377 Practice Questions
A "change agent" does which of the following? Select one: a. Works to bring about change, acts as a role model, helps achieve success b. Seeks votes from others to decide if change will occur c. Refreezes a procedure following a policy change d. Resists change until all others have adapted
A
Assignment is: Select one: a. Transfer of authority, accountability and responsibility b. Transfer of authority and responsibility, but retain accountability c. The same as accountability d. None of the answers is correct
A
Authority is: Select one: a. The right to do something b. The obligation to do something c. Accepting ownership of results d. All of the above
A
Barriers to effective communication should be identified and addressed in health care settings because: Select one: a. They can have a direct impact on patient safety and outcomes b. They are necessary to clarify the boundaries within interprofessional communication c. Authority and chain of command are preserved through strict hierarchies d. All choices are correct
A
Changes in the healthcare system over the past 20 - 30 years can be attributed to which of the following: Select one: a. All answers are correct b. Rising costs c. Technology has become a central factor in care provision d. Patient safety is viewed as within the control of health providers
A
Knowledge of budget management is important for a nurse manager because: Select one: a. All answers are correct b. It supports monitoring and control of unit effectiveness c. The organization's resources can be most effectively used to deliver patient care d. It is within the realm of the nursing management function of controlling
A
When a nurse delegates a task to an unlicensed nursing assistant, which of the following is true? Select one: a. Clear expectations for follow up communication must be included in instruction b. Ownership of negative outcomes belong to the nursing assistant alone c. The nurse has transferred accountability to the nursing assistant d. The nursing assistant assumes responsibility for complex decision making
A
Which is true of a "Durable Power of Attorney for Healthcare"? Select one: a. Designates another person to act on the patient's behalf if the patient cannot speak for him/herself b. States the patient's specific and detailed wishes for life support/sustaining measures if he/she cannot speak c. States the patient's financial representative for paying healthcare related bills following death d. None of the answers is correct.
A
Which of the following is least likely to be associated with a healthcare organization's culture? a. The parking lot for employees is free from pot holes and entry gates reliably work properly b. Employees indicate on a staff satisfaction survey that they don't feel their voices are heard when decisions are made about employee benefits. c. The patterns of how employee communication occurs between organizational levels. d. The organization's mission indicates it exists to improve the health of the community
A Not B -No; this type of information provides evidence of a potentially negative culture for employees.
The mother of a staff nurse is critically ill and the nurse must miss several shifts of work. If the leadership theory used by the nurse manager is transactional, which approach is he/she most likely to use? Select one: a. "I will authorize time-and-a-half pay to volunteers who can cover these shifts " b. "We will draw names to cover the shifts. If you don't like the results, you may trade among yourselves" c. "I have changed the schedule and assigned who will cover the open shifts." d. "How can we work together to cover these shifts to help our coworker?"
A Not D - No; this is a collaborative (group input) approach typically used in a democratic leadership style.
Which of the following would produce the most variety of qualitative data? Select one: a. An interview that uses open-ended questions b. A multiple choice paper and pencil questionnaire c. A telephone survey where the informant uses telephone buttons to answer questions. d. Asking participants to rate something on a 1-10 scale
A Yes - an infinite variety of responses may be possible with this method
An advantage of mixed-methods research is: Select one: a. Quantitative analysis may be performed to test a hypothesis derived from initial qualitative findings using a sequential approach b. Can be used when the investigator doesn't have a specific research problem in mind. c. An investigator can choose which data (qualitative or quantitative) is more useful to report d. It is more likely to be published in evidence-based journals
A Yes. Qualitative research data often leads to questions that can be measured in quantitative ways, giving more depth to the understanding of a research question.
Which of the following is an example of a retrospective quality audit? Select one: a. Review of ED EMR's to determine if aspirin was given within the specified time frame for patients presenting with chest pain. b. Observing and documenting staff handwashing practice in the ED for two weeks c. Predicting how many antibiotics will be prescribed for ED patients based on staff handwashing compliance d. None of the answers is correct
A Yes; reviewing records after care was rendered is a retrospective audit activity
Which statement indicates a manager's understanding of effective ways to achieve conflict resolution? Select one: a. "I will try to understand the underlying issue causing distress and work to address it". b. "I will always stop whatever I am doing to immediately resolve conflict between staff nurses". c. "I will send anyone who is upset to talk with someone up the chain of command". d. "Most people who are upset just want me to fix the problem".
