FInal Exam Study Guide

What are the primary steps involved in progressive discipline? A) Counsel employee, reprimand employee, suspend employee, allow employee to return with stipulations in place, terminate the employee. B) Counsel the employee, reprimand the employee, terminate the employee C) Reprimand the employee, suspend the employee, suspend employee again if problem persists, terminate employee D) Counsel employee, reprimand employee, suspend employee, terminate employee

A) Counsel employee, reprimand employee, suspend employee, allow employee to return with stipulations in place, terminate the employee.

Which of the following is not a barrier to effectively managing time? A) Doing too little B) Information overload C) Procrastination D) Doing too much

A) Doing too little

What did The Joint Commission (TJC) identify as the single most salient factor in sentinel events in healthcare? A) Ineffective communication B) Work stress C) Lack of safety measures D) Poor role performance

A) Ineffective communication

What are some points of data a Nurse Manager can consider when evaluating the effectiveness of staffing on their unit? Select all that apply. A) Staff vacancy rate B) Adverse drug events C) Nursing care hours per patient day D) Family complaints E) Frequency of restraint F) RN complaints

A) Staff vacancy rate B) Adverse drug events C) Nursing care hours per patient day D) Family complaints

In Mr. Green's lawsuit, he named Mark, Rosa, Christine (the nurse manager on duty), Dr. Shah, and Summit Vista Hospital as defendants. Was this overreach? A) Yes. The lawsuit has no merit as all elements of malpractice were not satisfied. B) No. The hospital should be included under the notion of respondeat superior C) No. All parties named were responsible for the incident and should be included in the suit D) Yes. Rosa and Mark had a duty; others named did not so they should not be named.

A) Yes. The lawsuit has no merit as all elements of malpractice were not satisfied.

Which strategies will most likely assist Miguel, a student nurse at Fitzgerald University, when he transitions to being a nurse? Select all that apply. A) Collaborate with other nurses B) Grow with a mentor. C) Negotiate the role. D) Strengthen internal resources. E) Develop management knowledge and skills.

B) Grow with a mentor. C) Negotiate the role. D) Strengthen internal resources. E) Develop management knowledge and skills.

What drives the focus on patient centered care now? Select all that apply. a) Individuals are healthier and can more readily engage in their care b) Chronic disease is a larger burden on the healthcare system c) Advances in technology and its access d) Patients expect person-centered care more than ever e) Utilization of healthcare has increased f) Healthcare settings have become more complex and less personal g) Older and sicker patients need care that is more comprehensive

b) Chronic disease is a larger burden on the healthcare system c) Advances in technology and its access d) Patients expect person-centered care more than ever e) Utilization of healthcare has increased f) Healthcare settings have become more complex and less personal g) Older and sicker patients need care that is more comprehensive

You are a nurse at Desert Springs Rehabilitation Hospital. You have a larger patient load today than usual, and keeping promises to your patients sod making sure they all receive high quality care is challenging you. What two ethical principles are you most likely trying to balance? a) Fidelity and justice b) Justice and autonomy c) Autonomy and fidelity d) Fidelity and benelicence

a) Fidelity and justice

After considering different graduate programs in nursing, Monica considers perhaps getting a graduate degree outside of nursing. Which of the following statements would most likely represent the guidance of her mentor? A) By obtaining a graduate degree outside of nursing, you may be able to apply other industry thinking to healthcare; you could become quite an asset to an organization B) Nursing requires nursing education, don't stray from what we know C) Getting a graduate degree outside of nursing will prepare you to leave the field if you want to do that D) By pursuing a graduate degree outside of nursing, you would waste your time and money if you want to stay in the field

A) By obtaining a graduate degree outside of nursing, you may be able to apply other industry thinking to healthcare; you could become quite an asset to an organization

Healthcare is changing rapidly. What sorts of skills or capacities should leaders possess in order to successfully navigate these changes? A) Leaders should be inclusive, visionary, and capable of making informed risks B) Leaders should be visionary, inclusive, and wary of taking risks C) Leaders should be directive, have laser like focus, and be willing to take risks D) Leaders should be visionary, capable of forecasting well, and driven to succeed

A) Leaders should be inclusive, visionary, and capable of making informed risks

Jennifer wants to join the New Mexico Association or Emergency Nurses. Her co-worker, Roberto, thinks joining is a waste of time. Jennifer explains that there are a number of skills she plans to develop as a result of joining the association. She includes the following in her explanation. (Select all that apply) A) Political activity B) Financial literacy C) Teaching D) Conflict management E) Public speaking

A) Political activity D) Conflict management E) Public speaking

You are applying for a nursing position at your local elementary school. The website requests both a CV and resume. How should you best respond? A) Submit both your resume (which you've tailored to the specific role of school nurse) as well as your CV (which is an all-inclusive but superficial record of your professional life). B) Submit both your CV (which you've tailored to the specific role of school nurse) as well as your resume (which is an all-inclusive but superficial record of your professional life). C) Inquire of the school if they need both; CVs are generally for applicants with years of experience in the field. D) A CV and resume are basically the same document. Submit the same form in both places.

A) Submit both your resume (which you've tailored to the specific role of school nurse) as well as your CV (which is an all-inclusive but superficial record of your professional life).

Research indicates that Interpersonal Collaboration improves patient outcomes and delivery of quality care. A) The evidence is inconclusive. B) True C) False

A) The evidence is inconclusive.

True or False: Internal sources of stress usually stem from unrealistic self-beliefs (unrealistic expectations, taking things personally, all-or-nothing thinking, exaggerating, or rigid thinking), perfectionism, or a Type A personality. A) True B) False

A) True

Bobbie is interested in a position at Dancing Mesa Rehab Center. He decides to write a cover letter to include with his resume, CV, and application. Which of the following is the best information to include in his letter? A) Personal information, such as his hobbies, his references, and when he is available for an interview B) A brief description of his interest in the position and how he learned about it, along with a few highlights from his resume that demonstrate his "fit" to the position and hospital. C) A brief description of his experience and reference to his attached resume along with his professional references. D) A brief explanation of why he is the best candidate for the position

B) A brief description of his interest in the position and how he learned about it, along with a few highlights from his resume that demonstrate his "fit" to the position and hospital.

Monica completed her BSN two years ago. She has been working in telemetry since passing her boards and is ready to assume a leadership position. She realizes that pursuing a Masters in Science in Nursing (MSN) is likely going to improve her odds of advancing her career. When she looks at graduate programs, what makes most sense for her to consider about the programs she's researching? Select all that apply A) Location B) Accreditation C) Cost D) Sports team E) Reputation F) Role preparation

B) Accreditation C) Cost E) Reputation F) Role preparation

What two factors help teams function more effectively, according to LeFasto and Larson (2001)? A) Acknowledging members and setting goals B) Building relationships and communicating effectively C) Making commitments and being flexible D) Mentoring members and building relationships

B) Building relationships and communicating effectively

There are three principles of person-centered care. What are they? A) Care is individualized, care is coordinated, care is culturally competent B) Care is personalized, care is coordinated, care is enabling C) Care is individualized, care is high quality, care is enabling D) Care is personalized, care is transformative, care is culturally sensitive

B) Care is personalized, care is coordinated, care is enabling

3 years have gone by, and Jerusha is retiring. She recommends that Randi apply for her position as Acute Services Director. Randi is a strong contender for the position from what she's heard in "the rumor mill." What source of power does Randi most likely have that makes her a strong contender? A) Expert power, because Randi has her MSN B) Connection power, because of her relationship with Jerusha and those Jerusha has introduced her to C) Position power, because Randi is already a nurse manager D) Information power, because Randi has "the dirt" on just about everyone

B) Connection power, because of her relationship with Jerusha and those Jerusha has introduced her to

Ai arrives on the unit for orientation. Over the next few days, she opens up about her experience feeling caught between two cultures—her parents' more traditional Chinese culture and the more dominant American culture Ai experienced away from home. Sue, one of Ai's preceptors, asserts "I'm not sure why you feel stuck, honey. Certainly, your parents came here for a reason—America is better. I'm not saying we're perfect, but even your parents saw that our way of life is better, or they wouldn't have come." What is the term to describe Ai's feelings of being stuck between two cultures and the term to describe Sue's assertion that the American way of life is better? A) Cultural marginality; cultural imposition B) Cultural marginality; ethnocentrism C) Ethnocentrism; cultural competence D) Cultural imposition; cultural marginality

