Leadership mod 1

Which statement would be the most effective first step by the charge nurse in initiating the conflict resolution process between two staff members angry at each other about a patient incident? A. "I'd like for both you to tell me in your own words what happened this morning." B. "You two will work on opposite hallways today and we will discuss this tomorrow." C. "You both need to remember to conduct yourselves in a more professional manner." D. "What would you two suggest that we do to resolve this situation today?"

A. "I'd like for both you to tell me in your own words what happened this morning."

A nurse who is having difficulty operating the IV pump ask the charge nurse for help. The charge nurse rolls her eyes and replies "Well, aren't you smart? Go figure it out". What is the new nurse's best response? A. "When you talk to me that way, I feel angry. Please help me learn what I need to know." B. "If you don't stop talking to me that way I am going to report you to the risk manager." C. "I guess I can figure it out. I will try to make it work and let you know if I have more trouble." D. "Well fine, I will ask someone else to help me since you are obviously too busy to care."

A. "When you talk to me that way, I feel angry. Please help me learn what I need to know."

Which is true regarding followership and leadership? A. A good follower is not just skilled but also self-directed B. Effective leadership is more important than followership C. Good leaders do not need to be good followers D. Critical thinking is only required for effective leadership

A. A good follower is not just skilled but also self-directed

Which of the following represent the knowledge and skills expected of the professional nurses? SATA A. Accountability B. Advocacy C. Autonomy D. Social networking E. Participation in nursing blogs

A. Accountability B. Advocacy C. Autonomy

A nurse director in an adult intensive care unit has noticed increased stress in the staff's work life. The unit has been caring for patients with higher acuity since the Covid pandemic. What is the most likely reason for staff's increased stress? A. An increased number of patients requiring resuscitation B. Dealing with inexperienced medical residents C. The number of patients requiring family at the bedside D. Aggressive visitors demanding to see patients

A. An increased number of patients requiring resuscitation

Effective nurse leaders: SATA A. Are also good followers B. Effectively work together with shared goals C. Never act on their ideas D. Have masters degrees

A. Are also good followers B. Effectively work together with shared goals

The Situational leadership model focuses on: A. both followers and the task B. The task C. The follower D. The behavior of others

A. Both followers and the task

What scenario is most likely considered sexual harassment? A. Commenting on a coworker's gender B. Asking a coworker out on a date C. Telling jokes D. Asking about a coworker's family

A. Commenting on a coworker's gender Commenting on an individual's gender or body most likely is sexual harassment. Telling jokes is not sexual harassment. However, if the jokes were sexual in nature it could be sexual harassment. Asking a coworker out on a date is not considered sexual harassment. However, continuing to ask for a date after the other person has expressed disinterest could be sexual harassment. Asking about a coworker's family is not sexual harassment. Asking about a coworker's sexual activities or preferences is sexual harassment.

Which of the following best describes why health care is stressful? A. Continued intensive contact occurs with noncompliant patients B. Small stressors may accumulate quickly C. Outside demands can be a major source of stress D. Most nurses learn how to manage stress

A. Continued intensive contact occurs with noncompliant patients

What is the best action a nurse manager can take to help reduce stress for the nursing team? A. Establish peer support groups B. Provide directions for exercise routines C. Address the staff member's spiritual concerns D. Use cognitive behavioral training

A. Establish peer support groups

A nurse is on orientation in a health care facility that uses a patient electronic health records patient. What statements indicate the nurse is knowledgeable about this system? Select all that apply. A. It is important to log out of the computer when no longer using the system B. It is easy to use the system to access information for patient teaching C. Patient information is immediately available when using the system D. Nurses do not make any medication errors when using the system E. Data collected from the system can be used to identify best care practices

A. It is important to log out of the computer when no longer using the system B. It is easy to use the system to access information for patient teaching C. Patient information is immediately available when using the system E. Data collected from the system can be used to identify best care practices

Effective nurse managers have: SATA A. Leadership capabilities B. Clinical expertise C. Business sense D. Budgeting savvy

A. Leadership capabilities B. Clinical expertise C. Business sense D. Budgeting savvy

A RN conducting discharge teaching for a patient realizes that the patient does not have the skills needed to access and use health information. This situation describes which barrier to effective communication in health care? A. Low health literacy B. Cultural competency of health-care providers C. Cultural diversity D. Communication skills of health-care providers

