Leadership assessment 3

The nurse should it plan to see which patient first when planning morning care

A 12-year-old who was admitted for chemotherapy via a central venous catheter

What was the new nurse identify as an example of evidence based practice in action on a medical surgical nursing unit

A group of staff from the dietary department in the MedSurg unit, organized by the Director of nursing, meeting monthly to address the issue of cold food

Working on a medical surgical nursing floor should plan to assess which client first

A patient in bed with renal failure with a previous days urinary output of 900 cc

The nurse in the emergency department should see which of these For patience first

A patient reporting a headache, photo sensitivity, and a stiff neck

After receiving report, which client should the nurse see first

A patient who was admitted with kidney stones and is crying with back pain

The nursing student recalls that evidence based practice is defined as

A problem-solving approach to clinical practice based on best practices

The charge nurse is making assignments for the next shift. Which patient should Be assigned to the new graduate nurse who has just successfully completed her unit orientation

A sixty year-old who needs teaching about the use of incentive spirometer you

A nurse educator is providing an in-service on substance-abuse among nurses. Which substance does the nurse educator stress is the most frequently abused

Alcohol

Which nearest likely face is the highest risk of being bullied in the workplace?

An RN, who graduated with a BSN nursing program three months ago

The nurse manager on a busy unit that has recently been experiencing shift conflict. As the staff can have different opinions on conflicts, which is The best first step to take to resolving conflict?

Assessing what factors are affecting the judgment of the people involved in the conflict

Competent RN is in capable of completing a task that falls within the RN scope of practice. The RNs Inability is due to lack of training. Which of the following action should the nurse leader take next

Assign a mentor or coach to the RN to achieve competence

A new nurse on a medical surgical unit has an uncomfortable encounter with one of the RNs. Both the RN and the new nurse realize that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used

Avoidance

The nurse at a long-term care facility is considering whether to delegate some task to nursing assistive personnel. Before doing so, the nurse must.

Be familiar with the NAP's knowledge, skills, and experience

A nurse is planning to delegate tasks to the trans cultural team. What situation would be considered appropriate delegation To the team members?

Being a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of their cultural tradition, holding a negative performance evaluation in private for a nurse is cultural tradition put emphasis on avoiding losing face, delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of their cultural tradition

An RN, on a busy unit is working alongside an agency nurse. When working with the agency nurse, the RN should.

Collaborate with the agency nurse in a similar way, as with RNs, who work on the unit consistently

Which response by the nurse manager is expected to win an employee continuously reports late for work

Coming into late work has got to stop. Please schedule an appointment with me so we can sit down and discuss why it's happening in what you can do to correct it

The nurse manager of a surgical unit must hire travel RNs to work during busy times. Knowing that travel nurses typically receive hire out early salaries as well as completion bonuses for the 13 week assignment, the manager anticipates regular staff will have animosity toward these nurses. The manager has a plan to allow the regular staff to have every weekend off parentheses because part of the travel nurses contract states that the nurse may be required to work each weekend during the contracted timeframe parentheses. What type of conflict resolution strategy is the manager using

Compromising

When dealing with conflict among staff, what is the best approach by the nurse manager?

Create a positive situation

For a nurse leader, what is the optimal goal in resolving conflict between team members?

Create a win-win solution for all

A charge nurse is delegating to the staff member who is resistant to authority. After delegate a task to the staff member, what action should the charge nurse have the staff member do to ensure compliance?

Ensure the staff member has a voice and how the task is completed

The six aims for improving quality healthcare as directed by the Institute of medicine include Ziv, effective, patient centered, timely, efficient, and

Equitable

A nurse delegate a task to unlicensed assistive personnel. After the UAP informs, the nurse that the task is complete, what is the appropriate action by the nurse

Evaluate the outcome of the task

The new graduate nurse recalls that when looking at a model for evidence base practice, what is the final step of the process

Evaluation of the new practice change

Before developing a procedure on prevention of falls an elderly patient, a nurse reviews all current research base literature on this topic. What type of nursing will be practiced based on this review

Evidence based practice

A nurse manager who grew up in a home with an alcoholic father suspects an unlicensed assistive personnel of alcohol abuse and possibly coming to work impaired. In order to fairly deal with a UAP what should a nurse manager consider as an immediate priority

Examine personal biases related to chemical and alcohol dependence

A member of a nursing team reports that being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage the situation

Examine the workload and assist the individual and re-prioritizing

Which of the following are delegation air is made by a nurse leaders?

