Module Questions Ch 1-6, 8-11 Nur 300

What legal act gives patients the right to determine their desired end-of-life care? A. Patient Self-Determination Act B. Patient's Bill of Rights C. Health Insurance Portability and Accountability Act D. Kassebaum-Kennedy Act

A. Patient Self-Determination Act

Which situations are necessary components for malpractice? (select all that apply) A. a direct connection between care given and injury must be present B. a standard of care must be in place whereby the provider has accepted duty for the patient C. the practitioner has failed to meet a standard of care, also called a "breach of duty" D. a perception that patient injury might occur E. foreseeability of harm must exist

A. a direct connection between care given and injury must be present B. a standard of care must be in place whereby the provider has accepted duty for the patient C. the practitioner has failed to meet a standard of care, also called a "breach of duty" E. foreseeability of harm must exist

A nurse leader at a long term care facility wants to determine if vital signs are being checked according to policy. What can the leader do to measure this process of care? A. a process audit B. a critical event analysis C. patient outcome evaluation D. benchmarking

A. a process audit

The oncology unit has recently experienced a higher-than-normal patient census, which is requiring that the nurses pick up and additional patient. The hospital CFO has indicated that there are no additional funds available to hire additional full-time nurses. As such, the unit manager anticipates some behavioral responses by the stakeholders of change (the nursing staff) within the unfreezing phase. What are some possible behavioral responses? (select all that apply) A. anger B. passivity C. discontentment D. acceptance E. withdrawal

A. anger C. discontentment E. withdrawal

In the SBAR model, what should be conveyed when explaining the situation? (select all that apply) A. assessment data collected B. objective statement of the problem C. information in narrative or story form D. recommendations for treatment changes E. events currently happening

A. assessment data collected B. objective statement of the problem D. recommendations for treatment changes E. events currently happening

A nurse leader identifies that a competent RN is incapable of completing a task that falls within the RN scope of practice. The RN's inability is due to lack of training. Which of the following actions should the nurse leader take next? A. assign a mentor or coach to the RN to achieve competence B. delegate a different task to the RN C. suggest the RN transfer to another place of work D. cease delegating to this particular RN

A. assign a mentor or coach to the RN to achieve competence

The nurse manager is aware that there will be critical changes made to staff due to low census in an acute care facility, and staff is already lacking trust in the administration. What would be the best way for the nurse managers to handle the situation? A. be truthful regarding the situation about staffing and census B. inform the staff that everything will work out for the best C. be sure to inform staff not to spread rumors to perpetuate fear D. tell the staff that these things happen and administration will work it out

A. be truthful regarding the situation about staffing and census

According to Marquis and Huston (2015), there are other critical elements that nurse managers/leaders use to complete the decision-making process. From the following choices, select those that are considered crucial to the problem solving and decision making. A. carefully gather pertinent data B. develop realistic timeline C. generate an alternative solution D. delay making a decision as long as possible E. objectives clearly define F. think logically

A. carefully gather pertinent data B. develop realistic timeline E. objectives clearly define F. think logically

Choose the 4 major reimbursement methods: A. charge B. rate based on services rendered C. flat-rate D. cost-based

A. charge B. rate based on services rendered C. flat-rate D. cost-based

A nurse leader is performing a process audit. Which would be a consideration on a process audit? (select all that apply) A. checking the completeness of a patient's medical record B. ensuring that a patient has access to television in their room C. assess the availability of fire extinguishers in patient care areas D. ensuring that machines are recalibrated according to department policy E. comparing a patient's medication order to the medications that patient has been taking

A. checking the completeness of a patient's medical record D. ensuring that machines are recalibrated according to department policy E. comparing a patient's medication order to the medications that patient has been taking

Which type of law regulates the practice of nursing? A. civil law B. common law C. public law D. criminal law

A. civil law

The director of a busy outpatient department is meeting with staff to ask input and make decisions about the feasibility of a freestanding unit. What issue by the nurse manager can stop the entire process if not rectified? A. keeping the objective and expectations for the group undefined B. encouraging each other to have respect for the values of the team C. having resources available to make informed decisions D. allowing the group to participate in the discussion and be free to voice opinion

A. keeping the objective and expectations for the group undefined

A new nurse manager is learning about staff development. Which statements reflect elements of Bandura's social learning theory? (select all that apply) A. learning may occur from judgement of peers B. knowledge may be gained vicariously C. people evaluate new information from reasoning D. people learn as a result of direct experiences E. learning requires utilization of pedagogy

A. learning may occur from judgement of peers B. knowledge may be gained vicariously C. people evaluate new information from reasoning D. people learn as a result of direct experiences

Which of the following best describes the nurse leader in the role of the negotiator? A. mediates internal or external conflict with various stakeholders B. focuses on external conflicts that negatively impact the health care delivery system C. focus is primarily resolving conflict between patient support system and staff D. resolves internal conflict with all team members

A. mediates internal or external conflict with various stakeholders

A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process? (select all that apply) A. monitor the person until the task is done B. ask for volunteers C. train the person delegated for the task D. communicate what the task is E. communicate the time frame in which the task should be completed

A. monitor the person until the task is done D. communicate what the task is E. communicate the time frame in which the task should be completed

A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse? A. negligence B. assault C. fraud D. battery

A. negligence

Which steps will help the nurse minimize the risk of nursing malpractice? (select all that apply) A. observing all facility policies and procedures when providing care B. attending relevant continuing education programs to upgrade clinical skills C. asking each patient to sign an informed consent before care is given D. maintaining liability insurance independent of that provided by the facility E. periodically reviewing the scope of practice for nurses

A. observing all facility policies and procedures when providing care B. attending relevant continuing education programs to upgrade clinical skills D. maintaining liability insurance independent of that provided by the facility E. periodically reviewing the scope of practice for nurses

A charge nurse informs a staff nurse that they will be admitting the next patient that arrives on the unit. The staff nurse states acceptance and then proceeds to tell the other nurses that the charge nurse is unfair. What type of communication is that staff nurse displaying? A. passive-agressive communication B. agressive communication C. assertive communication D. passive communication

A. passive-agressive communication

A nurse manager is mentoring a new facilitator. What decision-making models can that manager suggest to the facilitator that will help minimize the impact of an unskilled facilitator? (select all that apply) A. payoff table B. consequence table C. logic model D. decision tree E. decision grid

A. payoff table B. consequence table D. decision tree E. decision grid

A nurse manager wants to improve the efficiency and effectiveness of budgetary expenditures. Which budgeting approach would be the best to use in the situation? A. performance B. incremental C. zero-based D. flexible

A. performance

A nurse manager is reviewing a budget for the nursing unit. Which budget covers the expenditures for the unit's workforce? A. personnel B. capital C. volume D. operating

A. personnel

Select the classic change strategies that nurse leaders use to apply the change process. (select all that apply) A. power-coercive strategy B. contemplation C. normative-reeducative D. rational-empirical E. action

A. power-coercive strategy C. normative-reeducative D. rational-empirical

Which of the following qualities do nurse leaders possess that makes them obtain excellence in their role? A. ability to be a reactive communicator B. ability to provide clear visions, goals, and expectations C. ability to provide occasional constructive feedback D. ability to act in a positive and reactive manner

B. ability to provide clear visions, goals, and expectations

A new nursing graduate has just started working in a hospital unit that has had difficulty in staff retention. Which type of resistance may be a result of changes that will occur despite the beliefs of the workforce? A. political B. cultural C. technical D. personal

B. cultural

Which budgeting approach can foster overspending? A. flexible B. incremental C. zero-based D. performance

B. incremental

Which of the following are sources conflicts that nurse leaders might face? (select all that apply) A. cultural differences B. patient's support system C. novice and seasoned nurses D. between members of the health care team E. multigenerational nurses

B. patient's support system C. novice and seasoned nurses D. between members of the health care team

Which statement is true regarding the Good Samaritan Law? Select all that apply. A. all care needs are considered an emergency when situations occur out-of-doors B. protection provided is generally limited to emergency situations C. the provider may not exceed scope of practice limits D. a volunteer at a free clinic is covered by this law E. health care providers are required to stop and provide emergency care

B. protection provided is generally limited to emergency situations C. the provider may not exceed scope of practice limits

The Equal Employment Opportunity Commission defines discrimination as including which forms of discrimination? (select all that apply) A. political affiliation B. race or color C. pay/compensation D. age E. sexual harassment

B. race or color C. pay/compensation D. age E. sexual harassment

What is one challenge the interprofessional team faces? A. decision-making process B. role confusion C. commitment from team members D. evidence-based practice

B. role confusion

In order to determine when to not delegate, the nurse needs an in-depth understanding of __. A. informed consent B. legal issues C. the nurse practice act D. the patient privacy act

C. the nurse practice act

What is the primary purpose of law and legislation governing nursing practice? A. to protect the nurse B. to protect the patient C. to protect the patient and the nurse D. to protect the healthcare facility

C. to protect the patient and the nurse

When the care required of a patients comes into conflict with the nurse's personal beliefs, what situation exists? A. a moral conflict B. moral distress C. moral distress D. an ethical dilemma

D. an ethical dilemma

The nurse manager for a medical-surgical unit is implementing a change in unit procedures as it relates to patient discharge. During the fourth phase of change known as "action", the manager should incorporate the major component known as: A. evaluation B. intervention C. assessment D. communication

D. communication

True or False: Decision making tools such as decision trees or consequence tables are in place to prevent errors in the decision- making process

False

True or False: A wrong committed against another person or property is a tort

True

The nurse leader should identify ____ forces prior attempting to implement change. (fill in the blank)

restraining

An experienced nurse using contingency theory is orienting a new graduate to the unit. What needs will the nurse meet with the new graduate using this theory? (select all that apply) A. developing B. counseling C. team-building D. coaching E. discipline

A. developing B. counseling D. coaching

A nurse manager must make an important decision regarding a staff member's continued employment on the unit. In order to avoid pitfalls involved in decision-making, what should the nurse manager do? A. base the decision on the first impression of the staff member B. choose a decision-making style that will best fit the situation C. make the decision based on past history D. involve several staff members on the unit to assist with the decision

B. choose a decision-making style that will best fit the situation

A nurse on the acute care unit demonstrates the positive traits of a good leader when working with new employees. What trait does the nurse manager cite when performing the nurse's evaluation? A. the assigned position B. role modeling C. planning a unit's goals D. decided daily patient assignments

B. role modeling

What is the effect on a nurse who experiences a disconnection between personal and organizational values? A. leads to goal evaluation B. change that leads to effective leadership C. intrapersonal conflict and burnout D. unrealistic expectations

