Check your Understanding Questions

Which one of these is not a component necessary for professional negligence? a) a standard of care is in place b) foreseeability of harm must exist c) actual patient injury must occur d) no correlation of injury to patient harm

d) no correlation of injury to patient harm

Nurse leaders can use the nursing process to develop a budget for their unit or department a) true b) false

a) true

The budgeting plan uses numerical data (quantitative data) to predict the short and long term needs of an organization a) true b) false

a) true

The definition of tort is a wrong committed against another person or property a) true b) false

a) true

Which of the following are behaviors associated with effective leaders? a) priority setting, skillful communication, passive listening b) priority setting, critical thinking, skillful communication c) problem solving, priority setting, self-development d) critical thinking, fostering self-improvement, tentative

b) priority setting, critical thinking, skillful communication

According to the video you watch "Telemedicine - making palliative better" at the end of life, how many patients die at home? a)~10% b)~20% c)~40% d)~80%

b)~20%

What type of organizational structure decides the processes to achieve goals? a) ad-hoc design b) stakeholder design c) service-line d) flat design

c) service-line

Choose one of the following words to complete this statement: "effective leadership in nursing requires the individual to be self aware in order to _______ the motivation of others" a) discourage b) inhibit c) understand d) limit

c) understand

When you are upset about an issue, the best way to approach it is to "tell it like it is" a) true b) false

b) false

In an interview, which statement will you not be required to know? a) vision statement b) forecast statement c) mission statement d) organizational philosophy

b) forecast statement

Which is one challenge that the interprofessional team faces? a) reimbursement b) decision-making process c) role confusion d) evidence-based practice

c) role confusion

Preauthorization or precertification for elective services is an example of what type of review process? a) critical pathway review b) capitation review c) utilization review d) HMO review

c) utilization review

A nurse takes a break without informing any of the their colleagues. Which ethical principle has the nurse violated in relation to the their patients? a) autonomy b) nonmaleficence c) confidentiality d) fidelity

d) fidelity

Choose the method of reimbursement that creates higher rates as more services are provided? a) diagnosis related group (DRGs) b) fee-for-service (FFS) c) managed care d) prospective payment system

d) prospective payment system

A new nurse manager is interested in a transformational leadership style. Which statement best describes this type of leadership? a) understands spreadsheets and costs and creates a budget for the unit b) serves the followers rather than being served c) focuses on the tasks to be done with an emphasis on efficiency d) seeks input from all staff for joint problem solving with a focus on team building

d) seeks input from all staff for joint problem solving with a focus on team building

According to the video you watched from NCSBN - Nurse Delegation, what is the act of being answerable for the actions or omissions of self in the context of delegation? a) accountability b) actionability c) assistive delegation d) authority

a) accountability

What is the most significant negative impact of implementing mandatory overtime cover staffing shortages? a) risk to patient safety and health b) staff perception of a lack of control c) decrease in staff productivity and motivation d) increased staff stress related to work life balance

a) risk to patient safety and health

Which of the following best describes Primary Nursing? a) the nurse assumes 24hr responsibility for planning the care of one or more patients from admission or the start of treatment to discharge or the treatment's end b) the nurse completes certain tasks rather than total care for specific patients c) the nurse belongs to a group in which members are given as much autonomy as possible when performing assigned tasks, and the team shares responsibility and accountability collectively d) the nurse assumes total responsibility during their time on duty for meeting all of the needs of patients assigned to them

a) the nurse assumes 24hr responsibility for planning the care of one or more patients from admission or the start of treatment to discharge or the treatment's end

The nurse delegates a taste an incompetent individual. Who is held accountable for the outcome of the task? a) the nurse delegator b) both individuals c) the individual who was delegated to d) it depends on the outcome of the situation

a) the nurse delegator

Delegation by a licensed professional such as the RN to a UAP can assist with time management if the delegation is correctly accomplished a) true b) false

a) true

Moral hazard is the propensity of insured patients to use more medical services than necessary bc their insurance covers so much more of the costs a) true b) false

a) true

Plaintiff refers to the person who is generating the lawsuit. Defendant refers to the person being accused of wrongdoing a) true b) false

a) true

The nurse-patient ratio model is based solely on the number of patients on a unit a) true b) false

a) true

The case manager is part of the interdisciplinary team who is a nurse leader who role is to ______ (select all that apply) a) monitor patient care b) advocate for patient c) evaluate options for patient care d) prescribe medication for patient e) coordinate patient care

a,b,c,e) monitor patient care, advocate for patient, evaluate options for patient care, coordinate patient care

