Unknown Nursing Questions

4

.In order to resolve conflict on a unit in the hospital a nurse manager discusses all sides to the situation. This is what type of conflict management strategy? 1. Accommodating 2. Competing 3. Avoidance 4. Collaborating

2

.In the refreezing stage of Lewin's Force-Field Model which aspects of change take place? 1. Determination that change is needed 2. Achievement of equilibrium 3. Exhibiting motivation to change 4. Gathering of information occurs

1,2,3,4

.When comparing traditional change theories and models, which statements are accurate with regard to when to apply specific models? Select all that apply. 1. Force-field model when problem solving 2. Eight-stage process when rapid change is required for learning organizations 3. Force-field model when planned change is anticipated 4. Innovation-decision making when implementing technological changes 5. Phases of change when organizational change is warranted

3

17. The nurse manager is evaluating several nurses who have expressed an interest in leadership activities and knows that the nurse who demonstrates which type of followership has the most potential for a leadership role? 1. Standing by 2. Doing following 3. Resisting following 4. Passive follower

A,D,E

8. The nurse is giving report to the nurse on the next shift. What pieces of information are considered the background section of SBAR? Select all that apply. A Current medications B If the patient has children C Marital status D Current laboratory values E Vital signs

2

A charge nurse is holding a weekly staff meeting to discuss ways to improve the incidence of falls on the unit. What would be an example of the charge nurse exhibiting transformational leadership? 1. At the beginning of each meeting the charge nurse gives a speech on what each staff member should be doing during initial patient assessments 2. During the meeting each nurse is asked for feedback on their own experiences and ideas to improve the current fall prevention protocol 3. After the meeting one nurse is assigned to compile a fall prevention checklist for the unit 4. The charge nurse sends a meeting agenda at least 2 days before the meetings

D

A client states, "You won't believe what my husband said to me during visiting hours. He has no right to treat me that way." Which nursing response would best assess the situation that occurred? A. "Does your husband treat you like this very often?" B. "What do you think is your role in this relationship?" C. "Why do you think he behaved like that?" D. "Describe what happened during your time with your husband."

A

A consulting physician is requesting health information over the phone with a nurse who is taking care of the patient. In providing health information to the physician which option would help the nurse prevent information from wrongfully being distributed to others in consideration of HIPAA? A Using encryption methods to send information requested by the consulting physician B Having healthcare works acknowledge a privacy disclosure statement each time they log into a medical record C Send the patient's data via email D Restrict chart access for patients on the unit only to nursing staff

4

A director of nursing approached a staff nurse about applying for an open administrative position. The director told the staff nurse she should consider applying because she was a "born leader." What leadership theory is the director of nursing using to make this judgement? 1. Behavioral theory 2. Situational leadership theory 3. Contingency leadership theory 4. Great Man theory

A

A healthcare provider uses computer provider order entry (CPOE) system to start a new medication order for a patient. Which option is NOT included in the CPOE for the medication? A Medication barcode B Identification of patient allergies C Notifying the pharmacy department D Transcription of the name of the medication

2

A new chief operating executive believes that patients will receive better care and be more satisfied in a unit that is specific to their disorder. A nurse manager heads a unit that has functioned for the last 10 years as a general medical-surgical unit but will now become a specialty unit for patients with chronic respiratory issues. What is the nurse manager's priority responsibility during this transition? 1. Assist the staff to feel more comfortable in their new roles. 2. Ensure that the patients receive safe care by qualified staff. 3. Survey the patients daily to determine if needs are being met. 4. Hold briefings daily with the staff to determine common problem areas.

A,E

A new graduate nurse is orienting at the hospital with an experienced nurse on the unit, and is learning how to use the facility's electronic documentation system in the clinical environment. Which situations should the experienced nurse make sure the new graduate nurse is aware of, and should anticipate to occur? Select all that apply A Planned downtime B Rolling power outages C Inability to access information once a shift D Periodic compromises in the backup system E System maintenance

A,D,E

A new nurse is working on an oncology unit and needs assistance on how to operate the electronic documentation system. Which individuals should the nurse contact in order to receive help with the application of the system in the context of delivery of care? Select all that apply A Super user: Expert B Clinical Analyst C Network engineer D Super user: Shift E Super user: Unit

3

A new nurse leader has adopted a laissez-faire style of leadership that may result in what characteristics of those who report to this leader? 1. Team members may be very good at time management but poor on job satisfaction. 2. The staff may be very knowledgeable but have a lack of focus on the job at hand. 3. Team members experience disagreements among themselves. 4. Productivity is high with low job satisfaction.