A. Low health literacy

A nurse has been offered an opportunity to take a nursing management course. Which topic is most important for her to learn? A. Managing people B. Managing the unit's budget C. Planning for the future D. Redesigning the units workflow

A. Managing people

A nurse is preparing a professional development presentation on workplace incivility. What should the nurse discuss during the presentation? Select all that apply. A. Reporting the behaviors using the facility's incivility report form B. Discussion between the nurse and healthcare providers about a patient's condition C. Teasing that occurs between nurses, healthcare providers, and other employees D. Personal insults, and then ignoring a person as if that person is not present E. Verbal intimidation of nurses and invasion of personal space by healthcare providers

A. Reporting the behaviors using the facility's incivility report form C. Teasing that occurs between nurses, healthcare providers, and other employees D. Personal insults, and then ignoring a person as if that person is not present E. Verbal intimidation of nurses and invasion of personal space by healthcare providers

Which of the following best describes an example of provision 3 of ANA code of ethics: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient"? A. Respecting the patients privacy and confidentiality when caring for them B. Serving on a committee that will improve the environment of the patient care C. Maintaining professional boundaries when working with a patient D. Caring for oneself before trying to care for another person

A. Respecting the patients privacy and confidentiality when caring for them

A male nurse, invited to dinner and drinks by his female direct supervisor, finds himself faced with a situation of quid pro quo. What tactics should the male nurse use address the situation? Select all that apply A. Seek support from friends and family B. Apply for an extended leave of absence C. Immediately confront the supervisor D. Report the incident to a higher authority E. Thoroughly document the incident

A. Seek support from friends and family C. Immediately confront the supervisor D. Report the incident to a higher authority E. Thoroughly document the incident

Which of the following is true regarding sexual harassment? A. Sexual harassment is prohibited by the Civil Rights Act of 1964 B. Men are not harassed by women C. Quid pro quo is the most common sexual harassment claim D. A work environment must be proven to be psychologically injurious to be considered hostile

A. Sexual harassment is prohibited by the Civil Rights Act of 1964

Emotionally intelligent leaders must develop which skill? A. The ability to encourage and accept constructive criticism B. Working individually to complete all assigned tasks alone C. Effective encouragement of others to work efficiently and independently D. Minimizing one's own emotions, instead of seeking to understand the emotions of others

A. The ability to encourage and accept constructive criticism

The nurse caring for a patient newly diagnosed with diabetes determines the patient is ready to learn how to administer insulin. Which member of the interprofessional team can best assist the patient learn about insulin injections? A. The diabetic educator B. The hospital pharmacist C. The unit charge nurse D. The registered dietitian

A. The diabetic educator

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical? A. The hospital was supportive and assistive as the nurse coped with this event B. The nurse was dismissed for incompetence C. The hospital quality department advised that the nurse not tell the patient about the error D. The nurse was registered to an area in which there is no direct patient care responsibility

A. The hospital was supportive and assistive as the nurse coped with this event

A new nurse on a busy intensive care unit thinks constantly about potential mistakes and has started dreading going to work. This nurse uses alcohol to relax. What statement about the nurse is most likely true? A. The nurse's stress level is too high B. The nurse is a victim of bullying C. The nurse is a victim of sexual harassment D. The nurse is unprepared to be on a high acuity unit

A. The nurse's stress level is too high

Which individual is most likely to feel empowered in the workplace? A. The staff nurse who helped develop a new policy for hourly rounding B. The nurse manager who is completing the holiday work schedule C. The charge nurse who worked an extra shift for a fellow employee D. The UAP who was approved to take time off for nursing school

A. The staff nurse who helped develop a new policy for hourly rounding

Professional accountability serves the following purposes: SATA A. To provide a basis for ethical decision making B. To respect the decision of the patient C. To maintain standards of health D. To evaluate new professional practices and reassess existing ones E. To belong to a professional organization

A. To provide basis for ethical decision making B. To respect the decision of the patient C. To maintain standards of health D. To evaluate new professional practices and reassess existing ones

Which is the best recommendation for effective communication between shifts? A. Use a worksheet to keep track of data provided during hand-off communication B. Always end with identifying the patient and health-care provider C. Consistently use the same process for hand-off communication D. Use walking rounds after report to facilitate communication during hand-offs

