Leadership Exam
The nurse should recognize ---- , and --- , as two ways to decrease the risks of needle sticks. First drop down: using blunt tip needles whenever possible OR recapping needles as soon as done with use. Second drop down: placing all used needles in designated SHARPS containers immediately after use OR placing used needles out of patient reach till patient care is done and focusing on the patient only.
using blunt tip needles whenever possible" and "placing all used needles in designated SHARPS containers immediately after use" are the CORRECT answers.
Complete the following sentence using the drop box. ________ are sexual favors that are solicited in exchange for favorable job benefits or continuation of employment. Drop box choices: Quid pro quo Hostile work environment
~Rational: "quid pro quo" is correct.
1A nurse has just received report on four patients. Which patient should she assess first? A. A 23-year old female who has a temperature of 101.2. B. A 38-year old male reporting a pain level of 8. C. A 55-year old female who is disoriented and asking to leave. D. A 75-year old male with heart failure who has pitting edema in the lower legs.
~Rationale: "A 23-year old female who has a temperature of 101.2." is correct.
What statement (s) are considered actions leading to Malpractice lawsuits? Select all that apply Client Falls Failure to assess a patient appropriately Failure to communicate Medication errors Failure to provide appropriate education to patients and families
Failure to assess a patient appropriately & Failure to provide appropriate education to patients and families.
All of the following statements are true regarding OSHA EXCEPT: A) The goal of OSHA is to prevent injuries and illnesses and save the lives of employees across the U.S. B) Employees can't participate in OSHA inspections. C) OSHA can provide workplace inspections with or without notifying the employer. D) Employers have the right to contest OSHA's final inspection decision.
"Employees can't participate in OSHA inspections". This statement is INCORRECT.
The two most common forms of advance directives are _____________ and _________ Word choices Living Will & Durable Power of Attorney Do not Resuscitate Orders and Living Will Durable Power of Attorney and End-of-Life decisions Do not Resuscitate Order and Allow Natural Death Allow Natural Death and End-of-Life Decisions Physicians Orders for Life Sustaining Treatment and Living Will Organ and Tissue Donation and Do not Resuscitate Orders
"Living Will & Durable Power of Attorney" is correct.
In an autocratic leadership, which one defines the style of the leadership? A. Shared leadership among the individuals in the group B. Leader is not involved and does little planning and fails to encourage others C. There is no leader involved D. The leader gives orders and makes decisions for the group**
"The leader gives orders and make decisions for the group" is correct. Source: In chapter 4, page 59 - 60, section(s) Behavioral Theories. "The autocratic leader gives orders and make decisions for the group."
When implementing functional nursing, the focus is on Holistic client care Relationship building and rapport C. The task One RN assuming the responsibility of caring for one client
"The task" is correct.
A nurse wears a hijab for an interview at a COVID unit. As the interview comes to an end, the interviewer shows interest in her hijab. He asks the nurse if she knows anyone who wears a niqab (which covers all the face except the eyes) at all times, and if they had contracted COVID. Which one of the following responses by the nurse is most appropriate? Select all that apply. "I do not feel comfortable answering this question because it is not related to the job." "Do you think it is legal to ask me about this?" "I'm here for a job interview. Why does this matter?" "This is not directly related to work, but no one I know has contracted the virus." "I understand this is a COVID unit. Do you have any concerns related to my hijab?"
"This is not directly related to work, but no one I know has contracted the virus." and "I understand this is a COVID unit. Do you have any concerns related to my hijab?" are correct.
Which of the following are current concerns in the United States? Select all that apply. 1. Gun violence 2. Meth use 3. Rise in autism in children 4. Appropriate care for LGBTQ patients 5. Opioid misuse
1,3,4,5 Gun violence, autism, LGBTQ patients, and the opioid crisis are all current concerns in the United States.
Which of the following is not a professional characteristic or behavior in the healthcare field? Select all that apply. Honesty (chapter 1, page 4) Empathy (chapter 1, page 4) Expressing personal feelings (chapter 1, page 5) Engaging in distracting conversation (chapter 1, page 5) Accountability (chapter 1, page 4)
Rationale: expressing personal feelings and engaging in negative comments are inappropriate and negatively affect the work environment. Honesty, empathy, and accountability are expected professional behaviors within the workplace.
