Leadership ATI

A nurse is delegating a client care task to an AP. Which of the following is an appropriately stated direction? A. this client needs to ambulate using a walker three times today B. please keep strict intake and output on this client C. this client needs to have his blood sugar monitored before each meal D. please take vital signs on all the clients you are assigned to today

A

a charge nurse on a med surg uint is making assignments for the next shift. a LPN and AP are members of the team. which of the following client care assignments should the nurse assign to the LPN? A. reinforcing teaching to a client B. measuring a client's VS C. performing post-mortem care D. completing a simple dressing change

A

a nurse is caring for a client who is terminally ill and is receiving nutritional support. The client's adult children disagree about continuing nutiritonal support. The dilemma is referred to the ethics committee. The nurse should expect which of the following actions from the committee? A. assisting in weighing the options involved in the decision B. providing a legal representative for the family C. recommending the best course of action for the client D. deciding how the nurse team should resove the dilemma

A

a nurse is preparing to initiate IV therapy for a client who has a prescribption for morphine 10 mg IV bolus. Using time management principles, which of the following actions should the nurse take first? A. mentally envision the procedure when collecting supplies B. enter the room and perform hand hygiene C. eject excessive meds from the prefilled syringe D. explain the procedure to the client

A

a nurse is working on a med-surg unit in an acute care facility. Which of the following events requires the nurse to file an incident report? A. a nurse administers an antibioitc 45 minutes late because the med was not available B. a nurse arrives 30 min late for a scheduled shift C. a nurse discovers a malfunctioning IV pump before starting an infusion D. a client's indwelling urinary catheter bag leaks on the floor

A

A nurse is delegating a task to an AP. The AP is to transfer a client who has a below the knee amputation from a bed to a wheelchair. The AP has never transferred a client with an amputation before. Which of the following is an appropriate nursing action? A. describe to the AP how the transfer should be done B. assist the AP after he has practiced the transfer C. transfer the client while the AP observes D. ask another AP to transfer the client

B

A nurse manager has displayed such behaviors as establishing staff nurse committees to address unit issues, instituting an open door policy for talking about concerns, and supporting the professional development of all staff. The nurse should understand that these behaviors reflect a management style that is A. laissez-faire B. democratic C. autocratic D. authoritarian

B

An adult client who has an injury that requires immediate surgical intervention is being transferred from a small, rural hospital to a Level I emergency department. The client has been medicated during transport with intravenous meperidine (Demerol). The receiving nurse understands that consent for the surgery A. can be obtained from the client B. should be obtained from a relative of the client C. is implied since the client agreed to be transported to the Level I emergency department D. will be delayed until the meperidine is metabolized

B

An assistive personnel who appears to be under the influence of alcohol reports to duty on the night shift. Which of the following is an appropriate response by the charge nurse? A. confront the AP regarding alcohol use and remove him from client care B. Ask the nursing supervisor to observe the AP and validate the charge nurse's suspicions C. document observations make about the AP's behavior in a factual manner D. report the incident to the nurse manager in the morning

B

The charge nurse is making assignments for the oncoming shift. Which of the following clients is appropriate for the charge nurse to assign to a licensed practical nurse (LPN)? A. a client who is to be discharged with a PICC line B a client who is disoriented and awaiting transfer to a long-term care facility C. a client who is 1 day postoperative following a total laryngectomy D. a client who is newly admitted for abdominal pain of unknown origin

B

a charge nurse in the ICU notices that a nurse has made two med errors during a shift. The charge nurse suspects that the nurse is chemically impaired. Which of the following actions should the charge nurse take first? A. notify the unit manger about the suspcicion B. remove the staff members fromt he work environment C. refer the staff member to the employee assistance program D. gather evidence to support or refute the suspicion

B

a newly hired AP is asked by a nurse to remove an indwelling urinary catheter from a client. which of the following actions should the nurse take to ensure the AP is qualified to perform this task? A. show the AP how to remove an indwelling urinary catheter B. review the AP's skill conpetency checklist C. ask the AP if she knows how to remove an indwelling urinary catheter D. pair the newly hired AP with an expeirenced AP