B) Cultural marginality; ethnocentrism

Rosa is an RN in the PACU at Summit Vista Hospital. She was assigned to care for Mr. Green's, an 84-year-old male patient 2 days status-post amputation of his right lower leg due to complications from uncontrolled diabetes. Mr. Green also suffers from CHF; he is also near-sighted and hard of hearing. Mr. Green hit the nursing call light and requested help getting to the bedside commode as he did not like using the bedpan. Rosa asked Mark, Mark, the Certified Nursing Assistant on duty, to assist Mr. Green to the bedside commode while she cared for another patient. Which of the following steps of delegation was crucial for Rosa to complete before delegating that task of assisting Mr. Green to Mark? A) Introducing herself and Mr. Green to Mark to establish therapeutic rapport and provide a 'warm handoff' in care B) Determining that Mark has the capacity (skills, knowledge, and ability) to complete the delegated tasks safely C) Reviewing Mark's performance review and annual skills check off D) Conferring with other nurses regarding Mark's skill set

B) Determining that Mark has the capacity (skills, knowledge, and ability) to complete the delegated tasks safely

Javier has just been hired as a clinical educator on his unit. He is very excited about this promotion, as it means shifting from direct care to teaching and quality assurance. Which of the following terms best describes his situation? A) He has completely changed his career identity B) He is undergoing a career transition C) He has shown career competency D) With this one move, he has achieved career success

B) He is undergoing a career transition

Which of the following is true regarding the ANA Principles of Staffing statement? Select all that apply. A) The type of payor mix should determine the type of staffing. B) Nurse staffing patterns and the level of care provided should not depend on the type of payor. C) Staffing should be based on achieving quality of patient care indices, meeting organizational outcomes and ensuring that the quality of the nurse's work-life is appropriate. D) Staffing should be based on the nurses' education, skillset, and abilities to form good working relationships. E) Evaluation of any staffing system should include quality of work-life outcomes, as well as patient outcomes.

B) Nurse staffing patterns and the level of care provided should not depend on the type of payor. C) Staffing should be based on achieving quality of patient care indices, meeting organizational outcomes and ensuring that the quality of the nurse's work-life is appropriate. E) Evaluation of any staffing system should include quality of work-life outcomes, as well as patient outcomes.

Lee is a charge nurse at Mesa Regional Medical Center. They are a mentor to a few nurses at the facility. Which of the following are some of their responsibilities Lee has in their role as a mentor? Select all that apply. A) They should allow their mentee to drive the relationship B) They should supervise, facilitate, and assess their mentee's learning C) They have a commitment to the mentee's success D) They should help front line nurses, especially those who are novice, setting attainable goals E) They should adhere to their own way, knowing their years of experience are to be trusted

B) They should supervise, facilitate, and assess their mentee's learning C) They have a commitment to the mentee's success D) They should help front line nurses, especially those who are novice, setting attainable goals

Randi is promoted to the Acute Services Director position. At the end of a recent leadership meeting, one nurse leans over and says to another "I really like Randi. She just seems so authentic to me, so approachable." Her colleague replies, "how so?" Which of the following is the nurse likely to provide as a good example of authenticity? A) "She is really, really direct. Some might even say mean, but I think she just tells it like it is. I like it." B) "She's clear that she wants the CNO position and is going after it when David retires." C) "Randi cried when she announced that Jerusha passed away. A lot of leaders would just mention it and move on, have a stiff upper lip." D) "Nothing bothers her. She's unflappable, even when faced with really bad news."

C) "Randi cried when she announced that Jerusha passed away. A lot of leaders would just mention it and move on, have a stiff upper lip."

What are the five approaches to resolving conflict? A) Collaborating, Competing, Compromising, Conspiring, Accommodating B) Achieving, Accepting, Accommodating, Competing, Compromising C) Collaborating, Competing, Compromising, Accommodating, Avoiding D) Compromising, Colluding, Competing, Conspiring, Capitulating

C) Collaborating, Competing, Compromising, Accommodating, Avoiding

Which of the following theories applicable to self-management is best summarized by the following statement-- unpredictable interactions between interdependent people and activities emphasizes the importance of innovation and rapid information sharing to improve performance? A) General Adaptation Syndrome B) Pareto Principle C) Complex Adaptive Systems D) Maslow's Hierarchy of Needs

C) Complex Adaptive Systems

What are the three main requirements of documenting personal / personnel problems? A) Account of the incident, actions taken to prevent future problems, and employee response to interventions B) Explanation of the event, actions taken to address the past behavior, and follow up plan C) Description of the incident, description of plan to prevent future problems, and specifics on how and when the plan will be carried out D) Report of the problem behavior, summary of policy, indication of how behavior violates policy, disciplinary action taken

C) Description of the incident, description of plan to prevent future problems, and specifics on how and when the plan will be carried out

What does use of SBAR (Situation, Background, Assessment, and Recommendation) help achieve? Select the best answer. A) An environment in which open communication is rewarded B) A more democratized culture C) Fewer misunderstandings and a culture of safety D) A zero falls environment

C) Fewer misunderstandings and a culture of safety

What are the stages of conflict? A) Conceptualization, Frustration, Interaction, Outcomes B) Frustration, Conceptualization, Interaction, Resolution C) Frustration, Conceptualization, Action, Outcomes D) Frustration, Conceptualization, Action, Resolution

C) Frustration, Conceptualization, Action, Outcomes

Incivility is a disruptive behavior or communication that creates a negative environment and interferes with quality patient care and safety. The manager can implement the following steps that help to alleviate uncivil behavior on a unit. Put these steps in the correct order. (A) Suspending the staff member from work (B) Providing written admonishment that is discussed and placed in the employee's file (C) Providing verbal admonishment (D) Terminating the staff member

C, B, A, D

How many continuing education units are required of Registered Nurses in New Mexico? A) 15 every year B) 30 every year C) 65 every two years D) 30 every two years

D) 30 every two years

Mark is a 28 year-old gay male admitted to the med-surg floor at Mountain Winds Medical Center for alcohol and opiate detox / withdrawal. His medical history includes opiate and alcohol dependence, Hep C positive, HIV positive. Lab results include ALT 61, AST 37 . The charge nurse, Diane, assigned Sam to be Mark's nurse. Sam declines the assignment, stating that caring for Mark would be "too close to home, he's just like my son, and I just can't do it." Considering the ANA Code of Ethics, what is the best response for this situation? A) Sam's colleague, Susan, should offer to take on caring for Mark. This aligns with provision two of the ANA Code of Ethics: the nurse's primary commitment is to self, assuring their own health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. B) Sam should put aside his concerns and care for Mark. This aligns with principle one of the ANA Code of Ethics: the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. C) Diane should assume care of Mark. This reflects effective leadership and aligns with Provision 8 of the ANA

D) Diane should reassign Mark to Carol, another staff nurse on the unit, as she does not share Sam's concerns. This aligns with provision one and provision three of the ANA Code of Ethics: the nurse promotes, advocates for, and protects the rights, health, and safety of the patient.

Maria Elena is a nurse manager at Painted Desert Hospital. She has just hired Ai Zhang for a weekend days position on the unit. Ai is a first-generation Chinese immigrant who recently passed her NCLEX. Ai is scheduled to orient this week and is really excited to begin. She will be the first Chinese American to work on Maria Elena's unit. Maria Elena, naturally, would like Ai's orientation to go well educationally, clinically, and culturally. Maria Elena continues to help her team prepare for Ai's arrival by educating them about values, traditions, languages, and behaviors common among Chinese peoples. Which of the following best describes Maria Elena's undertaking? A) Maria Elena is embracing diversity at the cost of discounting the cultures of existing team members B) Maria Elena is manifesting Leininger's theory of transcultural practice C) Maria Elena is manifesting ethnocentrism by pointing out the differences between the dominant American culture and Ai's Chinese culture D) Maria Elena is assisting her team in developing cultural competence

D) Maria Elena is assisting her team in developing cultural competence

Select the best strategy used to promote role transitions. A) Identify others in the role and emulate their behaviors in accordance with written rules B) Assess the new role and modify one's priorities to meet the role's requirements C) Each of these is an effective strategy used to promote role transitions D) Recognize, use, and strengthen one's values and beliefs

