Megan leadership 18-20

A nurse is working with two assistive personnel (AP). The nurse notes that one of the APs has been taking long breaks and making personal phone calls. Which of the following statements should the nurse make to resolve this conflict?

"need to talk to you about unit expectations regarding timely completion of tasks"

A nurse is planning care for a group of clients and reviewing tasks to be delegated the assistive personnel (AP). Which of the following tasks should the nurse complete?

Removing and cleaning the cannula of a client who has a new tracheotomy

A nurse is delegating tasks for an assistive personnel (AP) to perform for a client who is 1 day postoperative following abdominal surgery. Which of the following tasks should the nurse perform herself?

Removing the abdominal dressing

As an LPN delegating tasks to a UAP you know you must follow the Five Rights of Delegation te make sure you are delegating properly Select ail Five Rights of Delegation:

Right task Right circumstance Right person Right direction/communication Right supervision

The newly formed wound care team is disagreeing on their goals for the team. This team is in what stage of development?

Storming

The LPN has been assigned as the chair for a new committee. Which best describes her role as the new chair?

Support all committee members

A nurse is observing an assistive personnel (AP). For which of the following actions by the AP should the nurse intervene?

Tears a document with client information in half before disposing of it in a waste basket

Forming:

allowing team members time to get to know each other and develop trust

Herzberg's two-factor theory

is based on the assumption that people who are properly motivated in their work have the potential to be efficient and human.

Performing:

team is productive and accomplishing goals

A nurse is reinforcing teaching about delegation to an assistive personnel (AP) with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?

"Delegation permits a designated individual to meet a goal on your behalf"

Formal: organized recognition programs

"Employee of the month" programs or "caught in the act of caring" Publicizing and rewarding behavior promotes imitation

Job Hygiene Factors

1. Insurance 2. Holiday and vacation time 3. Job security 4. Job status 5. Good working conditions 6. Interpersonal relationship with coworkers 7. Appropriate salary 8. Effective administration

A nurse is delegating the collection of vital signs to an assistive personnel (AP) for a group of clients. Which of the following clients' vital signs should the nurse delegate to the AP for collection? (Select all that apply.)

A client who has a history of congestive heart failure A young adult client who is 1 day postoperative following an appendectomy A client who is 2 days postoperative following a laparoscopic cholecystectomy

Which statement most accurately explains why a nurse would want to accept constructive criticism?

A nurse who is able to accept criticism is more likely to progress and grow professionally.

The nursing team consists of two RNs, one LPN, and two UPs. Which of the following patients should the nurse on the medical-surgical unit assign to the LPN?

A patient with dysphasia who needs a tube feeding

The nurse is receiving a bedside report from another nurse. The nurse giving the report begins to talk about another patient who is not assigned to the reporting nurse. Which action by the nurse receiving the report is best in this situation?

Ask the nurse to report only on the assigned patient.

A nurse is caring for four clients on a surgical unit. Which of the following tasks should the nurse delegate to the assistive personnel (AP)?

Assist a client to a chair who is 2 days postoperative following a cervical laminectomy.

A nurse is planning care for a group of clients. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

Assist a client who is 1 day postoperative following an open cholecystectomy to ambulate

A nurse in a long-term care facility is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign the AP?

Attending to a client who has fallen out of bed

A charge nurse is discussing emergency response with a newly licensed nurse. The charge nurse should identify which of the following as a triage officer during the time of a disaster?

Nurses and other emergency medical personnel

A nurse is delegating tasks to an assistive personnel (AP). Which of the following task should the nurse assign to the AP?

Obtaining vital signs on clients who are stable

A licensed practical nurse (LPN) is working with an RN to deliver care to a group of clients. Which of the following tasks should the LPN plan to complete?

Performing a dressing change for client who is 2 days postoperative following a total hip arthroplasty

The nurse manager has a unit team that is demonstrating dysfunctional behaviors. Which statement describes how best to handle the situation?

Provide time and support until the team works out their issues.

A charge nurse in a long-term care facility checks with other nursing personnel on the unit throughout the day to determine if thev are completing tasks. Which of the following rights of delegation is the nurse demonstrating?