B

a nurse is a member of a hospital wide committee that has developed new documentation forms to meet the joint commission's standards for health care institutions. The nurse should understand that the greatest barrier to successful implementation of these new forms involves A. approval of forms by nursing administration B. staff resistance to learning new charting forms and standards C. the cost of staff education D. the development of quality monitoring tools for compliance with new documentation

B

a nurse is working in the emergency department when there is an explosion in a local chemical plant. multiple victims are expeced at the facility. which of the following should the nurses's priority intervention upon client arrival? A. call for additional help to support incrased client volume B. isolate the client's and irrigate with water C. provide an area for family members to wait D. obtain medical histories of each client

B

a unit manager is preparing to present a staff development session regarding brain death. Which of the following statements should the nurse include in the presentation regarding the criteria for determination of death for purposes of organ donation? A. according to the Uniform Determination of Death Act, anencephalic babies are considered dead B. death involves the complete and irreversible cessation of all function of the entire brain, including the brain stem C. any person in a persistent vegitative state is a potential source of organs for donation D. irreversible cessation and respiration no longer meets the criteria for death

B

A group of providers is participating in a resucitation effort for a client who is in cardiac arrest. Which of the following types of leadership is required for this group to function efficently? A. transofrmational B. participative C. autocratic D. Laissez-faire

C

A nurse is caring for a client who is in the bathroom. The nurse hears a loud thud and, after opening the bathroom door, sees the client on the floor. The nurse's first action should be to A. assess the client to determine if the client is breathing B. call for help C. determine unresponsiveness D. open the airway

C

A nurse is completing a variance (or incident) report after administering an incorrect dose of medication to a client, even though the client experienced no ill effects from the error. The nurse should understand that the purpose of completing the variance report is to A. alert hospital administration of a possible litigation situation B. track employee performance for possible disciplinary action C. identify situations that contribute to the occurrence of medication errors D. gather data for statistical analysis

C

A nurse is reviewing client assignments and wishes to delegate several tasks to an AP. The nurse is unsure if a certain task is within the scope of practice for the AP. Which of the following sources of information should the nurse consult to determine if the task can be delegated? A. unit nurse manager B. bargaining unit representative C. hospital policy manual D. charge nurse

C

a charge nurse is providing orientation to a new staff nurse regarding the management of a tem consisting of a LPN and an AP. Which of the following instructions by the charge nurse regarding care of a group of clients may result in unsafe practice? A. the performance of hygiene care can be delegated to the AP B. the nurse must be familiar with the nursing skills that are delegated C. the accountability for a task is assumed by the person to whom is delegated D. the LPN should document nursing skills in the client's record as they are completed

C

a charge nurse is supervising a team of LPNs and AP. The charge nurse should intervene in which of the following situations? A. an LPN delegates an AP to place a fall risk identification bracelet on a client B. an AP performs routine suctioning on a client's chronic traceostomy C. a LPN develops the nursing plan of care for a client who has pneumonia D. an AP uses a transfer board to assist a client with moving from a bed to a chair

C

a nurse involved in a continuous quality improvement program on a unit is reviewing charting information for the time of first postoperative ambulation of clients who had abdominal surgery. The nurse should know that this data collection represents a quality indicator that addresses A. outcomes B. structure C. process D. strategic planning

C

a nurse is asked to act as a preceptor to a newly licensed nurse. In agreeing to this role, the nurse realizes that the newly licensed nurse will learn best of the preceptor A. takes an assignment and delegates specific tasks to the newly licensed nurse B. gives the newly licensed nurse and easy assignment and acts as a resource person C. is co assignmed with the newly licensed nurse and acts as a role model in completing their assignment D. has the newly licensed nurse shadow while completing the assignment alone