Britney has become confident as a nurse and wants to look into ways to advance her career. Which option is not a part of the four components Britney can use to advance her career? A.Getting a certification in your specialty area B.Becoming a mentor for new nurses C.Becoming an educator in your specialty D. Joining a state nursing association
C is the correct answer
A nursing student who is soon to be graduating is preparing a resume. For each strategy, click to specify whether the technique is effective, ineffective, or unrelated to writing a resume. Repeat information to ensure the resume is longer than two pages Convert the resume into a portable document format (PDF) to allow greater protection List older jobs first, making it easier for your employer to access Include a section about how you were made aware of the available position Make use of previous non-related nursing jobs to support job experience Include graphics, such as a personal photo, to showcase creativity
INEFFECTIVE EFFECTIVE INEFFECTIVE UNRELATED EFFECTIVE INEFFECTIVE
Match the type of value with the definition and the example given. Multiple examples may go with one type of value. Types of Values: -Intrinsic values -Extrinsic values -Personal values -Professional values Definition: -Values that people consider important in their private lives -Values related to sustaining life -Values considered important by a professional group -Values that are not essential to life but may offer a means of achieving something else Examples: -A family heirloom -Food -Acceptance by others -Integrity -Water -Commitment -Your grandmother -Strong family ties -Autonomy
Intrinsic Values: -values related to sustaining life -food -water Extrinsic Values: -Values that are not essential to life but may offer a means of achieving something else -your grandmother -a family heirloom Personal Values: -Values that people consider important in their private lives -acceptance by others -strong family ties Professional Values: -Values considered important by a professional organization -autonomy -commitment -integrity
Which of the following is not true about collective bargaining? A. It is highly formalized. B. It separates management from staff. C.It does not protect the right to fair treatment. D.Nurses who work under a collective bargaining agreement can earn more money than those who do not.
It does not protect the right to fair treatment" is correct.
Mentorship is a common practice among seasoned nurses for new graduates in the field. Choose the statement(s) that correctly reflect a mentor-mentee relationship. Select all that apply. A) A mentor-mentee relationship can be formal or informal. B) Mentorship is generally only used in situations between an experienced nurse and a new graduate. C) In both a formal and informal mentorship, the mentor is assigned to the mentee. D) Mentoring programs also teach the culture of the unit and the expected role of the nurse. E) Mentoring programs help with overall job satisfaction and clinical success, but hasn't shown to increase retention rates for new nurses.
Rational right & wrong with source Rational: Answer choices A & D are correct.
Horizontal violence includes which of the following, select all that apply: 1. Verbal abuse 2. Celebrating a colleague's accomplishments 3. Making humiliating comments 4. Reporting a medication error 5. Malicious gossip
Rational right and wrong with source: Rationale: "Verbal abuse, Making humiliating comments, and Malicious gossip" are correct. Source: Chapter 13, page 199, Section Horizontal Violence. "Horizontal violence...includes verbal abuse, punishment, humiliating comments, and malicious gossip". The other choices are incorrect. Celebrating a colleague's accomplishments - Does not qualify as horizontal violence, it is rewarding professional growth and learning. Reporting a medication error - Reporting medication errors is essential due to potential for patient harm, it is not a personal attack on the employee who was behind the medication error.
Which of the following are factors important to the nurses' satisfaction with their work? Select all that apply. A. the work itself B. the healthcare team C. the employing organization D. Having strict management E. Pizza parties
Rational: "A, B, & C" are the correct choices.
Which of the following are qualities of effective leadership? Select all that apply. A. Having the courage to take risk B. Persistence to push forward when others have given up C. Inability to handle stress D. Understanding one's self-awareness E. Acting on good ideas
Rational: "A, B, D & E are correct." Source: Chapter 4, page 64, section(s): Qualities of an effective leader.
