Essentials of Nursing leadership & Management weiss

A nurse is providing care to a patient whose family has previously brought suit against another hospital and 2 physicians. Under which principle should the nurse practice? 1- justice 2- veracity 3- autonomy 4- nonmaleficence

1

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? 1- the hospital was supportive and assistive as the nurse coped with this event 2- the nurse was dismissed for incompetence 3- the hospital quality dept advised the nurse not to tell the pt about the error 4- the nurse was reassigned to an area in which there is no direct pt care responsibility

1

DHHS is charged with protecting the health of all Americans and providing Essential Health Services. which of the following HHS quality initiatives is currently underway? 1. post-acute-care reform initiative 2. National Healthcare research and quality 3. indicators aimed at helping improve access to care ndnqi 4. Health it

1

Health Care reform encompasses many issues and concerns which of the following is probably the most controversial goal? 1. requiring everyone to have some form of healthcare 2. developing school-based Health Care Centers 3. eliminating pre-existing condition rules and insurance coverage 4. eliminating lifetime limits to insurance coverage

1

Mara Z. wants to become a nurse manager. She 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 unit's workflow

1

The ANA code of ethics with interpretive statements guides nurses in ethical behaviors. Provision 3 of the ANA code of ethics says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the pt." which of the following best describes an example of this provision? 1- respecting the pts privacy and confidentiality when caring for him 2- serving on a committee that will improve the environment 3-maintaining professional boundaries when working with a pt 4- caring for oneself before trying to care for another person

1

Theory Y emphasizes: 1. Guidance, development., and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting, and time studies

1

a nurse is caring for a patient who has COPD& is 2 days post-op after a laparoscopic cholecystectomy. Which intervention for airway management should the nurse delegate to the UAP? 1- assisting the pt to sit up on the side of the bed 2- instructing the pt to cough effectively 3- teaching the pt to use IS 4- auscultating breath sounds q4h

1

a nurse is helping a UAP provide a bed bath to a comatose pt who is incontinent. Which of the following actions requires the nurse to intervene? 1- the UAP answers the phone while wearing gloves 2- UAP log rolls the pt to provide back care 3- UAP places incontinence diaper under the pt 4- UAP positions the pt on the left side, head elevated

1

a patient is transported to the ED by rescue after being involved in a MVA. The pt is A&O but keeps stating he is having trouble breathing. Oxygen is started, but the pt is still showing signs of dyspnea. The pt suddenly develops respiratory arrest and dies. During the resuscitation process, it is discovered that the nurse failed to open the correct oxygen valve. The family sues the hospital and the nurse for: 1- malpractice 2- negligence 3- nonmaleficence 4- equipment failure

1

an effective way to help a diverse staff work together is to: 1. provide equal opportunities for advancement 2. pretend there is no cultural differences 3. promote uniformity and communication Styles 4. establish an english-only policy institution wide

1

burnout at work can be identified best by: 1. expressions of frustration and powerlessness 2. fatigue and refusal to work double shifts 3. allergic reactions 4. a preference for efficiency

1

differences and status and authority within health care team can generate conflict what is the most common cause of conflict? 1. disrespect and incivility 2. inappropriate language and sarcasm 3. blaming and fingerpointing 4. physical violence

1

enhancing the quality of work life can be achieved by: 1. encouraging critical thinking and new ideas 2. discouraging a working relationship with ones peers 3. being negative 4. endangering a client's health or safety

1

medical errors account for 250,000 deaths per year it's estimated that as many as 50% of these errors maybe preventable what steps would you take to avoid medication error? 1. review the patient's medication administration record during bedside shift report 2. ask your colleagues to get your medication so that you can give it on time 3. call the pharmacist 4. review the medication administration policy

1

nursing practice in the 21st century is an art and science that focuses on: 1- the pt 2- nursing process 3- cultural diversity 4-the health-care facility

1

several of your colleagues are going to join the AANA. you know the annual dues are little more than you can afford right now but you want to learn more. your friends think that joining the AANA will help Empower them. how do professional organizations empower nurses? 1. they represent nurses in the political Arena 2. they equalize power between employees and staff 3. they provide opportunities for promotion 4. they provide health insurance

1

social media is commonly used to update friends and groups on things we have going on in our lives. Health-care organizations routinely use social media to promote medical facts, services, and recognitions. What is important for nurses to remember when deciding to post something work related on social media site? 1- nurses should never post protected health info on a social media site 2-stories w good outcomes can be posted to your media page 3- stories and photos can always be shared if the pt's name or face is not visible 4- posting stories on personal time is OK because the nurse isnt working