C. interpersonal conflict and burnout

A new graduate nurse asks the manager what organization develops the standards of the nursing profession so that the quality of practice can be measured. What is the best response by the manager? A. the institute of medicine (IOM) B. the joint commission (JC) C. the American Nurses Association (ANA) D. the American Medical Association (AMA)

C. the American Nurses Association (ANA)

After a patient had a negative outcome related to a medical error, the nurse follows the policy for sentinel events. What organization does the nurse recognize monitors the adherence to this type of policy of accreditation. A. instate of medicine (IOM) B. leapfrog C. the joint commission (JC) D. American nurses association (ANA)

C. the joint commission (JC)

A nurse educator has a very narrow power-authority gap when interacting with students in the clinical setting. What negative student outcome may occur because of this narrow gap? A. the students will not be productive in their clinical day B. the students will work independently without requiring educator input C. the students will question their ability to make independent decisions D. the students will questions everything the nurse educator says

C. the students will question their ability to make independent decisions

What is considered to be the greatest challenge to the implementation of an interprofessional primary health-care team? A. the cost of implementation of such a varied team B. getting nurses to actively participate in the planning of patient care using this model C. assuring patient acceptance of the care model D. overcoming the traditional provider-dominated role of determining patient care

D. overcoming the traditional provider-dominated role of determining patient care

True or False: the SBAR tool was first used in the hospital to facilitate safe patient handoffs

False

True or False: total quality management is referred to as continuous quality improvement and is used to meet the Health People Living 2020 goals

True

There are hallmarks that are associated with effective quality control programs. Select those hallmarks from the following list: A. administration support, organization support, process is ongoing B. organization support, community support, fiscal support C. fiscal support, administrative support, annual process D. annual process, community support, organizational support

A. administration support, organization support, process is ongoing

A nurse manager is relaying information about staffing changes to the staff on the night shift. What form of communication is the nurse manager using to deliver the changes? A. downward B. diagonal C. grapevine D. horizontal

A. downward

An older adult patient fell out of bed 2 days after a hip replacement and had to return to surgery. What process should be done in order to prevent future negative outcomes such as this? A. an audit B. critical event analysis C. patient outcome evaluations D. benchmarking

B. critical event analysis

A health care provider is attempting to improve their connection with the nursing staff. What communication strategy would be appropriate for the health care provider to use to make this change? A. use touch as a nonverbal cue of acceptance B. maintain eye contact and nod or vocalize to show interest in conversation C. interrupts nurses going off on tangents in order to model keeping them focused D. hesitate prior to responding

B. maintain eye contact and nod or vocalize to show interest in conversation

Quality control tools used by the nurse leader include which of the following? A. program audits and process audits B. outcome audits and program audits C. outcome audits and structure audits D. process audits and structure audits

D. process audits and structure audits

Which of the following competencies are important for the nurse leader to develop? A. ability to diagnose a situation, adapt, and communicate B. ability to influence a situation, suggest, and communicate C. ability to tolerate a situation, influence, and communicate D. ability to control a situation, adapt, and communicate

A. ability to diagnose a situation, adapt, and communicate

What factors contribute to the success of the interprofessional team? (select all that apply) A. forming clear and efficient communication B. enjoying the work experience C. acknowledging the shared vision D. establishing an interprofessional relationship with team members E. having role clarity

A. forming clear and efficient communication C. acknowledging the shared vision E. having role clarity

The nurse leader is a change agent and needs to identify factors that lead to resistance of change. Identify the factors of resistance. (select all that apply) A. comfort with the current way of completing goals or tasks B. lack of trust C. poor timing D. fear of loss or control E. person energy needed

A. comfort with the current way of completing goals or tasks B. lack of trust C. poor timing D. fear of loss or control E. person energy needed

Which of the following are factors that affect the ability to forecast the budget? (select all that apply) A. economics B. social climate C. legislative climate D. political culture E. mission and philosophy of the organization

A. economics B. social climate C. legislative climate D. political culture E. mission and philosophy of the organization

Which of the following is not included in the contemporary change process? A. evaluation B. action C. contemplation D. preperation

A. evaluation

Identify the following obstacles that prevent adults from learning. (select all that apply) A. institutional barriers B. self-confidence C. time D. individual strengths and weaknesses E. high self-motivation

A. institutional barriers B. self-confidence C. time

What action can a nurse take to ensure that when delegating to a UAP, creativity and independent thinking is encouraged for task completion? A. provide consistent and constructive feedback B. be sure the task is completed the nurse's way C. have the UAP report to the nurse several times D. assign the same routine tasks

A. provide consistent and constructive feedback

What is the role of the change agent? A. seeks to lead or create change B. delegates the change process C. allows others to identify necessity of change D. allows resistance to change to occur

A. seeks to lead or create change

The charge nurse of a step-down is implementing a new procedure for charting, which will impact all of the nursing staff. According to Lewin's Model of Change, the "movement" stage can be more successful if certain things are considered by the change agent. (select all that apply) A. set the target dates B. have flexible target dates C. implement the change D. ignore resistance to change E. include all stakeholders

A. set the target dates C. implement the change E. include all stakeholders

A nurse educator determines that the present classroom environment is ineffective in promoting critical thinking. What methods could the educator employ in the classroom to improve critical thinking? (select all that apply) A. simulation B. case studies C. study guides D. lecture E. problem-based learning exercises

A. simulation B. case studies E. problem-based learning exercises

Elements that affect the nurse leader's ability to properly delegate to members of the diverse work force include which of the following? A. social organization B. social benefits C. socializing D. social responsibility

A. social organization

The nurse manager has an obligation to act as advocate for which entities? (select all that apply) A. themselves B. the staff C. the profession D. the patient E. the institution

A. themselves B. the staff C. the profession D. the patient

The manager of several related departments brings the team together to inform them that they will all be cross training to different units for the purpose of increasing productivity. What form of leadership does this manager demonstrate? A. transactional B. contingency theory C. laissez-faire D. transformational

A. transactional

A nurse manager is having a difficult time making a decision about reprimanding a staff nurse who has exceeded the absentee policy. Why would the manager's values cause personal conflict in making this decision? A. values often collide with one another B. not all values are of equal worth C. values remain unchanged overtime D. some values are not realistic or healthy

A. values often collide with one another

In the SBAR model, when giving recommendations, what kinds of things should be communicated? (select all that apply) A. the patient's condition and state what you think the problem is B. any new treatments or changes ordered C. opinions for further action D. a concise evaluation of the situation in a couple of sentences E. the background or context of the situation

B. any new treatments or changes ordered C. opinions for further action

The nurse is admitting a new patient and is collecting data through obtaining a health history and physical assessment. What phase of the problem-solving process is the nurse focusing on with the patient? A. implementing B. assessing C. planning D. evaluating

B. assessing

The nurse manager's focus when the addressing issues represented by Title VII? A. patient right to confidentiality B. civil rights of staff and patients C. disability discrimination towards staff D. staff's right to fair wages

B. civil rights of staff and patients

A nurse educator in a college setting has developed leadership skills as a result of attaining further education and sharing positive change within the department. What transformational leadership characteristic is this nurse educator demonstrating? A. guiding others B. empowering others C. influencing others D. directing others

B. empowering others

A new nurse manager is learning about staff devleopment. Which statement about implications of Knowle's learning theory are accurate (select all that apply)? A. adults do not need to be involved in the evaluation of their progress B. mistakes should be reviewed as opportunities to learn C. adults learn best by using experiential techniques D. assessment of need is not absolutely essential E. the adult will not feel rejected of the value of their experience is rejected

B. mistakes should be reviewed as opportunities to learn C. adults learn best by using experiential techniques D. assessment of need is not absolutely essential

When you explain what the nurse believe the issue is, which stage of SBAR would the nurse be demonstrating? A. background B. situation C. assessment D. reccomendation

C. assessment

A nurse manager is performing a daily assessment of staffing needs. Which statements about calculating the NCH/PPP are most accurate? (select all that apply) A. the calculation of NCH/PPP absolutely determines staffing needs B. the calculation includes the total staff for any 12-hour shift that day C. the first step is to calculate the number of staff for the 24-hour period D. the total staff for 24 hours is divided by the patient census at 12am E. the calculations should include all members of the nursing staff on duty

C. the first step is to calculate the number of staff for the 24-hour period D. the total staff for 24 hours is divided by the patient census at 12am E. the calculations should include all members of the nursing staff on duty

A charge nurse is preparing to delegate tasks to unlicensed assertive personnel (UAP). What is the first action the nurse should do before delegating? A. determine who would be the best person for this task B. determine whether there is enough time to adequately supervise the task C. ask which UAP are interested in the task D. determine whether the task is within the scope of UAP

D. determine whether the task is within the scope of UAP

The diversity in current healthcare work force affects how each member approach specific assigned goals which influences completion of delegated tasks. This is thought to be related to the ___. A. differences in approach to task relation to religious preferences B. differences in approach to task relation to gender differences C. differences in approach to task relation to day or night shift preferences D. differences in approach to task relation to priority setting

D. differences in approach to task relation to priority setting

The nurse leader should assess which of the following when planning learning activities for their staff? A. burnout B. current work environment C. lack of motivation D. perceived learning needs

D. perceived learning needs

A nurse manager is considering revising the budget cycle for the nursing unit. Which budget cycle has the greatest possibility for error? A. fiscal year budget B. short-sighted budget C. calendar year budget D. planning for the distant future

D. planning for the distant future

The nurse delegates a task to an incompetent individual. Who is held accountable for the outcome of the task? A. both individuals B. the individual who was delegated to C. it depends on the situation or circumstance D. the nurse delegator

D. the nurse delegator

True or False: The American Nurses Associate Code of Ethics is legally binding

False

True or False: The nurse leader understands when delegating, subordinate resistance should never occur among staff members

False

True or False: nurse leaders are responsible for licensing nurses

False

True or False: Adult's learning needs differ in their degree of importance

True

True or False: Adults learn differently than children; therefore, nurse leaders need to be familiar with teaching and learning styles to effectively educate staff members

True

True or False: Delegation by a licensed professional such as the registered nurse to an unlicensed professional can assist with time management if the delegation has been correctly accomplished

True

True or False: effective decision making is a learned behavior

True

True or False: resistance to change should be expected

True

Which behaviors by a nurse can result in the suspension or revocation of the nursing license? (select all that apply) A. a felony conviction for drug use B. conviction for failure to pay court-ordered child support C. practicing on an expired nursing license D. failing to report an incident of substandard nursing care E. being convicted of professional negligence