D) Recognize, use, and strengthen one's values and beliefs

Rosa left Summit Vista Hospital soon after she admitted to pilfering Xanax from the Pyxis. She was reported to the state Board of Nursing and placed on probation and in the Diversion program given that no patient harm resulted from her impairment. Which of the following is true regarding Rosa's subsequent employment? A) Due to the nursing shortage, Rosa will likely have little difficulty obtaining future employment despite being on probation with her state's Board of Nursing B) Rosa's former Nurse Manager, Christine, is legally obligated to alert all future employers of Rosa's conduct C) Summit Vista Hospital has no duty to future employers since leadership there reported Rosa to the state Board of Nursing D) Rosa's former Nurse Manager, Christine, can alert Rosa's potential future employer of Rosa's conduct only if Rosa listed her or Vista Summit Hospital as a reference

D) Rosa's former Nurse Manager, Christine, can alert Rosa's potential future employer of Rosa's conduct only if Rosa listed her or Vista Summit Hospital as a reference

Susan is spearheading a new process on medication administration, where nurses preparing medications wear a bright colored vest stating "Do NOT DISTURB, MED PASS in PROCESS". Most nurses on her unit pass medications with few errors, so they are not that particularly interested in the new process. What stage of Kotter's 8 stage Model of must Susan accomplish? A) She must remove obstacles to change B) She must demonstrate its success elsewhere first C) She must create a vision for change D) She must create a sense of urgency

D) She must create a sense of urgency

The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among healthcare team members? A) Longer times to begin surgical cases B) Decreased ability to document expenses of care provided C) Increased time to discharge patients to outpatient care D) The occurrence of a patient event resulting in death or serious injury

D) The occurrence of a patient event resulting in death or serious injury

What is the purpose of the New Mexico Nurse Practice Act? A) The purpose of the Nursing Practice Act is to promote, preserve and protect the public health, safety and welfare by regulating the both the practice and education of nursing B) The purpose of the Nursing Practice Act is to protect the citizens of the state from unsafe or otherwise harmful acts of nurses C) The purpose of the Nursing Practice Act is to direct the practice of nursing by regulating the nursing licensure requirements and determining entry level and continuing educational requirements D) The purpose of the Nursing Practice Act is to promote, preserve and protect the public health, safety and welfare by regulating the practice of nursing, schools of nursing, hemodialysis technicians and medication aides in the state

D) The purpose of the Nursing Practice Act is to promote, preserve and protect the public health, safety and welfare by regulating the practice of nursing, schools of nursing, hemodialysis technicians and medication aides in the state

When Mark entered Mr. Green's room, Mr. Green was alert and oriented. He told Mark he didn't need any help beyond lowering the bed rail so he could use the wheelchair to get to the bedside commode. Mark empathized with Mr. Green, but explained that he really needed to assist Mr. Green and would return in just a moment with a transfer belt. Mr. Green reluctantly stated he would wait but he really did need to urinate. He implored Mark to hurry back. Mark returned soon after with the transfer belt. What ethical principle did Mark try to honor with Mr. Green? A) Beneficence B) Veracity C) Justice D) Fidelity E) Autonomy

E) Autonomy

_________________ is a not-for-profit entity that evaluates the functioning of a hospital making unannounced site visits. This organization focuses on outcomes and nurses' roles related to the ________________ process.

The Joint Commission accreditation

Which of the following does Kowalski (2021) identify as personal / personnel problems? Select all that apply. a) Clinical incompetence b) Uncooperative or unproductive behavior c) Immature employees d) Absenteeism e) Incivility f) Cultural incompetence g) Social media use h) Emotional problems i) Substance use

a) Clinical incompetence b) Uncooperative or unproductive behavior c) Immature employees d) Absenteeism e) Incivility h) Emotional problems i) Substance use

Which of the following tasks in the delegation process did Bobby and Jenna accomplish? Select all that apply. a) Consider the type of healthcare facility related to the delegation / task b) Assess the clients' needs, stability, health condition, and predictability of the risks and responses c) Asks question and seek clarification regarding the delegation d) Determine the UNP's understanding of the task and expectations e) Determine if the institution's policies allow for this type of delegation to a UNP f) Ensure that laws and support the delegation g) Determine if a specific UNP has the experience and education to complete the task effectively and safely

a) Consider the type of healthcare facility related to the delegation / task c) Asks question and seek clarification regarding the delegation e) Determine if the institution's policies allow for this type of delegation to a UNP f) Ensure that laws and support the delegation

Which of the following are steps in the Quality Improvement process? a) Identify needs most important to the client served by healthcare entities b) Identify needs most important to the healthcare entity c) Select and implement a plan to meet these outcomes d) Collect data to evaluate the plan's implementation and the outcomes reached e) Assemble an interprofessional team to review the identified needs and services f) Establish measurable outcomes and quality indicators g) Engage the public to recommend interventions to meet stated outcomes h) Recruit nurses to drive the QI process

a) Identify needs most important to the client served by healthcare entities c) Select and implement a plan to meet these outcomes d) Collect data to evaluate the plan's implementation and the outcomes reached e) Assemble an interprofessional team to review the identified needs and services f) Establish measurable outcomes and quality indicators

Randi interviews for and is offered the Nurse Manager position on 5 West. Her mentor and friend, Jerusha, suggests it is time for Randi to start developing her political skills. Jerusha takes Randi to meetings, introduces her to other members of leadership, and guides her in developing her role. Which of the following actions is Jerusha likely to encourage Randi to undertake? Select all that apply. a) Invite a state legislator to meet to discuss policy issues related to nursing b) Join the protest outside the hospital that is seeking support for higher wages and better nurse to patient ratios c) Join the state nurses' association d) Work on federal holidays e) Register to vote and then vote in each election f) Reach out to her state senator's office and invite the senator to spend a day on the unit

a) Invite a state legislator to meet to discuss policy issues related to nursing c) Join the state nurses' association e) Register to vote and then vote in each election f) Reach out to her state senator's office and invite the senator to spend a day on the unit

Which of the following is true about conflict? Select all that apply. a) It has the potential to produce beneficial or detrimental effects b) It can stimulate a stagnant team c) It maintains the status quo d) It is a catalyst for change e) It can increase productivity f) it can lead to burnout, absenteeism, and turnover if unresolved

a) It has the potential to produce beneficial or detrimental effects b) It can stimulate a stagnant team d) It is a catalyst for change e) It can increase productivity f) it can lead to burnout, absenteeism, and turnover if unresolved

According to Hoffart, how do ethics relate to effective leadership? Select all that apply. a) Leaders rely on ethical principles to guide decisions b) The Joint Commission scores organizations, in part, of ethical practices c) Ethical integrity is a core element of all types of leadership d) Formal leaders practice and role model high ethical standards e) The Institutes of Medicine identified lack of ethics as a root cause for poor quality nursing

a) Leaders rely on ethical principles to guide decisions c) Ethical integrity is a core element of all types of leadership d) Formal leaders practice and role model high ethical standards

What is the core shared component of nurse leader responsibilities, delegatee responsibilities, and the licensed nurse responsibilities? a) Public protection b) Efficiency and cost protections c) Training and education d) Best use of staff

a) Public protection

Identify what core themes are reflected in patient centered care. Select all that apply. a) The relationship between the patient and the healthcare professional b) The setting in which care takes place c) Patient participation and involvement d) The overall cost of care to the patient e) The context in which care takes place f) The patient's loved ones

a) The relationship between the patient and the healthcare professional c) Patient participation and involvement e) The context in which care takes place

According to Murphy-Ruocco, which of the following are factors that play a role in a nurse's ability to delegate effectively? Select all that apply. a) Administrative expectations b) Leadership style c) Nurse manager's educational level d) UNP's role e) Clinical experience f) Unit culture g)Nurse's educational level h) State practice acts i) Employment area j) Demographic area k) Self-confidence

b) Leadership style e) Clinical experience g)Nurse's educational level h) State practice acts i) Employment area j) Demographic area k) Self-confidence

There are several dimensions that constitute a professional practice model reflective of patient-centered care. Select all that apply. a) Patient deficits b) Nurse professional authority c) Management of practice and influence in health systems d) Patient readiness e) The therapeutic milieu f) Patient capacity g) Nurse practice competence and excellence

b) Nurse professional authority c) Management of practice and influence in health systems e) The therapeutic milieu g) Nurse practice competence and excellence

What is at the core of leadership, management, and followership? a) TJC Survey Results b) Nurse Satisfaction c) Clinical Safety d) Health

c) Clinical Safety

Research indicates that effective nursing leadership results in positive outcomes for nurses. What else does research indicate effective leadership results in? Select all that apply a) Higher revenue per unit b) Higher staff turnover c) Greater application of evidence based practices d) More opportunities for staff development e) Better clinical outcomes

c) Greater application of evidence based practices d) More opportunities for staff development e) Better clinical outcomes