1

the nursing assistant tells a nurse that a pt who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. what intervention should the nurse suggest to improve pt's comfort for this problem? 1-humidify O2 2- simple face mask instead of nasal cannula 3- provide pt with extra pillow 4- have pt sit up in chair

1

the patient with COPD has a nursing diagnosis of Ineffective breathing pattern. Which is an appropriate action to delegate to experienced LPN under your supervision? 1- observe how well the pt performs pursed-lip breathing 2- plan a nursing care regimen that gradually increases activity intolerance 3- assist the pt w basic ADLs 4- consult w PT about reconditioning exercises

1

the situational leadership model focuses on: 1- both followers and the task 2- the task 3- the follower 4- the behavior of others

1

there are numerous sources of power in an organization. several are available to nurses. which one is not? 1. Authority 2. reward 3. control of information 4. coercion

1

to achieve safe patient care a culture of safety and must exist what are characteristics of an organization with a culture of safety? 1. transparency openness and reporting of Errors is rewarded plus a blame free environment 2. honesty and studying of serious events 3. privacy and reporting of Errors appreciated 4 blame free environment plus openness and error reporting is encouraged

1

what is an important contribution of the nursing specialty organizations? 1. setting standards for specialty practice 2. supporting the associate's degree in nursing education 3 providing collective bargaining agreements

1

what is the best explanation of authority? 1. it is position dependent 2. it is based upon the ability to lead others 3. its expertise driven 4. it resides primarily in the clients served

1

what is the purpose of a cover letter when applying for a position? 1. introduces the applicant 2. States the employment goal 3. outlines the applicants position in the community 4. describes the reason for entering nursing

1

which common practice puts the nurse at liability for invasion of pt privacy? 1- during care, the nurse reveals info about the pt to those in the room 2- the nurse releases info about the pt to nursing students who will be caring for the pt the next day 3- the nurse conducts a pt care session about a pt whose care is difficult and challenging 4- confidential info regarding an admitted pt is released to 3rd party payers

1

which of the following is a current concern related to the nursing profession? 1. aging of the nursing Workforce 2. oversupply of nurses versus decreasing demand for nursing care 3. emphasis on evidence based practice 4. expansion of EHR use into the community

1

which of the following is a macro level change? 1. shift in medicare payment policies 2. change in shift differentials 3. opening a new unit 4. changing visiting hours

1

which of the following represents the s in a SWOT analysis? 1. flexibility 2. difficulty adapting to change 3. nursing shortage 4. competition among Healthcare facilities

1

you are a new nurse, the hospital where you work is committed to providing safe high-quality care. which of the following activities would let you know that your organization is committed to improving patient safety? 1. the hospital has a good catch program for staff who recognized errors and near misses 2. the hospital subscribes to TJC safety Publications 3. measures performance every month monitors quality indicators and regularly reports on quality 4. all of the above

1

a Suburban Hospital recently announced that staff nurses could no longer choose their shift and said they would be assigned to either a 12-hour day shift or a 12-hour night shift on an as-needed basis. An informal group of Staff nurses met to discuss this new policy. They came up with several arguments against it. Which of the following suggestions would help to alleviate the effects of this new policy? select all that apply 1. allow self-scheduling by staff nurses in each unit 2. provide free dinner for some nursing staff at the end of the night shift 3. allow staff members to request consistent days off 4. end visiting hours before day shift and so that night shift nurses do not have to deal with visitors

1 + 3

actions to address violence in the healthcare workplace include: select all that apply 1. identifying the factors that contribute to violence and controlling as many as possible 2. allowing the violence to escalate 3. assessing staff attitudes and knowledge regarding responses to violence 4. providing weapons training to those identified as having the potential for physical violence

1 + 3

which of the following characterized the transition from nursing student to practicing nurse? select all that apply 1. increased number of assigned patients 2. higher productivity expectations for the student compared with the practicing nurse 3. greater emphasis on efficiency and practice 4. shorter hours and fewer work days back-to-back in practice

1 + 3

an incident of sexual harassment as identified by the EEOC is select all that apply 1. telling jokes about sexual identity issues 2. separate restrooms 3. providing coffee and donuts to the nursing staff 4. demanding at Daily kiss for writing a favorable evaluation

1 + 4

factors found to increase nurses Joy at work include select all that apply 1. ability to provide quality Care 2. consistently high workload 3. a pattern of continuous conflict &disagreement 4. Civility and respect

1 + 4

which of the following are considered reasonable accommodations for an employee with a disability? select all that apply 1. modification of the work schedule 2. salary reduction to reflect lower output 3. additional days off and extended vacations 4. adjustment of work procedures