Complete the following sentence using the drop box. ________ is one way in which nurse managers can share their experience and expertise with the of the staff. Drop box choices: 1. Networking 2. Coaching 3. Conflict Resolution 4. Employee Development
Rational: "Coaching" is correct. Source: Chapter 5, page 75, Section: Behaviors of an Effective Manager "Coaching is one way in which nurse managers can share their experience and expertise with the of the staff."
The National Council of State Boards of Nursing states nurses may not use what type of device to transmit a picture of a patients wound progression? A. Hospital Camera B. Hospital Faxing System C. Personal Devices D> Hospital Cell Phone
Rational: "Personal devices" is correct.
Which of the following is not a way that nurses can support the nursing profession? Voting Community service events Speak to local, state, and national representatives about concerns Speak to a local radio about the problems in your hospital
While speaking to a local radio about problems in healthcare might be acceptable, the nurse might be accused of slander if attacking one specific hospital.
Which of the following describes what the Civil Rights Act stands for? A. Ensure access to health care for the adult, the poor, and the disabled B. Strengthens public health services C. Guarantees equal treatment for all individuals and prohibits gender discrimination in the workplace D. Provides care to dependent mothers and children, the blind, and disabled children
Rationale: The book states that the Civil Rights Act guarantees equal treatment for all individuals and prohibits gender discrimination in the workplace.
A nurse has been unhappy in her current oncology unit for several months now due to the work environment and her co-workers' attitudes. After weighing the pros and cons, she has decided to transfer units she is now telling her friends and family the news of her decision. The nurse realizes that this is an example of what in the valuing process: Choosing a value Acting on a value Prizing a value Reflecting a value
The correct answer is "prizing a value."
A nurse witnesses a car crash and feels obligated to give care to those in need while waiting for an ambulance to arrive. The driver of one of the vehicles wants to take legal action against the nurse because he lost his leg as a result of the crash. What law protects the nurse from having legal action against her for giving care during an emergency? A. The Samaritan act of 1953 B. Good Samaritan laws C. The Bystander law D. The Patient Self-determination act of 1990
The correct answer is B, Good Samaritan Laws
Select all that apply. Which situations are against the National Council of State Boards of Nursing Guidelines for Using Social Media Appropriately? A post requesting donations for the children's floor in the hospital B. A happy birthday post to a current patient on Facebook, with privacy settings on. C. A picture of a family member of a current patient bringing lunch into the office for the nurses D. A picture of the nursing staff after a long shift
"A happy birthday post to a current patient on Facebook, with privacy settings on" and "A picture of a family member of a current patient bringing lunch into the office for the nurses" are correct.
A patient enters the ER and is diagnosed with a DVT and pneumonia. The physician orders a heparin drip starting at 18 units/kg/hr. The physician also puts in an order for the anti-Xa and aPTT levels to be drawn q6. The physician puts in orders for the patient to be transferred to intensive care once a bed is available. The patient then becomes combative and screaming at whoever enters the room. The nurse ignores the behavior and fails to evaluate the patient's current status. The nurse also did not document the heparin. The ER nurse also the heparin drip at 16 unit/kg/hr. A bed is now available and before transfer, the nurse calls report and explains the patient's current status as stable and cooperative. Which of the following actions could lead to the nurse being called into court for negligence? Select ALL that apply. A. A patient enters the ER and is diagnosed with a DVT and pneumonia. The physician orders B. Failure to report changes in client status C.Attempting to alter a patient's records D.Incomplete documentation E.Failure to communicate
"A, B, D, & E" are correct. The other choice is incorrect. Attempting to alter a patient's records infers that the nurse documented the necessary information about the heparin administration and the client's current status. The nurse failed to document which leads to this answer being incorrect.
A nurse enters a room and finds a patient restless and agitated. The physician then walks in to discuss the amputation of their foot. The patient becomes enraged and starts yelling saying "you're not taking my dang foot," I don't know how many times I have to tell you that. The physician tries to explain that the foot is necrotic and has no blood flow. They also explain how the toxins released due to their foot can cause further illness and possibly death. Which of the following ethical principles would this situation fall under? A. Beneficence B. Justice C. Autonomy D. Fidelity
"Autonomy" is correct.