By which of the 5 Rights of Delegation did Bobby and Jenna abide? Select all that apply. a) Right Person b) Right Task c) None of the Rights of Delegation were followed d) Right Direction / Communication e) Right Supervision f) Right Circumstance

c) None of the Rights of Delegation were followed

What four elements of delegation did Bobby fail to include when delegating to Jenna? a) Critical thinking, stability, space, and safety b) Education, setting, safety, skill c) Safety, critical thinking, stability, time d) Orientation, ability, willingness, and timeliness

c) Safety, critical thinking, stability, time

How does Hersey's model apply to delegation? a) Before delegating, the UNP needs to understand what type of support the nurse will provide b) During the delegation process, the nurse will provide the UNP guidance c) After delegating, the nurse and UNP will review the process and make recommendations for improvement as needed d) Before delegating, the nurse must understand the type of support the individual needs

d) Before delegating, the nurse must understand the type of support the individual needs

What is the difference between morality and ethics? a) The concepts of ethics and mortality are interchangeable with no discernable difference. b) Ethics is set of social standards that guide behavior while morality is a process involving critical thought and action surrounding the concepts of right and wrong. c) Morality is the difference between right and wrong and ethics are a personal code of behavior. d) Morality is set of social standards that guide behavior while ethics is a process involving critical thought and action surrounding the concepts of right and wrong.

d) Morality is set of social standards that guide behavior while ethics is a process involving critical thought and action surrounding the concepts of right and wrong.

When Jenna performs the tasks delegated to her by Bobby, who is responsible? Who is accountable? a) Jenna is both responsible and accountable b) Bobby is both responsible and accountable c) Jenna is accountable and Bobby is responsible d) The nurse manager is accountable and responsible e) Bobby is accountable and Jenna is responsible

e) Bobby is accountable and Jenna is responsible

You are a nurse at Desert Springs Rehabilitation Hospital. You have a larger patient load today than usual, and keeping promises to your patients and making sure they all receive high quality care is challenging you. How do you best decide your course of action to make sure you are acting ethically? a) Go with our gut instinct b) Apply a systematic approach of ethical analysis to the decision-making process c) Triage your patients and determine what is most pressing d) Adhere to unit policy and procedure

b) Apply a systematic approach of ethical analysis to the decision-making process

Melanie works in the Informatics Division of University Health Care System. She works to maintain the system's Electronic Health Record (EHR). When her nurse colleagues inquire about what benefits the EHR offers, what is her most likely response? A) "EHRs enhance patient engagement in their care, they are more convenient for patients than paper charts, help the team coordinate care, improve health outcomes, and make us more productive." B) "They're in response to consumer demand for accessibility 24/7. They really help patients see their records, pay their bills, and make their appointments." C) "EHRs bring a lot to healthcare. Doctors love that they can access patient records from anywhere, nurses can easily see the care their patients received before they assume the patients, regulators and the Quality Improvement department can easily track errors and incident reports, and the billing department can bill so much better." D) "EHRs help provide quality care, assist us in billing fully, make coordinating care easier, satisfy JCAHO requirements, and make us more efficient"

A) "EHRs enhance patient engagement in their care, they are more convenient for patients than paper charts, help the team coordinate care, improve health outcomes, and make us more productive."

Which of the following statements is an effective way for a leader to of address persistent absenteeism with an employee? A) "When I observe that you have been absent twice this month, I feel concerned and somewhat alarmed because absences have a negative impact on the team and quality care. Can you see how excess absences affect the unit and safety of our patients?" B) "When I see that are gone a lot, I'm really taken aback because it reflects a great deal of unprofessionalism. Going forward, I really need you to be more mindful of your team and your patients." C) "I've a lot of concern about your attendance. Let's take a look at our attendance policy to see where you are missing the boat." D) "In reviewing your attendance, I see that you were out twice this month. Our policy allows for one absence every 60 days. I'm curious what's getting in the way of your abiding by the policy."

A) "When I observe that you have been absent twice this month, I feel concerned and somewhat alarmed because absences have a negative impact on the team and quality care. Can you see how excess absences affect the unit and safety of our patients?"

What best defines a culture of safety in healthcare? A) A blame-free environment that encourages employees to report errors and prevent situations that threaten safety so quality can be assured B) A setting in which employees are held accountable for meeting safety requirements and goals set forth by The Joint Commission C) A milieu in which employees report errors and aim to prevent situations that threaten quality D) A culture in which employees report errors in order to identify those culpable so they can be disciplined

A) A blame-free environment that encourages employees to report errors and prevent situations that threaten safety so quality can be assured

What is the core of shared governance? A) A way for shared decision making B) A process by which a hospital earns Magnet Status C) A method for nurses to be seen as knowledge professionals D) A way of nurses to bargain for better working conditions

A) A way for shared decision making

You work in PACU (Post Anesthesia Care Unit) at River Bend Hospital. Dr. Gonzales, a surgeon, refuses to prescribe opiates for pain reliet due to her concerns about addiction risk for her patients. You feel your patients' pain is not being adequately addressed. What is your best course of action? A) Consider first medical necessity, your patients' preferences and quality of lite, and other contextual features (I.e. your patent's individual history with substance misuse, extent of surgery, etc.) B) Approach Dr. Gonzales with the latest research on opiate use post-operatively. C) Provide pain medication that is prescribed along with comfort measures like diversion and warm compresses. D) Provide alternativo pain management interventions like lavender, meditation, and creative visualization techniques.

A) Consider first medical necessity, your patients' preferences and quality of lite, and other contextual features (I.e. your patent's individual history with substance misuse, extent of surgery, etc.)

You are caring for Sara in an outpatient reproductive health clinic. She's come to you explaining she is pregnant and understands from recent testing that her fetus has significant genetic abnormalities that indicate if brought to term, her baby will likely have a short and painful life. Sara has always been against abortion, but she does not want her child to have a life of misery. What Is the best support you can provide Sara? A) Encourage her to consider systematically consider her options, thinking about medical indications, her preferences, quality of life of her baby, and other contextual information (i.e., finances. other children, etc.) B) Advise her to make the best decision she can under the circumstances. c) Advise her not to bring the pregnancy to term. It would be wrong to inflict suffering on her innocent baby. d) Advice her to bring the pregnancy to term. Abortion is wrong

A) Encourage her to consider systematically consider her options, thinking about medical indications, her preferences, quality of life of her baby, and other contextual information (i.e., finances. other children, etc.)

Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift, but there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let Sara know by email that she would need to move to nights effective next pay period until the night nurses were replaced with new staffs. She emphasized that this was only because of the night shift shortage and that Sara would return to days as soon as possible. Kate also informed Sara she will need to orient the traveler Kate hired to take Sara's day shifts before Sara moves to nights. Kate encouraged Sara to discuss any concerns with her before the next pay period. Sara has three small children and is a single mother. She feels she cannot accommodate Kate's directive to move to nights. She is also unhappy about having to orient the travel nurse to her day shift position. She decides to resign her post rather than accommodate Kate's demands. Which of the Gardner's Tasks of Leading did Kate NOT manifest? Select all that apply. A) Envisioning Goals B) Developing Trust C) Motivating D) Managing E) Affirming Values F) Achieving Unity

A) Envisioning Goals B) Developing Trust C) Motivating E) Affirming Values F) Achieving Unity

What is the difference between first order change and second order change? A) First order change is evolutionary, and in healthcare systems, it is often referred to as continuous improvement while second order change is revolutionary and episodic and is a large part of what healthcare systems are experiencing today. B) First order change is revolutionary and episodic and is a large part of what healthcare systems are experiencing today while second order change is evolutionary, and in healthcare systems, it is often referred to as continuous improvement. C) First order change is planned and organized, successfully addressing the vast array of variables in play while second order change is rarely planned and fails to take into account the complexity of a system D) First order change happens more quickly and seamlessly than second order change.

A) First order change is evolutionary, and in healthcare systems, it is often referred to as continuous improvement while second order change is revolutionary and episodic and is a large part of what healthcare systems are experiencing today.

