanding of the General Systems Theory? a. "It is a 5-step process of an individual's decision to adopt an innovation." b. "It is known as a change theory." c. "It includes knowledge, persuasion, decision, implementation, and confirmation." d. "It organizes interdependent parts working together to produce a product that none used alone could produce."

d. "It organizes interdependent parts working together to produce a product that none used alone could produce."

The nurse manager is educating a new hire on The Joint Commission (TJC). The manager tells the new hire that TJC mandates the use of continuous quality improvement and measurement of specific quality outcomes for patients with certain diagnoses. The teaching has been effective when the new hire states: a. "These mandates include patients admitted with Acute MI and COPD." b. "Outcomes measures are mandated for patients with a diagnosis of congestive heart failure and brain attack." c. "Acute renal failure and deep vein thrombosis have mandated outcomes by The Joint Commission." d. "Outcome measures are mandated for patients admitted with community-acquired pneumonia and congestive heart failure."

d. "Outcome measures are mandated for patients admitted with community-acquired pneumonia and congestive heart failure."

A nursing instructor is educating a group of student on research utilization. The teaching has been effective when a student states: a. "Research utilization is using the results of a single study in nursing practice." b. "Research utilization is the collection of data to answer a research question." c. "Research utilization is a review of nursing practice." d. "Research utilization is the process of transferring research findings into clinical practice."

d. "Research utilization is the process of transferring research findings into clinical practice."

The nurse manager has an adequate understanding of root cause analysis when stating which of the following? a. "Root cause analysis determines who to place the blame on." b. "Root cause analysis can identify some factors leading up to an error." c. "Root cause analysis is rarely conducted effectively." d. "Root cause analysis investigates the root causes of events that occur."

d. "Root cause analysis investigates the root causes of events that occur."

The nurse has an adequate understanding of the informatics nurse (IN) and informatics nurse specialist (INS) when making which of the following statements? a. "The IN/INS does not require any computer or network knowledge on entry into the profession." b. "The IN/INS does not interact directly with clinical staff." c. ""The IN/INS does not need prior knowledge of software or hardware implementation." d. "The IN/INS should be prepared to help with system implementation."

d. "The IN/INS should be prepared to help with system implementation."

The nurse understands that the following statement is true about patient classification systems? a. "The systems measure all the needs of patients." b. "The systems provide an absolute formula for unit staffing." c. "The systems should not be used to make patient care assignments because acuity systems are more accurate." d. "The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget."

d. "The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget."

The nurse calls a physician to come to the unit to assess a patient. Which of the following is the most effective telephone communication by the nurse? a. "This is the 4100 unit troublemaker again. You probably ought to come to the unit to see Mr. Samuels. His condition doesn't seem right." b. "This is Ann Allen on 4100. I don't quite know what to think about Mr. Samuels. I think his condition is deteriorating, and I'd like to have you see him." c. "Sorry to bother you. This may not be important, but I'm not completely comfortable with Mr. Samuel's response to care. His blood pressure has dropped, and his pulse is elevated." d. "This is Sheila Ryan on 4100 calling regarding your patient, Mr. Samuels. His BP has dropped from 130/90 at 8 am to 100/70 at 10 am. His pulse has risen from 80 to 100, and he seems restless. He received his 8 am Cardizem."

d. "This is Sheila Ryan on 4100 calling regarding your patient, Mr. Samuels. His BP has dropped from 130/90 at 8 am to 100/70 at 10 am. His pulse has risen from 80 to 100, and he seems restless. He received his 8 am Cardizem."

The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice? a. Begin discharge planning as soon as it is evident when a patient will be discharged. b. Encourage patients to consider being admitted the evening before a major surgical procedure. c. Use unlicensed personnel as much as possible in the delivery of nursing care. d. Accurately document the current status of a patient with regard to the patient's ongoing needs.

d. Accurately document the current status of a patient with regard to the patient's ongoing needs.

A case manager is educating a patient on health care insurance. Which statement by the patient shows that the teaching has been effective? a. "All health care is covered by insurance." b. "Insurance does not cover inpatient hospital stays." c. "All health care coverage is the same." d. All health insurance companies have rules about what services will be covered."

d. All health insurance companies have rules about what services will be covered."