1 + 4

an experienced LPN is working under the supervision of the RN. The LPN is providing nursing care for a pt who has a respiratory problem. Which activities should the RN delegate to the experienced LPN? [SATA] 1- auscultate breath sounds 2- administer meds via metered-dose inhaler 3- complete in depth admission assessment 4- initiate the nursing care plan 5- evaluate the pt's techniques for using MDIs

1 2

effective nurse leaders: [SATA] 1- are also good followers 2- effectively work together with shared goals 3- never act on their ideas 4- have masters degrees

1 2

a nursing student is preparing a resume to send to prospective employer. what qualities should the nursing student emphasize? select all that apply 1. responsibility and accountability 2. Integrity 3. interpersonal skills 4. social skills 5. Family Values

1 2 + 3

which of the following represent the knowledge & skills expected of the professional nurse? [SATA] 1- accountability 2- advocacy 3- autonomy 4- social networking 5- participation in nursing blogs

1 2 3

an effective leader will have: [SATA] 1- courage and integrity 2- a critical mindset 3- the ability to set priorities 4- the ability to provide feedback

1 2 3 4

effective nurse managers have: [SATA] 1- leadership capabilities 2- clinical expertise 3- business sense 4- budgeting savvy

1 2 3 4

professional accountability serves the following purpose [SATA] 1- to provide a basis for ethical decision making 2- to respect the decision of the client 3- to maintain standards of health 4- to eval new professional practices and reassess existing ones 5- to belong to a professional organization

1 2 3 4

A nurse is caring for a patient who has a PE. The pt is receiving anticoagulation with IV heparin. What instructions should the nurse give the UAP who will help the pt with ADLs? [SATA] 1- use a lift sheet when moving and positioning the pt in bed 2- use an electric razor when shaving the pt each day 3- use a soft-bristled toothbrush or tooth sponge for oral care 4- use a rectal thermometer to obtain a more accurate body temperature 5- be sure the pt's footwear has a non-slip sole when the pt ambulates

1 2 3 5

a pt tells a nurse that he has an advance directive from 6 yr ago. the nurse looks at the medical record for the advance directive. what content should the nurse expect to find in the advance directive? [SATA] 1- decisions regarding treatments 2- when to take the pt to the hospital 3- no not resuscitate orders 4- who should be notified in the case of illness, injury, or death 5- durable POA for health care 6- HIPAA protocols

1 2 3 5

which of the following events should be reported? select all that apply 1. a patient is placed in a broken wheelchair that tips over 2. a staff member tells the neighbor about the famous athlete who is a patient 3. an employee reports to work under the influence of alcohol 4. a patient's bill has her supplemental protein drink on the floor and the CNA mops it up

1 2 and 3

a nursing student is graduating in three months. the student is looking for a position. where should the student begin the search? select all that apply 1. Healthcare organizations 2. online job boards 3. National Council of State Boards of Nursing 4. American Association of colleges of nursing 5 recommendations from peers and professionals

1 2 and 5

the health care facility has sponsored a continuing education offering on emergency management of pandemic influenza. at lunch 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". whats true of this statement? [SATA] 1- the nurse has a greater obligation that a layperson to care for the sick or injured in an emergency 2-this statement reflects defamation and may result in legal action against the nurse 3- this statement is a breech of the Code of Ethics for Nurses 4- the nurse has this right as no nurse-pt contract has been established

1 3

who may become a member of the nsna? select all that apply 1. associate's degree program students 2. graduates of associate degree programs 3. diploma school students 4. baccalaureate degree students

1 3 + 4

a new graduate plans on moving into nursing Administration. what steps should The Graduate take to ensure this goal is reached? select all that apply 1. further professional education 2. meet the specific requirements for the entry-level job position 3. seek new experiences 4. volunteer to work on committees 5. find a mentor

1 3 4 + 5

An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? Select all that apply. 1. The client is not sedated 2. The doctor is present 3. A family member is a witness 4. The signature is in ink 5. The patient understands the procedure

1 5

Which of the following is unique to a professional standard of decision making? [SATA] 1- weighs benefits and risks when making a decision 2- analyzes and examines choices more independently 3- concrete thinking 4- anticipates when to make choices without others' assistance

1, 2

APRNs generally: [SATA] 1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting 5. Hold advanced degrees

1, 5

A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate? 1. The nurse is an employee; therefore, access to the chart is permissible. 2. Access to the chart requires a signed release form. 3. The relationship with the client provides the nurse special access to the chart. 4. The nurse can ask the surgeon to discuss the outcome of the surgery.