2

A nurse is aspiring to move from a staff nurse's position to a leadership and management role. What activity would be most helpful to this nurse in achievement of this goal? 1. Complete a leadership survey. 2. Enroll in a graduate leadership program. 3. Read a leadership book. 4. Request a change in position weekly from the charge nurse.

B

A nurse is working on a Medical-Surgical floor and receives an order for a medication that is contraindicated in patient A. She attempts to use the floor's alert system to contact the clinician responsible for this order. After several failed attempts, the clinician finally answers the alert and states that "It took me so long because I am tired of getting these stupid alerts and don't know when to take them seriously." What is the term used to describe the clinician's action? A Desensitization B Alert fatigue C False alarm D Uninformative alert

1

A nurse leader new to the organization has a transactional leadership style. The staff members who work with this leader are aware that what is the leader's focus? 1. The goals of the organization 2. The goals of the nursing unit 3. The welfare of the staff of the nursing unit 4. The satisfaction of the individual patients

2,3,4

A nurse manager has begun to use transformational leadership theory and knows that this theory uses what aims of the Institute of Medicine (IOM)? Select all that apply. 1. Nurse-centered 2. Efficient 3. Timely 4. Safe 5. Inexpensive

2,3,4

A nurse manager uses transformational leadership theory for her unit. She understands that this theory uses what aims of the Institute of Medicine (IOM)? Select all that apply. 1. Nurse-centered 2. Patient-centered 3. Timely 4. Safe 5. Inexpensive

2

A nurse seeking to advance to a leadership position within the health-care organization has become the mentee of a nurse manager. What is the primary responsibility of the mentee in this relationship? 1. Follow the mentor in all activities. 2. Work to dialogue with other nurse leaders and managers. 3. Request a monthly meeting with the mentor to discuss leadership attainment. 4. Ask the mentor to place the mentee in a minor leadership position.

B

A nurse uses her fingerprint to sign into the Pyxis to deliver medications to her patients. Fingerprint identification is an example of what kind of data security? A Security Token Identification B Biometric Identification C Data Encryption D Firewall Security

1,2,5

A nurse who is endeavoring to increase emotional intelligence knows that what are the core components necessary to the development of this leadership characteristic? Select all that apply. 1. Empathy 2. Motivation 3. Intellectual skills 4. Leadership 5. Self-awareness

3

A nursing student is required to take a nursing leadership course and questions why this type of course is necessary when the initial primary role of the graduate nurse is to perform bedside patient care. What is the nurse educator's best response to this student? 1. "It is a part of the curriculum that is required by all state boards of nursing." 2. "Though new graduates begin at the bedside, most take on leadership positions within the first 6 months of employment." 3. "Leadership competencies are required even at the bedside to help in navigating the evolving health-care landscape." 4. "All nurses report to someone, so you have to understand leadership so you know who you report to."

C

A patient has moved to a new city, and is in search of a new healthcare provider. What type of documentation system would contain their medical their medical records and could be taken to their new provider? A Electronic Medical Record (EMR) B Electronic Health Record (EHR) C Personal Health Record (PHR) D The patient does not have access to this type of information

C

A patient is reviewing their explanation of benefits along with their insurance reimbursement for a medical evaluation in which they had a cyst removed. Which code would represent the procedure in which the cyst was removed? A Discrete data B International Classification of Diseases (ICD) C Current Procedural Terminology (CPT) DData sets

1

After reviewing electronic health record (EHR) systems, the hospital organization decides to change to a more efficient system. This is an example of what type of change? 1. Planned change 2. Unplanned change 3. Innovation 4. Crisis resolution

2

After suggestion of change on the unit, a group of staff nurses embrace the change and are not resistant to this change. What example of change strategy is displayed by this situation? 1. Normative-reeducative 2. Empirical-rational 3. Power-coercive 4. Anticipated due to peer pressure