The nurse understands the process of research utilization when the nurse does not complete which of the following steps? a. Assessing patient care b. Planning for the patient's needs c. Implementing a plan of care d. Guessing the extent of care needed

d. Guessing the extent of care needed

In considering the overall task of the team, what issues should be considered in the care of the patient? a. Nursing care plan, religious preference, and financial base b. Physician's orders, nursing actions, and religious preference c. Family needs, physician's orders, nursing diagnosis, and religious preference d. Physician's treatment plan, nursing plan of care, and needs of the patient and family

d. Physician's treatment plan, nursing plan of care, and needs of the patient and family

The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error? a. Advise the health care provider that the order must be written on the chart within the next 24 hours. b. Ask the nurse in charge to come to the phone to take the order. c. Write the order without using any unclear or unapproved abbreviations. d. Repeat the order, write the order verbatim, and read it back to the provider.

d. Repeat the order, write the order verbatim, and read it back to the provider.

Dr. Jones asks you to give a medication to one of the patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says, "Give the medication or I'll report this to your supervisor." What is the best assertive response? a. Agree to give the medication and hope no one finds out. b. Say, "I won't give the medication, and I don't care who you talk to about it." c. Walk away and ignore Dr. Jones. d. Say, "Perhaps you and I could talk this over with my supervisor together."

d. Say, "Perhaps you and I could talk this over with my supervisor together."

Which of the following nursing activities are necessary to provide evidence-based nursing care? a. Maintaining self-directed practice and using the Internet to locate relevant research articles b. Having an advanced degree (CNS or FNP) and providing clinical supervision for peers c. Attending continuing education programs and working toward a graduate degree in nursing d. Systematically integrating nursing research findings and applying relevant evidence to practice

d. Systematically integrating nursing research findings and applying relevant evidence to practice

What does research utilization on an inpatient unit require? a. A nursing theoretical framework should be followed. b. Orem's theory of self-care requisites should be followed. c. Only the nurses should participate in the implementation. d. The implementation should be consistent with the nursing framework in the practice context.

d. The implementation should be consistent with the nursing framework in the practice context.

What are potential causes of performance inadequacies? a. The person to whom the task was assigned had appropriate educational qualifications to complete the task. b. The task was assigned to a person capable of carrying out the assignment. c. The person who delegated the task confirmed the recipient's ability to perform the task. d. The person to whom the task was assigned did not understand what the task involved.

d. The person to whom the task was assigned did not understand what the task involved.

Which statement is true about patient classification systems? a. The systems measure all the needs of patients. b. The systems provide an absolute formula for unit staffing. c. The systems should not be used to make patient care assignments because acuity systems are more accurate. d. The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget.

d. The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget.

What is the importance of using classification systems for nursing nomenclature to describe nursing practice? a. To provide a system to develop and use a patient care management system b. To allow nursing administration to project, define, and implement nursing care policies and guidelines c. To assist the quality control team to survey and gather data that will reflect the acuity classification of patients d. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record

d. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record

A nurse manager is educating a group of nurses on biological agents that do not have a chemoprophylaxis therapy and only allows for the nurse to provide supportive care. The manager judges the teaching to be effective when the nurses can state: a. "Anthrax is one of these biological agents." b. "The plague is one of these biological agents." c. "Smallpox is one of these biological agents." d. "Botulism is one of these biological agents."

d. "Botulism is one of these biological agents."

The graduate nurse has an adequate understanding of effective listening when stating which of the following? a. "Limited level of vocabulary often affects listening skills," b. "Underdeveloped attention span affects listening skills." c. "External noise distractions affect listening skills." d. "Emotional reactions interfere with the actual message."

d. "Emotional reactions interfere with the actual message."

The nurse is using assertive communication skills to express self rights, when stating: a. "I shield others from my anger." b. "I do not compromise." c. "I am avoiding direct confrontation." d. "I am responsible for what I say."

d. "I am responsible for what I say."

A nurse is meeting with the nurse supervisor to discuss an issue with a coworker. Which of the following statements would help the nurse effectively communicate with the supervisor? a. "This is all my coworker's fault. I never do anything wrong." b. "My coworker always makes 100 excuses to get out of work." c. "I knew you would be on their side." d. "I feel upset that my coworker seems to have less work than I do."

d. "I feel upset that my coworker seems to have less work than I do."

A nurse manager has an adequate understanding of their nursing role when making which of the following statements? a. "A manager selects or assumes a role." b. "I have the same function as a floor nurse." c. "I have the same authority as the director of the hospital." d. "I was appointed to my role."

d. "I was appointed to my role."

Which statement by the nurse is accurate regarding the current health care American's receive? a. "The distribution of services is efficient across the population." b. "The distribution of care is even across the population." c. "Access to care related to income is improving." d. "Many Americans receive care that causes harm."

d. "Many Americans receive care that causes harm."