2

Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the LEAST important to share with the oncoming nurse? 1. Telling the oncoming nurse what happened on the unit during the shift 2. Introducing the client and his or her diagnosis to the oncoming nurse 3. Sharing the nurse's personal opinion of the client 4. Reviewing new medication orders and the medication administration record (MAR) - -

2

Florence has two team members who continually criticize each other despite being told to stop which approach is the most appropriate for this situation? 1. refer each of them to employee counseling 2. engage in problem resolution 3. bring in a union representative 4. engage in a formal negotiation process

2

George S. has just become a nurse manager in a long-term care facility. He knows he has a lot to learn-- What should he tell his staff? 1. Nothing, he should pretend he has experience 2. That he is still learning, too, and values their input 3. That the staff needs to manage themselves 4. How little he knows about management - -

2

The EMR has many advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new pt for the 1st time who informs her that he was recently hospitalized. Jane pulls up the pt's EMR and sees no information regarding his recent hospital stay. How should this have happened? 1- the pt's discharge was so recent that it is not available yet 2- EMR's are usually practice or hospital specific, so the pt info wouldnt be accessible to Jane. 3- pt hospitalized out of state 4- pt hasnt signed the necessary consents to give Jane access

2

The purpose of learning how to negotiate conflict is to 1. eliminate conflict entirely 2. resolve conflicts more effectively 3. win 4. reduce stress

2

a new nurse manager plans to implement a new scheduling process. this was met with resistance from the staff who were very happy with the current scheduling process. how can the nurse manager lower their resistance to this change? 1. tell the staff that they're concerns about the new schedule are unfounded & plan to post the new schedule 2. share information about the new schedule and discuss its impact on the unit 3. post the schedule and deal with staff on an individual basis 4. ask the staff to come up with an alternative for the nurse managers consideration

2

a nurse is working on an ethics committee to determine the best course of action for a pt who is dying. The nurse considers the positive and negative outcomes of the decision to assist with choices. Which best describes the distinction of using a list when making an ethical decision? 1- the nurse can back up her reasons for why she has decided to provide a certain type of care 2- the nurse can compare the benefits of one choice over another 3- the nurse can communicate the best choice of action to the interdisciplinary team 4- the nurse can provide care based on developed policies and standards

2

a pt asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the pt about his concerns. Which ethical principle is the nurse applying in this situation? [SATA] 1- beneficence 2-autonomy 3- veracity 4- justice

2

a unit team leader who fails to provide direction to his or her nursing care team is a(n): 1- democratic leader 2- laissez-faire leader 3- autocratic leader 4-situational leader

2

according to NIOSH a common reaction to latex allergy is: 1. increased appetite 2. allergic contact dermatitis 3. increased Falls 4. increase in violent outburst

2

benefits of membership in the ANA include all of but which one of the following: 1. advocacy for nurses rights 2. provision of lower-cost health insurance 3. work toward a safer workplace 4, Improvement of patient safety

2

effective followers are those who are: 1- passive employees 2- skilled and self-directed employees 3- less valuable employees 4- employees who are never supportive of new ideas

2

in which of the following situations would a personal change probably be the hardest to make? 1. when the need is immediate 2. if the benefits will be realized years from now 3. when the reward is immediate 4. if it is change that keeps you in your comfort zone

2

nurses who feel empowered can make significant contributions to a healthcare organization. feeling empowered includes feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. what is essential to nurse empowerment? 1. belonging to a professional organization 2. participating on a unit 3. practice Council reasonable work assignments 4.reward and recognition program

2

nursing management in the nursing union or having differences on several issues there may be a need for negotiations which of the following is a serious disadvantage to using collective bargaining to resolve this conflict? 1. protecting the right to fair treatment 2. creating and adversarial relationship between staff and management 3. lacking professionalism on the part of the collective bargaining unit members 4. failing to uphold important standards of care

2

professional careers typically go through several phases. which of the following would be the final phase of a successful career? 1. promise phase 2. Harvest phase 3. transition phase 4. momentum phase

2

structured care methodologies are: 1. nursing tools designed to identify best practices and facilitate standards of care 2. used to create a stable set of performance indicators to measure outcomes 3. used to assist employees with wellness and injury prevention 4. helpful when making staff assignments

2

the purpose of QI is to continuously improve the capability of every one involved to provide safe high-quality patient care. what is important to know about the QI process? 1. it is independent of teamwork 2. it is Data driven approach to improving processes 3. common safety indicators are not used to evaluate quality of care opportunities 4. QI are selected by organizational leadership

