Elsevier adaptive quizzing- Professionalism

Which term describes a nurse's professional obligation to assume responsibility for actions? 1. Accountability 2. Individuality 3. Responsibility 4. Bioethics

1. Accountability

Which statement is true regarding the model analysis type of care? (SATA) 1. Client satisfaction improves in a model analysis care. 2. Model analysis is a cost effective idea for client care 3. Quality control is better in the model analysis type of care. 4. Organizational decision making is promoted at lower levels in model analysis care. 5. Adequate communication among staff members is promoted in model analysis care.

1. Client satisfaction improves in a model analysis care. 2. Model analysis is a cost effective idea for client care 4. Organizational decision making is promoted at lower levels in model analysis care.

Which member of the health care team is accountable for initial assessment and ongoing evaluation of client care? 1. RN 2. LPN 3. Primary health care provider 4. UNP

1. RN

Which consistent approach should the nurse implement when caring for a client diagnosed with antisocial personality disorder? 1. Warm and firm without being punitive 2. Indifferent and detached but nonjudgmental 3. Conditionally acquiescent to client demands. 4. Clearly communicative of personal disapproval

1. Warm and firm without being punitive

Which APRN would provide care for a pregnant woman? 1. Clinical nurse specialist 2. Certified nurse midwife 3. Certified nurse practitioner 4. Certified registered nurse anesthetist

2. Certified nurse midwife

Which statement describes the role of the case manager in a health care organization? 1. Delegating work on the unit suitably 2. Following up with the client after discharge 3. Providing direct care for the client at the bedside 4. Uniting the strategic direction of the organization

2. Following up with the client after discharge

Which right of delegation is followed when the nurse considers the qualifications of the UNP before delegating a task? 1. Task 2. Person 3. Direction 4. Supervision

2. Person

Which professional leadership and management strategy is the MOST effective to implement to improve the safety and quality of patient centered care? 1. Autonomy 2. Guidance 3. Delegation 4. Accountability.

3. Delegation

Which statement is true regarding autocratic style leadership? 1. Autocratic style leadership completely relinquishes control 2. It allows employees to have more control 3. It involves establishing one way communications with the group 4. It encourages individual participation in the decision making process

3. It involves establishing one way communications with the group

While auditing unit documents a nurse finds some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals? 1. Leadership 2. Followership 3. Management 4. Decision making

3. Management

Which strategy is first for burnout prevention? 1. Focus 2. Choice 3. Balance 4. Awareness

4. Awareness

A RN is sent to a rehabilitation facility because of chemical impairment issues. Which member of the health care team will be asked to provide feedback about the RN's progress? 1. Nurse manager 2. LPN 3. UNP 4. Cross trained technician

1. Nurse manager

Which leadership style is reflected when the nurse leader asks the team what do you think should be done in this situation? 1. Autocratic 2. Situational 3. Democratic 4. Laissez faire

3. Democratic

Which action will the LPN anticipate to be delegated to a nursing assistant during the care of a client experiencing uterine tachysystole? 1. Notify the RN 2. Discontinue the oxytocin 3. Reposition the client in a lateral position 4. Administer oxygen at 10 L per minute via a nonrebreather

3. Reposition the client in a lateral position

Which health care professionals can be delegators? 1. Assistants 2. Technicians 3. Nurses 4. Client care associates

3. Nurses

A client with asthma and depression is admitted to the hospital. Which task is applicable for the RN? 1. Administer oral antidepressants 2. Administer a pain killer intramuscularly 3. Teach the client how to use a metered dose inhaler. 4. Reinforce tips for stress management with the client

3. Teach the client how to use a metered dose inhaler.

While communicating with a nursing peer the nurse leader reports i allow my team to work freely and accomplish their own tasks without oversight. which style of leadership is the nurse following? 1. Autocratic 2. Situational 3. Democratic 4. Laissez-faire

4. Laissez-faire

Which statement indicates the MOST accurate information about professional liability insurance? 1. If you have liability insurance you are more likely to be sued. 2. Your employer provides you with the liability insurance you will need. 3. Liability insurance is not available for nursing professionals working in a hospital 4. Personal liability insurance offers representation if the state board of nursing files charges against you.