A. a felony conviction for drug use D. failing to report an incident of substandard nursing care E. being convicted of professional negligence

When considering the MORAL decision-making model, what step is the nurse engaging in when developing the plan of care? A. affirming B. massaging C. outlining D. looking back

A. affirming

A nurse manager wants to ensure that a staff member attends a particular training session. What is the best way to achieve this? A. communicate the benefits of learning the ideas that will be taught in the training B. explain that the training session won't be very difficult C. make attending the training session mandatory D. explain that other staff members are also attending the training session

A. communicate the benefits of learning the ideas that will be taught in the training

A nurse manager is reviewing current staff development activities. Which is critical to ensure that staff development activities are successful? A. communicating shared responsibilities for education and training B. the education department identifies all needs for educators and training C. management is responsible for education and training D. scheduling education as non-paid time

A. communicating shared responsibilities for education and training

A nurse manager is considering how to gain more staff involvement in meeting budgetary goals. Which activity is most likely to result in staff understanding and participating in budgetary goals? A. communication budgetary planning goals to staff B. being held accountable for the units financial results C. comparing actual expenses with budgeted expenses D. forecasting or estimating needs using current data

A. communication budgetary planning goals to staff

What is the nurse's best safeguard against legal prosecution? A. competent practice B. written or implied contracts C. collective bargaining D. patient education

A. competent practice

Choose the legal safeguards nurses can refer to and practice to prevent litigation against them. (select all that apply) A. competent practice B. risk management problems C. patient bill of rights D. informed consent E. documentation

A. competent practice B. risk management problems C. patient bill of rights D. informed consent E. documentation

A nurse manager is evaluating the effectiveness of staff development activities that have occurred within the past year. Which criteria should be included in this evaluation? (select all that apply) A. cost-effectiveness B. time utilized C. learner's reaction D. behavior change E. organizational impact

A. cost-effectiveness C. learner's reaction D. behavior change E. organizational impact

How can the nurse manager best minimize the the personal risk for legal liability? A. creating a work environment that prioritizes patient needs B. dealing with all members of the staff and all patients in a nondiscriminatory fashion C. upholding the enforcement of laws, rules, and regulations affecting patient care D. possessing a working knowledge of current laws affecting nursing practice

A. creating a work environment that prioritizes patient needs

A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost-effectiveness of this practice. What wold be an appropriate decision-making model to find a cost-efficient solution A. decision grid B. consequence table C. SWOT D. intuitive judgement

A. decision grid

Which of the following are steps included in the flexible budgeting process? (select all that apply) A. determine the time period for the budget B. analyze the cost patterns over that period of time C. list all current and proposed objectives and activities in the department D. separate the costs into fixed, variable, or mixed categories E. forecast the cost for each of these categories or acitivites

A. determine the time period for the budget B. analyze the cost patterns over that period of time D. separate the costs into fixed, variable, or mixed categories E. forecast the cost for each of these categories or acitivites

A few months ago, a new nurse leader at a hospital discovered via evidence-based practice that tablet computers involved accuracy of documentation and decreased patient wait time. The leader noted that these outcomes are beneficial to the facility, staff, and patients, as tablets provide portable access to patient electronic medical records. The nurse leader is currently in the planning stage. (select all that apply) A. determining the scope of the change project, a schedule for its implementation, and a budget to submit to administration for approval B. anticipating resistance to the change by less tech-savvy staff C. brainstorming the impact, pros and cons, and potential challenges to implementation with impacted teammates D. keeping track of the pace and stress of change E. evaluating how the plan unfolds in real-time

A. determining the scope of the change project, a schedule for its implementation, and a budget to submit to administration for approval B. anticipating resistance to the change by less tech-savvy staff

A new nurse from a foreign country is training in the surgical unit. After working and meeting with the nurse, the charge nurse observes that there is a discomfort in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse? A. educating a patient and ensuring full understanding B. inserting an indwelling catheter C. starting an IV prior to a patient going to surgery D. obtaining blood for transfusion

A. educating a patient and ensuring full understanding

Which of the following creates potential for a successful delegation as emphasized by the National Council State Board of Nursing? A. effective communication B. evaluating difficult tasks very closely C. monitoring difficult tasks very closely D. determining how to monitor and supervise

A. effective communication

A nurse delegates a task to UAP. After the UAP informs the nurse the task is complete, what is the appropriate action by the nurse? A. evaluate the outcome of the task B. redo the task if not acceptable C. no further action is required since the task is complete D. inform the UAP that you will confirm that the work is complete

A. evaluate the outcome of the task

The Health Insurance Portability and Accountability Act ensures strong privacy protections for the patient without threatening access to which areas of care? (select all that apply) A. exchange of patient information among appropriate health care providers B. legally reportable information C. sharing of information with family D. health care plans E. health care clearinghouses

A. exchange of patient information among appropriate health care providers D. health care plans E. health care clearinghouses

What must a person giving informed consent for surgery or a procedure fully comprehend in order to give informed consent? (select all that apply) A. expected complications or potential side effects that may occur as a result of the treatment B. the procedure to be performed C. expected or desired outcomes D. the risks involved E. the nurse's personal opinion about the treatment

A. expected complications or potential side effects that may occur as a result of the treatment B. the procedure to be performed C. expected or desired outcomes D. the risks involved

What is the role of the nurse manager in assuring ethical nursing practice on the unit? Select all that apply A. expert problem solver B. primary decision maker C. addressing the results of undesirable consequences D. implementing the best decision with attention to cost E. identifying desired outcomes

A. expert problem solver B. primary decision maker D. implementing the best decision with attention to cost E. identifying desired outcomes

Which of the following are delegation errors made by nurse leaders? (select all that apply) A. failure to follow up B. failure to release control of a task C. failure to provide clear directions D. failure to delegate E. failure to provide adequate directions

A. failure to follow up B. failure to release control of a task C. failure to provide clear directions D. failure to delegate E. failure to provide adequate directions

Select types of priority learning needs. (select all that apply) A. fixed B. fundamental C. fatal D. frequent E. fluctutating

A. fixed B. fundamental C. fatal D. frequent

Which labor standards were set in place the the Fair Labor Standards Act? (select all that apply) A. guaranteed paid overtime B. overtime is required to be at least 2 times regular base pay C. illegal employment of minors D. a maximum of an 80-hour regular pay period E. minimum wage

A. guaranteed paid overtime D. a maximum of an 80-hour regular pay period E. minimum wage

A nurse has a difficult decision to make regarding patient care. What should the nurse do to influence a positive outcome? (select all that apply) A. identify a number of different options B. gather data and input from a variety of sources C. understand the repercussions of each option D. make a quick decision and act on it immediately E. slow down the thinking process

A. identify a number of different options B. gather data and input from a variety of sources C. understand the repercussions of each option E. slow down the thinking process

Educational development requires a sequence of steps. Select all of these steps you would include as a nurse leader when planning for staff development. A. identifying learning objectives B. determine knowledge levels C. evaluate learning outcomes D. assess learner needs E. identify educational resources

A. identifying learning objectives B. determine knowledge levels C. evaluate learning outcomes D. assess learner needs E. identify educational resources

Which step in the problem-solving process assist the nurse leader to prioritize the problem or issue? A. identifying the problem B. identifying bias C. identifying causative factors D. identifying stakeholders

A. identifying the problem

A nurse is educating a patient who is scheduled to undergo an open cholecystectomy how to turn, cough, and deep breath in order to prevent complications after the procedure. What phase of the nursing process is the nurse providing? A. implementation B. planning C. evaluation D. assessment

A. implementation

A new nurse manager with limited budgeting expertise is considering what approach to use to determine the budget of the nursing unit for the upcoming fiscal year. Which approach would be the easiest to implement? A. incremental B. flexible C. performance D. zero-based

A. incremental

Last month, two nursing units were merged to save on staffing costs. The nursing manager is now inquiring among the staff about how the change is working and if any barriers would remain. What stage of change is this? A. integrate B. implement C. plan D. design

A. integrate

A nurse is carrying for a patient that suddenly becomes short of breath and has a decrease in oxygen saturation to 86%. The nurse places the patient on 4L of oxygen via nasal cannula and elevates the head of the bed. What decision tree would the nurse have used in this situation? A. intuitive judgement B. a decision grid C. consequence tables D. SWOT

A. intuitive judgement

A nursing instructor is discussing ways to improve critical thinking during a clinical rotation with a student. The student asks the nurse what critical thinking is. What is the best response by the nursing instructor? A. it requires reasoning and creative analysis B. it is as simple approach to decision making C. it is a synonym for the problem-solving process D. it is narrower in scope than decision making

A. it requires reasoning and creative analysis

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? A. present content that is problem-focused rather than theory-focused B. ask the staff member to assess the logical flow of the content C. present content that is theory-focused rather that problem-focused D. invite the staff member to set goals for the lesson plan

A. present content that is problem-focused rather than theory-focused

What is the focus of Patient Self-Determination Act (PSDA)? (select all that apply) A. providing patients with written information about health care durable power of attorney B. informing patients about advanced directives C. educating the patient to the various spiritual and religious services the facility offers D. educating patients regarding the role of a health-care proxy E. educating staff concerning end-of-life issues

A. providing patients with written information about health care durable power of attorney B. informing patients about advanced directives D. educating patients regarding the role of a health-care proxy E. educating staff concerning end-of-life issues

A nurse manager must be aware of what is happening on the unit to prevent injury to the patient and exposing the staff to a potential malpractice situation. What steps wold the nurse manager take to accomplish this? (select all that apply) A. regularly checking the credentials of current nursing staff B. personally monitoring the care provided by new nursing staff C. assuring adequate staffing D. arranging for relevant staff-in-services regarding the operation of equipment E. providing disciplining those who provide inappropriate care

A. regularly checking the credentials of current nursing staff C. assuring adequate staffing D. arranging for relevant staff-in-services regarding the operation of equipment E. providing disciplining those who provide inappropriate care

A new nurse manager is implementing an educational needs assessment. Why is it necessary to conduct this assessment? A. staff and management might prioritize learning needs differently B. educational resources in nursing units are usually unlimited C. the manager's perception of educational needs is accurate D. staff perception of educational needs is a greater priority

A. staff and management might prioritize learning needs differently

A new nurse manager is learning about staff development. Which are the most important reasons that staff require education? (select all that apply) A. staff must keep abreast of current science B. to keep pace with new educational trends C. to learn for the sake of learning D. staff must learn about new technology E. to ensure the employees competency