C

a nurse is caring for a client who has an informed consent from an upcoming procedure in her health record. Which of the following is appropriate to validate that the client understand s the procedure? A. review documentation by the provider of discussing the procedure with the client B. verify that the client's signature is on the informed consent form C. ask the client to verbalize the purpose, risks, and benefits of the procedure D. document the client's completed pre-procedure checklist in the medical record

C

a nurse manager notices an increase in the number of clients acquiring health care associated infections on the unit. using the process of auditing quality control, which of the following actions should the nurse take first? A. identify the data relevant to the criteria for best unit practices B. decide how to collect the data contributing to the audit C. use benchmarks to establish practice standards D. perform a root cause analysis of the problem

C

a nurse who is precepting a newly licensed nurse is explaining the nurse's role in obtaining client consent for a diagnositc or surgical procedure. Which of the following information is apporpriate for the nurse to include in the explanation? A. clerical staff in the facility can witness the signature of a client on a consent form B. the nurse is caring for the client is responsible for obtaining informed consent C. the person who will perform the procedure is responsible for obtaining informed consent. D. A family member can witness the signature of a client on a consent form

C

a visator asks the nurse about the client in the next room who has metastic cancer and cries out frequently. The visitor says, That person must have a terrible diseae. What is the matter? Which of the following is an appropriate response by the nurse? A. that client has cancer and is quite uncomfortable B. we really are doing our best to keep the client as comfortable as possible. C. that client is quite uncomfortable. Does the crying out bother you? D. I cannot reveal anything about a client diagnosis. Why don't you ask the family when thy visit

C

within the last 6 weeks, a full-time nurse has been abssent from work 6 times, and various reasons have been cited. Since this is the first instance of a potential problem with the employee, the nurse manager decides to take a nonpunitive approach to the absenteeism. Which of the following is an appropriate action by the nurse manager? A. inform the employee in writing about the agency employment policy B. recommend that the employee review the agency policy regarding absences C. verbally remind the employee aobut the agency employment standards D. ask the employee for a written action plan after discussing the reasons for the absences

C

A nurse is caring for several client who require diagnostic testing, and is delegating tasks to the assistive personnel (AP). Which of the following tasks should the nurse direct the AP to perform first? A. change the transparent dressing on a client who has stage 2 pressure ulcer B. bring a pitcher of fresh water to a client who has just had a lumbar puncture C. transport a client to the radiology department for a chest x-ray D. take an arterial blood gas specimen to the laboratory

D

A nurse is designated as the new nurse manager on a busy oncology unit. Behaviors displayed by the nurse manager include keeping her office door closed when she is in the office, not offering to help resolve daily staffing issues, and not scheduling any staff meetings. Which of the following types of leadership behavior is the nurse manager displaying? A. transformational B. democratic C. autocratic D. Laissez-faire

D

A nurse is working with an assistive personnel in a long term care facility. According to the five rights of delegation, which of the following determinations should the nurse make prior to assignment of tasks? A. whether or not the AP has consented to the performance of delegated tasks B. the client's willingness to consent to the care of the AP C whether or not the task can be more efficently completed by the nurse D. the degree of supervision that the AP will require to complete the task

D

A nurse observes a coworker performing a procedure improperly. Although no harm is done to the client, the nurse is concerned about the coworkers knowledge regarding the proper way to perform the preocedure. The initial action the nurse should take is to A. inform the nurse manager B. submit a variance (or incident) report C. correct the mistake and say nothing D. speak with the coworker privately

D

By the middle of a shift, two of the three nurses working have gone home ill, leaving the nursing unit short staffed. Which of the following is the most appropriate action for the charge nurse? A. assume responsibility for client care until the end of the shift B. assess the needs of the clients and make reassignments accordingly C. inform the remaining staff and ask them to assist with client care D. call the nursing supervisor and request additional staff

D

The nurse manager calls a meeting of the unit's staff members to discuss cost containment issues. The nurse manager has asked for member input regarding strategies that might help reduce costs. The nurse understands that this is an example of which of the following types of leadership? A. autocratic B. democratic C. laissez-fiare D. social