A. Use a worksheet to keep track of data provided during hand-off communication

Which statement is true about virtue ethics? A. Virtue ethics focuses on moral character, rather than rules for behavior B. Virtue ethics attributes behaviors to moral rules C. Virtue ethics attributes behaviors to knowledge of consequences D. Virtue ethics is a formal statement of rules for behavior

A. Virtue ethics focuses on moral character, rather than rules for behavior

Which of the following is unique to a professional standard of decision making? SATA A. Weighs benefits and risks when making a decision B. Analyzes and examines choices more independently C. Concrete thinking D. Anticipates when to make choices without others assistance

A. Weighs benefits and risks when making a decision B. Analyzes and examines choices more independently

Two graduate nurses are discussing a recent in-service on evidence based practice. Which statement indicates the nurses understand the most important role of new nurses in research activities? A. "We need to identify research participants for the hospital's safety committee " B. "We should recommend the new skin care protocol from the research article we read in the American Journal of Nursing." C. "I'll bet that we could help Dr. J with the research he is doing on that new drug for heart disease." D. "How about we write our own research proposal for a study that focuses quality improvement?"

B. "We should recommend the new skin care protocol from the research article we read in the American Journal of Nursing"

Which piece of information would be most critical for the nurse to include in change-of-shift report? A. "Mr. George's bid wound care was last completed at 0900 this morning." B. "The x-ray to verify placement of Mr. Smith's new Dobbhoff tube has not been done." C. "The new surgery patient in 210 has had stable vital signs since he arrived on the unit." D. "The post-op patient in 209A has not received pain medication in the last four hours."

B. "the x-ray to verify placement of Mr. Smith's new Dobbhoff tube has not been done"

In which clinical situation is the autocratic (authoritarian) leadership style most effective for the nurse in charge? A. A patient with active tuberculosis who is threatening to leave the hospital B. A post cardiac catheterization patient bleeding from the femoral puncture sight C. A staff member who has refused to provide care to a patient with AIDS D. Two staff members arguing in the hallway about the fairness of their assignments

B. A post cardiac catheterization patient bleeding from the femoral puncture site

When should a new grad nurse consider taking on management responsibilities? A. As soon as they are offered B. After developing clinical expertise C. After 15 years on the job D. Before developing leadership expertise

B. After developing clinical expertise

A registered nurse (RN) is caring for a patient who has refused chemotherapy. As the health-care team discusses the reasons why the patient should receive chemotherapy, the RN forcefully restates the patient's wishes. Which type of communication does this scenario best demonstrate? A. Interpersonal communication B. Assertive communication C. Aggressive communication D. Transactional communication

B. Assertive communication Assertive communication involves standing up for oneself and one's patients and their rights without violating the rights of others. Aggressive communication involves forcing one's wishes or ideas on others. Interpersonal communication provides an opportunity to reflect, construct personal knowledge, and develop collective knowledge. Transactional models of communication consider all individuals to be in the process of sending, receiving, and interpreting messages at the same time.

A patient asks a nurse if he has to agree to the health providers treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying? SATA A. Beneficence B. Autonomy C. Veracity D. Justice

B. Autonomy

A task force has been appointed to solve problems with the handling of spills of chemotherapeutic agents in the hospital. Task force membership should include representatives from which disciplines? Select all that apply. A. Case management B. Environmental services C. Nursing D. Pharmacy E. Respiratory therapy

B. Environmental services C. Nursing D. Pharmacy

a unit team leader who fails to provide direction to their team is a(n): A. Democratic leader B. Laissez-faire leader C. Autocratic leader D. Situational leader

B. Laissez-faire leader

What is the difference between management and leadership? A. Management focuses on the budget B. Management is an assigned position C. Leadership is not concerned with getting work done D. Leadership is more focused on people

B. Management is an assigned position

The potential transmission of hospital acquired infections are decreased by the use of which policy? A. Requiring all chemical spills to be investigated and cleaned up by the safety and health committee B. Placing all new patients with a recent history of methicillin-resistant staphylococcus aureus on contact isolation C. Requiring all employees to attend an annual competency on commonly used hospital equipment D. Changing to all latex free products and supplies in the emergency department