What are some of the outcomes of nursing involvement in institutional decisions? Select all that apply. A) Improved nursing retention B) High job satisfaction among nurses C) Improved patient outcomes D) Higher burnout due to the additional obligations of shared governance E) Higher facility costs related to nonproductive hours required in shared governance activities

A) Improved nursing retention B) High job satisfaction among nurses C) Improved patient outcomes

Monica is a Nurse Manager at Spirit Mesa Rehab Hospital. When she assumed her role 4 months ago, the staffing pattern was easily predictable because the average daily census almost never varied. She saw that the complexity of patients' conditions varied, though. Hence, she wanted to reflect these variations in a new staffing pattern. What should Monica have considered when she revised the staffing model? Select all that apply. A) Number of patients B) Range of conditions C) Observations and interventions required D) Patients' satisfaction E) Number of patients F) Range of conditions G) Payor source

A) Number of patients B) Range of conditions C) Observations and interventions required D) Patients' satisfaction E) Number of patients F) Range of conditions

You have successfully obtained the position as assistant nurse manager on the evening shift that you applied for. You are encountering many situations that you have never dealt with before and are feeling a bit lost. What strategies would best help you negotiate these situations more successfully? A) Observe the rituals, accepted practices, and patterns of communication of the unit B) Take management classes and implement what you learn on the unit C) Focus on weaknesses of the culture of the unit D) Continuously monitor and assess others in similar roles to gauge their approaches

A) Observe the rituals, accepted practices, and patterns of communication of the unit

What is meant by value-based payment programs? A) Programs developed by insurers that financially incentivize or reward healthcare entities for high quality outcomes and reduce reimbursement for healthcare entities with poor quality outcomes. B) Programs developed by Centers for Medicaid and Medicare Services that provide monies for hospitals to purchase higher quality equipment and supplies C) Program developed by hospitals to purchase high value equipment and supplies that will result in higher quality outcomes for patients D) Programs used by business offices to get discounts on equipment and supplies

A) Programs developed by insurers that financially incentivize or reward healthcare entities for high quality outcomes and reduce reimbursement for healthcare entities with poor quality outcomes.

What are some select functions, principles, and strategies for initiating and managing change? Select all that apply. A) Promote acceptance of the change by viewing the change as a positive experience. B) Create short-term targets and celebrate accomplishing them. C) Communicate regularly and consistently about the change process to sustain it. D) Allow sufficient time to pass for change to take hold before communicating abouts its effects. E) Provide financial disincentive to obstructing change.

A) Promote acceptance of the change by viewing the change as a positive experience. B) Create short-term targets and celebrate accomplishing them. C) Communicate regularly and consistently about the change process to sustain it.

Kevin is a Charge Nurse at University Medical Center. Although he has his Masters in the Science of Nursing, he just completed an 8-week course on Leadership Effectiveness. This course is part of his Master of Business Administration degree he is pursuing. He is really excited to share what he learned with his peers, believing they can help transform the hospital's leadership approach to be more effective. He is certain that achieving this will help University Medical Center achieve Magnet Status—a designation he believes the hospital can easily earn when all nurses join together to do so. Which of the following Covey's Characteristics of Effective Leaders is Kevin demonstrating? Select all that apply. A) Radiate positive energy B) Engage in lifelong learning C) Engage themselves in self-renewal D) Lead balanced lives and see life as an adventure E) Believe in other people

A) Radiate positive energy B) Engage in lifelong learning E) Believe in other people

How do key characteristics of selected collective action strategies apply in the workplace through shared governance, workplace advocacy, and collective bargaining? Select all that apply. A) They create conditions where it is safe to speak up, where hazards can be addressed quickly, where incivility is addressed, and where diversity is supported. B) They help to improve the daily work of nurses, thus improving the quality of care nurses provide. C) They help to shape the moral environment of the work setting and the conditions of employment, conducive to quality health care. D) They provide a way for nurses to fulfill their role as the only professional group that links all aspects of patient care to the organization's mission, vision, and values. E) They slow the pace of change so nurses need to fac a rapidly changing environment.

A) They create conditions where it is safe to speak up, where hazards can be addressed quickly, where incivility is addressed, and where diversity is supported. B) They help to improve the daily work of nurses, thus improving the quality of care nurses provide. C) They help to shape the moral environment of the work setting and the conditions of employment, conducive to quality health care.

Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift, but there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let Sara know by email that she would need to move to nights effective next pay period until the night nurses were replaced with new staffs. She emphasized that this was only because of the night shift shortage and that Sara would return to days as soon as possible. Kate also informed Sara she will need to orient the traveler Kate hired to take Sara's day shifts before Sara moves to nights. Kate encouraged Sara to discuss any concerns with her before the next pay period. Sara has three small children and is a single mother. She feels she cannot accommodate Kate's directive to move to nights. She is also unhappy about having to orient the travel nurse to her day shift position. She decides to resign her post rather than accommodate Kate's demands. What type of leadership approach is Kate using?

Autocratic

Randi is now mentoring Devin, a new nurse manager on 5 West. Devin asked her what the most basic tool for developing a powerful image was. Which of the following was Randi most likely to assert? A) "Mentoring, like I'm doing with you, is crucial. It shows the organization that you want to help others grow, and therefore help the organization get stronger." B) "You really need to communicate effectively. We need to both listen and express our thoughts really well. If you cannot communicate well, you cannot succeed as a leader." C) "Networking. Learn to not be afraid of getting to meet and know people. They are your lifeline if you want to succeed." D) "Setting goals is the most fundamental step in developing power. Without goals, you've no idea where you are going."

B) "You really need to communicate effectively. We need to both listen and express our thoughts really well. If you cannot communicate well, you cannot succeed as a leader."

Select the best explanation that reflects patient engagement according to Lieb Zalon (2021). A) When a patient fully immerses themselves in their care and directs their treatment to maximize outcomes based on their personal preferences B) A concept that includes understanding one's own role in the care process and having the capacity to fulfill that role, the interventions designed to increase patient activation, and the behavior that results from such activation. C) A concept that includes one's own desire to participate in one's healthcare, the actual participation in such care, and the outcomes form such participation. D) When a patient and their support system willingly enters the healthcare system with specific aims for improved health

B) A concept that includes understanding one's own role in the care process and having the capacity to fulfill that role, the interventions designed to increase patient activation, and the behavior that results from such activation.

What is the best definition of collaboration, according to Liesveld? A) Collaboration is a process of interaction between people in which symbols are used to create, exchange, and interpret messages about laboring together. B) Collaboration in nursing is the development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer. C) Collaboration, derived from the Latin collaborate, reflects the action of nursing laboring together in making institutional decisions to best deliver high quality care. D) Collaboration is the distinct action of nurses co-laboring to achieve quality patient outcomes.

B) Collaboration in nursing is the development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer.

Lila is a Director of Nursing Services for ambulatory care at Riverwalk Rehab Hospital. She invited the staff nurses on her team to develop staffing and scheduling policies that provided for safe staffing ratios. The policies also addressed absences, punctuality, and overtime. They included information on the discipline process for excess absences and tardies. Which of the domains of a healthy work environment did this approach best reflect? Select all that apply. A) Teammanship, because the nurses worked together in developing the policies B) Decision making, because the nurses co-developed the policies C) Collaboration, because the policy applies to everyone equally D) Staffing, because the policies provide for sufficient number of nurses to meet patient care needs E) Recognition, because Lila recognized the skillsets of her team members to develop the policies

B) Decision making, because the nurses co-developed the policies C) Collaboration, because the policy applies to everyone equally D) Staffing, because the policies provide for sufficient number of nurses to meet patient care needs E) Recognition, because Lila recognized the skillsets of her team members to develop the policies

Maria promised her sister that she would help take care of their mother today. Her nurse manager calls her this morning, explaining that two nurses called off and she would like Maria to come in to work. Explains that she cannot come in she already promised her sister she would help. What ethical theory is most likely guiding Maria's decision to respect her promise to her sister? A) Ethics of character, because Maria wants her mother to like her. B) Ethics of duty, as she already promised. Her duty to her mother and sister supersede any obligation C) Ethics of relationship, because Maria is focused on minimizing harm to the most number of people DI Ethics al consequences as Maria knows her sister will be mad at her if she cancels

B) Ethics of duty, as she already promised. Her duty to her mother and sister supersede any obligation

Which of the following is a source of ethics? Select all that apply. A) Media B) Peers C) Profession D) Church E) Culture F) Personal experiences G) Family

B) Peers C) Profession E) Culture F) Personal experiences G) Family

Susan has recently accepted a position as nurse manager at Dancing Mesa Rehabilitation Center. She is, admittedly, feeling somewhat overwhelmed. She is staying longer hours than she was told would be required, and the help promised never materialized. What stage of role transition is Susan most likely experiencing? A) Role internalization, because she is blaming herself B) Role discrepancy, because there is a gap between performance and expectations C) Role exploration, because she is exploring what she is doing wrong D) Role confusion, because she is not quite sure what to do

B) Role discrepancy, because there is a gap between performance and expectations

Bonnie is a nurse at Mountain Shadows Medical Center. She has just attended an in-service on self-management that the hospital hosted. The educator who taught the session realizes that Bonnie is confused about the topic when Bonnie makes the following statement: A) Stress can be good or bad, depending on how the person undergoing the experience B) Self-management is a new process that hospitals have implemented for the annual review process C) Self-management is a means to achieve a balance between work and personal life, as well as a way of life to achieve personal goals within self-imposed priorities and deadlines. D) Emotional intelligence is a way of being that involves four skills, self-awareness, self-management, social awareness, and relationship management.