A. staff must keep abreast of current science D. staff must learn about new technology E. to ensure the employees competency

A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (select all that apply) A. tasks with a degree of predictability requiring indented thinking to accomplish B. tasks that are ambiguous C. tasks that require imagination, vision, and strategic planning D. tasks that require direct supervision E. routine tasks that are done every day

A. tasks with a degree of predictability requiring indented thinking to accomplish C. tasks that require imagination, vision, and strategic planning E. routine tasks that are done every day

Which statement is true about an incident report? (select all that apply) A. the document is generally considered confidential B. an entry about the existence of an incident report should be made in the medical record C. a disclosed incidence report can be subpoenaed in court D. a copy of the incident report should be attached to the medical record E. the chart should contain all the variables related to the incident

A. the document is generally considered confidential C. a disclosed incidence report can be subpoenaed in court E. the chart should contain all the variables related to the incident

A nursing manager is considering the budget for a nursing unit as compared with overall institutional budget. Which is the most negative outcome of multiple nursing units "padding" or inflating their department budgets to cushion against administrative cuts? A. the entire institution's budget may be ineffective B. some units may not have access to adequate resources C. some unity may not have access to adequate resources D. the entire institution's budget may be affected

A. the entire institution's budget may be ineffective

A nurse manager is performing a daily assessment of staffing needs. If the current NCH/PPP is greater than the budgets NCH/PPP for the unit, which action should be implemented to keep staffing on track? A. the nursing staff should remain the same for the current shift B. the nursing staff should be reduced for the current shift C. the nursing staff should be increased for the coming shift D. the nursing staff should be decreased for the coming shift

A. the nursing staff should remain the same for the current shift

A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this? (select all that apply) A. the right circumstance B the right time C. the right person D. the right level of supervision E. the right task F. the right communication

A. the right circumstance C. the right person D. the right level of supervision E. the right task F. the right communication

The new nurse manager is learning about staff development. Which are characteristics of pedagogy? (select all that apply) A. the teacher sets the goals B. learners are self-directed C. the teacher evaluates D. learners depend on their teacher E. competition is encouraged

A. the teacher sets the goals C. the teacher evaluates D. learners depend on their teacher E. competition is encouraged

A nurse manager has evaluated a recent staff development activity. Which variables may have limited the transfer of knowledge and ultimately the success of the activity? (select all that apply) A. the training included one example so that the staff couple apply information specifically B. staff had one opportunity to practice the skill and then were required to return demonstrate C. the basic principals underlying the process and how situations may modify the process D. important steps or features of the process were emphasized during the training or activity E. the training context of the staff development activity was different from the work context

A. the training included one example so that the staff couple apply information specifically E. the training context of the staff development activity was different from the work context

The unit manager of a medical-surgical unit is transitioning the unit to electronic charting. According to Lewin's model, which of the following roles describes you as the change agent? A. the unfreezer B. the role player C. the mover D. the refreezer

A. the unfreezer

The nurse manager is considered the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate? A. they can be used to monitor quality of care B. they accurately predict patient progress C. they reduce the need for documentation D. they reduce the need for utilization review

A. they can be used to monitor quality of care

What information is accurate when describing the Nurse Practice Acts? (select all that apply) A. they identify actions that fall outside of the nurse's scope of practice B. they need to be consistent with applicable federal statutes C. the focus of the acts can vary greatly from state to state D. they focus on the practice of the professional nurse E. when considering the law, they are an example of a statute

A. they identify actions that fall outside of the nurse's scope of practice B. they need to be consistent with applicable federal statutes D. they focus on the practice of the professional nurse E. when considering the law, they are an example of a statute

Choose other factors that may evoke resistance to change. (select all that apply) A. timing B. weak proposal C. anxiety D. lack of trust E. feelings of losing control F. unclear guidelines

A. timing B. weak proposal C. anxiety E. feelings of losing control F. unclear guidelines

The charge nurse for a post-op treatment center believes that change needs to take place to make the nursing process smoother and the treatment center safer. The nurse's rationale for making change would include which reasons? (select all that apply) A. to improve staff productivity B. to reduce unnecessary workload C. to solve an existing problem D. to establish leadership power E. to fill work quotas

A. to improve staff productivity B. to reduce unnecessary workload C. to solve an existing problem

A new nurse manager is learning about staff development. Which statement either about training or education is most accurate? A. training ensures knowledge and skills necessary for the job B. training is designed to develop individuals in the broader sense C. education has immediate use and applicability D. the words training and education are synonymous

A. training ensures knowledge and skills necessary for the job

A new charge nurse is leaving work each day feeling overwhelmed and not completing tasks. What kind of delegation error is the charge nurse making? A. underdelegating B. overdelegating C. improperly delegating D. not delegating the right task

A. underdelegating

choose one of the following words to complete this statement: effective leadership in nursing requires the individual to be self-aware in order to _____ the motivation of others. A. understand B. discourage C. limit D. inhibit

A. understand

As the nursing manager of a unit, which key steps should be performed before implementing a change in effort? (select all that apply) A. use a roadmap as a guide to complete the change B. encourage input from team members who would be impacted by the change C. investigate the magnitude and complexity of the intended change D. delay gathering input from team members E. keep track of the pace and stress of the change

A. use a roadmap as a guide to complete the change B. encourage input from team members who would be impacted by the change C. investigate the magnitude and complexity of the intended change

A nurse manager is performing a daily assessment of staffing needs. Which data would be needed to calculate NCH/PPP (select all that apply) A. work hours of each staff member on duty B. patient census as of midnight on day two C. staff on duty for 24 hours from 12am D. census for the entire calendar year E. staff of duty for 24hrs from 11pm

A. work hours of each staff member on duty B. patient census as of midnight on day two E. staff of duty for 24hrs from 11pm

A nursing staff member who is on a unit committee to bring about a planned change is currently in the integrating phase of change. What activities are associated with the integrating phase? (select all that apply) A. brainstorming solutions by using your own skills and the skills of those who will be affected by the change B. assessing how well the new process is accepted and becoming the norm C. assessing how well the change is working against an established measurement for success D. investigating the magnitude and complexity of the intended change as it is implemented E. asking a lot of questions, such as "what can be done to overcome barriers?"

B. assessing how well the new process is accepted and becoming the norm C. assessing how well the change is working against an established measurement for success

A nurse manager is evaluating the effectiveness of the most recent staff development activity. Which strategy would be most useful in validating competency of each of the staff on a unit after a staff development activity? A. assessing learning by administered a post-test after the activity B. assessing whether the participants can transfer knowledge to practice C. assessing if the activity provided entertainment for the participants D. assessing the length of time that the staff development activity lasted

B. assessing whether the participants can transfer knowledge to practice

A nurse explains the informed consent form to a patient who is schedule for heart bypass surgery. Which elements are considered essential to the effective establishment of informed consent? (select all that apply) A. information must be provided by a professional nurse B. competence of the patient must be determined prior to consent C. full disclosure of information regarding the procedure D. comprehension of the information by the patient or guardian E. such consent is not necessary in cases where the focus is clinical research

B. competence of the patient must be determined prior to consent C. full disclosure of information regarding the procedure D. comprehension of the information by the patient or guardian

A nurse manager is preparing the annual budget for the coming fiscal year, and is considering what the goal is of using the allocated funds. What stage of the budgetary process is this? A. assessment B. diagnosis C. evaluation D. planning

B. diagnosis

You are the nurse manager of a medical-surgical unit that is in need of a change in a staffing rotation patterns, which will lead to major changes in how the unit is staffed. According to Lewin's change theory, what forces are in play to enact these changes. A. restraining forces B. driving forces C. freezing forces D. refreezing forces

B. driving forces

A nurse manager notices that supply carts are unorganized and could use some attention. What strategy can the manager use to help implement change in the area? A. ensure that each subordinate knows there are no expectations B. encourage input from subordinates for potential options C. allow each individual to decide how he or she will make the change D. proceed slowly in making the change

B. encourage input from subordinates for potential options

Which of the options below correctly correlate the decision-making model to the nursing process? A. assess-identify criteria for decision, identify alternatives B. evaluate- evaluate decision-making steps C. implement- choose alternative, implement alternative D. plan- identify the decision, collect data

B. evaluate- evaluate decision-making steps

Which of the following is a decision-making tool often used by today's nurse leaders/managers for program/unit evaluation? A. quarterly reports B. flow charts C. review techniques D. program outcomes

B. flow charts

A nurse manager is conducting a meeting with staff. What factors may significantly influence how communication is received and perceived during the meeting? (select all that apply) A. the age of the manager B. gender differences C. the unit mission D. stress levels E. the level of the manager

B. gender differences D. stress levels E. the level of the manager

A nurse is planning to delegate tasks to the transcultural team. What situation would be considered appropriate delegation to the team members? (select all that apply) A. delegating a task that requires calming a hysterical patient and family to a nurse who is uncomfortable with touch as a result of her cultural tradition B. holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face" C. delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition D. delegating a tasks that requires educating a hard of hearing patient to a nurse who is shy and reserved as a result of her cultural tradition E. giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of her cultural tradition

B. holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face" C. delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition E. giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of her cultural tradition

A health care team is implementing the Toyota Production System (TPS) because the facility is having financial difficulty and may have to consider minimizing its workforce. Prior to implementing TPS, what should the team consider? (select all that apply) A. how it will allow for problem solving B. how it will change the organization's culture, values, and roles C. the ease with which the transition will take place D. the commitment of time and resources from the facility's leadership E. the level of staff preparation and involvement that will be required

B. how it will change the organization's culture, values, and roles D. the commitment of time and resources from the facility's leadership E. the level of staff preparation and involvement that will be required

After attending a healthcare research seminar, a registered nurse who works in the transplant unit became very interested in the ability of 3D printing to help save lives. The nurse would would really like to raise awareness and see the hospital invest in a 3D printer. What are the different technical reasons for resistance that they nurse may encounter. (select all that apply) A. power B. lack of resources C. public education D. unqualified personnel E. budget issues

B. lack of resources D. unqualified personnel E. budget issues

A nurse manager is assigned to a new unit due to issues of administrative mismanagement, which has resulted in staff becoming disillusioned as to the mission of the unit. As the unit manager, you are expected to develop new policies for the staff to follow. What is one of the greatest factors that may contribute to resistance of change on this unit? A. resistance B. lack of trust C. passivity D. anger