A Yes; this approach allows for application of conflict management strategies and communication.
The research question: "How do fifth graders in underserved urban settings perceive the importance of physical activity to their health?" is what kind of research question? Select one: a. qualitative b. quantitative
A Yes; this is most likely a meaning question answered with qualitative methods
Which of the following must a health care organization do regarding violence in the workplace? a. Enact policies, procedures and training to protect employees from violence in the workplace b. Train all staff in safe use of tazers or large flashlights to protect themselves in the even violence does occur. c. Have a "no tolerance" policy in place d. Guarantee that violent individuals will not enter the workplace
A Yes; health care employers must have specific policies, procedures and practices in place to protect employees from violence.
Effective strategies for managing resistance to change include: Select one: a. Close, frequent communication with those who exhibit resistance to the change b. Rallying supporters of the change against those who exhibit resistance c. An authoritative approach that includes confrontation and exercise of power d. Suspending the change process until resistors can be removed from the organization
A Yes; keeping resistors informed and listening to their input can be an effective strategy for reducing resistance
Characteristics of effective/healthy communication in the healthcare workplace include which of the following: Select one: a. They are contextual (take timing, environment, and circumstances into account) b. They are static (structured for consistency so that they are identical each time) c. They are directive (delivered to provide one way instructions to patients, families, etc) d. None of the above
A Yes; planning is necessary in many cases to promote effective professional communication
A leadership theory well-suited to rapidly changing/unpredictable settings is: Select one: a. Quantum b. Emotional c. Democratic d. Servant
A Yes; quantum leadership theory supports staff having the knowledge, information and decision-making ability to make rapid decisions in changing environments
According to Rogers, which of the following is true regarding change: Select one: a. There is a logical order in which steps toward change occur; it typically occurs in a single direction but may require adaptations along the way. b. The process of change has a single direction, requiring completion of the process before making adjustments c. Unfreezing is the phase of change when new behaviors have been fully established d. None of the above
A Yes; the logical order in which people consider change and move toward change occurs in a sequence of steps; it is possible for it to reverse at times.
Which of the following is not a component of the definition of a team? Select one: a. Individual contributions are more valued than group decision-making b. Work collaboratively toward goals c. A leader maintains function d. The team is stronger than the members
A Yes; the value of teams is the interaction of the members and the interdependence on each other to reach decisions
Which of the following qualities are components of critical thinking? Select one: a. Problem-solving, creativity & decision-making b. All answers are correct c. Problem-solving, intelligence & emotional awareness d. Intelligence, reflection & learning
A Yes; these contribute to development of critical thinking when applied to reflection on situations experienced
The use of triangulation during data collection in qualitative research is best illustrated by: Select one: a. Using more than one investigator to make observations of informant behavior in the research setting b. Having at least three investigators agree upon the methods for data collection c. Three investigators review transcripts of interviews to confirm themes d. Placing data into a three column table to search for themes
A Yes; using more than one data collection source represents triangulation in data collection
Interprofessional teamwork can be inhibited by which of the following: Select one: a. All answers are correct b. Variations in technical language among disciplines represented on the team c. Clear expectations for each member's contributions d. A range of perspectives contributing to problem-solving and decision-making Feedback
B
Latent conflict exists when: Select one: a. At least one person in a relationship is aware that there is a difference of opinion regarding a common issue. b. The antecedents for conflict are present but no one feels the presence of conflict yet. c. Two or more people in relationship are acutely aware of conflict and take action to resolve it. d. None of the above
B
Quality management in healthcare relies on: Select one: a. Compliance with regulations for professional licensure b. A systematic approach to identify and take proactive measures to minimize potential risk. c. None of the choices is correct d. A designated department in the organization that performs all quality activities.