A nurse delegates a task to a UAP. After completing the task what is the appropriate action by the nurse? a) redo the task if not acceptable b) evaluate the outcome the task c) no further action is required since the task is complete

b) evaluate the outcome the task

Federal authorities primarily oversee Medicaid, but each state is responsible for all of the following except: a) establishing eligibility standards b) mandating that all doctors in the state must accept Medicaid c) setting rate of payment for services d) deciding service type, amount, duration, and scope

b) mandating that all doctors in the state must accept Medicaid

What is horizontal violence? a) nurse-to-patient violence b) nurse-to-nurse violence c) patient-to-nurse violence d) family-to-nurse violence

b) nurse-to-nurse violence

Operational budgets are financial plans for the entire organization day-to-day operations. This type of budget includes which of the following? a) expenses, equipment purchase, and payroll b) payroll, supplies, and expenses c) supplies, expenses, and equipment purchases d) payroll, monthly expenses, and large purchase items

b) payroll, supplies, and expenses

Which patient care classification tool requires nurses to note the frequency of specific activities during their shift in order to determine patient acuity? a) critical indicator worksheet b) summative task tool c) nursing care hours per patient day (NCH/PPD) d) bedside rounding tool

b) summative task tool

In the NCSBN video, what mistake did the charge nurse make the delegating to Ruth? (select all that apply) a) she told Ruth to take Mrs. Campbell for a walk when she was not allowed to walk b) she allowed Ruth to re-delegate to other assistants c) she told Ruth to do neuro check every 2hrs after change in condition d) she didn't give enough patients to Ruth e) she did not give Ruth a full report to let her know Mrs. Campbell was artist for bleeding when she fell

b,c,e) she allowed Ruth to re-delegate to other assistants, she told Ruth to do neuro check every 2hrs after change in condition, she did not give Ruth a full report to let her know Mrs. Campbell was artist for bleeding when she fell

What best describes someone who is an informal nursing leader? a) a nurse is given legitimate authority to act as the leader of a teach b) a nurse is chosen by nurse administration to be a leader because of competency and knowledge c) a well-respected nurse with years of experience on the unit that others go to for advice d) a nurse is appointed to be the charge nurse because of recent BSN completion

c) a well-respected nurse with years of experience on the unit that others go to for advice

Which of the following competencies are important for the nurse leader to develop? a) ability to control a situation, adapt, and communicate b) ability to tolerate the situation, influence, and communicate c) ability to diagnose a situation, adapt, and communicate d) ability to influence a situation, suggest, and communicate

c) ability to diagnose a situation, adapt, and communicate

Katherine tells one of the staff. "I don't have time to discuss the matter with you now. See me in my office later," when the latter ask if they can talk about an issue. Which of the following conflict resolution strategies did she use? a) collaborating b) competing c) avoidance d) smoothing

c) avoidance

According to the article by Jody Michael, which one of the following is not a mental strength needed for success? a) holding multiple perspectives b) being able to assess your internal state c) having good judgement of others d) accountability

c) having good judgement of others

Medicare provides coverage for all of the following except? a) people of any age with certain disabilities b) people age 65+ c) low-income pregnant women d) people of any age with end stage renal disease

c) low-income pregnant women

Which of the following describes the chain of command, spam on control, lines of communication? a) organizational culture b) stakeholder matrix c) organizational chart d) managerial level

c) organizational chart

The three main models of nurse staffing are all of the following except: a) budget based, in which nursing staff is allocated according to nursing hours per patient day b) nurse-patient ratio in which the number of nurses per number of patients or patient days determines staffing levels c) travel nursing overload, in which the budget must take into account the number of travel nurses per unit d) patient acuity, and which patient characteristics are used to determine a shift's staffing needs

c) travel nursing overload, in which the budget must take into account the number of travel nurses per unit

A person on an organizational chart determines their centrality. Which of the following positions has the greatest amount of centrality? a) he chief nursing officer b) staff nurse in ambulatory care c) a CNA d) middle manager

d) middle manager

According to the "Introduction of Telehealth Fundamentals" information you read Remote Patient Monitoring (RPM) is: a) clinician to clinician consults, including patient care information as well as other assessment data, such as photographs or pathology reports b) patient-originated mobile technology including but not limited to phones, tablets, watches, and activity trackers to optimize health c) technologies, clinical practices, policies, and programs that promote and support access to and use of the internet d) the use of connected electronic tools to record personal patient health and medical data in one location for review by a provider in another location, usually at a different time

d) the use of connected electronic tools to record personal patient health and medical data in one location for review by a provider in another location usually at a different time

Which of the following is not true? Critical pathways: a) can be used in all patient cases, even when there are unique differences between patients b) reflect relatively standardized predictions of patient progress for a specific diagnosis or procedure c) are a strategy for assessing, implementing, and evaluating the cost-effectiveness of patient care d) provide standardized care for patients with similar diagnoses

a) can be used in all patient cases, even when there are unique differences between patients

Which staffing model provides for greater autonomy and flexibility among the individual staff nurses? a) decentralized staffing b) mandated staffing c) acuity-based staffing d) centralized staffing

a) decentralized staffing

What statement identifies the reason an organization exists? a) mission statement b) strategic statement c) vision statement d) philosophy

a) mission statement

Which of the following are not moral issues faced by nurses? a) moral legality b) moral distress c) moral indifference d) moral uncertainty

a) moral legality

Although conflict can produce distress when it occurs, it can also generate new ideas and solutions a) true b) false

a) true

Who is responsible for cost containment? a) doctors b) nurses c) hospital administration d) all of the above

d) all of the above