NSG 441 Leadership eaq

Which are considered benefits of informatics in health care?

1 Cost control 2 Improved quality of care 3 Improved communication 4 Information security and provacy 5 Increased nurse-patient interactions 6 Limiting storage of health records to local facilities 1, 2, 3

Which is a key behavior of nurse managers conducting performance appraisals?

1 Providing written future plans for training needs and goals 2 Not permitng the nurse to voice opinions during the appraisal 3 Focusing only on weaknesses and negaive behaviors, with suggestions for improvement 4 Reinforcing the significance of he performance appraisal on continued employment of the nurse 1 Providing written future plans for training needs and goals

Which characteristics describe a helathy work environment?

1 True collaboration 2 Appropriat staffing 3 Skilled communication 4 Unquestioned following 5 Effective decision making 1, 2, 3, 5

Which is included in a position description statement?

1 Written guidelines detailing roles and responsibilities 2 Benefits the nures will receive afte the probational period ends 3 Scope of nursing practice how to eport volations of care standards 4 An explanation of the chain of command and expectation of use in practice 1 Written guidelines detailing roles and responsibilities

Which are goals of performance appraisal?

1 reinforcing negative behavior 2 disciplining less-than-optimal behavior 3 adressing strengths 4 improving performance 5 improving communication 6 reinforcing positive behavior 3, 4, 5, 6

which patient care activities may the registered nurse delegate to properly trained unlicensed assistive personnel?

1 takin vital signs 2 assisting with feeding 3 transporting patients 4 administering medication 5 measuring blood sugar levels 6 determining the scope of nursing practice 1,2,3,5

Which concept does the manager include when preparing to adopt the American Association of Critical Care Nurses (AACN) standards for maintaing a healthy work environment?

1 true collaboration 2 authentic leadership 3 nursing-led research 4 meanignful recognition 5 Optimal patient outcomes 1, 2, 4

The new RN working in the intensive care unit delegates aspects of morning care to the nursing assistive personnel (NAP). Which delegation activity requires correction?

1Perform a complete bed bath for an 80-year-old patient admitted with a cerbral vascular accident awaiting transfer to the medical unit 2 Assist a 90-year-old patient who has no aspiration risk with oral hygiene 3 Assist a 40-year-old patient who was admitted with a myocardial infarction to transfer from bed to a chair for the first time 4 Provide perineal care for a 75-year old patient wth an indwelling urinary catheter 3 Assist a 40-year-old patient who was admitted with a myocardial infarction to transfer from bed to a chair for the first time

Which patient is the most appropriate for the registered nurse to assign to the licensed practical or vocational nurse?

A patient experiencing chest pain A patient requiring diabetic teaching A patinet 1-day postop cholectectomy experiencing pain A patient being admitted to the unit from the emergency room A patinet 1-day postop cholectectomy experiencing pain

A nurse has relocated and is considering a variety of positions in a new clinical area. Which facility characteristic is likely to provide support as the nurse orients to a new clinical area?

A well-defined clinical ladder A large group of novice nurses A preceptor program High-paying hourly rate A preceptor program

What should a nurse leader do if a legal and ethical contradiction comes up in the unit?

Allow the situation to continue contact the ethics committee address the legal aspects first address the ethical aspects first Address the legal aspects first

A staff nurse facing an ethical dilemma disagree with the nurse manager's proposed solution. Which type of distress might the staff nurse experience?

Autonomy distress ethical distress moral distress role distress Moral distress

Which concern has been identified as a sentinel event alert from The Joint Comisssion (TJC) regarding biomedical technology?

Dehumanizing patient care Alarm desensitization Increase in job stress Turning alarms off Alarm desensitization

At which point will efforts to retain new nursing presonnel begin?

During their interview On the first day of their hire At the end of their probational period After their general orientation is completed On the first day of their hire

Which is a safety concern in the use of biomedical technology?

Expense Alarm fatigue Short battery life Environmental responsibility Alarm fatigue

The nurse is reviewin health disparity statistics for cardiovascular disease. Which population would benefic most fom interventions to reduce incidence of heart disease?

Hispanics U.S. Caucasians Native Americans African Americans African Americans

An automated medication dispensing cabinet exemplifies which type of technology?

Innovative Knowledge Biomedical Information Biomedical

In the nurse's annual performance review, the nurse manager frames discussion around opportunities for growth rather than shortcomings. Which ethical principle does this illustrate?

Justice Veracity Autonomy Nonmaleficence Nonmaleficence

The American with Disabilities ACT (ADA) of 1990 has which goal as part of its mission?

Protect health information of patient with communicable diseases Protect the safety of patients and nurses in the healthcare setting Provide a mandate to protect those with disabilities from discrimination Provide guidelines for caring for patients with disabilities in the United States Provide a mandate to protect those with disabilities from discrimination

Which strategy employed by the nurse leader will enable nurses to experience greater competence, meaningfullness, and self-determination?

Retention Empowerment Orientation Preceptorship Empowerment

Which element of care is the RN addressing when stating to the LPN, "You did an excellent job with the dressing change"?

Right supervision Right circumstance Right direction Right task Right supervision

How does a State Board of Nursing (SBN) interrelate with the Nurse Practice act?

SBN create individual practice acts SBN have the authority to grant exceptions SBN cannot waive the act's provsions SBN have the authority to expand the practice outside of the provisioins SBN cannot waive the act's provsions

Which resource does the manager review to discuss the responsibility and accountability of the nursing staff to advocate for patients and families?

The State Board of Nursing Institue for Healthcare Improvement American Nurses Association Code of Ethics National Council of State Board of Nursing American Nurses Association Code of Ethics

The nurse admits a 16-year-old pregnant female to the emergency room with suspected appendicitis. The nurse must obtain consent fo an exploratory laparocopy to rule out appendicitis. What does the nurse understand regarding this patient's situation?

The nurse can legally obtain consent The patient may consent to the surgery The nurse should notify the patient's parents or guardian The nurse must obtain consent from the patient's parent of gardian The patient may consent to the surgery