A new graduate nurse just finished her residency. She is not sure if she is ready to be on the floor by herself. Which of the following indicates an effective coping strategy during her transition? "I make sure to ask for feedback from my co-workers, so I can continue to improve myself." "I do not speak up if something bothers me, because I have not been here long enough and I do not want trouble." "If something bothers me at work, I will try to put my feelings aside. The needs of my unit are more important than my feelings." "I feel like I'm falling behind and still do not know anything."
"I make sure to ask for feedback from my co-workers, so I can continue to improve myself." is correct
Apply the ethical principles below and drag and drop the principle to its correct scenario Options of ethical principles to choose from: Beneficence, Autonomy, Nonmaleficence, and Fidelity. Scenario 1: An individual has been brought into the emergency room after a serious motor vehicle accident. He is in desperate need of a blood transfusion, but he refuses to accept the transfusion due to his religion Scenario 2: A patient has been admitted to the hospital with terminal cancer. While admitted, he goes into cardiac arrest and as part of his plan of care, the healthcare provider would like to place a breathing tube and attach him to a ventilator. After weighing the pros and cons of this decision, it has been decided not to place the breathing tube in the man because the risks outweigh the benefits for this dying patient. Scenario 3: A bed-bound patient has attempted to get out of bed without assistance and has fallen. They have suffered a broken hip and are in extreme pain. The nurse quickly gets an order for pain medication and administers it to the patient. Scenario 4: A dying patient has requested that a nurse be there by his side when he passes away. The nurse promised this patient that she would be there for him when the time came. When the day came for the patient to be taken off life support, the nurse was by his bedside to comfort him.
1: Autonomy 2. nonmaleficence 3. Beneficence 4. Fidelity
The use of technology and the implementation of electronic health records do all of the following EXCEPT: A. Increase costs and improve clinical outcomes (Chapter 16, page 253) B. Decrease costs and improve clinical outcomes (Chapter 16, page 253) C. Promote safety (Chapter 16, page 253) D. Produces advancements in disease technology (Chapter 16, page 253)
A is incorrect because although EHR's improve clinical practice, they do not increase costs. EHR's decrease costs, improve clinical outcomes, promote safety, and produces advancements in disease technology
All of the following are some additional suggestions to improve nursing's image: Select all that apply Always introduce yourself as the RN (Chapter 16, page 258) * Document what nurses do and how important they are (Chapter 16, page 258) * Take every opportunity to speak to the public about nursing (Chapter 16, page 258) * Vent to patients about other staff members Share information about patients to other staff members
A, B, and C are all additional suggestions to improve the nurse's image. D is the incorrect answer because you should never vent to patients, especially about other staff members.
Which of the following is NOT a specified ANA strategic goal for 2017 to 2020? A) Create better job opportunities for nurses B) Increasing the number and level of engagement of all nurses C) RN focused innovations and best practices to improve healthcare D) Increase consumer awareness of importance of nurses
Answer choice A is correct.
What four factors are most important to consider when implementing the 'Change'? A. Magnitude B. Personal Change C. Pace D. Stress E. Complexity
Answer choices A,C, D, E are all correct.
Which of the following are signs your stress level is too high? Select all that apply A.Attending peer support groups B. Dreading going to work C. Obsessing over minor mistakes made at work D. Avoiding answering patient call lights E. Assisting co-workers with their patient assignments
Answer: B, C, E Rational: Dreading going to work, obsessing over minor mistakes, avoiding call lights are correct. Source: Chapter 13, Unit 3, page 204, box 13-2.
Britney has just graduated from nursing school and is starting a job as a professional nurse. She has had a tough time transitioning into practice even though she is in a residency program. Her mentor has shown her what a nurse is expected to do each shift but it is overwhelming. Why is it beneficial to Britney that she chose to be in a transition to practice program? Give two examples. What are some ways that Britney could do to help ease the transition? Give four examples.
