Lippincott Questions

The nurse manager is planning some continuing education for the tea, and reviews several learning theories, including Knowles' adult learning theory. The nurse manager understand that this is one implication of this theory: -Mistakes are detrimental to learning -Learning occurs through vicarious experiences -Experiential learning works well with adults -Self-confidence is an asset for learning

-Experiential learning works well with adults

Staff can become overwhelmed due to stress in the workplace. The nurse manager knows that which methods can help to combat stress in new graduate nurses? -Providing a class on role transition -Providing extended orientations -Limiting experiences to easy patient assignments -Providing nurse residency programs -Isolating new nurses

-Providing a class on role transition -Providing extended orientations -Providing nurse residency programs

A nurse instructor is creating a lesson plan to help develop the learning needs of the diverse staff. What should the instructor do to make an effective plan? -Focus on the predominant learning style in the group of students -Maintain total control over the goals of the lesson plan -Incorporate a variety of teaching strategies in the lesson plan -Convey each important concept through problem-focused instruction

Incorporate a variety of teaching strategies in the lesson plan

A nurse manager suspects a staff nurse of being chemically impaired. Which changes may have prompted the nurse manager to suspect impairment? -Poor handwriting for nursing notes -Frequently volunteering to pull narcotics for other nurses -Frequent breaks and leaving the unit without explanation -Reports that a patient's pain medication regimen is ineffective -Increasing absences without adequate explanation -Defensiveness related to high frequency of medication errors

-Increasing absences without adequate explanation -Defensiveness related to high frequency of medication errors -Frequently volunteering to pull narcotics for other nurses -Frequent breaks and leaving the unit without explanation

Linda's colleagues suggest that she may be experiencing compassion fatigue, stating "She takes everyone and everything to heart." What strategy should Linda employ to reduce and prevent compassion fatigue? -Seek out opportunities that allows for emotional renewal -Make a commitment to becoming a lifelong learner -Create a learning plan with input from colleagues and leader-manager -Avoid prolonged engagement with patient on the unit

-Seek out opportunities that allows for emotional renewal

In order to team build, educational programs need to be offered to staff. In what order would the nurse manager accomplish the following steps? -Identify what skills or knowledge the staff need -Maximize use of available resources for funding -Evaluate and test outcomes after the program -Assess present knowledge and any deficits -Identify available resources to meet needs

-Identify what skills or knowledge the staff need -Maximize use of available resources for funding -Evaluate and test outcomes after the program -Assess present knowledge and any deficits -Identify available resources to meet needs

Linda provides care on a busy unit with a diverse skills mix. How should Linda's manager best promote the development of learnign organization (LO) on the unit? -Introduce a process that allows staff to develop collective vision for the units -Aim to replace unlicensed assistive personnel with licensed staff having defined scope of practice -Bring in consultants who can identify staff members' most pressing needs for remedial learning -Provide incentives for recruiting nurses who have extensive clinical experience.

-Introduce a process that allows staff to develop collective vision for the units

During the staff meeting, Linda made a request for team building activities among the unit staff. What action by Linda's manager is most likely to promote the development of cohesive team? -Allowing the members of the team to be autonomous and self-directed with their learning activities -Organizing group learning activities that have direct relevance to patient care and unit functions -Giving leadership to some of the newer members of the team rather than the more experienced members -Planning activities that are enjoyable and that allow minimal input of energy and time from team members

-Organizing group learning activities that have direct relevance to patient care and unit functions

A chemically impaired night shift nurse has completed a treatment program and is returning to the work setting. The nurse manager is reviewing reentry guidelines with the returning nurse. What should the returning nurse expect as part of these guidelines? -Assignment to the day shift for the first two months after returning to work -Provide evidence of continued involvement in support groups -Give an in-service to unit nurses about his experience in the drug treatment program -Peer mentoring and support form a successfully recovered nurse -Consent to random urine screening for drugs and alcohol

-Peer mentoring and support form a successfully recovered nurse -Consent to random urine screening for drugs and alcohol -Provide evidence of continued involvement in support groups