B

An RN is caring for a confused and combative 82 year old client with dementia in a long-term care facility. Which communication technique is the most appropriate strategy to use when communicating with the client? A. Yelling at the client B. Speak clearly in a calm and reassuring voice C. Ignore the client and come back at another time D. Speak to the client in a child-like voice

B

An electronic health record: A Cannot be shared with more than one organization B Can be shared with more than one organization C Cannot be taken to another healthcare provider by the patient D Sent to multiple organizations via email

A,C,D

As a nurse manager, she knows that conflict occurs in any organization. Which of the following statements regarding conflict is true? Select all that apply A. Conflict can be destructive if the level is too high B. Conflict is not beneficial; therefore, it should be prevented at all times C. Conflict result in poor performance D. Conflict may create leaders

2

At a local hospital, a conflict arises between hospital administrative personnel pertaining to hospital performance objectives. What type of conflict would this situation reflect? 1. Intrapersonal 2. Organizational 3. Interpersonal 4. Intergroup

A,C,D,E

Core functions of the Electronic Health Record Include: Select all that apply A Result Management B Data Mining C Decision Support D Order Management E Reporting and Population Health

B

Documenting a patient's height and weight is an example of ______ data that could be used by nurses in the research process. A Narrative Text B Discrete Data C Qualitative Data D Quantitative Data

D

During a nurse-client interaction, which statement made by the nurse belittles feelings and concerns of the patient? A. "You seem upset today, would you like to talk?" B. "I see that you are concerned about your upcoming surgery." C. "Tell me more about why you are feeling this way." D. "You'll be fine. Try not to worry."

C

How should a nurse educator correctly explain the underlying framework of nursing informatics? A Nursing science and philosophical beliefs B Informational technology assisting nurses to obtain information relative to patient care C Combination of sciences from different disciplines such as nursing, computer information, and information technology to provide information so as to support and effect change to nursing practice D Utilization of electronic documentation in the clinical setting

A

Nurses on a medical-surgical unit are trying to determine if there is a relationship between the number of urinary tract infections acquired during the patient's admission in the hospital, and the number of catheters inserted. Which action would lead to information that might help support this relationship? A Data mining B Database C Data interface D Demographic data related to urinary tract infections

D

The nurse from the PACU is giving report to the unit nurse at the bedside patient who just had surgery for a total hip arthroplasty. Approximately 20 minutes after the patient's admission to the unit, the patient experiences a period of respiratory depression that was later attributed to a medication received in the PACU. What error that occurred during the nurse-to-nurse handover may have contributed to this patient's problem? A The PACU nurse arrived with the patient minutes later than was expected. B The unit nurse was not available for the nurse-to-nurse handover for minutes after the PACU nurse arrives. C The unit nurse was familiar with the patient from previous hospitalizations. D The PACU nurse was giving report while helping to transfer the patient into bed.

2

The nurse leader believes that a mentorship program for new nursing graduates would benefit the organization in what way? 1. New nurses will require no supervision after the mentorship program is completed. 2. Mentorship leads to new nurses remaining with the organization longer than those nurses who did not engage in a mentorship program. 3. The nurse who completes the mentorship program will understand better how to care for patients without assistance. 4. Engaging in a mentorship program helps that individual to work longer hours without fatigue.

B

The nurse leader is working to improve communication on the nursing unit and knows that effective communication requires an articulate sharing of ideas and what other important element? A. The staff on the nursing unit must agree with the ideas of the nurse manager. B. The nurse manager must understand the audience for which the message is intended. C. The nurse manager must ensure that the ideas presented are important to the staff of the nursing unit. D. The staff on the nursing unit must have person-to-person contact for the communication to be received.