Any of the following reasons could be used as an example. They could be tailored to the case study as necessary. It can lead to benefits such as higher confidence and competence, lower stress and anxiety, and job satisfaction. It helps to prepare you for the expectations that will need to be met as a new nurse. A mentor can help support the transition and help the new nurse learn new skills, the environment of the organization, and what their new role will be. Develop a support group of peers. All of these reasons are found in the book as reasons why the transition to practice programs is beneficial. Source: Chapter 15, pages 237-239, Section- Solutions including all subtopics. Four of these responses would be correct: develop a professional identity, learn about the organization, use energy more wisely, communicate effectively, seek feedback often and persistently, develop a support network, and/or give time to transition. These answers can be customized to the case study. These are the correct answers as they are listed in the book as ways to make the transitioning process easier.
What is a win-win result? A. Each side gets half B. Both sides gain benefit in the resolution *** C. Neither side gains benefit in the resolution D. One side gets what they want while the other does not
Correct Answer is "both sides gain benefit in the resolution". Source: Chapter 8, page 121, Section (s) Resolving Problems and Conflicts. "A win-win result in which both sides gain some benefit is the best resolution (Haslan, 2001)" (Weiss, Tappen, & Grimley, 2019).
A collective bargaining contract is a legal document for workplaces that are represented by a union, which may cover which type of issues? Select all that apply. Economic Issues Management Issues Employment Issues Practice Issues Professional Issues
Correct answers are "Economic Issues", "Management Issues", and "Practice Issues." Source: Chapter 8, page 126, Section(s) Formal Negotiation: Collective Bargaining. "The Contract may cover some or all of the following: Economic issues, Management issues, and Practice issues" (Weiss, Tappan, & Grimly, 2019).
The nurse manager recognizes that horizontal violence can create a toxic environment and institutes a zero-tolerance policy. Which of the following describes horizontal violence? Select all that apply. A. It reduces the quality of care to patients. B. It rarely occurs among health care workers. C. It often leads to physical violence. D. It is also known as bullying. E. TJC considers horizontal violence a sentinel event.
Correct: A, D, E Found on pages 199-200: Horizontal violence is also called bullying and is common in the health care workplace, rarely leads to violence, decreases the quality of care provided, and is considered a sentinel event by TJC (Weiss, Tappen, & Grimley, 2019).
Drag the potential steps an employee should take to prevent sharps injuries? Potential Steps: Keep your training up to date Choose a unit where you may not have a lot of exposure to sharps Carefully recap all needles after use Use and dispose of sharps properly Comply with post-exposure follow-up procedures and policies Obtain immunizations against Hepatitis A Always wear latex gloves
Keep your training up to date Use and dispose of sharps properly Comply with post-exposure follow-up procedures and policies Rational: Keep your training up to date, use and dispose of sharps properly, and comply with post-exposure follow-up procedures and policies are the correct answers. Source: Unit 3, Chapter 12, pg. 188 under Employee Responsibilities.
Susan, an RN working on a busy rehabilitation unit, has asked the UAP to help Mr. Jones with feeding and bathing at nine o' clock this morning. The UAP has been working on the unit for five years and has experience caring for patients, so she told Susan she'd go help Mr. Jones right away. Mr. Jones was admitted to the rehab facility last night after suffering a stroke that left him with hemiplegia. As Susan was making rounds on patients, she stopped in to check on Mr. Jones and the UAP. The UAP tells Susan, "everything is going okay, but Mr. Jones seems to cough every time I get him to take a bite. I think he might be getting a cold". Susan thanks the UAP for helping but informs her that she will continue Mr. Jones' feeding instead. Susan remembered her colleague told her at shift report that speech therapy had not yet been in to see Mr. Jones. Which Right of Delegation did Susan forget in this situation?
Rational: "Right Circumstance" is correct.
A team has recently identified a problem within their workplace and is now in the process of generating, reviewing, and implementing suggested solutions. Which of the following are true regarding this process? Select all that apply. A. Open-minded evaluation of each suggestion is not needed. B. The best suggestions often come from those closest to the problem.* C. A suggestion should not be judged on its merits, rather it should be judged on its source. D.Brainwriting is an effective technique that can help a team find an innovative solution.* E. The true test of any suggested solution is how well it works.*
Rational: "The best suggestions often come from those closest to the problem," "Brainwriting is an effective technique that can help a team find an innovative solution," "The true test of any suggested solution is how well it works" are correct (B, D, & E).