Failure to delegate, failure to release control of task, failure to provide clear directions, failure to provide adequate directions, failure to follow up

For the nurse leader to be effective in their role, the nurse does not need to identify the stages of conflict but only acknowledge it take assistance to begin resolution

False

It is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all healthcare workers receive some in training

False

Workplace violence is decreasing among healthcare workers

False

The nurse on a busy hospital unit is anticipating the arrival of an acutely ill patient. What tasks should the nurse delegate to unlicensed assistive personnel?

Feeding a patient who is recovering from a stroke

A nursing unit in a busy hospital is planning to undergo a major restructuring, and several staff members have expressed anxiety about the impending change. What type of conflict exist in the situation?

Felt conflict

The RN on a medical surgical unit that has experience several changes in its administrative structure due to conflict with the mission of the hospital. The RN realizes that conflict should be managed to follow for what outcomes?

Growth within the organization, enhance productivity, innovation

Which statement is the most appropriate for a nurse manager to use when canceling an employee about repeated absences for the first time

I am concerned about your attendance because you had called in sick every Monday for the last few weeks

What are recent examples of national patient safety goals as identified by the joint commission for accreditation of healthcare organizations

Identified patient safety risk, improve staff communication, use medication safely, identify patients correctly

A patient on a busy narrow surgical unit who just returned home surgery requires neurological checks every hour, but the nurse is too busy to do it in delegates this ties to the UAP. What Aaron delegation has a nurse made?

Improper delegation

A nurse informed the nurse leader that it would be beneficial to delegate more to the UAP, but the nurse leader is reluctant to do so, stating whenever I do they always come back with so many questions. I need them to just do it. What kind of delegation air is the nurse making

Improperly delegating

A nurse manager suspect a staff nurse of being chemically impaired. Which changed may have prompted The nurse manager to suspect

Increasing absences without adequate explanation, frequent breaks and leaving the unit without explanation, frequently volunteering to pull narcotics for other nurses, defensiveness related to high frequency of medication errors

The nurse is planning care with the family of an older adult who is recuperating on a rehab unit for injuries sustained in a fall due to postural hypotension. As part of a quality improvement project to reduce the number of the falls on this rehab unit, what will be the most effective in preventing falls in the client

Instruct the client to say, obtain balance, dangle legs, and rise slowly

The members of a nursing staff claimed that the lab department is not reporting patients critical values fast enough, but the lab department claims that it is. The nursing manager in the lab department Director are sent to conflict resolution to come to a solution that will be in the best interest of patient continuity. Based upon the scenario, which type of conflict exist?

Intergroup

A new graduate nurse has been assigned to a RN preceptor with a history of being tough, unstable, and intimidating to new nurses. During the first day on the job the graduate nurse has a harsh exchange with the RN. What type of conflict is this

Interpersonal

The nurse leader must be aware of barriers that can prevent effect mediation. These include which of the following

Intimidation, manipulation, ridicule, negative body language

Complex resulting from differing or contradictory beliefs among two or more individuals are known as

Intragroup conflicts

A new graduate RN has a desire to work in a trauma hospital facility located in Los Angeles but has an aging mother who lives in a small town in Pennsylvania and is reluctant to leave her alone. What type of conflict is this

Intrapersonal

What would accurately describe appropriate delegation?

Is based on clear communication, increase the scope of the nurses liability, helps manage the healthcare team

A new graduate nurse plan to administer early morning medication after receiving change of shift report. Which medication should the nurse administer first

Is scheduled IV anabiotic for a client who has resolving pneumonia

Chemically impaired nurse asked the nurse manager to serve as treatment counselor. What is the nurse managers best response to the nurse

It is important that you receive counseling from someone with expertise in this area. Here are some resources we have

A unit manager is tasked with developing a new organ procurement team. This type of team involves multiple entities within the hospital, as well as community partners in surgical group staff will need to be brought together. What action should be practiced during the preparation stage of a negotiation?