B. Placing all new patients with a recent history of methicillin-resistant-staphylococcus aureus on contact isolation

Which is a rule of netiquette to follow when sending professional e-mails to others in the organization? A. Online behavior requires different rules from in-person behavior B. Proofread e-mails before sending them. C. Capitalize important words to reinforce points D. Send the information to anyone who might find it helpful

B. Proofread emails before sending them

The purpose of learning how to negotiate conflict is to: A. Eliminate conflict entirely B. Resolve conflicts more effectively C. Win D. Reduce stress

B. Resolve conflicts more effectively

Which action is the best example of a RN demonstrating leadership skills? A. Assigning team members to attend various sessions of a mandatory in-service B. Showing team members how to perform a complicated wound care procedure C. Designating which team members will complete the quality improvement surveys D. Scheduling team members for lunch breaks and special duties during the shift

B. Showing team members how to perform a complicated wound care procedure

Effectively followers are those who are: A. Passive employees B. Skilled and self-directed employees C. Less valuable employees D. Employees who are never supportive of new ideas

B. Skilled and self-directed Employees

What is a reason that it can be difficult to get to the bottom of an issue? A. Issues are emotionally charge B. Sometimes the parties involved are uncertain about what the problem really is C. Listening carefully will make what other people are saying clear D. A clearly defined scope of practice may be missing

B. Sometimes the parties involved are uncertain about what the problem really is

A new manager knows that he has a lot to learn, what should he tell his staff? A. Nothing; he should pretend he has experience B. That he is still leaning too and values their input C. That the staff needs to manage themselves D. How little he knows about management

B. That he is still learning too and values their input

Which actions by the nurse manager demonstrate the application of Theory X in the workplace? Select all that apply. A. The nurse manager promises unit staff members a pizza party if patient satisfaction scores increase 10% B. The nurse manager tells nursing staff that overtime will be mandatory if they do not volunteer for extra shifts C. The nurse manager threatens a nurse who stays late to complete patient documentation with disciplinary action D. The nurse manager makes all patient room assignments instead of allowing the charge nurse to make assignments E. The nurse manager makes frequent rounds on the unit to assure staff members are completing their assigned duties

B. The nurse manager tells nursing staff that overtime will be mandatory if they do not volunteer for extra shifts C. The nurse manager threatens a nurse who stays late to complete patient documentation with disciplinary action D. The nurse manager makes all patient room assignments instead of allowing the charge nurse to make assignments E. The nurse manager makes frequent rounds on the unit to assure staff members are completing their assigned duties Theory X type managers believe employees avoid work because they dislike it. Employees must be controlled, directed and threatened to make them work. Employees are motivated by punishment. Answer A is theory Y

A charge nurse frequently criticizes a new nurse's job performance in front of the new nurse's coworkers. This causes the new nurse to experience a high stress level. What action can best help the new nurse cope with this increased stress? A. Request a transfer to a different nursing unit B. Teach the charge nurse how to treat him/her C. Work hard to finish all nursing tasks early D. Enroll in an advanced degree nursing program

B. teach the charge nurse how to treat him/her

Which statement by the staff nurse best indicates the unit's nurse manager does not have good leadership skills? A. "He is so disorganized and the work schedule is never completed on time." B. "He always comes in late, takes several long breaks, and leaves early." C. "He is just not able to inspire our group to get the work accomplished." D. "He seems to be unable to work well with people in other departments."

C. "He is just not able to inspire our group to get the work accomplished" Good leaders are those who engage others to work together effectively in pursuit of shared goals. Being disorganized, never completing the schedule on time, coming in late, taking long breaks, leaving early, and being unable to work well with people in other departments describe a poor manager. Leadership is much broader the management. An effective leader can have poor management skills.

A registered nurse (RN) is caring for a patient who is a Jehovah's Witness. The patient's hemoglobin is dangerously low. After providing information about alternative treatments and their associated risks and benefits, the patient refuses a blood transfusion. The RN knows this is an example of which ethical principle? A. Distributive justice B. Beneficence C. Autonomy D. Nonmaleficence

C. Autonomy

After spending a month as a patient on the surgical unit, the patient returns to visit on Christmas and brings a gift to a special nurse. This is an example of what type of boundary offense? A. Inappropriate conduct B. Boundary violation C. Boundary crossing D. Professional misconduct