B) Self-management is a new process that hospitals have implemented for the annual review process

The SBAR communication approach is best described by the following statement: A) The communicator suggests a solution to a problem, shares the background information that contributed to the problem, makes their assessment, and then asks the recipient to repeat what was shared B) The communicator provides the situation, background information that contributed to the situation, their assessment, and their thoughts on what to do to correct the problem to the intended recipient. C) The communicator provides the situation, background information that contributed to the situation, asks for guidance, and then repeats back what the recipient advised. D) The communicator suggests a solution to a problem, provides background information that contributed to the problem, asks for guidance, and then repeats back what the recipient advised.

B) The communicator provides the situation, background information that contributed to the situation, their assessment, and their thoughts on what to do to correct the problem to the intended recipient.

Lou has just transitioned from days to nights in the ED at Lizard Valley Hospital. He explains to his partner soon after taking the new assignment that he is experiencing role stress. His partner replies, "I want to support you, but I don't know what that means. What is role stress?" Which of the following responses by Lou is most accurate about role stress? A) "Role stress just means I'm being taxed really hard in this job. I had no idea nights did so much!" B) "Role stress means that even though I know what I'm doing clinically, it's been hard establishing relationships with the other staffs." C) "Well, I'm unsure about my new role, there are differences between what I thought the work would be and what it is, and I'm feeling like I can't really fulfill the role very well." D) "Well, there's just too many demands on my time and I can't get all the work done in the time I have."

C) "Well, I'm unsure about my new role, there are differences between what I thought the work would be and what it is, and I'm feeling like I can't really fulfill the role very well."

What are the three elements that make interprofessional communication effective? A) Interprofessional communication is effective when it is led by management, attended by quality assurance team members, and focused on the behaviors of concern B) Interprofessional communication is effective when it is culturally sensitive, honest, and led by the healthcare provider C) Interprofessional communication is effective when it is open, collaborative, and respectful D) Interprofessional communication is effective when it is timely, conducted by an interdisciplinary team, and led by leadership

C) Interprofessional communication is effective when it is open, collaborative, and respectful

Rosa documented the event in the chart, including reference to the incident report she completed that indicated Mr. Green fell from his bed. Which of the following about incident reports is most true? A) Nurses do not write incident reports; this is a task left to management B) Mentioning incident reports in charting is advisable because doing so provides readers the chance to obtain additional information about an event C) It is inadvisable to mention incident reports in charting D) The individual most familiar with an event should write the incident report, even if that individual is an UAP

C) It is inadvisable to mention incident reports in charting

You are a nurse at Mountain Shadows Dermatology Clinic. You noticed that a provider is performing services that are not medically necessary (i.e., Botox injections) but billing them as procedures that are (i.e., acne treatments). You feel you need to report these billing inconsistencies, but are afraid because the provider is a powerful and well liked clinician and you think the clinic will support his practices. What are you experiencing? A) Burnout B) Low self esteem C) Moral distress D) Ethical dilemma

C) Moral distress

Is Mr. Green likely to succeed in his suit? A) Yes, because all elements of malpractice have been met B) Yes, because hospitals are more likely to settle cases rather than to fight C) No, because not all elements of malpractice have been met D) No, because Mark returned with the transfer belt

C) No, because not all elements of malpractice have been met

What is the difference between Quality Improvement and Quality Assurance? A) QA is comprised of an interprofessional team that works to prevent errors by reviewing nursing activities and providing for professional development while QI is comprised of departmental personnel that audits charts to discover and correct errors in order to improve quality B) QA typically examines process, structure, and outcomes standards where QI focuses on clinical aspects of providers' care, often in response to an identified problem C) QI typically examines process, structure, and outcomes standards where QA focuses on clinical aspects of providers' care, often in response to an identified problem D) QI is on ongoing process completed by an established team to reach objectives identified by staffs while QA is a short-term intervention in response to errors identified to reestablish processes in order to achieve improved outcomes

C) QI typically examines process, structure, and outcomes standards where QA focuses on clinical aspects of providers' care, often in response to an identified problem

Mickey is a new Nurse Manager at Mountain Vista Hospital. She routinely responds quickly to emails, has an "open door" policy that allows staff nurses to see her anytime, and holds weekly "town hall" meetings in which nurses can share their thoughts about the unit. She supports ideas the nurses bring forth and is eager to implement their suggestions. What is the most likely impact of Mickey's leadership approach on her team? A) Mountain Vista is likely to achieve Magnet Status more quickly B) The Chief Nursing Officer at Mountain Vista is likely to refer Mickey to leadership training to correct Mickey's Laissez-faire approach C) The nurses on Mickey's units are likely to feel cared for D) Mickey is likely to advance quickly in her career

C) The nurses on Mickey's units are likely to feel cared for

Rosa continued to work at Summit Vista Hospital after the incident with Mr. Green. The stress of Mr. Green's lawsuit was beginning to effect Rosa and she began using benzodiazepines to help manage her related anxiety. Her use escalated to the point that she pilfered three Xanax from the Pyxis during one shift, charting that she'd administered the medication to patients when she in fact took them herself. A fellow nurse, Adam, noticed Rosa was nodding off and slurring her words. When confronted, Rosa broke down and admitted her wrongdoing. Did Rosa violate her state's nurse practice act by taking Xanax while on duty? A) Yes, because she took an illicit substance B) No, because nodding off and slurring her words are not indicative of any breach of duty to her patients C) Yes, because she was impaired while practicing D) No, because nursing practice acts do not address the use of prescription medications

C) Yes, because she was impaired while practicing

Ai has been on the unit for 6 months now. She has been welcomed and her insights and unique perspectives as a Chinese American have added much to the unit. She noticed that African American female patients tend to re-hospitalize more often and more quickly than other patients and asked at a staff meeting why this occurs. Which of the following explanations is most accurate? A) "Black women just don't care as much about their health as other people," replied Sue. B) "Black women tend to be poorer than others and have jobs that get in the way of follow up care. These obstacles lead to them getting worse and coming back," explained Karen, a tech on the unit. C) "I don't think they come back or experience anything worse than other people. I bet if we actually counted readmissions, we wouldn't see a difference," claimed Bobby, a night nurse on the unit. D) "African Americans and other minorities experience lower quality health care, poor provider-patient relationships, barriers to care, treatment that may not be evidence-based, and provider bias, among other things. It isn't something our patients are doing, but something that is pretty systemically happening to them," explained Carol, a nurs

D) "African Americans and other minorities experience lower quality health care, poor provider-patient relationships, barriers to care, treatment that may not be evidence-based, and provider bias, among other things. It isn't something our patients are doing, but something that is pretty systemically happening to them," explained Carol, a nurse practitioner on the unit.

Maria Elena is a nurse manager at Painted Desert Hospital. She has just hired Ai Zhang for a weekend days position on the unit. Ai is a first-generation Chinese immigrant who recently passed her NCLEX. Ai is scheduled to orient this week and is really excited to begin. She will be the first Chinese American to work on Maria Elena's unit. Maria Elena, naturally, would like Ai's orientation to go well educationally, clinically, and culturally. In preparing her team to welcome Ai, Maria Elena explores what it might have been like for Ai's parents when they immigrated to the United States. What would have been the most correct message for her to convey? A) Ai's parents needed to explore their own biases when they immigrated to the United States B) The task of assimilation is the goal and responsibility of immigrants C) Ai is fully American and treating her differently than others is biased and prejudicial D) As part of their acculturation, Ai's parents likely adapted their dress, language, traditions, diet, and values to the dominant culture of the United States but that differences might still exist

D) As part of their acculturation, Ai's parents likely adapted their dress, language, traditions, diet, and values to the dominant culture of the United States but that differences might still exist

Research on effective teams indicates that they create synergy, in which the team achieves results that cannot be reached individually. What basic rules must the team follow in order to be synergetic? A) There are no rules to creating synergy; effective teams become synergetic over time B) Be transparent, establish clear goals, set team expectations, be compassionate, and set inflexible standards of performance C) Establish a clear purpose, be transparent, commit to each other, rank members according to skill D) Establish a clear purpose, use active listening, tell the truth, be compassionate, be flexible, commit to resolution, and capitalize on what individuals bring to the team.