Linda's leader-manager is aware of the effect that conflict can have on the cohesiveness of the care team. What action should the leader-manager prioritize to ensure that conflict does not nullify team-building activities on the unit? -Establish clear, written guidelines stating that conflict is not part of the unit's culture -Educate staff members about the need for unity and the potential harm of workplace conflict -Perform conflict management in a transparent way that aims for win-win solutions -Encourage staff to deal with conflict privately in order to minimize effects on the larger team

-Perform conflict management in a transparent way that aims for win-win solutions

A new nurse manager started out having an open-door policy so that the manager was always available to staff and could meet their needs immediately. However, the manager found this prevents important work being completed in a timely manner and results in the manager having to work a few extra hours each day. What important steps could the manager take to change this policy? -Use noise canceling headphones and not answer the door when someone knocks -Post a "Do Not Disturb" message board on the door on which staff can also leave messages. -Complete priority tasks at home prior to coming in to work so interruptions won't cause a delay -Ask staff to send an email instead of knocking on the door and the manager will answer the email right away

-Post a "Do Not Disturb" message board on the door on which staff can also leave messages.

A nurse manager is instructing a staff member with a pragmatic learning style who is interested in applying information immediately to solve problems in the real world. What would be the best teaching strategy in this situation -Present content that is problem focused rather than theory focused -Ask the staff member to assess the logical flow of the content -Invite the staff member to set goals for the lesson plan -Present content that is theory-focused rather than problem focused

-Present content that is problem focused rather than theory focused

A charge nurse received report on a patient with complex needs that will soon be admitted to the unit. The unit's complement of four experienced nurses each already has a four=patient load. Which nursing assignment demonstrates the charge nurse has applied the critical elements of the decision-making process in selection of the nurses to be assigned to the new patient? -The nurse whose current patients are lower acuity -The nurse next on the list for a new admit -The nurse who has the adjacent room -Th nurse with the most years of experience

-The nurse whose current patients are lower acuity

A nurse manager is implementing comprehensive program to prevent the chances of chemical impairment in the work setting. What should the nurse manager include as part of the program? -Develop a zero-tolerance policy that mandates immediate termination if impaired -Provide continuing education on substance use and its detection in the workplace -Train and assign a dedicated narcotic administration nurse for each shift -Implement mandatory staffing ratios with mandatory overtimes as necessary to meet ratios

-Train and assign a dedicated narcotic administration nurse for each shift

Staff development activities implemented on a unit occur for a variety of reasons: to establish competence, meet new learning needs, or respond to staff interests. Which statement by a staff member suggests to a nurse manager a need for a unit-based staff development activity? -We've been seeing more child abuse cases, and I'm not sure of the mandatory reporting process. -I need to attend the mock code in-service held in the I've never participated in a code before. -I like the idea of discussing a journal article at our weekly staff meetings. -The annual skills fair helps me keep up the date on tasks I don't regularly get to do.

-We've been seeing more child abuse cases, and I'm not sure of the mandatory reporting process.

A nurse was suspended following excessive absences. The absences continued after the suspension, and now the nurse is to be terminated. The nurse manager is completing a termination conference with the nurse. What response would be the most appropriate for the nurse manager to conclude the conference?

-You wont be able to use me for a reference.

The nurse instructor is teaching a student who often asks for thorough explanations of each new concept. What learning style does this student have? -Kinesthetic -Auditory -Visual -Tactile

Auditory

A nurse who is having difficulty with a patient care assignment has not asked for any help but keeps saying things like, "As usual, I'll just have to stay late until i get it all done." What response by the charge nurse would be best to address the nurse's passive-aggressive behavior? -We can't have you stay late. You may just have to skip lunch. -It sounds like you are a little behind. What can i do do to help? -If you are that busy, why don't you just ask for help? -Why are you always so behind?

It sounds like you are a little behind. What can i do do to help?