D

a client who is postoperative has a hgb of 8.0. The nurse delegates the administration of a unit of packed RBC for this client to a nurse floating from a psychiatric unit. Which of the following nursing actions is apporpriate for the nurse to take at this time? A. call the provider to clarify the prescription for the administration of the unit of packed RBC B. hang the unit of blood if the charge nurse agrees to be a resource C. question the nurse regarding this presctiption becaus the client's hgb is within the normal range D. decline to hang the blood

D

a nurse administrator's leadership and management skills are highly regarded by the staff. One reason the nurse administrator is so highly regarded is the because his actualization of the concept of justice, which he enforces by A. referring an unhappy employee back to the individual with whom they have a conflict B. allowing staff members to schedule their birthday holidays on days other than their dates of birth, as long as staffing levels are maintained C. encouraging staff participation in choosing new telemetry monitors for the unit D. scheduling staff so that each person works two holidays a year

D

a nurse is concerned that some of the behaviors of the night charge nurse seem to be unprofessional. The charge nurse repeatedly asks the nurse for assistance with client care and brushes up against the nurse during the completion of the task. One night, the charge nurse asks the nurse to go out on a date and indicates that a sexual relationship between them would mean a better schedule for the nurse. The first action that the nurse should take in this situation is to A. submit a formal written greivance to the nurse administrator detailing the behaviors that the nurse perceives as harassment. B. Put a statement in writing telling the charge nurse that the behaviors are unacceptable and keep a copy C. keep a written journal of any event that the nurse feels are harassment, along with any attempts made to try and stop the behaviors D. tell the charge nurse in clear terms that this conduct is causing feelings of discomfort and that the behaviors are to stop immediately.

D

a nurse who makes several observations during the course of care on a unit. Which of the following observations should the nurse recongize exemplifies the ethical concept of parternalism? A. a nurse asking to care for an older adult client every day who reminds the nurse of a favorite grandparent B. a male nurse caring for adolescent male clients on the unit because of the discomfort the client feel with female nurses C. a middle adult AP mentoring younger, less experienced AP on the unit D. a NP withhholding information from a dying client so as not to cause the client distress

D

Measuring and recording abd girth is a skill that can be done by who? AP, LPN, or RN?

LPN, RN

authoritative, democratic, or laissez-faire? communication occurs down the chain of command

authoritative

authoritative, democratic, or laissez-faire? effective for employees with little or no formal education

authoritative

authoritative, democratic, or laissez-faire? makes decisions for the group

authoritative

authoritative, democratic, or laissez-faire? motivates by coercion

authoritative

authoritative, democratic, or laissez-faire? work output by staff is usually high- good for crisis situations and bureaucratic settings

authoritative

authoritative, democratic, or laissez-faire? communication occurs up and down the chain of command

democratic

authoritative, democratic, or laissez-faire? includes the group when decisions are made

democratic

authoritative, democratic, or laissez-faire? motivates by supporting staff achievements

democratic

authoritative, democratic, or laissez-faire? work output by staff is usually of good quality-good when cooperation and collaboration are necessary

democratic

a facial contusion would get what tag?

green, class III

What conflict is between two or more people who disagree in regard to an issue or belief

interpersonal conflict

what conflict is the tension or stress that exists within an individual as a result of unmet needs, expectations, or goals.

intrapersonal conflict

authoritative, democratic, or laissez-faire? communication occurs up and down the chain of command and between group members

laissez-faire

authoritative, democratic, or laissez-faire? effective with professional employees

laissez-faire

authoritative, democratic, or laissez-faire? makes very few decisions, and does little planning

laissez-faire

authoritative, democratic, or laissez-faire? motivation is largely the responsibility of individual staff members

laissez-faire

authoritative, democratic, or laissez-faire? work output is low unless an informal leader evolves from the group

laissez-faire

phenomenoloy studies are qualitative or quantitative?

qualitative

a penetrating spinal injury would get what tag?

red tag, class I

hypovolemic shock would get what tag?

red, class I

an open fracture should have what tag?

yellow, class II