C. Boundary crossing

Nurse managers need several qualities to be effective. A nurse manager is working hard to fully understand how patient outcomes are measured on the unit and how budget changes could impact patient outcomes. Which of the following qualities does this best describe? A. Leadership B. Clinical expertise C. Business sense D. Financial management

C. Business sense

When transcribing orders for a patient, a nurse finds a new order for aspirin 325mg po daily. The patient has a previous history of coronary artery disease and osteoarthritis. Lab values include: H&H - 13 & 38, WBCs 9000, and platelets 88,000. Based on this data, the nurse should take which action? A. Give the medication as ordered B. Hold the drug and document the reason the drug was held C. Call the physician to verify the order D. Ask the patient if aspirin is a routine home medication

C. Call the physician to verify the order The platelets are low

Servant leadership focuses on: A. Helping patients care for themselves B. Removing incompetent managers C. Creating a supportive work environment D. Resolving conflict quickly

C. Creating a supportive work environment

Autocratic leaders: A. Postpone decision making as long as possible B. Share leadership with members of the team C. Give orders and make decisions without consulting the team D. Encourage creativity when problem solving

C. Give orders and make decisions without consulting the team

What is true regarding horizontal violence? A. New graduates often experience incivility from their superiors B. Bullying only occurs as horizontal violence C. Horizontal violence is a sentinel event D. Horizontal violence is rare on nursing units

C. Horizontal violence is a sentinel event

A new nurse is thinking about the ways to demonstrate leadership at work. Which is true about leadership? A. Only experienced nurses can demonstrate leadership B. Only high-level positions require leadership skills C. Leadership is a component of nursing practice D. Leadership depends on the actions of others

C. Leadership is a component of nursing practice

A nurse checks her work e-mail for policy updates and spends about 5 minutes deleting spam messages. What term is used by transactional models to describe spam messages? A. Senders of communication B. Receivers of communication C. Noise D. Time wasters

C. Noise

A nurse fails to follow established protocols for IV therapy and places the patient at risk for infection. Which ethical principle has the nurse violated? A. Justice B. Veracity C. Nonmaleficence D. Fidelity

C. Nonmaleficence

Which situation is an example of incivility in the workplace? A. Giving one nurse, who is suffering a family crisis, a light assignment, which means the other nurses have to do more B. Discussing an error that occurred with a group of nurses on the unit C. Reprimanding a nurse who made an error in front of staff so that everyone can learn from the mistake D. Work group cohesion

C. Reprimanding a nurse who made an error in front of staff so that everyone can learn from the mistake

A new unit manager works hard to get to know each of the staff members on the unit and determine what each staff member needs in order to effectively do his or her job. What type of management best describes this manager? A. Coaching manager B. Networking manager C. Servant leader-style manager D. Monitoring manager

C. Servant leader-style manager

A democratic nurse leader consistently works to: A. Move the group toward the leaders goals B. Make little or no attempt to move the group C. Share leadership with the group D. Dampen creativity

C. Share leadership with the group

Which of the following is the least important to share for shift report? A. Telling the oncoming nurse what happened on the unit during that shift B. Introducing the patient and their diagnosis to the oncoming nurse C. Sharing the nurses personal opinion of the patient D. Reviewing new med orders and the MAR

C. Sharing the nurses personal opinion of the patient

Behavioral leadership theory recognizes three styles of leadership. Which best describes democratic leadership? A. The democratic leader gives orders and makes decisions for the group B. The democratic leader does little planning or decision making C. The democratic leader makes plans and decisions with the team. D. The democratic leader communicates meaning and purpose

C. The democratic leader makes plans and decisions with the team

A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. What statement best describes the situation? A. Veracity is a common problem for nurses B. Ethical dilemmas cause discomfort C. The nurses are experiencing morale suffering D. The feeling of uneasiness is moral distress

C. The nurses are experiencing morale suffering

Which of the following a major reason why newly licensed nurses resign? A. Poor pay scales B. needle-stick injuries C. Unsupportive management D. Lack of advancement opportunities

C. Unsupportive management

An important competency that nurse leaders need to develop in order to lead effectively is the: A. ability to be firm and inflexible B. Ability to be close-minded and to ignore negative feedback C. ability to communicate effectively with others D. ability to follow orders without questioning them

C. ability to communicate effectively with others

The nurse manager is preparing for a staff meeting and has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she could use at the staff meeting? A. Talking to the staff B. Laughing with them C. Listening D. Crying

C. listening

A staff nurse who uses Chinese herbs is talking to the charge nurse about Traditional Chinese Medicine. The charge nurse is concerned that the herbs may increase the staff nurse's risk for bleeding. What is the charge nurse's best response to the staff nurse? A. "Herbs are okay if you don't take prescription medications." B. "Chinese herbs just increase your risk for bleeding." C. "Why would you use herbs instead of researched best practices?" D. "Have you talked to your physician about using Chinese herbs?"