Right supervision

aggressive communication is an example of

Theory X

Norming:

coming together as a cohesive unit

A nurse is collaborating on care for a client following a stroke. Which of the following should be addressed by an occupational therapist?

completing self care

A nurse asks an assistive personnel (AP) to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

discuss thee incident with the AP

A float nurse is given a client assignment that requires the use of unfamiliar skills and techniques. Which of the following actions should the nurse take?

request the charge nurse to modify the assignment

A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client. Which of the following actions should the nurse take first?

speak with the other nurse privately.

Motivation:

the general desire to do something or behave in a certain manner

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the BAR communication tool?

"The client has a history of hypertension"

Theory Y managers generally identify the following two items as their responsibilities:

(1) to motivate others to higher levels on Maslow's pyramid (2) and to allow for the development of creative ideas and behaviors.

When identifying what motivates individuals, the nurse manager should consider both intrinsic and extrinsic factors.

True

A licensed practical nurse (LP) is planning care for a group of clients and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the LPN perform?

Insert a NG tube for a client who has abdominal distention

Being SMART When Writing Goals

S = Specific: The goal is clear and not general. M = Measurable: You have established strict criteria for measuring progress toward each goal. A = Attainable: The goals are important to vou and not extreme. R = Realistic: The goals matter and are relevant to the experience. T = Time-bound: A commitment to a time frame increases the chances for success and establishes a sense of urgency.

Assertive communication is an example of

Theory Y

Nine Characteristics of a High-Performance Team

1. Clear and elevating goal 2. Results-driven structure 3. Competent team members 4. Unified commitment 5. Collaborative climate 6. Standards of excellence 7. External support and recognition 8. Principled leadership 9. Trust

Job Motivation Factors

1. Professional autonomy 2. Growth and advancement in the work setting 3. Satisfying work 4. Recognition for a job well done 5. Feelings of achievement

A nurse is planning to assign care activities to the assistive personnel (AP). Which of the following activities are appropriate for assignment to the AP? (Select all that apply.)

Accompanying a client who has depression to occupational therapy Checking the position of a client who is in soft wrist restraints Sitting with a client who has alcohol use disorder whose last drink was 4 days ago

A charge nurse overhears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available. Which of the following actions by the charge nurse displays conflict resolution?

Address the situation as soon as possible.

As the RN, you are making the patient assignments for the next shift. Which patient would you assign to the LPN?

An 85-year-old female patient with Alzheimer's disease who has a colostomy and scheduled tube feedings.

On your unit there are two RNs: one is a new RN, and the other is an experienced RN. In addition, there are three LPs and two nursing assistants. Which tasks delegated to one of the nursing assistants by the new RN needs to be re-evaluated?

Apply hydrocortisone cream to eczema on skin after giving the patient a bath. Assist the patient with administering a Fleet Enema.

Which best describes the characteristics of a team performing at a high level? Select all that apply.

Clear goal Members trust each other Includes a good leader

As the registered nurse, which tasks below can you delegate to the experienced LPN?

Collecting a urine sample from an indwelling Foley catheter Auscultating lung and bowel sounds Administering an influenza vaccine

A nurse is delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?

Collecting intake and output

A nurse observes two assistive personnel (AP) arguing over who should go on break first. The nurse interrupts the conversation and states one AP can take break now, but the other AP will get to take an early lunch. Which of the following types of conflict management is the nurse demonstrating?

Compromising

A charge nurse in a long-term care facility has assigned care for a group of clients to an assistive personnel (AP). The charge nurse observes the AP chatting sociably with peers, learns that the AP left the unit without communicating the absence, and receives reports from clients about lack of care by the AP. Which of the following actions should the charge nurse take first?

Discuss the assigned tasks with the AP

McGregor's theory X states that people:

Dislike work Need control and force to make them work to allow people a more satisfying work environment Like to be directed and develop a more productive workforce overall. Lack ambition

Extrinsic

Driven by external rewards (e.g., praise or money)

A medical surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. Which of the following actions should the nurse manager take?

Encourage the nurse to verbalize the reasons for resistance to the change.

Which statement best reflects intrinsic motivation?

I like my job because I enjoy taking care of older adults.

A nurse requests that an assistive personnel (AP) change all the linens and give bed baths to four clients on the unit. The previous day, the AP was not able to complete these same tasks. Which of the following actions should the nurse take in addressing this situation?