Which aspects of care must the nurse consider when delegating a task? Select all that apply. A. staff preferences B. ability of person who you are delegating to C. personality of the patient D. fairness of the task E. level of priority
Rational: "ability of person who you are delegating to", "fairness of the task", and "level of priority" are correct.
The Nursing Manager on a busy floor is trying to implement a new change to increase patient satisfaction. When implementing this change, she notices some resistance from the nursing staff. The Nursing Manager understands that there is a form of active and passive resistance, below are some resistance behaviors the Nursing Manger has seen, categorize whether it is passive or active: 1. Avoiding discussion 2. Ignoring the change 3. Arguing against the change 4. Agreeing but not acting 5. Attacking the idea 6. Refusing to commit 7. Refusing to change 8. Organizing resistance of others
Rational: 1, 2, 4, and 6 are all passive resistance behaviors. 3, 5, 7, and 8 are all active resistance behaviors.
A new nurse is preparing for a job interview. Which of the following demonstrates a successful practice of nonverbal characteristics in the interview? Select all that apply. 1. When first meeting, the nurse addresses the interviewer by title and first name only 2. The nurse frequently responds to interview questions using "yeah" and "like" 3. The interview was scheduled for 9:30 AM and the nurse arrives at the facility at 9:20 AM 4. When listening during the interview, the nurse smiles and nods occasionally while keeping their hands at their side 5.The nurse dresses in a skirted suit with their hair styled in a manner that reflects cleanliness and good grooming
Rational: 3, 4, and 5 are correct. Source: Chapter 14, page 227-228,
1. A nurse is caring for a patient who was diagnosed with hypothyroidism. Which action should the nurse delegate to an NAP? A. Increasing fluid drip based on blood pressure B. Teach the signs and symptoms of disease exacerbations C. Remind the patient to use the call bell as needed Administer levothyroxine AM dose as prescribed
Rational: Remind the patient to use the call bell as needed" is the correct answer choice.
A new unit manager is hired onto the CCU. The new manager takes time on their first shift to get to know their unit staff and put emphasis on interpersonal relationships with their unit staff. The new manager makes sure to let the unit staff know they are committed to improving the way their employees are treated. What theories of management does this manager best align with? A. Scientific Management B. Human Relations-Based Management C. Servant Leadership Management D. Theory X
Rational: Servant Leadership Management" is the correct answer choice. Source: Chapter 5, page 73, section Management Theories & Servant Leadership lists the characteristics of servant leadership. "The emphasis on people and interpersonal relationships is taken on step further..." "The manager is committed to improving the way each employee is treated at work." They are "employee first."
1. Which of the following are qualities of an effective leader? Select all that apply. A. Courage B. Integrity C. Prioritizes work over family and friends D. Gives up easily Self-awareness
Rationale: "Courage," "Integrity," and "Self-awareness" are correct (A, B, & E).
Complete the following sentence by choosing from the list of options: "Factors found to be important in nurse's satisfaction with their work are ____, _____, and ____." 1. Annual raises, teamwork amongst staff, not having to work major holidays. 2. The work itself, the health-care team, the employing organization. 3. Holiday parties for staff, supportive environment, onsite childcare available. 4. Low nurse to patient ratios, non-mandatory reporting of incidents, the ability to provide high-quality care.
Rationale: "The work itself, the health-care team, and the employing organization" is correct. Source: Chapter 13, page 207, Section Job Satisfaction and the Joy of Work. "Factors found to be important in nurses' satisfaction with their work are the work itself, the health-care team, and the employing organization." The other choices are incorrect. Annual raises, teamwork amongst staff, not having to work major holidays - Annual raises and teamwork can help to improve nurse satisfaction, but holidays off is not a factor. Holiday parties for staff, supportive environment, onsite childcare available - A supportive environment is important for nurse satisfaction, and holiday parties could be considered as appreciation from the facility for its staff, but onsite childcare does not contribute to job satisfaction. Low nurse to patient ratios, non-mandatory reporting of incidents, ability to provide high-quality care - Low nurse to patient ratios and the ability to provide high-quality care are important to job satisfaction among nurses, but non-mandatory reporting of incidents puts patients and staff safety at risk.