D) Establish a clear purpose, use active listening, tell the truth, be compassionate, be flexible, commit to resolution, and capitalize on what individuals bring to the team.

Rosa is an RN in the PACU at Summit Vista Hospital. She was assigned to care for Mr. Green's, an 84-year-old male patient 2 days status-post amputation of his right lower leg due to complications from uncontrolled diabetes. Mr. Green also suffers from CHF; he is also near-sighted and hard of hearing. Mr. Green hit the nursing call light and requested help getting to the bedside commode as he did not like using the bedpan. Rosa asked Mark, Mark, the Certified Nursing Assistant on duty, to assist Mr. Green to the bedside commode while she cared for another patient. Who was responsible and who was accountable for the safe transfer of Mr. Green to the commode? A) Rosa was responsible and Mark was accountable B) Mark was both responsible and accountable C) Rosa was both responsible and accountable D) Mark was responsible and Rosa was accountable

D) Mark was responsible and Rosa was accountable

Monica is a Nurse Manager at Spirit Mesa Rehab Hospital. When she assumed her role 4 months ago, the staffing pattern was easily predictable because the average daily census almost never varied. She saw that the complexity of patients' conditions varied, though. Hence, she wanted to reflect these variations in a new staffing pattern. What statement best reflects what transpired? A) Monica moved from a nurse productivity staffing pattern to a patient outcomes staffing pattern B) Monica moved from a flexible staffing pattern to a fixed staffing pattern C) Monica moved from an optimal staffing pattern to a safe staffing pattern D) Monica moved away from a fixed staffing pattern to a flexible staffing pattern

D) Monica moved away from a fixed staffing pattern to a flexible staffing pattern

Loretta is a nurse manager at River Basin Medical Center. She works diligently to make sure that her unit runs smoothly. She encourages her team members to rise to the challenges they face, thanks them for their commitment, and lets them know when their work helps achieve organizational goals. Turnover rate is low on her unit. What type of leadership style does she best represent? A) Transformational, because she tries to inspire her team, but her followers do not feel valued, and yet the organization experiences greater commitment. B) Transactional, because she is inspirational, have followers who feel valued, and the organization's deadlines are met. C) Transactional, because she is punitive and manage by exception, her followers complete their work or face negative consequences, and the organization's deadlines are often not met. D) Transformational, because she is intellectually stimulating, her followers who are committed to their work, and an organization that experiences high job satisfaction.

D) Transformational, because she is intellectually stimulating, her followers who are committed to their work, and an organization that experiences high job satisfaction.

Match the Leadership Theory with its descriptor. 1. Great Man / Trait Theory 2. Behavioral Leadership Theory 3. Situational and Contingency Theory 4. Charismatic and Transformational Leadership Theory 5. Complexity Leadership Theory ____ The oldest theory, this idealogy assumes that great leaders are born, not made. The leader emerges when the situation arises that calls for one—prior training and or preparation is not a prerequisite. Traits of an individual are considered key elements of likely success, such as a person's personality, intellect, and social attributes. ____ Leaders recognize the interrelationship of people and ideas, seeing that information flows to them in order to foster innovative solutions to work problems. This theory calls on the removal of organizational barriers in order to solve problems. ____ Leaders inspire, intellectually stimulate, and recognize the contributions of their followers. They are charming and charismatic, leading their followers to meet their high expectations. Leaders often develop strong and trusting relationships with their followers. They also instill in their followers a commitment to achieving organizational vision. ____ Leaders can be effe

__1__ The oldest theory, this idealogy assumes that great leaders are born, not made. The leader emerges when the situation arises that calls for one—prior training and or preparation is not a prerequisite. Traits of an individual are considered key elements of likely success, such as a person's personality, intellect, and social attributes. __5__ Leaders recognize the interrelationship of people and ideas, seeing that information flows to them in order to foster innovative solutions to work problems. This theory calls on the removal of organizational barriers in order to solve problems. __4__ Leaders inspire, intellectually stimulate, and recognize the contributions of their followers. They are charming and charismatic, leading their followers to meet their high expectations. Leaders often develop strong and trusting relationships with their followers. They also instill in their followers a commitment to achieving organizational vision. __3__ Leaders can be effective in one situation and not another. The theory takes into account the subtle and complex ways in which leaders' behaviors, followers' needs and values, and situational parameters interact. __2__ Effective leaders behave differently than ineffective leaders. They are concerned with employee morale, needs, and feels while still addressing task completion and productivity. Emotional Intelligence is considered a hallmark of this theory.

Maria Elena is dismayed at Sue's assertion. She is striving to make the unit inclusive of everyone there—staffs, patients, patients' loved ones, students, and vendors. She undertakes a number of different actions in order to bring this to pass. Match the Maria Elena's behavior with its descriptor. 1. Understand team member differences 2. Create social support systems 3. Empower staffs through shared governance 4. Create a respectful social environment ____ Maria Elena encouraged staff to participate in the Path to Excellence Committee as the hospital endeavors to achieve Magnet Status ____ Maria Elena elicited staff members to "share their stories" on a bulletin board in the break room in which each staff could talk about their childhood, their families, their education, etc. ____ Maria Elena posted information about grief, grief support groups, and the Employee Assistance Program on the unit as patients began dying of COVID ____ Maria Elena posted the nondiscrimination policy on the unit, began weekly staff meetings to discuss staff concerns without reprisal, and hosted an in-service on sexual harassment

__3__ Maria Elena encouraged staff to participate in the Path to Excellence Committee as the hospital endeavors to achieve Magnet Status __1__ Maria Elena elicited staff members to "share their stories" on a bulletin board in the break room in which each staff could talk about their childhood, their families, their education, etc. __2__ Maria Elena posted information about grief, grief support groups, and the Employee Assistance Program on the unit as patients began dying of COVID __4__ Maria Elena posted the nondiscrimination policy on the unit, began weekly staff meetings to discuss staff concerns without reprisal, and hosted an in-service on sexual harassment

Match the ethical principle with its descriptor. 1. Respect for persons 2. Nonmaleficense 3. Beneficence 4. Justice 5. Fidelity ____ Ethical principle which asserts there is an obligation to do good, to promote the welfare of others. ____ Ethical principle that is concerned with treating people equitably, fairly, and appropriately. ____ Ethical principle that says actions should avoid the risk of and actual harm to others. ____ Ethical principle asserting that human beings have an unconditional moral worth that requires us to treat each individual person with great value, dignity, and respect. ____ Ethical principle that requires us to act in ways that are loyal, such as keeping your promises, doing what is expected of you, performing your duties, and being trustworthy.

__5__ Ethical principle which asserts there is an obligation to do good, to promote the welfare of others. __4__ Ethical principle that is concerned with treating people equitably, fairly, and appropriately. __2__ Ethical principle that says actions should avoid the risk of and actual harm to others. __1__ Ethical principle asserting that human beings have an unconditional moral worth that requires us to treat each individual person with great value, dignity, and respect. __5__ Ethical principle that requires us to act in ways that are loyal, such as keeping your promises, doing what is expected of you, performing your duties, and being trustworthy.

Match the following leadership styles with the nurse leader. 1. Autocratic 2. Democratic 3. Laissez-faire 4. Transactional 5. Transformational 6. Authentic ____ Barbara shows up on time, follows through on her work, and honors her word. She encourages her team members to participate in the tuition reimbursement offered at their hospital so they can further their education. ____ Diane set a goal for zero falls on her PACU unit in order to align with the organizational vision of providing safe and effective care. She worked with her team to develop processes in which they could achieve this goal - far more than they expected to do. ____ Kari devotes her time to making sure daily operations on her unit run well. She provides monthly performance reviews. She rewards team members who score high on performance matrices and corrects team members whose performance does not meet her expectations. She wants to advance in her career, so she knows she needs to do a good job in her current role. ____ Jenna needed to implement a new process to decrease absenteeism on her unit. She set up multiple meetings to work collaboratively with her team members to come up with new processes and policies to meet

__6__ Barbara shows up on time, follows through on her work, and honors her word. She encourages her team members to participate in the tuition reimbursement offered at their hospital so they can further their education. __5__ Diane set a goal for zero falls on her PACU unit in order to align with the organizational vision of providing safe and effective care. She worked with her team to develop processes in which they could achieve this goal - far more than they expected to do. __4__ Kari devotes her time to making sure daily operations on her unit run well. She provides monthly performance reviews. She rewards team members who score high on performance matrices and corrects team members whose performance does not meet her expectations. She wants to advance in her career, so she knows she needs to do a good job in her current role. __2__ Jenna needed to implement a new process to decrease absenteeism on her unit. She set up multiple meetings to work collaboratively with her team members to come up with new processes and policies to meet the goal. __3__ Ben goes to his office every day and rarely goes on the unit. He does not much interact with the nurses he supervises, spending time instead writing schedules and attending meetings. When crises occur on the unit, though—like a recent suicide attempt—he got involved in a Root Cause Analysis. __1__ Susan created a checklist of tasks for each nurse to complete for every patient every day. When her nurses submit the completed checklists, she rewards them in various ways—pizza coupons, a raffle ticket for a massage, etc. Her nurses know that if the tasks are not completed, they will be "written up".