Education development requires a sequence of steps. Select all of these steps you would include as a nurse leader when planning for staff development. -Assess learner needs -Determine knowledge levels -Identify learning objectives -Evaluate learning outcomes -Identify educational resources

-Assess learner needs -Determine knowledge levels -Identify learning objectives -Evaluate learning outcomes -Identify educational resources

When selecting preceptors for new graduate orientation program, the nurse manager considers which types of diversity present in today's health care workforce? -Ethnicity -Educational -Economic -Generational -Gender

-Gender -Ethnicity -Generational

The leader-manager of a busy unit be aware of the need to socialize new members of staff. The leader-manager should promote socialization of new staff members by: -Welcoming questions and being open to feedback -Providing at least two weeks of orientation or induction to new staff members -Assigning trusted and experienced mentors to new staff members -Providing learning opportunities that are specifically focused on the needs of recent graduates

-Assigning trusted and experienced mentors to new staff members

A nurse leader should not rely on peer learning activities when developing staff development because this can cause confusion among the attendees. -True or False?

False

The nurse leader should include a variety of teaching and learning methodologies when developing learning activities for staff members. -True or false?

True

What is the best way for a nurse instructor to evaluate whether a staff member has learned an important new procedure as part of an educational development program? -Require the staff member to recite the key points of the procedure without referencing notes -Interview the staff member a month after the training to see if the information was retained -Have the staff member complete a thorough evaluation form at the end of the training -Observe if the staff member has adopted the desired behavior change

Observe if the staff member has adopted the desired behavior change

A nurse manager reviewing acceptable and unacceptable inquires prior to conducting new-hire interviews in the coming week. Which interview questions are acceptable inquiries for the nurse manager to ask during the interview? -Are you related to the John Smith who is on the city council? -How long have you been married? -How long are you hoping to stay in this position if you are hired? -Where do you go to church? -Do you have a license to practice nursing in the state? -How long have you lived in the area?

Do you have a license to practice nursing in the state? How long have you lived in the area?

A new graduate nurse is interviewing for a position on a medical-surgical flood at a local hospital. During the interview, the nurse manager states, "Tell me about your wife and kids." Which response by the new graduate nurse best addresses the inappropriateness of the question while maintaining a positive interview environment? -We have three kids that keep us extremely busy? I'm sure you know what that's like. -If you are concerned that family may interfere with my work, my record of attendance speaks for itself. -I honestly don't think you can ask me that question, so can we move on? -I don't see how that is any of your business. Why are you asking me about that?

If you are concerned that family may interfere with my work, my record of attendance speaks for itself.

The nurse recruitment staff at a long-term care facility has decided to move to a team approach to interviewing qualified applicants. What is the most important reason for the staff to move to a team approach? -Have more than one applicant at a time to compare their performance -Reduce individual bias toward applicants -Lessen workload through equal division of interviews -Provide an interdisciplinary perspective to the interview process

Reduce individual bias toward applicants

A hospital is hiring a nurse manager for the facility's new neonatal intensive care unit set to open in 3 months. In order to find the most acceptable and qualified candidate which type of interview should be conducted with potential applicants? -Structured interview -Subjective interview -Unstructured interview -Semi-structured interview

Structured Interview

A nurse manager is mentoring a new nurse manager regarding strategies for teaching staff. What does the new nurse manager learn is the goal of staff training? -To demonstrate memorization of the concepts -To transfer new learning to the work setting -For training to occur as quickly as possible -To practice new skills multiple times

To transfer new learning to the work setting

A nurse recruiter determined that an applicant lied about a previous nursing position. What ethical principle did the applicant violate in providing false information to the nurse-recruiter? -Veracity -Confidentiality -Autonomy -Fidelity

Veracity

A nurse has been late to work several times per week for the last three weeks. When questioned, the nurse states that her tardiness issues are related to new road construction on her route to work. The nurse manager deems that disciplinary action is necessary for the excessive unexcused tardiness. As this is the nurse's first infraction, what should be the nurse manager's choice of discipline? -Verbal admonishment -Written admonishment -Suspension -Dismissal

Verbal admonishment

An experienced nurse is applying for a nurse manager position on a similar unit at another hospital. In developing a list of appropriate questions to ask of the recruiter at the first interview, which should the nurse applicant select? -What is the turnover rate for staff nurses on this unit? -Can you tell me about shared governance for nursing at the facility? -Do you provide continuing education opportunities? -What would be the starting salary? -Are you planning to provide educational benefits? -How does the unit currently handle staff scheduling?

What is the turnover rate for staff nurses on this unit? -Can you tell me about shared governance for nursing at the facility? -Do you provide continuing education opportunities? -How does the unit currently handle staff scheduling?