2

what is the STAR method of interviewing? 1. focuses on communication 2, emphasizes behaviors 3. allows the employer to ask personal questions 4. creates a relaxed and interviewing environment

2

what is the difference between management and leadership? 1- management focuses on budget 2- management is an assigned position 3- leadership isnt concerned with getting work done 4- leadership is more focused on people

2

what type of resume is useful in showing stable employment without gaps or many changes? 1. standard 2. chronological 3. functional 4. combination

2

when conducting a SWOT analysis the T represents? 1. time spent in education 2. threats to obtaining a position 3. terminal degree expectations 4. talking points for the interview

2

when evaluating the quality of care a healthcare organization must consider structures processes and outcomes of care delivery. which of the following is a good example of an organizational process? 1. budgeting adequate money for nursing salaries 2. preparing a patient for discharge 3. monitoring for infections 4 increasing time between clinic

2

when is it most appropriate to dictate change? 1. when the change is very complicated 2. in an emergency 3. when resistance is very high 4. if the change is unimportant

2

when should a new grad consider taking on management responsibilities? 1- as soon as they are offered 2- after developing clinical expertise 3- after 15 years on the job 4- before developing leadership expertise

2

which best describes the difference between pt privacy and pt confidentiality? 1- confidentiality occurs between persons who are close, whereas privacy can affect anyone 2- Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's info 3- confidentiality involves the use of technology for protection, whereas privacy uses physical components of protection 4- privacy involves protection from being watched, whereas confidentiality involves protection from verbal exchanges

2

which of the following best describes the nurse of today? 1. assistant to the physician 2. member of the largest Healthcare profession 3. member of the most powerful Lobby group in healthcare 4. woman in white

2

which of the following best describes what is most likely to be within a nurse's comfort zone? 1. a new assignment 2. tasks she's done many times 3. changes to a different shift 4. addition of several new task

2

which of the following health and safety concerns is not one of our greatest concerns currently? 1. Escape of healthcare-acquired infections into the community 2. spread of poliomyelitis and smallpox 3. increase in opioid related death 4. Health disparities such as poor health and treatment outcomes in minority limited income and other groups

2

which of the following organizations supports nursing education 1. NINR 2. NLN 3. AMA 4. ANA

2

which of the following procedures and modifications contributes to reducing indoor air pollution? 1. windows that may be open by staff as needed 2. more powerful ventilation systems and air filtration 3. selecting products with more PVC 4.increased use of medical waste incinerators

2

a nursing student who is graduating in a few weeks is preparing a resume. what should the nursing student highlight first? select all that apply 1. family status 2. educational degrees 3. community service 4. employment experience 5. leadership experiences in school

2 + 4

HIPAA regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? [SATA] 1- the pt is from a correctional institution 2- the situation involves child abuse 3- an injury occurred from a firearm 4-the pt is a physician 5- the breach of information was unintentional

2 3

which of the following are the primary current problems with the US Healthcare System? select all that apply 1. increased use of EHRs 2. less than Optimum outcomes 3. number of people who are uninsured 4. High Cost of care

2 3 + 4

what does be visible in vocal mean? select all that apply: 1. take a course on Health Care policy 2. speak out on issues important to nursing 3. write letters to the editor and email your state and federal Representatives 4. look for opportunities to appear on radio or television

2 3 and 4

An RN sees an older woman fall in the mall. The RN help the woman. The woman later complains that she twisted and sprained her ankle. The RN protected from litigation under: 1. Hospital malpractice insurance 2. Good faith agreement 3. Good Samaritan law 4. Personal professional insurance

3

An important competency that nurse leaders need to develop in order to lead effectively is the: 1- ability to be firm and inflexible 2- ability to close-minded and to ignore negative feedback 3- ability to communicate effectively with others 4- ability to follow orders without questioning them

3

ISBARR provides a framework for communicating critical client information it is an acronym for 1- Identifies study background assess recognize read back 2- issues situation better advise refer with recommendations 3. introduce situation background assess recommend read back 4. none of the above

3

If you are employed at a hospital owned by a corporation listed on the stock market in which category does your facility belong? 1. publicly government supported 2. voluntary not for profit 3. for profit 4. all of the above

3

Jane is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at the meeting? 1. Talking to the staff 2. Laughing with them 3. Listening 4. Crying

3

Janice Mendoza settled in her nursing position and wants to devote some time to one of the issues facing the nursing profession which of the following activities would probably have the least impact on advocating for the nursing profession? 1. contribute to ANAs PAC 2. visit the representatives when state legislature is in session 3. talk with her friends explaining her concerns 4. speak on radio and television programs