4. Personal liability insurance offers representation if the state board of nursing files charges against you.

Which statement regarding delegation is true? 1. The task of delegation involves six rights 2. Delegation gives licensed personnel more time to focus on lower level tasks 3. A LPN may not delegate ambulation of a client to a CNA 4. A LVN is responsible for determining the degree of assistance that a client needs.

4. A LVN is responsible for determining the degree of assistance that a client needs.

Which element of the health care system is the nurse practicing when caring for a client who has undergone an appendectomy? 1. Delegation 2. Leadership 3. Supervision 4. Assignment

4. Assignment

Which statement regarding leadership is true? 1. Transactional leadership uses motivation and inspiration strategies 2. Democratic leadership is useful in times of natural disaster 3. Situational leadership is the most commonly used leadership style 4. Autocratic leadership stresses prompt and orderly performance.

4. Autocratic leadership stresses prompt and orderly performance.

Which obligation does not apply to the mental health care provider? 1. Accept the client as is 2. Respect the client 3. Educate the client 4. Change the client

4. Change the client

Which type of hospital care setting uses the partnership model? 1. Hospice 2. Extended 3. Long term 4. Rehabilitative

4. Rehabilitative

Which role is performed by a LPN in the home care setting? 1. Shift director 2. Charge nurse 3. Admission nurse 4. Staffing coordinator

4. Staffing coordinator

Which role is performed by a LPN in the home health care setting? 1. Shift director 2. Charge nurse 3. Admission nurse 4. Staffing coordinator

4. Staffing coordinator

Which response would be given by a nurse caring for a client receiving chemotherapy for lung cancer who wants to know if smoking marijuana reduces nausea and vomiting? 1. Smoking marijuana is not legal in any state. 2. Marijuana is effective for nausea and vomiting if it is injected 3. Marijuana is not proven to be effective in preventing chemotherapy induced nausea and vomiting 4. Tetrahydrocannabinol is an ingredient in marijuana that decreases nausea and vomiting in some people.

4. Tetrahydrocannabinol is an ingredient in marijuana that decreases nausea and vomiting in some people.

Which action would the nurse take initially for a client experiencing moderate to severe anxiety after the health care provider has explained the head and neck surgery that is scheduled? 1. Attempt to discover what the client is concerned about 2. Elaborate on what the health care provider has already said 3. Teach the client to use the suction equipment preoperatively. 4. Plan for postoperative communication because a tracheostomy is likely.

1. Attempt to discover what the client is concerned about

Which component provides the ability to perform duties while in a specific role? 1. Authority 2. Responsibility 3. Accountability 4. Legal authority.

1. Authority

Which statement describes a nurse asking the staff about a change in a client's plan of care? 1. Authority 2. Autonomy 3. Responsibility 4. Accountability

1. Authority

Which type of leadership is reflected when a nurse delegates tasks to a rescue team caring for a group of clients who survived an earthquake? 1. Autocratic 2. Situational 3. Democratic 4. Lassiez-faire

1. Autocratic

Which role is the nurse performing when explaining the rationale for an IV infusion to a client? 1. Educator 2. Manager 3. Advocate 4. Caregiver

1. Educator

Which responsibility of the nurse manager differs from the responsibilities of a nurse leader? 1. Planning the budget 2. Motivating the team 3. Resolving conflicts 4. Penalizing for poor performance

1. Planning the budget

Which communication link would the nurse identify as the MOST important to connect people with their surroundings? 1. Social 2. Physical 3. Materialistic 4. Environmental

1. Social

Which type of treatment would the direct care nurse assist in to provide tertiary care? 1. Chronic care 2. Rehabilitation 3. Health maintenance 4. Prevention of disease complications