B
The Transtheoretical Theory of Change (Prochaska & DiClemente) is founded on the premise that: Select one: a. Change is possible regardless of the readiness of the person b. Change requires progression through phases of readiness to be successful and sustainable c. Readiness for change is uniform and occurs the same way for all individuals d. All of the above
B
The nurse's role in promoting continuity of care involves which of the following: Select one: a. Accurate assessment and documentation of patient's condition upon admission b. All answers are correct c. Thorough nurse to nurse report for facility transfer d. Assessment of patient's learning needs pertaining to post discharge care
B
The primary purpose of a budget is: Select one: a. To enforce limits on staffing b. To ensure that resources are available to achieve organizational objectives c. To list each disposable patient-care item that will be used to provide care during the year d. To prevent overspending within the unit
B
Which of the following is most descriptive of an informal nurse leader? Select one: a. Punctual with excellent attendance b. Colleagues tend to look to him/her for example behavior or decision-making c. Maintains current clinical skills and continuing education credits d. Demonstrates a positive attitude
B Yes; when others look to a person's decision making and respect them informal leadership is present
Which of the following statements best exemplifies servant leadership style: Select one: a. A manager informs employees via email that a change is being made in the unit schedule with the effective date; no negotiation of the new plan is possible b. A manager considers how a change that must be made will impact each employee and speaks with them about how he/she can help the employee make the transition c. A manager has staff vote on a solution for a change in scheduling on the nursing unit and chooses the most popular option. d. A manager makes the decision not to implement a change that has been mandated from higher level administration because it will negatively affect too many of his/her employees
B A manager considers how a change that must be made will impact each employee and speaks with them about how he/she can help the employee make the transition Not D - No; this describes a Laissez-faire style of leadership
If a nursing assistant does not follow through in reporting back to the registered nurse as directed that a patient who had a urinary catheter inserted did not produce at least 250cc of urine in 4 hours, who is accountable for the patient's outcome (pain, discomfort, increased blood pressure, etc?) Select one: a. The nursing assistant alone b. The registered nurse alone c. Both the nursing assistant and the registered nurse d. None of the answers is correct
B Not D -No; accountability for the patient's condition and results of urine measurement cannot be delegated; only the task of gathering the data
Which of the following is true of nurse managers: Select one: a. Responsible for directing the work of licensed and unlicensed staff at the unit level b. All answers are correct c. Assure staffing is appropriate for patient needs at unit level d. Granted formal authority over people and functions
B Yes; all choices are nursing manager responsibilities
A "service line" structure in a healthcare organization is best described in which of the following: Select one: a. Nursing services are organized under a single department; no other care or ancillary services are included. b. Staff from multiple disciplines are included in the department structure based on the type of population served or care provided. (Ex. Oncology dept. includes nursing, nutrition, social services, palliative care and alternative therapies). c. Nursing and medical service operate in different departments with parallel management structures d. Environmental services, dietary, and laundry do not communicate with nursing department leaders because the services have no direct connection
B Yes; all staff serving a specific specialty are in a single department and have more highly specific training based on the patient population characteristics
A leader who is most comfortable with a Laissez-faire style is likely to handle a patient complaint about nursing care by doing which of the following: Select one: a. Have a one-on-one conversation with the nurse involved right away to get their perspective on the issue. b. Wait to see what happens; these things always work themselves out c. Confront all nursing staff together and give one-way direction to change a practice. d. Present the problem to the entire staff group to obtain input on solutions
B Yes; avoiding action and hoping a problem will resolve itself is a hallmark of Lassez-faire style
Satisficing decisions are best suited for: Select one: a. Situations that require lengthy planning and preparation b. Situations that require prompt, basic solutions that meet minimum standards c. Problem solving for long term solutions to organizational problems d. Problem solving when circumstances require outcomes that are optimal every time, meeting the most rigorous standards
B Yes; such as triage settings or temporary staffing crises
Which of the following communication practices is most supportive of client safety? Select one: a. Referral to home health services for physical therapy upon hospital discharge b. "Time out" prior to beginning surgical procedure in the operating room (patient undergoing general anesthesia) c. Scheduling a follow up appointment for the client's post-op visit d. Documentation in EMAR of who client will be living with upon hospital discharge
B Yes; there is an immediate and high level of risk related to wrong patient, wrong procedure, wrong location when patient is sedated and cannot speak up
The Institute of Medicine report "The Future of Nursing" indicates all of the following changes must occur except: Select one: a. Nurses must be able to practice to the full extent of knowledge and education b. The NCLEX exam must be replaced with a different type of licensure testing c. Nurses must possess higher levels of education than in the past d. Nurses must be full partners in health care delivery
B Yes; this is not one of the recommendations made by the report.