D. "Have you talked to your physician about using Chinese herbs?"

The hospital nurse educator is reviewing professional behavior expectations with a group of new nurses. Which statement indicates an understanding of behavioral expectations? A. "My behavior when I am not at work will not impact my nursing license." B. "I can discuss my work on social media as long as I do not mention any names." C. "It's okay if I am late to work, as long it is never more than five minutes late." D. "I should not encourage my coworkers to express their negative feelings."

D. "I should not encourage my coworkers to express their negative feelings"

An unlicensed team member confides in the RN that she is discouraged and tired of working so hard. Which statement by the RN to this team member would be most effective in addressing this situation? A. "I think you just need to give yourself a break and take some vacation time next week." B. "I'm sorry, but I still expect you to provide the best care no matter how you feel about it." C. "I have those feelings once in a while too, but I am sure that you will be able to work through them in time." D. "I'm surprised to hear you say that, since you did such a good job with some difficult patients this morning."

D. "I'm surprised to hear you say this, since you did such a good job with some difficult patients this morning"

A UAP tells the nurse that a medicine man will perform a healing ceremony on a Native American patient. The patient believes the ceremony will return his world to balance. Which is the nurse's best response to the UAP? A. "The patient does not adhere to an organized, formal religion." B. "Be sure to post a sign on the patient's door to limit the number of visitors." C. "Patient may be putting his health in jeopardy by relying on rituals." D. "The patient's spiritual needs may be met by the traditional ritual." E. "Native American medicine cannot affect the patient's illness."

D. "The patient's spiritual needs may be met by the traditional ritual"

An alert, oriented post-lumbar laminectomy patient with orders to ambulate with assistance gets out of bed by himself and falls on the way to the bathroom. Based on this data, which piece of previously-recorded documentation would be most critical for the risk manager to be able to find in the patient's record? A. "Patient and family instructed not to be up without assistance." B. "Nurse call light within reach, bed locked and in low position." C. "Alert and oriented X 3, call light in reach, family present." D. "Verbalized understanding to be up with assistance only."

D. "Verbalized understanding to be up with assistance only"

Scientific management and human relations-based approach are two major theoretical management schools of thought. Which action by the nurse manager best demonstrates the scientific model of management? A. A nurse manager considers methods of motivating the staff to do their assigned tasks B. A nurse manager commends staff for the work they do, reminding them of the importance of their work and the lives they have saved. C. A conflict between two staff nurses impacts an entire unit so the unit manager meets with the nurses and entire staff to promote a mutual understanding. D. A nurse manager analyzes the role of each staff member on the unit to determine ways to increase efficiency

D. A nurse manager analyzes the role of each staff member on the unit to determine ways to increase efficiency

You talk with your colleagues about using the nursing code of ethics for professional RN to guide care decisions. Which of the following statements best describes this code? A. Improves communication between the nurse and the patient B. Protects the patient's right of autonomy C. Ensures identical care to call patients D. Acts as a guide for professional behaviors in giving patient care

D. Acts as a guide for professional behaviors in giving patient care

As the manager speaks with the team, she learns why the staff members have had difficulty following polices. Which of these would be considered barriers to effective communication? A. The charge nurse in unavailable to help the nurses when they have questions about policies B. Some staff are afraid to ask particular charge nurses for help for fear of retribution C. The nurse of acronyms is confusing to staff members who are new to the unit D. All of the above

D. All of the above

Implicit bias affects our understanding in an unconscious manner. A persons ability to recognize these biases can improve communication with patients and colleagues alike. Which of the following statements is true about implicit bias? A. Implicit bias dorms during a lifetime B. Implicit bias can influence clinical decision making and treatment C. Implicit bias contributes to an individuals social behavior D. All of the above