3

a colleague tells you "I'm so burnt out. I think it's time for me to resign." what can you tell your colleague? 1. you probably need a break from work. why don't you ask for a six month leave of absence? 2. why don't you apply for a position at our rival Hospital? 3. tell me how you take care of yourself and what you like about your work 4.we're all burned out. welcome to the club

3

a democratic leader consistently works to: 1- move the group toward the leaders goals 2- make little or no attempt to move the group 3- share leadership with the group 4- dampen creativity

3

a good description of the present us Healthcare System would be: 1. the best in the world 2. efficient and effective 3. needs Improvement 4. meet everyone's needs

3

a nurse is caring for a patient who is diagnosed with CAD and sleep apnea. which action should the nurse delegate to the UAP? 1- discuss weight-loss strategies such as diet and exercise with pt 2- teach the pt how to set up the CPAP machine before sleeping 3- remind the pt to sleep on his side instead of his back 4- administer modafinil to promote daytime wakefulness

3

a nurse is caring for a pt who feels that life should not be prolonged when hope is gone. she has decided that she doesnt want extraordinary measures taken when her life is at its end. She has discussed her feelings with her family and HCP. The nurse realizes that this is an example of: 1- affirming a value 2- choosing a value 3- prizing a value 4- reflecting a value

3

a nurse student is preparing for a first job interview. what should the nursing student research about the organization before going to the interview? 1. review the salary scale 2. research the benefits package offered to employees 3. become familiar with the organization's Mission and core values 4. ask the nurses who work at the agency how many patients they are assigned

3

an RN new to the ED documented that "the pt was intoxicated& acted in a crazy manner." The team leader told the RN that this type of documentation can lead to: 1- assault 2- wrongful publication 3- defamation of character 4- slander

3

autocratic leaders: 1- postpone decision making as long as possible 2- share leadership with members of the team 3- give orders and make decisions without consulting the team 4- encourage creativity when problem solving

3

creating a culture of safety requires organizational commitment to preventing harm which of the following is NOT a key feature for a culture of safety? 1. provision of adequate resources to provide care and service 2. use of interprofessional collaboration to solve problems and assess risk 3. adherence to Staffing ratios 4. encourages the reporting of errors and near misses

3

in the US Healthcare System who is the real customer that is who actually pays most of the health care bill? 1. the US government 2. the head of the household 3. government entities and employers 4. employees and their families

3

is an informal negotiation session becomes too highly emotional what should the nurse manager do? 1. let the feelings flow 2. cancel the negotiation 3. deal with the feelings first 4. tell them to ignore the feelings and deal with the issues

3

servant leadership focuses on: 1- helping pts care for themselves 2- removing incompetent managers 3- creating a supportive work environment 4- resolving conflicts quickly

3

studying errors and identifying how they occur helps organizations improve patient safety which category of Errors is the most useful in identifying and remedying vulnerabilities in an organization? 1. Sentinel event 2. adverse event 3. near Miss event 4. wrong procedure

3

the occurrence of sexual harassment may be reported to 1. IHI 2. ANA 3. EEOC 4. CDC

3

there has been a sudden increase in catheter-associated urinary tract infection that must be addressed on Janes unit. what is the best way for Jane to persuade the staff to implement a new Foley catheter protocol? 1. tell them the change has been ordered by the administration 2. in statistics proving the needs to change 3. tell a compelling story about why change is needed 4. explain the importance of change in simple terms

3

transformational nursing leaders have the ability to: 1- increase the negativity of the team 2- work best alone 3- define the groups mission and communicate that mission to others 4- pay close attention to the weakness and shortcomings of others

3

what can the new grad do to make a successful transition from student to practicing nurse? 1. try to maintain one's student identity 2. move into nursing management as soon as possible 3. learn about the organization as a whole as well as about your assigned unit 4. focus on the stress of making this difficult transition

3

what does the nsna provide to its members: 1. help in improving course grades 2. guidance in choosing a good nursing school 3. Career Development information 4. opportunities for graduate school

3

what is the most desirable result of a problem resolution? 1. win lose 2. lose lose 3. win win 4. none of the above

3

which of the following is a characteristic of a bureaucratic organization? 1. organic structure 2.flexible teams 3. rigid unit structures 4. self-correction and self-control

3

which of the following is a major reason why newly licensed nurses resign? 1- poor pay scales 2- needlestick injuries 3- unsupportive management 4- lack of advancement opportunities

3

who was responsible for accepting transcribing and implementing physician orders? 1. unit clerk 2. medical resident 3. professional nurse 4. medical assistant