B. lack of trust

A nurse manager is evaluating the current fiscal year budget. Which statement regarding the evaluation phase of the budgetary process is most accurate? A. the CEO is accountable for individual unit budgetary outcomes B. large variations from the projected budget must be examined C. budgets are usually created at the beginning and unchanged D. most units will have no variation from the projected budget

B. large variations from the projected budget must be examined

A nurse is to provide an in-service training on cultural factors that influence delegation and enhance nursing care. Which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages? A. identifying biases in one's own self B. learning specific communication strategies C. becoming culturally aware D. interacting with different culture

B. learning specific communication strategies

A nurse manager has a high turnover rate of assistant managers in the unit. The current assistant manager states to the manager, "I may not be the right fit for this position. I can't keep up with the amount of work and delegated tasks." What delegation error is the manager making? A. underdelegating B. overdelegating C. improper delegating D. delegating to the wrong person

B. overdelegating

A nursing staff member in the ED has noted where improvement of a procedure would bring about more efficiency. The staff members want to share their idea with their supervisor. What would be the best option to facilitate the possibility of change? A. take initiative and implement the change without approval B. schedule a meeting with your supervisor and submit a concise plan related to your idea for consideration C. communicate within a vacuum D. minimize the use of grassroots support from other staff

B. schedule a meeting with your supervisor and submit a concise plan related to your idea for consideration

According to the adult learning theories, adult learners ____. (fill in the blank) A. do not require the need to practice quickly what they have learned B. should be actively involved in the evaluation of their progress C. do not need to be ready to learn as the recognize that they must learn D. do not learn from past mistakes

B. should be actively involved in the evaluation of their progress

A nurse manager is performing a daily assessment of staffing needs. Which types of nursing units can successfully use a predetermined standard of nursing staffing for the patient census? A. emergency department B. specialty care units C. operating rooms D. general medical-surgical units E. home care

B. specialty care units C. operating rooms D. general medical-surgical units E. home care

Which of the following strategies should nurse leaders use to promote evidence-based practice? A. use on reliable professional resource B. staying current with professional issues C. limit evidence-based research to nurses D. do not take risks

B. staying current with professional issues

A single parent raising two children and relying on public transportation, is determined to become a registered nurse. What are the restraining forces in the situation? (select all that apply) A. an advancement in medicine B. stress of being away from children C. student success center established within the nursing department D. being a single mother E. relying on public transportation

B. stress of being away from children D. being a single mother E. relying on public transportation

According to the ANA Code of Ethics for nurses, what is the nurse's primary commitment? A. formulation ethically sound decisions when addressing patient care issues B. the application of ethical standards to the delivery of patient care C. instructing other health care providers in the process of arriving at ethically sounds health care decisions D. assuring that all healthcare providers address the care of patients in an ethical manner

B. the application of ethical standards to the delivery of patient care

A charge nurse has delegated specific tasks to the team and feels as though one of the nurses is resistant to the task delegated. What might be reasons that the nurse is resistant? (select all that apply) A. the task is well communicated B. the nurse feels incapable C. the nurse feels overloaded D. the task has a specific time frame E. the nurse has an inherent resistance to authority

B. the nurse feels incapable C. the nurse feels overloaded E. the nurse has an inherent resistance to authority

What rights do patients have? (select all that apply) A. the right to inexpensive treatment B. the right to end treatment without physician consent C. the right to protection of their privacy D. the right to informed consent E. the right to respectful care free of discrimination

B. the right to end treatment without physician consent C. the right to protection of their privacy D. the right to informed consent E. the right to respectful care free of discrimination

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? A. to demonstrate memorization of concepts B. to transfer new learning to the work setting C. to practice new skills multiple times D. for training to occur as quickly as possible

B. to transfer new learning to the work setting

A nurse makes a decision using the intuitive judgement regarding a patient's rapid change in condition. What action should the nurse takes after the decision? A. examine alternatives visually and compare each against the same criteria B. use evidence-based data to validate decision C. quantify information D. plot a decision over time

B. use evidence-based data to validate decision

A nurse manager determines that a nurse on the teams comes from a future-oriented culture. What task may be best delegated to this nurse? A. performing a retrospective study on infection rates on the unit B. working on a strategic team plan for the unit C. making assignments for the unit for the day D. overseeing the daily stocking of supplies

B. working on a strategic team plan for the unit

A nurse manager is making a decision based on a problem with a staff member. What would be the optimal end product of the decision? A. an action that guarantees success B. an alternative problem C. a chosen course of action D. a restatement of the solution

C. a chosen course of action

What is the definition of competency? A. a person's ability to determine if a task or skill should be performed B. a person's ability to describe the proper procedure C. a person's ability to correctly perform a skill or task D. a person's ability to teach the skill or task

C. a person's ability to correctly perform a skill or task

A nurse instructor is teaching a student who often asks for thorough explanations of each new concept. What learning style does this student have? A. kinesthetic B. tactile C. auditory D. visual

C. auditory

The nurse engages in actions to promote the good of the patient. The nurse is engaging in fulfillment of which ethical principal? A. nonmaleficence B. justice C. beneficence D. fidelity

C. beneficence

A nurse manager evaluates the performance of a staff member and provides the following feedback: "When you didn't contact the attending physician after you registered the patient's low blood pressure reading, the patient went into respiratory arrest that might have been prevented. Next time you have a patient with an unexpected change in their vitals and can't get in touch with their doctor, contact the nursing supervisor so we can get help to that patient sooner." What type of feedback has the nurse manager provided? A. destructive B. positive C. constructive D. negative

C. constructive

A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? A. public B. civil C. criminal D. private

C. criminal

A nurse leader recently transferred to a different hospital that is much older than the hospital at which the nurse was previously employed. After working in the new hospital for a month, the nurse leader believes it would be a great idea to brighten the rooms with a lighter paint job, obtain newer hospital beds and curtains, and hang some fun artwork. However, the nurse leader doesn't want to be perceived as a threat to the team. How could these ideas be presented to minimize resistance? (select all that apply) A. tell the supervisor and demand the change B. send a letter to the supervisors boss and report failures of the unit C. engage other nurses in discussion about the benefits of the exam room aesthetics, then solicit their ideas to improve the aesthetics D. engage other nurses in a discussion about the benefits of the exam room aesthetics, then present the idea. E. Make over one of the exam rooms and use it as a test case to collect data on patient satisfaction, then present the data along with the idea to the team if the experiment was successful

C. engage other nurses in discussion about the benefits of the exam room aesthetics, then solicit their ideas to improve the aesthetics D. engage other nurses in a discussion about the benefits of the exam room aesthetics, then present the idea. E. Make over one of the exam rooms and use it as a test case to collect data on patient satisfaction, then present the data along with the idea to the team if the experiment was successful

A nurse manager is considering the reasons for the current problems with the health care system. Which are negative consequences of higher spending in health care? (select all that apply) A. higher spending may result in higher quality of care B. higher spending grantees a higher quality of care C. higher spending may result in a duplication of services D. higher spending may result in overuse of technology E. higher spending may result in over-utilization of services

C. higher spending may result in a duplication of services D. higher spending may result in overuse of technology E. higher spending may result in over-utilization of services

A nurse instructor is creating a lesson plan to help develop the learning needs of a diverse staff. What should the instructor do to make an effective plan? A. focus on the predominant learning style in the group of students B. maintain total control over the goals of the lesson plan C. incorporate a variety of teaching styles into the lesson plan D. convey each important concept through problem-focused instruction

C. incorporate a variety of teaching styles into the lesson plan

A nurse leader is trying to bring about change on the unit. Which intervention is associated with the nurse leader goal? A. identifying outcomes that support quality nursing care B. being aware of the changes in quality control regulations C. inspiring staff to maintain high standards regarding patient care D. reviewing research results upon which to base changes

C. inspiring staff to maintain high standards regarding patient care

Which statement about total quality management is correct? A. it involves only a select few employees in the organization B. it emphasizes the profit should be considered before quality C. it considers the individual as the focal element on which production and service depend D. it is a process with a definitive end point

C. it considers the individual as the focal element on which production and service depend

When making a decision about using a prn pool for added staffing, what can the nurse manager do to make the best decision? A. get multiple people to give input into the decision B. make a decision and then question the facts C. make a decision with all the facts D. don't question the first impression

C. make a decision with all the facts

What is the term used to identify the omission of doing something that is reasonable person would do, guided by the considerations that ordinarily regulate human affairs? A. scope of practice B. malpractice C. negligence D. breach of duty

C. negligence

A new nurse manager is learning about fiscal planning. Which are Barriers for nurse manager's participation in fiscal planning? (select all that apply) A. nursing input in fiscal planning is undervalued B. nurses lack the intuition necessary for fiscal planning C. nursing education lacks preparation in fiscal planning D. nurses are directly involved in fiscal planning E. many nurses perceive that fiscal planning is difficult

C. nursing education lacks preparation in fiscal planning E. many nurses perceive that fiscal planning is difficult

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? A. require the staff member to recite the key point of the procedure without referencing notes B. interview the staff member a month after the training to see if the information was retained C. observe if the staff member has adopted the desired behavior change D. have the staff member complete a thorough evaluation form at the end of the training

C. observe if the staff member has adopted the desired behavior change

The nurse manager of an acute care unit determines the increase in the incidence of medication errors over the last 6 months and identifies this as a focus area for improvement. What is the next action by the nurse manager? A. implement action plan B. assess results C. organize a TQM meeting D. identify variations

C. organize a TQM meeting

Which of the following refers to the system in which facilities join a payment system, whereby they receive a specified fixed payment for each Medicare patient's admission, regardless of the actual cost? A. Both PPS and DRGs B. neither is correct C. prospective payment systems (PPS) D. diagnosis-related groups (DRGs)

C. prospective payment systems (PPS)

A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks are delegated to UAP. What would be important for the nurse to consider when delegating to UAP (select all that apply) A. whose turn it is to be delegated to B. the monetary cost of the delegation C. qualifications of the person who will carry out the task D. if the UAP wants to do the task E. what can and can't be delegated safely

C. qualifications of the person who will carry out the task

A nurse leader is thinking about approaching their manager with a new idea. To be properly prepared, the nurse leader should recognize this as a natural and expected response to change: A. acceptance B. blockage C. resistance D. passitivity

C. resistance

A staff nurse is having difficulty with problem solving in patient care and the nurse manager is counseling the nurse. What suggestions by the nurse manager may assist the staff nurse in improving problem solving skills? (select all that apply) A. combine personal and professional feelings B. ask closed-ended questions C. systematize data collection D. slow down thinking E. override bias