What are the principles of quality management and quality improvement? Select all that apply. a) A shared commitment to quality improvement is essential for organizational success. b) The aims of QI / QM programs is to identify bad actors and detractors from quality who require corrective action c) Quality improvement focuses on outcomes and relies on data-driven decisions. d) Quality management operates most effectively within a flat, democratic organization structure. e) The goal of quality management is to improve systems and processes, not to assign blame f) Quality management operates most efficiently in a hierarchical system with clear lines of communication

a) A shared commitment to quality improvement is essential for organizational success. c) Quality improvement focuses on outcomes and relies on data-driven decisions. d) Quality management operates most effectively within a flat, democratic organization structure. e) The goal of quality management is to improve systems and processes, not to assign blame

Randi is a nurse at Sisters of Mercy Hospital on the 4th Floor Surgical Unit. She has just completed her MSN and wants to apply for the Nurse Manager position on 5 West. She has discussed the opportunity with her friend, Sara, who encouraged Randi to consider what she has done to put herself into a powerful position. Which of the following are actions Randi could take to enhance her power and likelihood of securing the promotion? Select all that apply. a) Randi presented her master's thesis at a staff meeting, thanking her college faculty and the CNO for their support b) Randi picked up a shift from Jose´, and even when something arose that made it difficult to come in, she presented to the unit on time c) Randi sought feedback from her peers at time of annual review, even though this was not a required step in the performance review process d) Randi brought in donuts every Sunday morning on her way to church and attaches a little scripture on the box e) When a physician pointed out that she performed a procedure wrong in front of the patient, Randi reported the physician to HR for harassment f) Randi says she uses a lot of slang "so patients connect with me" g) Randi posts 'staff selfi

a) Randi presented her master's thesis at a staff meeting, thanking her college faculty and the CNO for their support b) Randi picked up a shift from Jose´, and even when something arose that made it difficult to come in, she presented to the unit on time c) Randi sought feedback from her peers at time of annual review, even though this was not a required step in the performance review process h) Randi reported herself when she made a medication error, even when the error did not reach the patient

Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift, but there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let Sara know by email that she would need to move to nights effective next pay period until the night nurses were replaced with new staffs. She emphasized that this was only because of the night shift shortage and that Sara would return to days as soon as possible. Kate also informed Sara she will need to orient the traveler Kate hired to take Sara's day shifts before Sara moves to nights. Kate encouraged Sara to discuss any concerns with her before the next pay period. Sara has three small children and is a single mother. She feels she cannot accommodate Kate's directive to move to nights. She is also unhappy about having to orient the travel nurse to her day shift position. She decides to resign her post rather than accommodate Kate's demands. Which of the following should be concerning to you? Select all that apply. a) Sara elected to resign without speaking to Kate about her concerns b) Sara is a new nurse and working nights lacks support for new staffs c) Sara has 3 children and leaving the

a) Sara elected to resign without speaking to Kate about her concerns e) Kate is tasking Sara to orient a traveler f) Kate did not meet with Sara before making any changes to the schedule

Chloe is a nurse at Mountain High Hospital. She tells her UAP, Jonathan, to help Mrs. Armijo, an 81 year-old patient admitted post right hip replacement, get ready for the day. Jonathan nodded and headed towards Mrs. Armijo's room. Which of the following communication elements related to delegation did Chloe and Jonathan not use? Select all that apply. a) Seeking advice b) Giving direction c) Seeking clarity d) Giving information

a) Seeking advice b) Giving direction c) Seeking clarity

Which of the following should Bobby have done differently in delegating to Jenna? Select all that apply. a) explained the specific tasks expected b) provided more guidance c) agree with Jenna on what was expected and what the conditions are for her performance d) Bobby delegated well, it was Jenna who needed to change

a) explained the specific tasks expected b) provided more guidance c) agree with Jenna on what was expected and what the conditions are for her performance

Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift, but there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let Sara know by email that she would need to move to nights effective next pay period until the night nurses were replaced with new staffs. She emphasized that this was only because of the night shift shortage and that Sara would return to days as soon as possible. Kate also informed Sara she will need to orient the traveler Kate hired to take Sara's day shifts before Sara moves to nights. Kate encouraged Sara to discuss any concerns with her before the next pay period. Sara has three small children and is a single mother. She feels she cannot accommodate Kate's directive to move to nights. She is also unhappy about having to orient the travel nurse to her day shift position. She decides to resign her post rather than accommodate Kate's demands. What are different responses that Sara could have chosen that would have better manifested effective followership traits? Select all that apply. a) Suggest to Kate that a different nurse who did not have children at home be reassigned to nights b) Accept

b) Accept the new assignment d) Take Kate up on her invitation to discuss any concerns e) Orient the traveler nurse to her day shift care responsibilities

When Mark entered Mr. Green's room, Mr. Green was alert and oriented. He told Mark he didn't need any help beyond lowering the bed rail so he could use the wheelchair to get to the bedside commode. Mark empathized with Mr. Green, but explained that he really needed to assist Mr. Green and would return in just a moment with a transfer belt. Mr. Green reluctantly stated he would wait but he really did need to urinate. He implored Mark to hurry back. Mark returned soon after with the transfer belt. What ethical principle did Mark honor with Mr. Green? Select all that apply a) Autonomy b) Beneficence c) Fidelity d) Veracity e) Justice

b) Beneficence c) Fidelity

What is the most effective professional leadership and management strategy nurses implement in clinical practice to improve the safety and quality of person-centered care? a) Getting a Bachelor of Science in Nursing (BSN) b) Delegating effectively c) Taking responsibility d) Implementing evidence based practice

b) Delegating effectively

When Mark returned, he saw that Mr. Green was on the floor. Mr. Green explained that when he tried to get out of bed, he got tangled in his IV tubing and fell on his left side. Mark lowered the bed rail, assisted him back to the bed, put the bed rail up, and informed Rosa of what happened. Rosa assessed Mr. Green and noted skin tearing to Mr. Green's left arm and pain 8/10 to his arm, ribs, and hip. She provided wound care to Mr. Green's left arm. She also informed Dr. Shah, the hospitalist, of the event. Dr. Shah completed a neuro-evaluation on Mr. Green and found no deficiencies. He ordered x-rays of Mr. Green's pelvis, abdomen / ribs, left hand, wrist, arm, and shoulder. X-rays revealed fractures to the left side of Mr. Green's pelvis, his 2 left ribs, and his left ulna. Mr. Green underwent surgery for his pelvis fracture and his left ulna was placed in an immobilizer. He was soon transferred to inpatient rehab for ongoing care. He later contacted an attorney to bring a malpractice suit forward. What elements of malpractice are satisfied? Select all that apply. a) Foreseeability b) Professional duty c) Injury d) Causation e) Breach of professional duty f) Damages

b) Professional duty

Which of the following is a guideline for effective termination? a) The manager must be confident that they documented everything to justify the termination. b) The employee must have been given every opportunity to correct their behavior before termination. c) The legal department must review all potential terminations prior to their implementation to avoid future litigation. d) The manager must be certain that everything possible has been done to help the employee correct problem behaviors.

d) The manager must be certain that everything possible has been done to help the employee correct problem behaviors.

You are a nurse at Mountain Shadows Dermatology Clinic. You noticed that a provider is performing services that are not medically necessary 0.., Botox injections) but billing them as procedures that are (i.e., acne treatments). You feel you need to report these billing inconsistencies. Where is the best place for you to report them? A) Your direct manager I supervisor B) Human Resources C) Compliance hotline D) Ethics Committee at the clinic

C) Compliance hotline