The nurse is educating a nursing student on the difference between the informatics nurse and the informatics nurse specialist. The teaching has been effective when the nursing student states: a. "The informatics nurse has a graduate degree." b. "The informatics nurse specialist has experience in informatics but no advanced degree." c. "The informatics nurse supports consumers." d. "The informatics nurse specialist has an advanced degree."

d. "The informatics nurse specialist has an advanced degree."

The nurse receives report on an assigned group of patients. Which patient would the nurse assess first? a. A patient 2 days postoperative who is complaining of pain b. An older adult patient reported to have increasing lethargy and confusion c. A newly admitted patient with a serum blood urea nitrogen (BUN) of 32 mg/dL d. A hypertensive patient complaining of severe midsternum pain

d. A hypertensive patient complaining of severe midsternum pain

If many complaints arise about a newly developed procedure, what is the best way to handle them? a. Discontinue the change because it is not working. b. Persuade a few friends to talk positively about it. c. Consider the complaints as indications that change is being resisted. d. Analyze the complaints and alter the plan as needed.

d. Analyze the complaints and alter the plan as needed.

The charge nurse is determining which activities to delegate to the nursing assistant. Which of the following would not be appropriate for the charge nurse to delegate to the nursing assistant? a. Changing soiled linen b. Taking a blood pressure on someone receiving blood c. Removing a urinary catheter d. Assessing a patient's lung sounds

d. Assessing a patient's lung sounds

The nurse has a full assignment. The charge nurse adds a newly admitted patient who will require close monitoring. Which task can the nurse delegate to the CNA who is co-assigned to the same patients? a. Teaching Mr. Z insulin self-administration b. Updating Mrs. W's care plan c. Evaluating goal attainment for Mr. Y, who is learning to walk with a below-the-knee prosthesis d. Bathing Miss X, an unconscious patient

d. Bathing Miss X, an unconscious patient

A nurse believes to be bullied at work. Which of the following actions by the perpetrator lead them to believe this? a. Offering to help with their assignment b. Asking them to switch a shift c. Asking them to cover for a break d. Being given the "silent treatment"

d. Being given the "silent treatment"

A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess? a. Informational b. Legitimate c. Reward d. Expert

d. Expert

Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage? a. Expectant b. Delayed c. Minor d. Immediate

d. Immediate

The nurse has just given a patient a narcotic for pain relief. Because the nurse must leave the unit for lunch and a 1-hour meeting, the task of evaluating the patient's response to the pain medication must be delegated. To whom should the nurse delegate this responsibility? a. Nursing assistant b. Student nurse c. Licensed practical nurse d. Nurse manager

d. Nurse manager

A nursing student is interested in the field of nursing informatics. What should the student do to prepare for a career in this specialty as a nurse leader? a. Obtain a baccalaureate degree in nursing, b. Complete 5 years on a medical-surgical unit, c. Obtain critical care experience, d. Obtain a graduate degree,

d. Obtain a graduate degree,

A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month. The control phase of management requires that the nurse manager take action. What should the nurse manager do? a. Post the report for staff to read. b. Pull a couple of the nurses aside and discuss the issue with them. c. Send an email out to the staff with information regarding upcoming infection prevention conference. d. Provide a mandatory handwashing in-service to all staff

d. Provide a mandatory handwashing in-service to all staff

After the September 11, 2001, attack on the United States, President George W. Bush created what agency in response to the terrorist attacks? a. The Incident Command System (ICS) b. The Office of Emergency Response (OER) c. The Federal Emergency Management Agency (FEMA) d. The Department of Homeland Security (DHS)

d. The Department of Homeland Security (DHS)

A nurse is feeling overwhelmed and has determined to delegate some of the tasks to the LPN he//she is working with. Which of the following would be most appropriate for the nurse to delegate? a. An initial assessment on a new patient b. Educational teaching on diabetes management c. Creating a care plan for a patient d. Updating the care plan for a patient who is postop day 2

d. Updating the care plan for a patient who is postop day 2

Determine how the nurse's role is different from that of the LPN in assessment of the patient. a. Collects data during the health history and physical exam b. Contributes to the development of the care plan c. Assist in updating the care plan d. Uses findings from the assessment to create a care plan

d. Uses findings from the assessment to create a care plan

A graduate nurse is observing nurses on a busy surgical unit. The graduate nurse notices that the nurses work together as an interchangeable part of the team and have an appropriate level of skills. When questioned by the charge nurse, the graduate nurse identifies this type of team as a. potential. b. pseudo. c. basic. d. real.

d. real.