C. systematize data collection D. slow down thinking E. override bias

A charge nurse has delegated a task to a UAP. When the nurse is met with resistance after delegating, what is the best action to be taken? A. the charge nurse should just complete the task B. the charge nurse should report the staff member to the nurse manager C. the charge nurse should meet with the person to find out why the task was not completed D. the charge nurse should ask someone else to do the task

C. the charge nurse should meet with the person to find out why the task was not completed

What is the primary focus of HIPPA? A. sharing medical records within the health care team B. preventing families from accessing the medical information of patients C. the patient's right to confidentiality D. medical record storage

C. the patient's right to confidentiality

A nurse is using the nursing process in order to plan care of a newly admitted patient that has had a stroke. What is the benefit of using the nursing process to devise a care plan? A. the process will always lead to optimal patient care B. the patient will have the best outcome from the stroke C. this method of problem solving can be transferrable to non-patient problems D. the nurse will be able to diagnose the patient's medical problem immediately

C. this method of problem solving can be transferrable to non-patient problems

Which reasons would a nurse manager consider for carrying out staff development? (select all that apply) A. to test new teaching strategies B. to promote group activity C. to satisfy specific interests of staff D. to meet new learning needs E. to establish competence

C. to satisfy specific interests of staff D. to meet new learning needs E. to establish competence

What term is used to identify the type of law the covers most incidences of malpractice? A. administrative law B. legislative law C. tort laws D. statutory laws

C. tort laws

A nurse manager is holding a meeting to discuss a sensitive issues with the staff. A previous meeting was held regarding the same issues and it ended in a negative manner. What action can the manager take in order to minimize the impact of leader/group style mismatch? A. have more extroverts than introverts in the meeting B. appoint a leader as a participant C. use a decision-making model D. ensure adequate gender role participation

C. use a decision-making model

A nurse leader wants to ensure that the team is always practicing proper hygiene after caring for a patient. A complaint was filed against a nurse for not washing the hands before examining a wound on a child's knee. What is the nurse leader's control criteria? A. why the team is not practicing proper hygiene B. who on the team is not practicing proper hygiene C. whether the team is practicing proper hygiene D. if there are enough hygiene reminders in each patient's room

C. whether the team is practicing proper hygiene

A nurse manager is using a budgeting approach that requires justification for each budgetary need. What approach is being used? A. performance B. flexible C. zero-based D. incremental

C. zero-based

The nurse is a member of the nursing staff at a hospital that is undergoing signficant organizational change. What factor is the greatest contributor to resistance encountered with organizational change? A. poor organizational leadership B. ineffective organizational management C. insufficient staff involvement in the process D. employee mistrust of management

D. employee mistrust of management

A charge nurse is delegating to a staff member who is resistant to authority. After delegating a task to the staff member, what action should the charge nurse have the staff member do to ensure compliance? A. submit a progress report to the charge nurse B. follow the charge nurse's directions exactly C. decide the best time to complete the task D. ensure the staff member has a voice in how the task is completed

D. ensure the staff member has a voice in how the task is completed

A nurse is determining whether the outcomes were met for a patient preparing for discharge with an open abdominal wound and reassessing if not met. What phase of the nursing process is the nurse performing? A. planning B. assessing C. implementing D. evaluating

D. evaluating

A member of a nursing team reports that being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage the situation? A. have the team member perform only the necessary tasks B. take on the responsibility of the tasks C. assign the work to another team member D. examine the workload and assist the individual in reprioritizing

D. examine the workload and assist the individual in reprioritizing

What area do consumers value the most when seeking health care? A. low cost, ability to meet patient outcomes, and advanced technology B. advanced technology, staffing levels, low cost C. ability to meet patient outcomes, advanced technology, and staffing levels D. high quality, low cost, and ability to meet patient outcomes

D. high quality, low cost, and ability to meet patient outcomes

A nurse determines that action is justified for a patient with limited mobility after an injury. After a plan for solution has been identified, what is the next step in the problem-solving process? A. evaluating B. assessing C. diagnosing D. implementing

D. implementing

A patient on a busy neurosurgical unit who just returned from surgery requires neurological checks every hour, but the nurse it too busy to do it and delegates this take to the UAP. What error in delegation has the nurse made? A. delegation at the wrong time B. overdelegation C. underdelegation D. improper delegation

D. improper delegation

A nurse informs the nurse leader that it would be beneficial to delegate more to the UAP but the nurse leader is reluctant to do so stating, "whenever I do, they always come back with so many questions. I need them to just do it!" What kind of delegation error is the nurse making? A. overdelegating B. delegating the wrong task C. underdelegating D. improperly delegating

D. improperly delegating

Which of these is likely to encounter the least resistance? A. implementing a new process for end-of-shift handoffs B. transferring certain staff members to a different unit C. establishing interdisciplinary teams for fall prevention D. introducing a new type of IV pump

D. introducing a new type of IV pump

A nurse manager schedules a meeting with the staff to discuss policy changes. What does the manager hope to achieve by having some upper left-brain dominant staff members lend their input? A. an intuitive side B. holistic input C. creativity D. logical and rational analysis

D. logical and rational analysis

Operational budgets are financial plans for the entire organization day-to-day operations. This type of budget includes which of the following? A. payroll, monthly expenses, and large purchase items B. expenses, equipment purchase, and payroll C. supplies, expenses, and equipment purchases D. payroll, supplies, expenses

D. payroll, supples, expenses

A nurse leader is working in the ER when patient presents with a deep head laceration requiring immediate suturing. The nurse leader went to the medical supply area for antibacterial ointment, gloves, and bandages. However, the nurse noticed that the medical supply cabinet was extremely disorganized, so it took much longer than it should have to find the necessary supplies. The next morning, the nurse leader began to ask team members if they had any input regarding the organization of the medical supplies, and then began to brainstorm a few different ideas, such as rearranging the supplies and relabeling items. What is the next stage of change the nurse leader should address? A. design B. implement C. integrate D. plan

D. plan

A nurse manager is evaluating critical thinking competency of a staff member. What method would be most effective in making this evaluation? A. have the staff member draft entries for verification before entering them into permanent documentation B. directly observe the staff member's skills in order to complete the validation checklist C. obtain feedback on other's perception of the staff member's communication D. request the staff member's rationale for decision making, and share the nurse manager's own rationale

D. request the staff member's rationale for decision making, and share the nurse manager's own rationale

A new nurse manager is learning about staff development. What are driving forces or assets that motivate adult learners? (select all that apply) A. family reaction B. situational obstacles C. institutional barriers D. self-motivation E. self-direction

D. self-motivation E. self-direction

A nurse manager is using the decision-making model "SWOT" to determine whether it is feasible to add another on-call team in perioperative services. What does the acronym "SWOT" mean? A. strengths, worth, options, timing B. significance, wellness, operations, timing C. superiority, work, opportunity, threats D. strengths, weaknesses, opportunities, threats

D. strengths, weaknesses, opportunities, threats

A nurse manager is performing a daily assessment of staffing needs. When determining if staffing adjustments are needed, which data should the current NCH/PPP be compared to? A. the units minimum NCH/PP B. an average of the unit's NCH/PPP C. the unit's maximum NCH/PPP D. the budget NCH/PPP per unit

D. the budget NCH/PPP per unit

A charge nurse is delegating to a LPN/LVN. What would be considered improper delegation for the charge nurse to delegate? A. momentary authority is given to support completion of a delegated task B. the charge nurse and the person to whom the task is delegated exchange regular updates on the task C. the person to whom a task is delegated considers it a challenge D. the employee is given highly detailed exact instructions to complete the task

D. the employee is given highly detailed exact instructions to complete the task

A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current U.S. health care system. Which statement about resource utilization is most accurate? A. limiting spending healthcare resources will improve the quality of U.S. health B. currently, there is a scarcity of resources available in the U.S. healthcare system C. additional funding for health care resources would improve the status of U.S. health D. the health care resources available in the United States is not used cost-effectively

D. the health care resources available in the United States is not used cost-effectively

Why should nurses be aware of the rights and duties or legal matters? A. they are better able to protect their employees B. they are better able to protect their patients C. they are better able to protect their peers D. they are better able to protect themselves

D. they are better able to protect themselves

True or False: Implementation problems are not common in multi professional teams because all healthcare workers typically like being a part of a team.

False

True or False: Informed consent can be given if the patient verbalizing understands prior to receiving a complete explanation of medical-surgical treatment options

False

True or False: It is the charge nurses's responsibility to effectively delegate and provide right direction and communication for the delegated task for the staff nurses

False

True or False: The HIPAA Privacy Rule provides protection for individually identifiable health information on a state level and may differ state by state

False

True or False: The nurse leader does not need to be concerned with the budgeting process steps

False

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

False

True or False: change should be immediately if the need for change has been identified.

False

True or False: it is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all healthcare workers receive similar training

False

True or False: it is not necessary for the nurse leader to develop a budget cycle; the emphasis should be on assessing departmental needs

False

True or False: rationales and justification for decisions need to be communicated to stakeholders only when there is lack of clarity

False

True or False: the person who generate the lawsuit is the defendant

False

____ developed a theory which included the stages of unfreezing, movement, and freezing. (fill in the blank)

Kurt Lewin

True or False: Evaluation methods that nurse leaders should include to evaluate the effectiveness of staff education are observation, communication, learner self-evaluation, and pre- and posttesting

True

True or False: HIPAA gives the nurse leader a platform in which the nurse leader can prevent conflicts resulting from ineffective communication among staff members and patients

True

True or False: Litigation is the process of bringing forth and trying a lawsuit

True

True or False: Nurses should be concerned with the various laws and statutes that govern health care

True

True or False: a nurse can have his or her licenses revoked if he or she is physically or mentally impaired related to age

True

True or False: a nurse would be considered liable if he or she fails to report a witnessed violation of the nurse practice act

True

True or False: an organization's culture can affect the decision-making process

True

True or False: effective nurse leaders have developed critical thinking and decision-making skills that assist with collaborative leadership

True

True or False: health care is not only financed by private insurance, government funding, and private donations but also by individual out-of-pocket expenses

True

True or False: healthcare reimbursement affects both the operational budget and the departmental budget

True

True or False: if you become aware of the elements of the decision-making process, you will develop effective decision making skills

True

True or False: it is important for nurse leaders to establish a trusting relationship with those involved in the change process

True

True or False: it is important that the nurse understands the difference between controlling a patient's decision and assisting the patient with an informed decision

True

True or False: nurse leaders can use the nursing process to develop a budget for their unit or department

True

True or False: the "nursing process" provides a model for ethical decision making

True

True or False: the budget uses numerical data to predict short- and long-term needs of an organization

True

True or False: the key role that a nurse leader plays in regards to ethics in the workplace is to create an ethical working environment

True

True or False: the nurse acts as the patient advocate in regard to informed consent

True

True or False: the nurse leader should include a variety of teaching and learning methodologies when developing learning activities for staff members

True

True or False: the nurse leader should not only understand the change process but also understand how to adapt to various methods in order to become an effective change agent in their organizations

True

True or False: the nurse leader should respond to resistance of authority in a calm but firm fashion

True

True or False: there are three types of feedback that a nurse leader may use; positive, negative, and constructive feedback

True

True or False: using first impressions to guide the decision-making process is a common flaw and considered a pitfall in using decision-making tools.