Knowing the issue, the other parties involved, and their possible agendas, knowing the unit managers own possible agendas

The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in the need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years, and this change will create conflict. At what stage does this conflict exist

Latent

A nurse is to provide an in-service training on cultural factors that influence delegation in enhance nursing care. Which step to acquiring cultural competency does the nurse determine will involve learning how to read a verbal and nonverbal messages?

Learning specific communication strategies

A new graduate nurse believe that a work schedule developed by the nurse managers unfair, with more weekend shifts assigned to the new graduate nurse than any of the other nurses. The nurse has mentioned these concerns to the manager several times, but the schedule has not changed. Which is the most appropriate action for the RN to take

Make an appointment to formally discuss this with the nurse manager, bringing previous and curtain examples of concerning work schedules

Is delegating the same as handing off

No

Nurse leaders need to understand that in order to be effective, the quality control process must be

Ongoing

A nurse manager has a high turnover rate of assistant managers in the unit. The current assistant manager stated the manager I may not be the right fit for this position I can't keep up with the amount of work and delegate a task. What delegation air is the manager making.

Over delegating

Chemically impaired Night Shift nurse has completed a treatment program and was returning to the work setting. The nurse manager is reviewing reentry guidelines with them returning nurse. What should the returning nurse expect as part of those guidelines

Peer mentoring and support from a successfully recovered nurse, Provide evidence of continued involvement in support groups, consent to random urine screening for drug and alcohol

A nurse manager was reviewing patient care data to determine opportunities to improve the quality of patient care. The nurse manager identified that many clients were being admitted to the unit without a required allergy armband. The nurse manager, working on a unit-based committee of nurses in nursing assistant, developed a plan including goals objectives and a timeline to address the problem. Just an example of which approach

Performance improvement project

Common causes of organizational conflict are

Poor communication, unclear expectations, diversity in the workplace, changes

The nurse overhears to nursing assistance in the break room discussing their plans to call in sick to work on an upcoming Friday in order to attend a family party. Which action by the nurse is

Privately asked to speak to them and let them know you overheard their plans and are concerned about the impact on staffing since you will be working that shift

Two nurses were selected to learn about a new piece of technology that could improve the accuracy of patient assessments. This training was to be provided at a long distance from the hospital, in the nurses employer could only afford travel expenses for one nurse. The hospital chose to send the nurse who had historically shown more proficiency in teaching others about new technology. This displeased the nurse who was not selected, who was then unfriendly to the nurse who selected. what is the likely source of conflict between these nurses?

Professional competition

What action can a nurse take to ensure that when delegating to an unlicensed assistive personnel, creativity and independent thinking is encouraged for task completion

Provide consistent and constructive feedback

A nurse manager is implementing a comprehensive program to prevent the chances of chemical impairment in the work setting. What should the nurse manager included as part of the program

Provide continuing education on substance use and its detection in the workplace

A chemically impaired nurse has voluntarily entered a state diversion program for treatment. What is the most important function of the diversion program

Public safety

A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills of some tasks are delegated to unlicensed assistive personnel. What would be important for the nurse to consider when delegating to UAP

Qualifications of a person who will carry out the task, what can and can't be delegated safely

Which action by a nurse can result in Disciplinary action by a state board of nursing

Release of a clients diagnosis to a neighbor, caring for patients in an intoxicated state, refusal to Care for a pediatric client who has not been immunized

Which of these is not one of the cultural elements to consider when delegating to a culturally diverse staff?

Religion

An LPN took phone report from the ED and excepted a patient onto the floor. Which of the five rights of delegation does this action violate?

Right person

Five rights of delegation

Right task, right time, right person, right direction, right management

An ICU supervisor is about to enter an important negotiation with a Hospital CEO. Which actions can the supervisor perform during the negotiation to increase its likely hood of success?

Role model good communication skills, take a break if either becomes tired or angry

When dealing with conflict, what actions are important for the manager to do?