3

you have been asked to serve on your unit practice Council. this is an important role and one that you are excited to perform. what should you know about the professional governance so that you are prepared for this work? professional governance and nursing involves: 1. longer working hours 2. attending a lot of meetings 3. nurses setting nursing standards for daily practice 4. changing the organization's culture

3

Nursing has its origins with: 1- Florence Nightingale 2- The Knights of Columbus 3- Religious orders 4- wars and battles

3- religious orders

An RN calls a health-care provider to report that a patient's condition is deteriorating. The physician gives orders on the telephone to draw arterial blood gases. What should the nurse do next when receiving telephone orders from a health-care provider? 1. Call the respiratory therapist to obtain the blood gases 2. Give the order to the unit secretary to ensure it is entered quickly 3. Enter the order directly into the system as it was given to the RN 4. Write the order down and read it back to the provider

4

An RN has asked a licensed practical nurse (LPN) to trim the toenails of a diabetic patient. The LPN trims them too short, which results in a toe amputation from infection. The patient files a lawsuit against the hospital. the RN, and the LPN. What might all three be found guilty of: 1. Unintentional tort 2. Intentional tort 3. Negligence 4. Malpractice

4

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? 1. The charge nurse is unavailable to help the nurses when they have questions about policies. 2. Some staff are afraid to ask particular charge nurses for help for fear of retribution. 3. The use of acronyms is confusing to staff members who are new to the unit. 4. All of the above

4

Implicit bias affects our understanding in an unconscious manner. A person's ability to recognize these biases can improve communication w pt & colleagues alike. Which of the following statements is true about implicit bias? 1- implicit bias forms during a lifetime 2- implicit bias can influence clinical decision making and treatment 3- implicit bias contributes to an individual's social behavior 4- all of the above

4

Jean-Paul has practice nursing for five years and wants to continue his education he has an associate degree and is trying to decide whether to pursue a Nursing degree or a non Nursing degree. which of the following is an advantage of choosing a Nursing degree? 1. higher time demand of the non Nursing degree 2. opportunity to learn about other professions outside nursing 3. broader focus of the non Nursing degree 4, opportunity to advance Knowledge and Skills in his profession

4

OSHA, a federal government agency, is responsible for: 1. providing training to handle difficult clients and their families 2. providing research and education training 3. upholding the standards of nursing practice 4. developing and enforcing workplace safety and health regulations

4

Scientific management focuses on: 1- interpersonal relations 2- servant leadership 3- staff development 4- efficiency

4

Stephanie was a little nervous during her first week of work as a licensed nurse, distracted by a lead nurse behind her hand slipped and she was stuck by the needle she had just used. what is most important for Stephanie to do? 1. disinfect the site of the needle stick 2. apologize to the patient, clean the site and properly dispose of the needle 3. update her Hepatitis B immunization report the incident 4. obtain a post-exposure prophylaxis in 2 hours or less

4

The NCLEX for nurses is exactly the same in every state in the US. The exam: 1- guarantees safe nursing care for all pt 2- ensures standard nursing care for all pts 3- ensures that honest & ethical care is provided 4- provides a minimal knowledge for a RN in practice

4

The hospital has recently reorganized their for several departments were closed the patient census on the unit has increased the staff have always had a strong team spirit but the nurse manager knows that work flow changes can cause conflict what can the nurse manager do to reduce the possibility of conflict among her team? 1. monitor the quality of patient care 2. ensure that supplies and equipment are readily available 3. assess the equity of nursing assignments 4. all of the above

4

a common ergonomic occupational related risk in the healthcare environment is: 1. indoor air pollution 2. active Shooters 3. nosocomial infection 4. back injuries

4

a federal agency that partners with other agencies throughout the nation to investigate health problems, conduct research, Implement prevention strategies and promote safe and healthy environment is known as the: 1. FDA 2. iom 3. ana 4. CDC

4

a new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. what should she do? 1. ignore it because it is not physical violence and will not hurt anyone 2. model this bullying Behavior so the staff can see how it affects people 3. keep a log of observed bullying Behavior to discuss during employees annual evaluation 4. confront the bullying behavior and discuss strategies for responding to it

4

a nurse is assigned to care for the following pts. Which pt should the nurse assess 1st? 1- 60 yo pt on ventilator for whom a sterile sputum specimen must be sent to the lab 2- 55 yo pt w COPD and pulse ox reading from the previous shift of 90% 3- 70 yo w pneumonia who needs to be started on IV ABX 4- 50 yo w asthma who complains for SOB after using a bronchodilator