True

The case manager is part of the interdisciplinary team who is a nurse leader whose role is too ____. (select all that apply) A. advocate for the patient B. provide informed consent for procedures C. monitor patient care D. evaluate options for patient care E. coordinate patient care

A. advocate for the patient C. monitor patient care D. evaluate options for patient care E. coordinate patient care

What is the best focused response when asked, "What does clear and efficient communication mean?" (select all that apply) A. always presenting information in a concrete manner B. checking for the receiver's understanding before moving on C. giving as much information as possible about everything related to patient hand-off D. information is presented in a language the receiver can understand E. a thorough handoff of the situation, including background, your assessment, and any reccomendations

B. checking for the receiver's understanding before moving on D. information is presented in a language the receiver can understand E. a thorough handoff of the situation, including background, your assessment, and any reccomendations

A health care team has been challenged to determine what other facilities are doing to decrease the number of hospital-acquired infections so that an action plan can be created to decrease the rate in their facility. What will the healthcare team do to achieve this challenge? A. root cause analysis B. best practices C. patient outcome evaluation D. benchmarking

D. benchmarking

True or False: nurse leaders should understand the criteria or standards that are needed to establish effective quality control process

True

Which aspects of creating a successful interprofessional team are addressed by SBAR? (select all that apply) A. deterring leadership of the team B. offering a recommended plan of action or next steps C. ensuring role clarity D. maintaining a shared vision E. communicating effectively and efficiently

B. offering a recommended plan of action or next steps C. ensuring role clarity D. maintaining a shared vision E. communicating effectively and efficiently

A patient is planning to have a surgical procedure but is concerned about poor patient quality care at the local hospital, performed a quality check and comparison of several hospitals. What conglomeration of non-health-care Fortune 500 companies defined quality measurements to allow consumers to compare hospitals? A. National Quality Forum B. Patient Safety Center C. Prevention of Medical errors, Inc. D. Leapfrog

D. Leapfrog

Which of the following are behaviors associated with effective leaders? A. priority setting, critical thinking, skillful communication B. problem solving, priority setting, self-development C.critical thinking, fostering self-improvement, tentative D. priority setting, skillful communication, passive listening

A. priority setting, critical thinking, skillful communication

A nurse is tasked with performing an audit on patients in the long-term care facility who are developing pressure ulcers. After identifying the information relevant to the criteria, what is the nurse's next action? A. make a judgement about quality B. reevaluate C. determine ways to collect data D. analyze the data

C. determine ways to collect data

Which statements demonstrates the patient benefits derived from care provided by an interprofessional team? (select all that apply) A. "my doctor, the nurse, the social worker, and the dietitian had a meeting with me today about my discharge plan." B. "the physical therapist and my nurse worked together to schedule my therapy before my wife came to visit" C. "the rooms are so nicely decorates and someone comes in daily to dust and clean the floor" D. "we have been so pleased with the care my mother has been given while recovering from her fall." E. "all my medications are given to me by the same nurse and always on time." F. "the nurses all seem to really care about each of their patients"

A. "my doctor, the nurse, the social worker, and the dietitian had a meeting with me today about my discharge plan." B. "the physical therapist and my nurse worked together to schedule my therapy before my wife came to visit" D. "we have been so pleased with the care my mother has been given while recovering from her fall." F. "the nurses all seem to really care about each of their patients"

In an interprofessional team, the role of the nurse leader is elevated from caregiver to include which essential responsibilities? (select all that apply) A. assuring client and client family satisfaction B. minimizing the role of technology in the delivery of care C. integrating all aspects of client care D. supporting client autonomy related to care decisions E. assuring the effective transition from facility to home care F. implementing a team approach to care delivery

A. assuring client and client family satisfaction C. integrating all aspects of client care D. supporting client autonomy related to care decisions E. assuring the effective transition from facility to home care F. implementing a team approach to care delivery

In an interprofessional team, what do teammates need to understand in order to have a shared vision? (select all that apply) A. desired outcomes B. why certain members are included C. cost of the implemented services D. after-care options E. potential challenges to meeting outcomes

A. desired outcomes D. after-care options E. potential challenges to meeting outcomes

Nurse leaders make use of quality control tools to identify various types of errors as outlined by the IOM report. What are some of the most common types of errors reported in today's healthcare system? (select all that apply) A. diagnostic errors B. spelling errors C. equipment errors D. communication errors E. medication errors

A. diagnostic errors C. equipment errors D. communication errors E. medication errors

A nurse manager is implementing a quality control tool that is systematic and will allow official examination of a record for patients with postoperative infections. What type of tool is the nurse manager using to collect and evaluate this data? A. an audit B. an evaluation C. an examination D. a review

A. an audit

What behaviors should a nurse manager exhibit to narrow the power-authority gap that exists between the manager and the staff? (select all that apply) A. holding others accountable B. treating everyone the same C. withholding information about organizational and unit goals D. asking personal questions about your staff E. being accountable

A. holding others accountable D. asking personal questions about your staff E. being accountable

Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? (select all that apply) A. past medical history B. issues identified for discussion C. admitting diagnosis D. patient's name and room number E. current medications

A. past medical history C. admitting diagnosis D. patient's name and room number E. current medications

Rapidly advancing communication technology has a great potential for increasing the productivity and effectiveness of an organization. What is the threat or challenges that exists with new methods that include intranet and electronic information systems? A. pose a threat to patient confidentiality B. will replace nonverbal communication C. ineffective communication tool D. replace active listening

A. pose a threat to patient confidentiality

A nurse leader has an idea for changing to intake flow in the ER to leverage more of the nursing staff. The leader knows that if they could implement the idea as a pilot program, they could prove its effectiveness and then use it in all the ERs in the region. The nurse leader is frustrated, however, because in order to implement even a pilot of the idea, a proposal would then be sent to the CNO, who would then send it to the Administrator and Board of Directors for review and approval. Which of these factors are influencing the nurse leader's ability to implement the pilot program? A. state or national standards B. organizational structure C. organizational philosophy and values D. organizational mission

B. organizational structure

Which of the following is considered nursing leadership roles in regards to quality control? A. established measurable patient outcomes B. use findings to determine educational staff needs C. embraces, supports, and champions the quality improvement process D. selects and uses quality control tools

C. embraces, supports, and champions the quality improvement process

A nurse on a busy medical-surgical unit must delegate some care assignments to an experienced nursing assistant. What factor(s) does the nurse consider prior to delegating the care to the nursing assistant? A. organizational structure B. organizational philosophy and values C. organizational mission D. state or national standards

D. state or national standards

What are some of the primary focuses of the healthcare inter professional team? (select all that apply) A. collaborative problem solving B. reducing mortality rates C. improving quality patient care D. increasing professional experiences for health care workers E. providing patient center care

A. collaborative problem solving B. reducing mortality rates C. improving quality patient care D. increasing professional experiences for health care workers E. providing patient center care

A nurse manager is attempting to ensure adequate resources are available in order to meet changing patient needs. What would be the best type of audit for the manager to perform? A. an outcome audit B. a process audit C. a quality audit D. a structure audit

D. a structure audit

Which of the following delineates the set of values and beliefs of an organization's goals and guides the development of the philosophy statement? A. unit philosophy B. departmental philosophy and mission C. organizational statement D. purpose or mission statement

D. purpose or mission statement

An older adult patient recently had a hip replacement with an indwelling catheter inserted. The patient developed symptoms of a urinary tract infection postoperatively, and the nurse placing the catheter was reeducated by the nurse leader regarding avoidance of UTIs when inserting catheters. Which quality approach did the nurse leader use? A. total quality management techniques B. continuous quality improvement techniques C. continuous quality management techniques D. quality assurance techniques

D. quality assurance techniques

A nurse exhibits leadership traits associated with the role of nurse leader. What activities demonstrated by the nurse would demonstrate these leadership traits? (select all that apply) A. establishing goals for the coming year B. advocating for an employee regarding personnel policies C. providing a motivational speech at the new employee orientation D. providing feedback about job performance E. appointing a successor F. mentoring two new managers

A. establishing goals for the coming year B. advocating for an employee regarding personnel policies C. providing a motivational speech at the new employee orientation D. providing feedback about job performance F. mentoring two new managers

A nurse manager is using face to face communication when discussing a staff member's performance evaluation. What does the manager determine are the benefits of this method of communication in this situation? (select all that apply) A. the manager can determine if the staff member understands the evaluation B. It will prevent any misunderstandings from occurring C. the staff member will agree with all aspects of the evaluation D. it will combine verbal and non-verbal communication to convey messages E. it will strengthen the connection between the manager and staff member

A. the manager can determine if the staff member understands the evaluation D. it will combine verbal and non-verbal communication to convey messages E. it will strengthen the connection between the manager and staff member

A nurse manager is implementing the National Patient Safety Goals (NPSG) for the acute care unit. What will the manager have the staff implement to meet these goals? (select all that apply) A. when handing off report to other staff, use SBAR format B. check identification bracelet and ask the patient name and date of birth prior to medication administration C. use the Braden scale to determine the patient's risks for impaired skin integrity D. ask the patient about their financial status to determine ability to pay for hospitalization E. have patient identify surgical site prior to going to the preoperative suite

A. when handing off report to other staff, use SBAR format B. check identification bracelet and ask the patient name and date of birth prior to medication administration C. use the Braden scale to determine the patient's risks for impaired skin integrity E. have patient identify surgical site prior to going to the preoperative suite