4

The nurse leader is working with a team to develop a more effective admission assessment process. Which team member is an example of one who participates in the team by "standing by"? 1. A team member who often works with team members who are new to the team and helps to mentor them in his or her role 2. A team member who appears to function against the goals set up by the team leader 3. A team member who is flexible and ready to make any needed changes 4. A team member who requires detailed instructions concerning the leader's expectations

1

The nurse leader knows that nurses who are mentored under the mentorship program understand better how to function in an interdisciplinary team, but is somewhat concerned about what? 1.How they will function independently 2.How they will complete their tasks 3.How they will function in the morning 4.How good of nurses they will be

2

The nurse manager has been receiving complaints from her staff nurses regarding the weekend relief charge nurse. They tell the nurse manager that she is good in calm situations, but when there is an issue she completely freaks out and is unable to lead the team. The nurse manager takes this into consideration and understands that the relief charge nurse may fall into what category of leadership theories? 1. Behavioral theory 2. Situational leadership theory 3. Contingency leadership theory 4. Great Man theory

A

The nurse manager is aware that SBAR may be used in what non clinical issues? A Staffing levels B Nursing pay levels C Nursing clinical ladder issues D Required continuing education

C

The nurse manager is aware that preventable medical errors are associated with what communication failure? A Lack of intraprofessional communication B Lack of upward communication C Lack of interprofessional communication D Lack of downward communication

4

The nurse manager is aware that what aspect of leadership relates to the ability to make a promise, keep it, and carry through on that promise? 1. Compassion 2. Confidence 3. Connectedness 4. Commitment

A,B,D

The nurse manager is aware that what communication is considered verbal? Select all that apply. A Email B Facebook post C Facial grimace D Phone call E Arms and legs crossed

A?

The nurse manager is aware that what element of communication is essential to the transmission of relational information A Nonverbal communication B Responding C Receiving D Feedback

A,B,C

The nurse manager is preparing to institute the use of SBAR for interprofessional communication. The nurse manager has based this decision on what benefits to this tool? Select all that apply. A Assertive dialogue between professionals B Most essential information delivery C Safer delivery of patient care D Decreased continuity of patient care E Increased time spent in interprofessional communication

B

The nurse manager plans to implement which communication strategy that has been found to reduce errors and improve patient safety while increasing patient satisfaction? A TeamSTEPPS B Interprofessional team rounding C Diagonal communication D Oral report in the conference room

1

The nurse manager recognizes her staff's individual strengths and weakness when it comes to making assignments. 1. Compassion 2. Confidence 3. Connectedness 4. Commitment

B?

The nurse manager recognizes that communication that is congruent is more likely to be received. Which statement by the nurse manager to a staff nurse is an example of congruent communication? A The nurse manager is smiling. "This latest episode of tardiness may cause you to be terminated from this job." B The nurses manager is standing with arms crossed. "You have been 10 minutes late three times this month. C The nurse manager is shaking her head and rolling her eyes. "It's good to see that you finally decided to show up." DThe nurse manager stares down at the floor. "You are making a habit of being late. You can feel free to talk to me anytime you need to.

C

The nurse manager would suggest what communication tool to assist staff nurses in organizing and prioritizing information prior to communication with the healthcare provider? A Interprofessional team rounding B TeamSTEPPS C SBAR D Call-out

B

The nurse questions the client about the patients pain who is grimacing. The patient states, "I do not want pain medicine because it is addicting". What is the correct response by the nurse? A. It has been ordered by the doctor, I must give you this medicine. B. Tell me why you feel like these pain medications are addicting. C. Give the pain medicine anyway to relax the patient. D. Notify the physician that the patient will not take the medicine.

2

The nurse student is aware that what feature is now a part of the newest nursing leadership theories? 1. Self-discipline 2. Flexibility 3. Motivation 4. Visionary

A,B,D

The nurse understands that building a trusting relationship with patients is essential in providing care. Which examples of the verbal therapeutic communication techniques will promote trust? Select all that apply. A) Clarifying B) Restating C) Conveying Acceptance D) Stating Observations E) Giving Advice

A,E

The patient is in a coma after a motor vehicle accident. Which statement regarding communication with the patient is most appropriate? (Select all that apply.) A) Speak to the patient as if he can hear what is being said B) Avoid verbal stimulation because of its potential to trigger excitability C) Encourage family members to limit visitation to no more than 5 minutes per hr D) Turn on the television to stimulate the patient E) Encourage family members to read a book or newspaper to the patient

A,B,E

Therapeutic communication is key to providing the best care possible to your patients. Choose those factors that negatively affect therapeutic communication. (Select all that apply) A Language Barrier B Lack of trust C Use of active listening D Caring Environment E Cultural differences

true

True or False Current clinical research suggests that nurse leaders and managers spend about a quarter of their time attempting to resolve conflicts in the clinical setting.