4

a respiratory therapist performs suctioning on a pt with a closed head injury. afterwards, the UAP obtains VS. The nurse should communicate that the UAP needs to report which VS value or values immediately? [SATA] 1- HR of 96 2- Resp rate of 24 3- pulse ox of 95% 4- tympanic temp of 101.4F

4

an emotionally intelligent nurse leader: 1- seeks the emotional support of others 2- cant juggle multiple demands 3- works alone without help 4- welcomes constructive criticism

4

communities and Regulatory Agencies continually challenged hospitals, skilled nursing facilities and home health companies to enhance and improve or change care delivery and the care environment to ensure safe high quality care. which factors are important in improving a Hospital's care environment? 1. adequate Staffing 2. collegial relationships among staff 3. emphasis on staff development 4. all of the above

4

how can you increase your staffs receptivity to an important change in procedures? 1. assign the new procedure to the newest staff member 2 apologize for making their work more complicated 3. provide them with a booklet on preparing for a change 4. give them time to learn the new procedure

4

in the United States healthcare insurance can best be described as: 1. universal 2. available to all 3. free 4. expensive

4

informational aspects of a nurse managers job include: 1- evaluation 2- resource allocation 3- being a coach 4- being a spokesperson

4

new grads usually experience a honeymoon at their first job which is characterized by: 1. extreme criticism from colleagues 2. long hours and low pay 3. feeling undervalued 4. excitement about the new position

4

nursing and respiratory departments both experienced job cuts the nurse manager notices that members of his staff are having more trouble getting a fast response from a respiratory therapist what source of conflict is probably operating here? 1. Union management conflict 2. interpersonal problem 3. cultural differences 4. work intensification

4

nursing standards of care and the organization's policies and procedures greatly decrease risk to patients safety which of the following steps can a nurse take to further reduce risk? 1. submit event or incident reports for near-misses 2. follow medication administration policies and procedures 3. always report significant data on care to patients and providers in a timely manner 4. all of the above

4

organizational culture is best defined as: 1. the stated vision and mission of an organization 2. policies and procedures 3. the type of Decor that was chosen for the facility 4. enduring set of shared values and beliefs

4

what type of resistance to change is the hardest to overcome? 1. the resistance that comes from inertia "we always do it this way" 2. active resistance to changing preferred procedure 3. passive resistance to an unpopular change 4. resistance based upon fear of losing one's job

4

when designing a technical change which of the following should be considered? 1. will it work better than the old way 2. is this change needed 3. is there a simple way to do this 4. all of the above

4

which of the following demonstrates a nurse as advocating for a pt? The nurse: 1- calls a nursing supervisor in conflicting situations 2- reviews and understands the law as it applies to the clients clinical condition 3- documents all clinical changes in the medical record in a timely manner 4- assesses the pt POV & prepares to articulate this POV

4

which of the following is the best indication that a change has been integrated? 1. when no one talks about it anymore 2. if adoption occurred rapidly 3.when resistance turns from active to passive 4. when a full year has passed since the change was introduced

4

which of the following issues may be addressed in a collective bargaining agreement? 1. shift differentials 2. safe working environment 3. grievance procedures 4. all of the above

4

your new organization is committed to Quality patient care which of these are considered characteristics of Quality Healthcare? 1. the nurses use evidence based research to guide care delivery 2. the nurses are respectful and responsive to their clients individual preferences 3. the nurses perform an independent double-check when administering and chemotherapy medication 4. all of the above

4

Who stated that the "function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death)"? 1- Henderson 2- Rogers 3- Robb 4-Nightingale

4- Nightingale

several studies have shown that although care planning and advance directives are available to pts, only a minority actually complete them. Which of the following has been shown to be r/t completing an advance directive? [SATA] 1- african american race 2- younger age 3- history of chronic illness 4- lower SES 5- higher education

5

Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? A. Continuing education B. Graduate education C. In-service education D. Professional Registered Nurse Education

C

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A nonnursing colleague asks about this code. Which of the following statements best describes this code? A. Improves communication between the nurse and pt B. Protects the patient's autonomy C. Ensures identical care to all patients D. Acts as a guide for professional behaviors in giving pt care

D

TJC attributes 80% of all medical errors to: a. Poor hygiene and hand washing b. Poor hand-off communication c. Poor work environment d. Lack of care

b

An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit? a) A 58-year-old on airborne precautions for tuberculosis (TB) b) A 68-year-old who just returned from bronchoscopy and biopsy c) A 69-year-old with COPD who is ventilator dependent d) A 72-year-old who needs teaching about the use of incentive spirometry

d