Prep U Ch.10; Fundamentals of Nursing

The charge nurse in the oncology unit is preparing the shift assignments. The unit is fully staffed: unlicensed assistive personnel (UAP), licensed practical nurse (LPN), and registered nurse (RN). For each of the nurse activities, click to specify whether they should best be assigned to the unlicensed assistive personnel (UAP), licensed practical nurse (LPN), or registered nurse (RN). 1. administering a pain medication intramuscularly 2. inserting an indwelling urinary catheter 3. calculating the total intake and output for the entire shift 4. collecting a stool specimen for hemoccult 5. obtaining an admission assessment on a client 6. administering an intravesical chemotherapy

1. LPN 2. LPN 3. UAP 4. UAP 5. RN 6. RN

Which attributes should be characteristic of a nurse mentor? Select all that apply. 1. Deconstructs health care networks 2. Is driven by financial reward 3. Embraces disruptive conflict 4. Is an experienced, licensed professional 5. Is resourceful 6. Is supportive 7. Demonstrates leadership abilities

6. Is supportive 5. Is resourceful 7. Demonstrates leadership abilities 4. Is an experienced, licensed professional

A staff nurse is talking with a clinical nurse leader and asks, "What exactly do you do?" Which statement by the clinical nurse leader would be appropriate? a. "I collaborate with health care teams to promote client care." b. "I'm an administrator involved with client care." c. "I'm an advanced practice nurse with a specific specialty area." d. "My position is one of management."

a. "I collaborate with health care teams to promote client care."

A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? a. Autocratic leadership b. Transactional leadership c. Laissez-faire leadership d. Democratic leadership

a. Autocratic leadership

The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying? a. Democratic b. Laissez-faire c. Autocratic d. Quantum

a. Democratic

A nurse informs the client that the client has no choice and must take a bath in the morning. What type of leadership does this exemplify? a. Directive leadership b. Participative leadership c. Shared governance d. Institutional governance

a. Directive leadership

The nurse is delegating care to an unlicensed assistive personnel (UAP). Which intervention would be most important for the nurse to perform independently? a. Obtain a postprandial blood sugar reading b. Assess the client with difficulty breathing c. Assist the client with turning in bed d. Measure the client's blood pressure

b. Assess the client with difficulty breathing

The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care? a. Improved job satisfaction scores b. Better client outcomes c. Longer client stays d. Higher nurse retention

b. Better client outcomes

A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which leadership style? a. Laissez-faire b. Democratic c. Transformational d. Autocratic

b. Democratic

The nurse manager calls a staff into a unit meeting to discuss client satisfaction. During the meeting, several staff members assume control. The nurse manager does not intervene to regain control of the group. Which type of leadership style is the nurse embodying? a. Democratic b. Laissez-faire c. Autocratic d. Quantum

b. Laissez-faire

The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states an intention to begin counting calories with the next meal. The client also states an intention to begin an exercise program with friends. Which statement associated with this scenario illustrates Lewin's stage of unfreezing? a. The client also states an intention to begin an exercise program with friends. b. The client acknowledges the need to lose weight. c. The nurse provides education on how to count calories in food and the importance of daily exercise. d. The client states an intention to begin counting calories with the next meal.

b. The client acknowledges the need to lose weight.

Two new nurses are requesting the same preceptor for unit orientation. Both new nurses have been very vocal about being unhappy if they do not receive their choice of preceptor. Which illustrates the nurses using a compromise approach to conflict resolution? a. The nurses agree to allow the preceptor to decide which nurse to precept. b. The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end. c. The nurses agree that one nurse will obtain the preceptor for orientation in exchange for that nurse working each weekend. d. The nurses ignore each other's request for the preceptor.

b. The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end.

A nurse manager reviews an employee's contribution to the nursing division annually. This process is: a. employee's job satisfaction survey. b. performance appraisal. c. interpreting quality indicators. d. reward and development survey.

b. performance appraisal

A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet. The nurse recognizes that the client is in the unfreezing stage of Lewin's Change theory with which client statement? a. "I don't see a problem with what I normally eat." b. "I am developing a daily meal plan for a low-sodium diet." c. "I understand why I need to eat a low-sodium diet." d. "I have selected my daily menu with low-sodium foods."

c. "I understand why I need to eat a low-sodium diet."

The nurse is caring for a new older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first? a. Arrange furniture securely so that the client has something to hold on to. b. Apply a lap belt to assist with transfer c. Assess the need for assistance with ambulation. d. Apply socks to the client's feet.

c. Assess the need for assistance with ambulation.

Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? a. Transformational b. Democratic c. Laissez-faire d. Autocratic

c. Laissez-faire

Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status? a. Most client outcomes have improved but are not at target range. b. There is a decreased rate of retention among the nursing staff. c. Staff nurses are developing innovative solutions to problems. d. Nursing administration is in control of all decision-making.

c. Staff nurses are developing innovative solutions to problems.