D. All of the above

Informational aspects of a nurse managers job include: A. Evaluation B. Ressource allocation C. Being a coach D. Being a spokesperson

D. Being a spokesperson

A nurse manager is reviewing data from the unit. More than 50% of new nurses hired left within 1 year of being hired. Which action should the nurse manager take to improve the retention of newly hired nurses? A. Conduct a performance review at 3, 6, and 9 months to review the new nurse's weaknesses B. Increase the length of time new hires spend in training C. Stress the importance of continuity of care to new hires D. Build personal leadership skills through building relationships with staff members

D. Build personal leadership skills through building relationships with staff members

A physician ordered versed 10ml IV for a four-year-old child prior to a procedure. The child received an overdose of the medication and suffered severe respiratory depression. What action by the nurse transcribing this order would have most likely prevented this adverse event? A. Evaluating the child's respiratory status prior to administration of the versed B. Verifying the child's medication allergies prior to administering the versed C. Questioning the appropriateness of giving versed to a child of this age D. Clarifying the ordered dosage of the versed with the physician

D. Clarify the ordered dosage of the versed with the physician The nurse had an order for 10 ml - but that does not identify how many mg. are in a ml.

The nurse finds an order for Ziox 400 mg q4h for a patient hospitalized with pneumonia and an infected skin lesion. Which action is most important for the nurse to take prior to transcribing this order? A. Call the pharmacy to ensure that the drug is available at the facility B. Ask the nursing supervisor if this drug can be administered orally C. Review the drug literature to determine the route of administration D. Contact the prescriber to clarify the order for this drug

D. Contact the prescriber to clarify the order for this drug No route given

Scientific management focuses on: A. Interpersonal relationships B. Servant leadership C. Staff development D. Efficiency

D. Efficiency

Which is true about effective leadership? A. Take advantage of every opportunity to be a leader, creating those opportunities as often as possible, but only after gaining experience as a nurse B. Focus on leadership activities required for the day C. Leadership traits cannot be learned from a book. Real life experiences are the best way to learn to become a good leader D. Nurses can learn to become good leaders by acting as a good leader and by reflecting on leadership qualities they have and those they can improve upon

D. Nurses can learn to become good leaders by acting as a good leader and by reflecting on leadership qualities they have and those they can improve upon

A nurse who is the victim of unresolved sexual harassment should complete which action within 180 days of the incident? A. Confront the harasser B. Document the incident C. Report the incident up the chain of command D. Report the incident to the Equal Employment Opportunity Commission

D. Report the incident to the Equal Employment Opportunity Commission

The use of electronic health records (EHRs) was mandated by the year 2013. What is the main purpose of computerized record keeping in health care? A. Ease of finding and correcting errors B. Reduction of paper and conservation of resources C. Ease of searching records D. Safe, quality patient care

D. Safe, quality patient care

A patient with Down's Syndrome requires assistance performing routine daily activities. The nurse knows which interprofessional team member can best enable the patient to lead an independent life. A. The neurological therapist B. The physical therapist C. The clinical specialist D. The occupational therapist

D. The occupational therapist

Which piece of information is least important for the nurse to include in a change-of-shift report on a cardiac patient in the intermediate care unit? A. The patient gets up to the bedside commode B. The patient is on a 2 gm Na+ restricted diet C. The patient has requested to see the hospital chaplain D. The patient is upset about the visiting hours on the unit

D. The patient is upset about the visiting hours on the unit

Which of the following best indicates that an interprofessional health-care team can work together effectively? A. Each team member understands his or her role B. Team members create goals for the patients according to their specialty and then share with the team C. Members provide care to a diverse group of patients D. The team has a process in place for sharing information

D. The team has a process in place for sharing information

A nurse manager works hard to keep employee morale high with the thought that this will lead to effective employees doing the best work they can. The manager is incorporating which theory to improve patient outcomes? A. Theory X B. Scientific management C. Servant leadership D. Theory Y

D. Theory Y

An emotionally intelligent nurse leader: A. Seeks the emotional support of others B. Cannot juggle multiple demands C. Works alone without help D. Welcomes constrictive criticism

D. Welcomes constrictive criticism

What should the nurse do next after receiving orders to draw ABGs on the phone from the health care provider? A. Call the respiratory therapist to obtain the blood gasses B. Give the order to the unit secretary to ensure it is entered quickly C. Enter the order directly into the system as it was given to the RN D. Write the order down and read it back to the provider