1

What characteristic is not true regarding Emerging Change Theories? 1. Linear in nature 2. Inherent complexity 3. Exhibit flexibility 4. Focus on innovation

2

What type of conflict will occur when nurses in the emergency room (ER) and the medical-surgical unit nurses do not agree on issues or the best way to manage a specific problem? 1. Interpersonal 2. Intergroup 3. Organizational 4. Intrapersonal

C

What would NOT be an example of information that should be included in an electronic medication record (eMAR)? A List of medications that the patient has been prescribed B Time for medication administration C Client history and physical D Notation of clinical response to the medication

A

When discussing the purpose of nursing healthcare informatics with a nurse during orientation, a nurse educator would be concerned if the nurse orientee said the primary purpose of healthcare informatics would be to: A Develop a data management system B Improve disease tracking C Improve a health provider's workflow D Increase administrative efficiencies

A

When using a computer program, a nurse enters commands by pointing and clicking. The nurse student understands that this action is the result of: A The system's interface B Clinical decision support systems C Standardized languages D Rules and alerts

1

Whenever considering making health care changes what characteristic should always be included? 1. It is often met with resistance. 2. It does not lead to conflict. 3. As long as stakeholders are vested in the process, there will be no problems with implementation. 4. All changes lead to improved outcomes.

4

Which action would cause an increase in conflict in a clinical environment? 1. Assessment of needs versus wants 2. Reminding staff that every member should be treated with respect 3. Emphasizing the importance of listening 4. Using statements that focus on the individual performing the behavior indicating "we" or "you"

2,3,4

Which behaviors would help to promote change in the clinical setting? Select all that apply. 1. Rewarding consistent actions at the expense of anticipated change 2. Helping to build trust 3. Instilling confidence 4. Anticipating that change is inevitable 5. Not allowing staff to transfer off unit

1,3

Which information is represented by the framed question correctly (select all that apply)? 1. Participant stakeholders are represented by the framed questions, "who" of change. 2.Rationale is represented by the framed questions "how of change" 3.Timing is represented by the framed questions "when" of change" 4. Technique is represented by the framed questions, "why" of change"

2

Which is true regarding the Phases of Change Model? 1. Change always occurs in a comprehensive manner. 2. Communication and feedback are critical elements. 3. Time does not affect potential for change. 4. Realistic goals are often not achieved.

1,3,4

Which is true regarding the chaos theory of change? Select all that apply. 1. It is nonlinear. 2. It contains formed matter. 3. It may also be referred to as the "butterfly effect." 4. It reflects randomness. 5. It can be predicted

B

Which method could be used to maintain effective data security when using the electronic medical record system in the clinical setting by a nurse on a pediatric unit? A Using a password that contains the nurse's last name. B Using a random code generator to create an access code for the nurse. C Using the same password while employed at the hospital D Staying logged in on the computer throughout the shift as long as a screensaver is on the monitor.

A

Which stage of meaningful use introduces the electronic capture and sharing of health information in a coded format? A Stage 1 B Stage 2 C Stage 3 D Stage 4

B

Which statement about the concept of meaningful use is accurate? A Completion of eight core function according to the Institute of Medicine guidelines B Completion of three stages is regulated by Centers for Medicare and Medicaid Services (CMS) C Certification by representatives of The Joint Commission that standards have been met D Compliance with Institute of Medicine guidelines

D

Which statement is an example of the clarifying communication technique? A "You are concerned that you might have complications from the spinal anesthetic?" B "How do you feel about having surgery tomorrow?" C "Will you please tell me as accurately as you can, what you experienced the last time you were given morphine?" D "Let me make sure I understand this correctly. The cost of the medication is keeping you from being able to take it each day?"

C

While completing an admissions assessment on a patient with type II diabetes using an electronic documentation system pop-up windows are appearing asking for additional information regarding the patient. How should the nurse respond? A Disable pop-up blockers from the system B Close the pop-up window and sign off C Respond to the pop-up by providing the additional information that is required D Close out of the entire system and then sign back into the patient's chart