Which of the following is most indicative of a nurse developing critical thinking skills? a. Completing an Incident Report following discovery that a medication error occured when an ordered medication was not administered. b. Reflecting on the results of administering a prn dose of albuterol to a 3 year-old child to prevent continued decrease in oxygen levels. c. Assessing the effectiveness of administration of pain medication to a three year-old post operative patient. d. Referring to a drug information app to verify correct dosage has been included on a physician's order for a two-year-old weighing 32 pounds.
B Yes; this practice promotes development of critical thinking habits and increased mental resources for future problem-solving/decision-making.
According to Lincoln & Guba's framework for trustworthiness, Transferability refers to: Select one: a. The ability to re-create a research study with a different group of participants b. The ability to apply the findings of research to other similar populations c. The transfer of participants from a qualitative study to a quantitative study d. The act of transferring qualitative data into quantitative data
B Yes - the more the design and results of a study can be applied to populations beyond the original study group the more transferable the findings of the study are
Nursing care delivery models supporting patient-centered care embrace which of the following: Select one: a. All disciplines meeting daily at the bedside to make all care decisions for the patient b. Nursing, environmental services and complementary therapies work together as a unit to focus on individual patient needs c. Patients choose which nurses will care for them during hospital admissions d. Patients deciding which health insurance to select.
B Yes; focusing on all aspects of the patient's needs puts them at the center of all activity planning and delivery
Recognizing signs of stress is important for knowing when self-care may be lacking. Which of the following is not a sign of stress? a. Difficulty focusing on task at hand b. Calmly handling an angry patient's reaction to care c. Rapid heart rate d. Increased respiratory rate Feedback
B Yes; one emotional sign of stress is inability to remain calm when you normally can. Becoming irritable as the day goes on.
Which of the following decision-making terms describes the need to set policy and practices to achieve a minimum acceptable standard: Select one: a. Sunk costs b.Satisficing c. Framing d. Experimental procedures
B Yes; satisficing is used to make decisions when a minimum acceptable outcome is desired
Which of the following is not a component required for Informed Consent to exist? Select one: a. Notification of risks associated with the procedure b. Guarantee of success if the patient's underlying health is intact c. Notification of alternative treatments available d. Risks involved with electing not to receive procedure
B Yes; there is never a guarantee of "success" provided related to procedural consent
Interprofessional teams require which of the following? Select one: a. Power, leadership, physicians and a recorder b. Norms, morals, representation & democracy c.Commitment to person-centered care and goals d. None of the answers is correct
C
The "5 Rights of Delegation" do NOT include: Select one: a. The right follow up communication regarding task completion and patient response b. The right person is chosen to complete the task based on his/her skills c. The right documentation of who was assigned to complete a task d.The right direction is given to the person the task is being delegated to
C
Which of the following is the most important early action for interprofessional teams to address to promote productive work toward common goals: Select one: a. Set ground rules prohibiting conflict among team members b. Determine how the outcome of the team's work will be communicated to administrators c. Take time to assess members' understanding of work, identify hidden agendas and determine how conflict will be handled d. Reaching consensus on when meetings will be held
C
Which of the following is usually the most effective approach when conflict exists between members within the group? Select one: a. Withdrawing b. Smoothing c. Confrontation d. Avoiding
C
Which of the following statements is most closely associated with the staffing component of the operating/annual budget for a nursing unit : Select one: a. Unit policy dictates at least one nurse from each shift participate in the departmental budgeting process b. None of the choices is correct c. "As nurse manager, I must keep the FTE's on the Position Control Document up to date when new nurses are hired." d. "As nurse manager, I must consider the comfort of the staff at EMR documentation stations and include new ergonomic chairs and computer carts when I create the upcoming budget"
C
Which regulatory act assures that healthcare facilities have barrier free access available for employees and the public? Select one: a. The Centers for Disease Control Vaccination promotion program b. The Occupational Safety and Health Administration accident reduction program c. Americans with Disabilities Act d. The Joint Commission National Patient Safety Goals
C
The National Patient Safety Goal that addresses medication safety addresses which of the following: Select one: a. Checking expiration dates on liquids b. Giving insulin from multiple dose vials to more than one patient c. Taking extra care with patients who take medication to thin their blood. d. Handwashing before administering oral medications.
C Not A - No; this is good practice but the NPSG does not address this.