D. Write the order down and read it back to the provider

Which of the following demonstrates a nurse advocating for a patient? The nurse: A. Calls a nursing supervision in conflicting situations B. reviews and understands the law as it applies to the patients clinical situation C. documents all clinical changes in the medical record in a timely manner D. assess the patients point of view and prepares to articulate this point of view

D. assesses the patients point of view and prepares to articulate this point of view

Which statement is the true about bullying behaviors in the work place? A. Managers should model appropriate behavior B. A victim should avoid confronting the bully C. There should be a minimal tolerance policy for incivility D. A victim should report bullying to the bully's supervisor

A. Managers should model appropriate behavior

Theory Y emphasizes: A. Guidance, development, and reward B. Leadership, not management C. Supervision, monitoring, and reprimands D. Evaluation, budgeting, and time studies

A. Guidance, development, and reward Theory X emphasizes supervision, monitoring, and reprimands

A diabetic patient needs teaching on how to use a new insulin pump. Which barrier to communication can the nurse easily eliminate to improve patient learning? A. Noise from the television B. Patient's lack of attentiveness C. Educational level D. Language differences

A. Noise from the television

Transformational nursing leaders have the ability to: A. Increase the negativity of the team B. Work best alone C. Defines the groups mission and communicate that mission to others D. Pays close attention to the weakness and shortcomings of others

C. Defines the groups mission and communicate that mission to others

What is important for nurses to remember when deciding to post something work related on a social media site? A. Nurses should never post protected health information on a social media site B. Stories with good outcomes can be posted on your media page C. Stories and photos can always be shared if the patients name or face is not visible D. Posting stories on personal time is okay because the nurse is not working

A. Nurses should never post protected health information on a social media site

Place the actions demonstrated by a RN in danger of inevitable burnout in the correct order identified by Golisnek's burnout syndrome. The RN occasionally misses work because of headaches and abdominal pain The RN exhibits low self-esteem and has a problem with chronic absenteeism The RN demonstrates a negative attitude and is hostile to coworkers The RN arrives at work on time and is happy to take a patient assignment

1. The RN arrives at work on time and is happy to take a patient assignment 2. The RN occasionally misses work because of headaches and abdominal pain 3. The RN demonstrates a negative attitude and is hostile to coworkers 4. The RN exhibits low self-esteem and has a problem with chronic absenteeism

What first action best helps the nurse develop a culturally competent practice? A. Reflect on one's own culture, values, and biases B. When assigned a patient with a different culture, take some time to read about the culture C. Promote minority representation at all levels of the organization D. Immerse himself or herself in other cultures

A. Reflect on one's own culture, values, and biases

A nurse is overheard saying "I'm not going to take care of anyone that might have the flu. I have kids to think about". What is true of this statement? SATA A. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency B. This statement reflect defamation and may result in legal action against the nurse C. This statement is a breach fo code of ethics for nurses D. The nurse has the right as a no nurse-patient contract has been established

A. the nurse has a greater obligation than a layperson to care for the sick or injured in an emergency C. This statement is a breach of code of ethics for nurses

An effective leader will have: SATA A. Courage and integrity B. A critical mind set C. The ability to set priorities D. The ability to provide feedback

A. courage and integrity B. a critical mind set C. the ability to set priorities D. the ability to provide feedback

Which statement best describes intrinsic values? A. Intrinsic values are qualities patients consider to be important in their private lives B. Intrinsic values are qualities patients consider important for nurses to have C. Intrinsic values are often abstract ideas D. Intrinsic values are basic needs for sustaining life

D. Intrinsic values are basic needs for sustaining life

Your patient with a femur fracture complains of leg pain, seems a little diaphoretic and short of breath. After assessing a patient, what should you do in preparation for contacting the physician? A. Immediately page the MD; it could be a pulmonary embolism, and time is of the essence. You will gibe him particulars when he arrives B. Wait for the MD. to round on his patient because it should be within the hour or so C. Medicate the patient for pain and plan to contact the MD when rounds D. Jot down notes about the situation as it is presented to you, review the patient history, focus your assessment, and determine what you need for the patient

D. Jot down notes about the situation as it is presented to you, review the patient history, focus your assessment, and determine what you need fort the patient