Role, model, collaborative, negotiation, recognized and accept the difference in team members, seek a win-win solution

The nurse manager may use with quality assurance or performance improvement technique to identify underlying process flaws in the reporting of suspected child or elder abuse

Root cause analysis

A nurse is planning to delegate task to members of a trans cultural team. Which task for the nurse consider environmental control when delegating to these orders?

Routine tasks that are done every day, tasks that require imagination, vision, and strategic planning, tasks with a degree of predictability requiring independent thinking to accomplish

Which peds care assignment is most appropriate for the charge nurse to delegate to an LPN

School age child with fractured femur, who is in balance traction

Elements that affect the nurse leaders ability to properly delegate to members of the diverse workforce include which of the following

Social organization

After a reason, departmental, re-organization, the nurse manager, observes tension, and several interactions among staff. The manager understand that which of the following common causes for conflict in organizations could be at the root of the tension?

Staffing changes, unclear expectations

A nurse has began working in a new state and is unsure whether task involving a patient IV line can be delegated to a LPN. What is the best source for identifying whether this task can be delegated?

States nurse practice act

A nursing student is discussing incivility any leadership class. What behaviors or statements, if demonstrated by students, would be considered incivility any classroom setting

Stating I don't know and I don't care when I asked a question about the assigned reading, rolling eyes when the instructor praises another student for a task done well, telling the instructor I've never failed a test before so it must be your fault for not covering the material better, telling the instructor these are awful exam questions. I can't believe someone would actually write them

Which instructions by the nurse reflects effective communication regarding delegation to assistive personnel?

Take a vital signs every hour for the patient with cholecystectomy

A charge nurse has delegated a task to unlicensed assistive personnel. When the nurses met with resistance after delegating, what is the best action to be taken?

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

A charge nurse is delegating to a LPN. What would be considered improper delegation for the charge nurse to delegate?

The employee is given highly detailed exact instructions to complete a task

But the new nurse executive identifies the goal of creating a just culture environment in their healthcare organization, the staff understands that such an environment is characterized by a culture where

The focus is on system processes that caused an air, not an individual blame

The new graduate is hoping to get his first job in a hospital that has a shared governance organizational structure. What describes shared governance

The governance of the hospital is shared among board members, nurses, providers, and management which emphasizes the empowerment of nurses

The nurse delegate a task to an incompetent person. Who is held accountable for the outcome of the task?

The nurse delegator

A charge nurse has delegated specific task to the team and feels as though one of the nurses is resistant to the task delegated. What might be the reason that the nurse is resistant

The nurse feels overloaded, the nurse feels in capable, the nurse has an inherent resistance to authority

In order to determine them not to delegate, the nurse needs an in-depth understanding of

The nurse practice act

A nurse manager believes that the nursing unit is experiencing too little conflict. What signed me in the organization would indicate that this is true?

The organization has become static

Which statement best defines insubordination

The refusal to comply with a directive of a superior or manager

A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this?

The right level of supervision, the right person, the right circumstance, the right communication, the right task

The Institute of medicine would consider which behaviors as an indicator of quality care

The use of nationally developed and approve patient education materials, nurses returning to school to obtain a bachelors degree in nursing, nurses taking populations specific classes to keep their professional knowledge updated, a hospital requiring annual retraining for all staff and CPR and AED use

Conflict can have a negative or a positive influence on those involved

True

Conflict is needed to promote organizational Growth

True

Nurse leader should encourage or establish an appropriate amount of conflict in the workplace

True

The negotiation strategies near that of the nursing process

True

The nurse leader should respond to resistance of authority in a calm but firm fashion.

True

The nurse liters optimal: conflict resolution is to create a win-win situation

True

Any charge nurse is leaving work each day feeling overwhelmed and not completing tasks what kind of delegation error is the charge nurse making?