Which of the following is an example of an outcome indicator for quality improvement activities? Select one: a. Consistent handwashing among clinical providers b. Verification of proper sterilization of resuable surgical instruments c. Post-operative infection rates remain below acceptable threshold established by benchmarks d. Consistently accurate documentation of "time out" prior to surgical procedures
C Not A -No; this is a process indicator
Organizations with flat (wide) organizational structures most likely have which of the following characteristics related to communication between employees and administration: Select one: a. Multiple layers of authority in decision-making resulting in slow and methodical communication channels. b. Mostly low-knowledge workers who rely upon managers to communicate specific and detailed directives for decision-making to employees c. Employees have freedom to communicate between levels of the organization leading to relatively quick decision-making. d. Administration makes all decisions and passes these down the lines of authority to employees.
C Yes; flat organizations tend to give power/autonomy for decision-making and few layers of authority for communication to formally go through.
Overtime is defined by the United States Government as: Select one: a. Any time worked over the employee's usually scheduled number of hours in a month b. Incentive for working overnight if an employee is usually scheduled during the day. c.Time worked over 40 hours in a 7 consecutive-day week d.Defined only by organizational policy; there is no Federal Government definition.
C No; mission and vision are organizational guiding values and purpose statements
Which of the following is an important consideration when making a decision to delegate or not: Select one: a. Understanding the level of evidence needed b. The patient's ability to recognize the anticipated outcome c. The complexity of the task and predictability of the outcome d. How mature the person being delegated to is
C Not B - No; this is not an element of delegation decision making
Leadership can best be defined as: Select one: a. Directing others based on authority granted by job description b. Representing a nursing unit at organizational meetings c. Using interpersonal skills to influence others; creates followership d. Completing tasks that support organizational goals
C Yes; both formal and informal leaders share this quality
Which of the following best represents the nurse manager function of controlling? Select one: a. Coordinating patient care assignments b. Matching the number of staff to the patient census c. Comparing actual monthly unit expenses to the budgeted expenses d. Establishing appropriate mix of staff to provide care.
C Yes; budget management is within the controlling function
Accountability is: Select one: a. The right to do something b. An obligation to do something c. Accepting ownership of results d. None of the answers is correct
C Yes; even if responsibility is delegated to someone else, accountability means you retain ownership of the results
Research that examines both qualitative and quantitative data on the same phenomenon (such as documentation of pain level assessment using nurse observed behaviors and EMR values of patient-reported pain levels using a visual pain scale) is known as: Select one: a. Low validity case study b. Dual process experimental method c. Mixed methods d. Quality Improvement
C Yes; examining qualitative and quantitative data within one study is mixed methods
Which of the following would be considered indirect costs for a nursing unit? Select one: a. Nursing salaries b. Purchase of IV catheter insertion kits c. Maintenance fees for printers d. Overtime salary costs
C Yes; while printing is essential to support nursing services, it is not directly related to care delivery
A patient who desires to leave "AMA" (against medical advice) needs to know which of the following: Select one: a. Risks associated with not receiving planned care b. His/her health insurance may not cover services received if leaves AMA c. A form must be signed (or expressly refused) verifying the decision to leave AMA d. All answers are correct
D
Allison is an RN who works for a community health center and is the coordinator for a mobile program that provides vision, hearing and nutrition screening for toddlers in surrounding communities based on literature published about supporting rural health promotion. Her team has made adjustments to how a "visit" is provided to each family resulting in an average of 15 minutes per family and a satisfaction rate of over 97%. This is an example of which aspect of the nurse's role in quality management? a. National patient safety goal pertaining to patient handoff communication b. Prospective quality audit c. A structure indicator d. Evidence-based health promotion
D
Considerations that contribute to establishing nursing staffing levels include: Select one: a. Differences in care needs on different days of the week b. Differences in care needs on different shifts c. Differences in care needs during different times of the year d. All answers are correct
D
Critical thinking involves which of the following: Select one: a. Self direction b. Self discipline c. Self correction d. All answers are correct
D
Delegating a task to an unlicensed patient care tech is permissible when: Select one: a. The RN fully retains control of the nursing process through exercising supervision of task completion (right supervision) b. The tech has been trained and competency-evaluated in task performance (right person) c. There is a high degree of predictability for the outcome of task completion (right circumstances) d. All answers are correct
D