2. Rehabilitation

Which right of delegation involves a description of limits and expectations? 1. Right task 2. Right direction 3. Right supervision 4. Right circumstances

2. Right direction

Which nursing duty is met by a nurse speaking in support of a vulnerable client's best interest? 1. Caring 2. Veracity 3. Advocacy 4. Confidentiality

3. Advocacy

Which task is MOST important in the development of a nurse client relationship? 1. Remaining therapeutic and professional 2. Being able to understand and accept a client's behavior 3. Developing an awareness of self and the professional role in the relationship 4. Accepting responsibility for identifying and evaluating the real needs of a client

3. Developing an awareness of self and the professional role in the relationship

Which nursing characteristic is MOST essential when caring for a client receiving mental health care? 1. Empathy 2. Sympathy 3. Organization 4. Authoritarianism

1. Empathy

While providing feedback to staff the nurse leader warns an employee that he or she needs to improve performance. which leadership style is the nurse leader using? 1. Autocratic 2. Situational 3. Democratic 4. Lassiez-faire

1. Autocratic

Which tort in nursing practice involves intentional touching without the clients consent? 1. Battery 2. Invasion of privacy 3. False imprisonment 4. Defamation of character

1. Battery

which response would the nurse manager give when asked to explain assertive communication? (SATA) 1. Being confident in communicating one's needs 2. Congruent verbal and nonverbal communication 3. Following what others due in a situation 4. Respecting the ideas and feelings of others 5. The ability to control feelings of anxiety

1. Being confident in communicating one's needs 2. Congruent verbal and nonverbal communication 4. Respecting the ideas and feelings of others 5. The ability to control feelings of anxiety

Which skill would be essential for an effective nurse manager to develop and improve collaborations with others? (SATA) 1. Flexibility 2. Reacting hastily 3. Showing frustration 4. Ability to listen to others 5. Ability to share information and ideas

1. Flexibility 4. Ability to listen to others 5. Ability to share information and ideas

Which response given by the UNP indicates effective understanding of the tasks that may have been allocated by the nurse? (SATA) 1. I must assist the client with oral care 2. i must assess the clients health status 3. I must administer IV drugs in accordance with the schedule 4. I must give a sponge bath to the client every morning 5. I must monitor the blood pressure of the client at regular intervals

1. I must assist the client with oral care 4. I must give a sponge bath to the client every morning 5. I must monitor the blood pressure of the client at regular intervals

A health care facility expects their nurse leaders to understand and choose the appropriate leadership style that fits situations they will encounter with their staff. Which situation MOST needs an autocratic leader? 1. Managing staff during an emergency procedure 2. Discussing unit issues at a monthly staff meeting 3. Evaluating staff for proper use of policies and procedures 4. Persuading staff to participate in a hospital fundraiser

1. Managing staff during an emergency procedure

Which statement describes a tort? 1. The application of force to the body of another by a reasonable individual 2. An illegality committed by one person against the property or person of another 3. Doing something that a reasonable person under normal circumstances would not do 4. An illegality committed against the public and punishable by the law through the courts.

2. An illegality committed by one person against the property or person of another

Which principle is supported by a nurse who promotes freedom of choice in decision making for clients? 1. Justice 2. Autonomy 3. Beneficence 4. Paternalism

2. Autonomy

Which process involves transferring responsibility to multiple health care providers usually with varying degrees of education and experience while retaining the ultimate accountability for providing client care? 1. Leadership 2. Delegation 3. Supervision 4. Assignment

2. Delegation

A woman arrives at the prenatal clinic stating that her pregnancy test is positive and asks for information regarding an abortion. Which legal responsibility must the nurse provide? 1. To share her own thoughts on abortion with the client. 2. To provide the client with correct and unbiased information 3. To ask why the client wants information about abortion 4. To notify the health care provider because this is beyond the scope of nursing practice.