The role of a clinical nurse leader is directly associated with the successful leadership of an interprofessional health care team. Which statements made by the CNL express the components of that role? (select all that apply) A. "the client and I will discuss the health insurance options available to the family" B. "we need to determine what, if any, safety issues exist related to the client's ability to ambulate independently" C. "I've worked with clients from admission through discharge, and when necessary, to their death. D. "The unit nurses have talked with the family and identified a need for a social services consult." E. "I've worked with clients diagnosed with cardiac issues for 15 years." F. "I'll share the patient's care outcomes with the physical therapist today"

B. "we need to determine what, if any, safety issues exist related to the client's ability to ambulate independently" D. "The unit nurses have talked with the family and identified a need for a social services consult." E. "I've worked with clients diagnosed with cardiac issues for 15 years." F. "I'll share the patient's care outcomes with the physical therapist today"

A nurse has just been promoted to a managerial position in the ICU of a busy hospital, and is worried that members of the nursing staff will not treat the nurses's requests with the same respect and seriousness as the did the requests with the previous manager, who was well-regarded. What behaviors would reinforce the new manager's power and authority in the eyes of the staff? (select all that apply) A. withholding important information that might upset the staff B. demonstrating influence with the hospital's senior leadership team C. practicing making outright commands of the staff D. reminding staff how their efforts contribute to the unit's goals E. frequently delegating critical decisions

B. demonstrating influence with the hospital's senior leadership team D. reminding staff how their efforts contribute to the unit's goals

The mission of the acute care facility is "we are dedicated to creating a healthy community, one person at a time." What nursing leadership activities would correlate with this mission? (select all that apply) A. placing a staff member on probation for tardiness and excessive break times B. mentoring a nursing student who is interested in introducing smoking cessation to patients and patient's families without being preachy C. reviewing health care provider orders to guarantee the nursing staff is appropriately carrying them out D. notifying nursing staff of an upcoming CEU seminar on healthy eating for low-income families E. mediating a dispute between two nurses about the shift scheudle

B. mentoring a nursing student who is interested in introducing smoking cessation to patients and patient's families without being preachy C. reviewing health care provider orders to guarantee the nursing staff is appropriately carrying them out D. notifying nursing staff of an upcoming CEU seminar on healthy eating for low-income families

A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which statement by the team member demonstrates the greatest problem for the leader? A. "your plans for the changes will be difficult to implement" B. "do you have an idea what direction we need to go?" C. "can you tell me why my suggestion will not work?" D. "I don't think you heard what the rest of us had to say."

D. "I don't think you heard what the rest of us had to say."

A nurse manager wants to increase the effectiveness of communication with a staff member since the staff member did not respond positively to the same message previously. What action by the manager would improve the communication? (select all that apply) A. have the staff member state understanding of the message B. use common terminology C. stay positive when sending the message D. use the previous technique with the staff member E. make the message clear and concise

A. have the staff member state understanding of the message B. use common terminology C. stay positive when sending the message E. make the message clear and concise

A client who experiences a traumatic musculoskeletal injury to the right arm was transported to the local hospital's emergency department. The initial care was delivered by an interprofessional team. What specialized, patient-focused care should this form for care delivery provide this patient? A. all physical care will be delivery by a registered nurse B. effective communication between individual team members and with the patient is a priority C. the patient will be assigned a primary nurse al the time of admission to the emergency department D. a physician will assume the management of a care role

B. effective communication between individual team members and with the patient is a priority

Which of the following is important for ensuring team collaboration efforts will be successful? A. shared visions, effective communication, and primary care provider acts as the team leader B. role clarity, primary care provider acts a team leader, and nurse leader is subordinate C. effective communication, team leader is the primary care provider, and sound delivery models D. shared vision, role clarity, and use of effective communication

D. shared vision, role clarity, and use of effective communication

The CNO at an acute care facility has a weekly mandatory meetings with all managers and staff members to discuss what is going well, what could be better, and communication from the executive team. This CNO is part of what type of organization? A. Traditional B. Matrix C. Mission D. Flat

D. flat

True or False: all people and organizational units that will be affected by a planned change should be included in the planning

True

How can a nurse leader bridge the authority-power gap? A. prevent organizational chaos B. use effective communication as needed C. make an effort to legitimize the authority of the position D. make a genuine effort to know and care for each individual

D. make a genuine effort to know and care for each individual

True or False: Some facilities have introduced an "introduction step" to SBAR now called ISBAR in efforts to include an introduction for clinicians during patient hand-off

True

True or False: The American Nurses Association and the National Council of State Boards of nursing have established principles for social networking

True

What are the focus areas of the To Err is Human recommendations? (select all that apply) A. set performance standards for safety B. enhance leadership C. implement safety systems D. enhance knowledge E. Identify errors and provide solutions for prevention

A. set performance standards for safety B. enhance leadership C. implement safety systems D. enhance knowledge E. Identify errors and provide solutions for prevention

A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership. A. "would you be willing to work with one of the senior nurses for a while, until you learn how we operate here?" B. "I would like you to be a preceptor for a new nurse that was just hired" C. "would you be willing to help on another unit? They need a shift leader for a couple weeks." D. "getting broader experience isn't as valuable as specializing"

C. "would you be willing to help on another unit? They need a shift leader for a couple weeks."

True of False: healthcare shifted focus from patient care to issues of cost and quality.

True

A new nurse leader asks for strategies to improve communication skills since there has been a large turnover of nursing staff. What suggestion from the director would be beneficial for the nurse leader? A. "use aggressive communications to show the staff you are in charge" B. "be congruent in your verbal and nonverbal communication" C. "allow them to think you are listening to their complaints" D. "restate messages using passive language"

B. "be congruent in your verbal and nonverbal communication"

A nurse manager would like to determine how well the team is doing in terms of meeting the hospital's goal of increased patient satisfaction. What action should the nurse manager take after determining best practices? A. make a judgement about the quality of the team's work B. take corrective action C. reevaluate D. capture when the team is and is not using best practices and the outcomes.

D. capture when the team is and is not using best practices and the outcomes.

True or False: Channels of communication include upward communication, downward communication, horizontal communication, diagonal communication, and grapevine

True

True or False: Effective leadership requires the nurse manager or leader to develop verbal communication skills in order to decrease tension in relationships, decrease anxiety, and prevent depression

True

True or False: SBAR and ISBAR provide the nurse leader with tools to effectively communicate between team members

True

True or False: the bachelor degree-prepared nurse is tasked with the need to understand interprofessional communication and collaboration in order to be prepared to improve patient health care outcomes.

True

Nurse leaders need to understands in order to be effective, the quality control process must be ___. A. cyclical B. ongoing C. reflective D. formative

B. ongoing

A newly employed nurse is reviewing the organizational chart of the facility, observing that there is shared governance. What type or organizational chart does the nurse recognize the facility follows? A. matrix B. flat C. traditional D. magnet

A. matrix

The six aims for improving quality health care as directed by the institute of Medicine include safe, effective, patient-centered, timely, efficient, and ___. A. holistic B. equitable C. alternative D. naturalistic

B. equitable

Nonverbal communication is though to make up ___% of the communication process? A. 50-70% B. 35-50% C. less than 35% D. over 90%

A. 50-70%

The gap that exists between a position of authority and a subordinate is often referred to as ____. A. authority-power gap B. legitimate-power gap C. expert-power gap D. referent-power gap

A. authority-power gap

A nurse manager is assessing the internal climate of communication with a group of staff members prior to a meeting. What would the manager consider to be part of the internal climate of communication? A. stress B. power C. feelings D. values E. status

A. stress C. feelings D. values

A nurse leader is introducing a new glucometer protocol to members of the staff. What method of communication would best be used to make all of the staff aware of this change? A. verbal communication B. telephone communication C. written communication D. nonverbal communication

C. written communication

True or False: Gender differences do not lead to power struggles in nursing.

False

A nurse manager discusses with the health care team the importance of performing core measures for the designated areas of implementation. What should the manager be sure to inform the team may be the consequence of noncompliance? A. a 2% reduction in the Medicare annual payment B. the hospital will lose accreditation by the joint commission C. a 5% reduction in the Medicaid annual payment D. discontinuation of participation in Medicaid and Medicare

A. a 2% reduction in the Medicare annual payment

What factors are considered when determining the appropriateness of implementing care via the interprofessional team? (select all that apply) A. the acuity level of the patient population B. the complexity of the required patient care C. the physical location of the facility D. the facility's yearly budget E. physical design of the care facility F. skill of the attending staff

A. the acuity level of the patient population B. the complexity of the required patient care D. the facility's yearly budget F. skill of the attending staff

What does an interprofessional team member need to understand about the role clarity for the team to be successful? A. why the roles and responsibilities exist B. the roles and responsibilities of all teammates C. roles and responsibilities of those outside the team D. individual roles and responsibilities

B. the roles and responsibilities of all teammates

A nurse working in a large, diverse university hospital informs the charge nurse, "I never know how far apart to stand from someone since we have patients from many cultures." What is the best response by the charge nurse? A. "for personal interactions you should stand at least 5 feet away" B. "it really doesn't matter people should just accept it" C. "the degree of space is going to vary with cultural norms" D. "about 14in is appropriate for social interactions"

C. "the degree of space is going to vary with cultural norms"

Which of the following is a form of communication that allows people to express themselves in direct, honest, and appropriate ways reducing tension in the workplace? A. passive communication B. agressive communication C. assertive communication D. passive-agressive communication

C. assertive communication

A nurse manager informs the staff that if they do not increase productivity by 15%, there will be people losing their jobs. What form of power is the nurse manager displaying with the staff members? A. legitimate power B. expert power C. reward power D. coercive power

D. coercive power

A nurse leader works at a facility that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. Which activity reflects how the leader can practice TQM on their unit? A. encourage employees to think of a unit slogan B. develop a quota system for number of patients cared for C. explain to the staff that "if its not broke, don't fix it" D. promote teamwork rather than individual accomplishments

D. promote teamwork rather than individual accomplishments

A nurse in a leadership role is committed to a vision for retention in the medical-surgical unit and is able to empower others with this vision. What form of leadership is the nurse demonstrating? A. interactional B. transactional C. bureaucratic D. transformational

D. transformational

What is the final step of the quality improvement process that the nurse leader must complete in order to improve patient care? ____ (fill in the blank)

evaluation

A nurse leader is considering using transformational leadership. What information would the nurse leader need to keep in mind? A. informal leadership is highly recognized B. the locus of power rests with the employees C. employees are expected to lead from their organizational position D. empowerment of both the leader and the follower occurs

D. empowerment of both the leader and follower occurs

True or False: quality control is the process of being reactive in order to minimize continued risks or hazards

False