During shift report, a nurse learns that a patient has named a close friend as her patient advocate in a Durable Power of Attorney for Healthcare document. This patient-directed care action is an example of: Select one: a. Risk management concern b. Do Not Resuscitate order c. The patient is receiving Hospice service d. Advanced directives
D
Effective nursing care delivery models must consider: Select one: a. Effective time management and organization of workload b. Competency of team members c. Individual client needs d. All answers are correct
D
It is important to plan communication for many professional interactions because: Select one: a. Efficiency is required based on available time to complete work b. Much professional communication nurses engage in is goal-oriented and contributes to achieving that goal. c. Client-centered care requires knowing the individual's needs and ability to learn/understand during communications d. All choices are correc
D
Legal issues related to nursing licensure include which of the following: Select one: a. Management responsibility for verifying current licensure of all employed nurses b. Compliance with continuing education requirements for licensure in state where license is issued c. State-specific application processes for license application and renewal d. All answers are correct
D
The primary purpose of a budget is: Select one: a. To restrict overspending within the unit b. To establish limits on staffing c. To list each item that will be used to provide care during the year d. To ensure that resources are available to achieve organizational objectives
D
Using evidence to inform nursing practice and guide clinical decisions requires: Select one: a. Understanding the level of evidence needed b. Ability to recognize what population(s) evidence applies to c. Use of only reliable sources of evidence d. All choices are correct
D
Which of the following concepts are true of the Lewin Force Field theory of change? Select one: a. Assessment is the first step in preparing for change b. A process that is in the "frozen" state cannot be changed. c. Moving toward change is the initial action step d. Unfreezing of a process must occur before moving can occur
D
Which of the following describes a budget variance for a Medical-Surgical nursing unit: Select one: a. A nurse decides to take two consecutive weeks of earned vacation time b. Installation of ceiling lift units budgeted for the current period c. Hiring and orientation of two new RN's to fill vacant positions included in the staffing budget d. Higher than expected admissions during the month of February due to an influenza outbreak
D
Which of the following is most likely a permanent team? Select one: a. Mother-infant quality improvement team focusing on effectiveness of a new fetal monitoring strap that has been recently implemented. b. Emergency Department patient satisfaction team addressing physician complaints regarding accuracy of patient triage c. Planning committee for celebration of Nurse's Week throughout the organization's offsite locations. d. Interprofessional quality team that monitors all Incident and Accident Reports on a monthly basis
D
Which of the following statements best describes the relationship between cost and health outcomes in the United States as compared with other wealthy countries? a. Cost and quality are both rated as first among similar wealthy countries b. Costs and outcomes are among the lowest for wealthy countries c. Outcomes are high and costs are low demonstrating excellent value d. Costs are the highest and outcomes are among the lowest representing problems in the system
D
Which of the following statements best represents the importance of the "5 Rights of Delegation" Select one: a. Uniformly defines responsibilities among relationships in delegation decision-making b. None of the choices are correct c. Defines scope of practice for each level of nursing personnel d.A mechanism for determining what tasks can be delegated safely based on the context and individual circumstances in each clinical situation.
D
Total quality management includes: Select one: a. Audits of patient records to identify poorly performing nursing staff b. Intense preparation just before an accreditation survey to get everything in place c.Forming temporary teams to address specific concerns when they arise then disbanding them until another problem occurs. d. Continuous monitoring activities to identify opportunities to promote patient safety
D Not C - No; while issues with quality should be addressed, a permanent process to identify where problems exist needs to be in place.
An example of professional communication related to safety is: Select one: a. Using consistent "checklist" style processes such as SBAR b. The ability to understand and effectively hold conversations with other health disciplines (such as therapies, physicians, social workers.) c. The ability to ask and answer questions during changes in patient care delivery settings d. All answers are correct
D Yes; each choice is an example of promoting patient safety in communication practices
The operation of organizations is best described as guided by: Select one: a. Beliefs, attitudes and shared values that form an organizational culture b. A statement of what the organization wants to become (future-oriented) c. A statement of what is important to the organization (such as service, access, protecting community health) d. All answers are correct
D Yes; each of these contribute to the organizations foundation for existence.
Which of the following influences a healthcare organization's structure and operation the most? Select one: a. Reimbursement sources such as insurance companies b. Federal legislative mandate c. Governmental ownership d. Mission, vision and values determined by the organizatio
D Yes; the mission, vision and values of an organization provide a foundation for how the organization is structured, work is done and success is determined.