The nurse recognizes that a new mother is having difficulty breastfeeding. The nurse demonstrates various positions in which to hold the infant while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the infant again using the new techniques and is successful. Which statement in this scenario illustrates Lewin's stage of refreezing? a. The nurse demonstrates various positions in which to hold the infant while feeding. b. The nurse recognizes that a new mother is having difficulty breastfeeding. c. The new mother attempts to breastfeed the infant again using the new techniques and is successful. d. The nurse also educates the mother on ways to ensure proper latching.

c. The new mother attempts to breastfeed the infant again using the new techniques and is successful.

A nurse is successful in promoting change on the nursing division. This nurse would be considered a: a. specialist. b. manager c. leader d. guide

c. leader

Which statement by a registered nurse (RN) represents appropriate delegation to the unlicensed assistive personnel (UAP)? a. "Discontinue the IV solution." b. "Check the infusion rate." c. "Inspect the site for thrombophlebitis." d. "Dispose of the disconnected IV set."

d. "Dispose of the disconnected IV set."

Conflict has emerged on a nursing unit because new graduates have found that some of the more experienced nurses are manipulating the client assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict? a. Gather evidence over the next several weeks in order to determine if the practice is indeed happening. b. Arrange for the newer nurses to organize the client assignment for a trial period. c. Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients. d. Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.

d. Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.

A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check clients' blood glucose levels. The nurse manager informs the group that this is a new policy on the unit and that discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating? a. Transformational b. Laissez-faire c. Democratic d. Autocratic

d. Autocratic

The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying? a. Quantum b. Democratic c. Laissez-faire d. Autocratic

d. Autocratic

The nurse is working to enhance time management skills and has to administer pain medications to several clients, obtain vital signs, and assist clients with bathing. What should the nurse do next? a. Bathe clients b. Obtain vital signs c. Administer pain medications d. Delegate bathing and vital signs tasks

d. Delegate bathing and vital signs tasks.

After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to: a. ask the staff members for other solutions. b. plan to monitor the supply cabinets. c. make an appointment with the chief nursing officer. d. assess whether the desired results have occurred.

d. assess whether the desired results have occurred.

A nurse can improve one's skill with time management by taking which action? a. Evaluating success with accomplishment of goals in client care b. Allowing the flow of the day to control how time is managed c. Setting priorities without involving clients or their families d. Starting each day as a new day without considering the previous day

a. Evaluating success with accomplishment of goals in client care

The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to admit a pediatric client to a nursing unit. Which task would be inappropriate for the RN to delegate to the UAP? a. Initiating intravenous therapy b. Gathering equipment needed for intravenous therapy c. Securing the client on a papoose board d. Soothing the client during the procedure

a. Initiating intravenous therapy

After talking with a group of staff nurses on the medical-surgical unit, the nurse manager identifies a need for change. When developing a plan for change, which question would the nurse manager need to ask first? a. Is the behavior something that can be changed? b. How quickly can the change be made? c. Is the group ready for making the change? d. Are there individuals within the group who might resist the change?

a. Is the behavior something that can be changed?

The nurse and unlicensed assistive personnel (UAP) are working together to admit a client newly diagnosed with diabetes to a nursing unit. Which task would be inappropriate to delegate to the UAP? a. Monitoring insulin requirements b. Offering sugar-free popsicles c. Performing a fingerstick blood glucose test d. Measuring blood pressure

a. Monitoring insulin requirements

The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate? a. The nurse practice act or facility's policy and procedures b. The medical practice act website c. A nurse mentor or a nurse preceptor d. A more experienced nurse working on the same unit

a. The nurse practice act or facility's policy and procedures

Two staff nurses on a unit disagree with one another over certain key aspects of providing client care. The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a mutually agreed-upon time to discuss this situation. This activity is most accurately described as what? a. Conflict resolution b. Problem solving c. Delegation d. Client protection

a. conflict resolution

The nurse manager is assisting the hospital to meet requirements for Magnet® recognition. Which measure should the nurse manager recognize as being a requirement for this recognition? a. Minimizing quality of care to optimize fiscal success b. Encouraging reporting of errors or potential errors without fear of punishment c. Maintaining strict autonomy of disciplinary practice when providing client care d. Employing static quality improvement measures

b. Encouraging reporting of errors or potential errors without fear of punishment

A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role? a. The staff nurse is orienting to the unit as a newly hired nurse b. The charge nurse is providing support for the staff nurse in new responsibilities. c. The staff nurse is learning about all the hospital policies from the charge nurse. d. The charge nurse is being paid to supervise the staff nurse.

b. The charge nurse is providing support for the staff nurse in new responsibilities.