Set a time frame for the AP to complete the tasks the assignment includes.

A nurse is caring for a client who is experiencing dysphagia. Which of the following referrals should the nurse request at this time?

Speech therapist

A nurse on a medical unit is planning the shift assignments. The nurse may delegate collection of which of the following specimens to an assistive personnel (AP)? (Select all that apply.)

Sputum specimen Stool specimen for blood Urinalysis specimen

A nurse is caring for a group of clients on a medical-surgical unit. The nurse delegates various tasks the clients require to another licensed practical nurse (LP) and an assistive personnel (AP).The nurse should identify that the responsibility for making sure the client received the care the plan of care specifies belongs to which of the following team members?

The nurse who delegated the tasks

Which statement best reflects oppressed group behavior? Select all that apply.

The nurses do not support each other. I wish I didn't have to work with the new hire. We never have enough supplies but somehow we make it work.

Working in teams is widely accepted in health care as a way to achieve positive outcomes and provide quality care.

True

A nurse assigned care for a group of clients is planning to delegate tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to perform?

observing a clients sacrum for edema

A nurse is planning an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. Which of the following leadership styles does the nurse plan to use?

democratic

Informal: spontaneous feedback

Immediate positive feedback reinforces behavior Commending someone in public is effective

A home health nurse is providing care to a client whose partner reports needing more time to complete her errands. Which of the following referrals should the nurse identify as a resource for the client's partner?

Respite care

Intrinsic

Reward comes from within

A nurse is caring for a group of clients with the help of an assistive personnel (AP). Which of the following determinations must the nurse make before delegating a client care task to the AP?

Whether the task Is within the AP's job description

A nurse is caring for a client who asks if home oxygen will be provided to her after discharge. Which of the following actions should the nurse take?

consult with the case manager.

A nurse is assigning tasks for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? (Select all that apply.)

Providing postmortem care to a client who has just passed away Transferring a client to radiology for x-rays Performing a simple dressing change on a client's arm

A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?

Feed a school-age client who has burns on both upper extremities.

A staff nurse has continued to show up late for her shift, despite the multiple verbal warnings she has received. What action by the nurse manager is best in this situation?

Follow the facility's established disciplinary process.

A nurse tells another nurse that she thinks that he did not provide adequate care for a client who underwent a hip arthroplasty earlier that day. Which of the following responses by the accused nurse demonstrates assertiveness?

I feel as though I met the standard of care. would you tell me more about your concerns?

A nurse is working with an assistive personnel (AP) who refuses a client assignment. When resolving this conflict, which of the following comments is appropriate for the nurse to make?

I need to talk to you about the unit policies regarding client assignments

The nurse manager has made it a point to get to know her employees and use any differences in their personalities and behaviors to benefit patient care. Which term best describes this concept?

Inclusion

Which statement best describes lateral violence?

It is a symptom of oppressed group behavior.

McGregors Theory Y stated that people:

Like to work Can be self-disciplined to meet goals to which they are committed Accept responsibility

Codependency is

one person's need for the continuous presence and support of another person to accomplish the objectives of the job at hand. Codependency is an unhealthy behavior that takes away the individual's strength and motivation.

The Five Rights of Delegation

right task right circumstance right person right direction/communication right supervision/evaluation

Storming:

sharing and recognizing different ideas of team members, working through potential problems, and begin moving the group towards its overall goal

A nurse is assigning care for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? (Select all that apply.)

Measure a client's intake and output Perform a simple dressing change. Obtain a client's vital signs

A charge nurse planning care for a group of clients is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

Measure the output from a dients indwelling urinary catheter

A nurse is assigning care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

Providing postmortem care on a dient who has died

A nurse on a medical surgical unit is conducting a facility transfer with a client to an inpatient rehabilitation facility following a total hip replacement. Which of the following information should the nurse include in the transfer paperwork?

List of current medications

The LPN arrives at work at a long term care facility and is told that two UAPs are assigned to work with the nursing staff during the up coming shift. In preparing to delegate assignments to the two UAPs, Which action should the nurse perform first?

Match patient-care tasks and assignments with the abilities of each qualified UAP.

The nurse manager believes that her employees are self-motivated, creative, and willing to take responsibility for their jobs. This belief represents:

McGregor's theory Y.