Detailed note-taking during observations of a group's behaviors within a qualitative study most supports which of the following strategies to promote trusworthiness of qualitative research: Select one: a. Protection from allegations of bias b. Proof that the study was conducted well c.Prolonged engagement and persistent observation d.Comprehensive and vivid recording of information
D Yes; the open-ended nature of the data in qualitative research calls for detailed notes that can be interpreted by researchers when identification of themes is conducted.
Division of labor is one of the considerations in how an organization is structured. Select one: True False
True
True or False: Triangulation is a strategy promoting trustworthiness of qualitative research by using more than one person or method to reduce opportunities for bias. Select one: True False
True
True or false: Errors in care that lead to patient complications/death can not be considered unavoidable without investigation of contributing factors. Select one: True False
True
Ture or False: Effective interprofessional teamwork requires time and planning for effective communication. Select one: True Fals
True
A qualitative research article includes the following statement in the findings section: "...identification of this theme was confirmed independently by two outside experts who reviewed the data." Which of the following strategies for promoting trustworthiness of qualitative research does this best represent? Select one: a. Negative case analysis b.Stepwise replication c.External inquiry audit d.Search for disconfirming evidence
Yes; objective outside review by other experts in the field provides a type of triangulation in interpreting and reporting results. C
According to the National Council of State Boards of Nursing, the primary goal of proper delegation by registered nurses is to: Select one: a. Protect the registered nurse's license from being revoked for poor practice b. Protect the public by promoting safety in care delegation decisions c. Assure that organizational policies are adhered to d. Prevent lawsuits for malpractice
Yes; the Venn diagram of the inputs to delegation processes focus on protecting the public through best nursing practice B
Which of the following best describes the use of data triangulation to reduce bias in qualitative research? Select one: a. Collection of data using both observation and informant self-reporting b. Multiple investigators make independent observations of behavior and then compare findings with each other c. Randomization of participants into intervention and control groups to test effectiveness of a nursing intervention d. Use of an open-ended questionnaire to guide interviews with groups of patients regarding their feelings about having diabetes
Yes; using more than one data collection method to examine one research point is data triangulation A
The salary portion of the operating budget includes all of the following except: Select one: a. Costs associated with employee health insurance coverage b. Anticipated cost of staffing to cover employee sick time c. Furniture for the nurse's station d. Anticipated levels of needed overtime due to staff retirements
c
The primary reason for evaluating trustworthiness of qualitative research pertains to: Select one: a. Correct statistical analysis and reporting of p-values b. Deciding how to apply the research to your patient population c. The truth value of the reported findings based on how the research was conducted and reported d. Whether the author's credentials are sufficient to provide expertise on the subject
c Yes, this is the intended outcome of evaluating trustworthiness of qualitative research
A patient experiences a complication following insertion of an IV catheter which caused a pulmonary embolism and extended hospital stay. True or false: A "civil inquiry" is a process used to determine where to place blame and to determine whether the pulmonary embolism was avoidable or unavoidable? Select one: True False
false
True or false: In the budgeting project the student team presented, an authoritative leadership style was used because there was time to gather a wide range of opinions and options for how to come up with the funds to purchase the needed software upgrade. Select one: True False
false
Leveling the playing field" is a practice that promotes care through an interprofessional team approach: Select one: True False
true
National Patient Safety Goals are established by the Joint Commission for Health Care Organizations (JCAHO) annually for hospitals and outpatient care settings. Select one: True False
true
True or false: Concurrent mixed methods research involves collection of quantitative and qualitative data during the same period of time. Select one: True False
true
True or false: In the staffing project presented by the student group, delegation was addressed related to the need for housekeeping staff to clean more rooms for patient use while the nurse manager retained accountability for patient rooms being ready for use. Select one: True False
true
True or false: It is healthy and often necessary to practice self-care tactics while working a nursing shift. Select one: True False
true
True or false: Lateral violence between employees can include intimidation or assault. Select one: True False
true
True or false: The elements of Informed Consent can be applied to financial responsibilities for clients/patients creating liability for the organization if not properly obtained. Select one: True False
true
True or false: The information available to the public in the form of Mission/Vision/Values can provide a sense of the organization's culture. Select one: True False
true