Under delegating

The new nurse recalls that which strategy is to promote evidence based practice

Use and encourage use of multiple sources of evidence, interact with other disciplines to bring nursing evidence to the table, collaborate with other nurses locally and globally

Which verbal response by the nurse manager is most appropriate when working with an employee who is communication skills are constantly identified as uncivil

We need to sit down privately in my office so we can talk about this inappropriate work behavior

A nurse manager is faced with a conflict situation. One of the nurse managers team members is confused about their hospital responsibilities. This team member is shy and doesn't ask for direction, leading to a lack of communication that decreases the quality of patient care. What questions should the nurse manager ask to analyze the situation

What individual factors are involved?, What environmental factors are involved?, Who are the people involved?

A nurse manager determined that a nurse on the team comes from a future oriented culture. What task may be best delegated to this nurse

Working on a strategic team plan for the unit

Which response by the nurse would be correctly identified by the nurse manager as insubordination

You're asking me to ambulate that patient? She hit me yesterday so sorry no way

Which of the following creates the potential for successful delegation as emphasized by the national Council of state board of nursing

effective communication

A new graduate nurse has successfully completed orientation and has also been successfully oriented to the role of charge nurse. Over the course of several weeks, she has noticed that task she has delegated to be long-term, experience certified nursing assistant have not been completed by the end of the shift, leaving her to complete them. Which action by the new charge nurse is best

Approach the CNA in private to discuss the task that we're not completed

The ICU and ED Director of a small hospital has recently experienced conflict with the ED staff and ICU staff related to patient transfers occurring at the end of the shift. The ED nurse and staff work 12 hour shifts from 11 AM to 11 PM, while the ICUs nursing staff work 12 hour shifts 7 AM to 7 PM. The Director realizes that the two Hartmans must negotiate to resolve the conflict. What is a critical goal in negotiation

Both parties perceive that they have one something they value, that both parties feel like they have gained some thing they wanted

A nurse manager is considering delegating an important task. What steps should the nurse manager take and delegation process?

Communicate what the task is, monitor the task until the person is done, communicate the timeframe in which the task should be completed, train the person delegated for the task

Nurse leaders understand that there are various stages of conflict. What is the final stage

Conflict aftermath

A nursing educator at a local hospital is responsible for assigning nursing interns to specific units to begin orientation while they simultaneously complete their last nursing school clinical course. Eight interns want to be assigned to the ICU, but there are only two slots available. As a result, the nursing educator decides that the two interns with the highest GPA is into interview the best will be assigned to the ICU. The interns agree this is a fair solution. What strategy did that educator employ

Consensus

He charge nurse is preparing to delegate tasks to UAP. What is the first action the nurse should do before delegating?

Determine whether the task is within the scope of UAP

The diversity and current healthcare workforce affects how each member approach specific assigned goals which influences completion of delegate a task. This is not to be related to the

Differences and approach to tasks related to priority setting

A new nurse from a foreign country is training in the surgical unit. after working and Meeting with the nurse, the charge nurse observes that there is a discomfort and making iContact well speaking. One task with the charge nurse avoid delegating to this nurse

Educating a patient and ensuring full understanding

Which of the following is considered a nursing Leadership role with regard to quality control

Embraces, support, and champions the quality improvement process

It is the charge nurse's responsibility to effectively delegate and provide the right direction and communication for the delegated task for the staff nurses.

False

Several of a nurses patients over the last few weeks have stated that they are not getting any pain medication. However the nurse has charted medication administration for these patients. What is the nurse managers best initial action to address the situation

Gather data on the nurses behavior, medication delivery, and charting inconsistencies

The nursing Director of a cardiovascular surgical intensive care unit has received reports from staff members that one of the cardiovascular physician groups is not willing to follow some of the recently instituted procedures related to initial admission orders. This group is at odds with the unit staff. What attributes of negotiation must the Director employ to foster a successful outcome between the two groups?

Maintaining a professional stance, maintaining neutral facial expressions, maintaining neutral body language

Negotiation closure ends with restating the final decision in order to assess individual understanding of the resolution

False

The nurse leader understands when delegating, subordinate resistant should never occur among staff members

False

The unit manager of a medical surgical unit undergoing restructuring changes realizes that to create a more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as smoothing. Smoothing is best defined as

Looking towards some thing that the parties in conflict are in agreement about

Why is conflict and expected occurrence on a large medical surgical unit

People with different values, people who have different goals