2. To provide the client with correct and unbiased information

Which explanation is the key idea of role theory in nurse leadership? (SATA) 1. Allowing a non linear change 2. Understanding behavior in certain circumstances 3. Considering the lower level of basic needs as important 4. Clarifying the relationship between the pathway employees. 5. Collecting concepts that predict the actor's performance in a given role.

2. Understanding behavior in certain circumstances 5. Collecting concepts that predict the actor's performance in a given role.

Which statement is true regarding democratic leadership? 1. Involves the making of all decisions by the leader only 2. involves establishing one way communication with the group 3. Primarily concerned with tasks and goal accomplishments 4. Emphasizes team building through joint efforts of all team members.

4. Emphasizes team building through joint efforts of all team members.

Which action is the staff nurse's ethical obligation when the nurse manager comes to work obviously intoxicated? 1. Call the security guard 2. Tell the nurse manager to go home 3. Have the supervisor validate the observation. 4. Offer the nurse manager a large cup of coffee.

3. Have the supervisor validate the observation.

Which action is the MOST appropriate for the team leader to approach an ethical situation of a nurse arriving at work after drinking alcohol? 1. Counsel the nurse about the problem 2. Ignore the problem until it happens again 3. Notify the nurse manager about the problem 4. Resolve the problem by sending the nurse home.

3. Notify the nurse manager about the problem

Which response is MOST appropriate for the home health care nurse when asked to straighten the blankets on the bed after completing a follow up visit? 1. I would but my back hurts today 2. Okay it will be my good deed of the day 3. Of course. I want to do whatever i can for you 4. I would like to but its not in my job description.

3. Of course. I want to do whatever i can for you

Which action would be taken by the nurse who observes that the UAP did not use a bag impervious to liquid for contaminated linen from a client who is on contact precautions? 1. Place the linen in a appropriate bag 2. Write an incident report about the situation 3. Review transmission based precautions with the UAP 4. Place an anecdotal summary of the behavior in the UAP's personnel record.

3. Review transmission based precautions with the UAP

How would the nurse respond when a client asks for an explanation regarding intussusception of the bowel? 1. Twisting of the bowel onto itself 2. A band of connective tissue compressing the bowel 3. Telescoping of a proximal loop of bowel into a distal loop. 4. Protrusion of an organ or part of an organ through the wall that contains it

3. Telescoping of a proximal loop of bowel into a distal loop.

Which of Gardner's tasks involves anticipating client outcomes for single clients or families and helping them formulate their vision of future well being? 1. Explaining 2. Motivating 3. Affirming values 4. Envisioning goals

4. Envisioning goals

Which example of an intentional tort would a LPN provide when asked during an interview? 1. Negligence 2. Malpractice 3. Breach of duty 4. False imprisonment

4. False imprisonment

Which statement is true about the nursing model team nursing? 1. The nurse is responsible for all aspects of client care. 2. Client care can be delegated to other health care team members 3. The nurse works directly with the client family members and health care team members 4. Hierarchical communication exists from charge nurse to charge nurse charge nurse to team leader and team leader to team members.

4. Hierarchical communication exists from charge nurse to charge nurse charge nurse to team leader and team leader to team members.

Which statement is MOST appropriate regarding situational leadership? 1. Involves establishing one way communication with the group 2. Is about delegating all decision making responsibilities 3. Emphasizes team building through the joint efforts of all team members 4. Is based on the flexibility of the manager in adapting to the needs of the individual

4. Is based on the flexibility of the manager in adapting to the needs of the individual

Which of these positions is MOST likely to be filled by a nurse for intensive care of cancer clients? 1. Nurse practitioner 2. Nurse administrator 3. Certified Nurse Midwife 4. Clinical nurse specialist

4. Clinical nurse specialist

Which type of anesthesia would the nurse discuss with a client scheduled to have an endoscopic sphincterotomy for a bile duct obstruction? 1. Spinal anesthesia 2. Epidural block 3. General anesthesia 4. Conscious sedation

4. Conscious sedation