Leadership Assessment 3
C
A charge nurse has delegated a task to unlicensed assistive personnel (UAP). When the nurse is met with resistance after delegating, what is the best action to be taken? a. The charge nurse should just complete the task. b. The charge nurse should ask someone else to do the task. c. The charge nurse should meet with the person to find out why the task was not completed. d. The charge nurse should report the staff member to the nurse manager.
B
A charge nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP). What is the first action the nurse should do before delegating? A. Ask which UAP are interested in the task. B. Determine whether the task is within the scope of UAP. C. Determine whether there is enough time to adequately supervise the task. D. Determine who would be the best person for the task.
D
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 this situation? a. Assign the work to another team member. b. Take on the responsibility of the tasks. c. Have the team member perform only the necessary tasks. d. Examine the workload and assist the individual in reprioritizing.
A
A new charge nurse is leaving work each day feeling overwhelmed and not completing tasks. What kind of delegation error is the charge nurse making? A. Underdelegating B. Overdelegating C. Improperly delegating D. Not delegating the right task
A
A new graduate nurse has been assigned to a RN preceptor with a history of being tough, uncivil, 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? a. Interpersonal conflict b. Resolution conflict c. Intergroup conflict d. Intrapersonal conflict
C
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 tasks she has delegated to a long-term, experienced certified nursing assistant (CNA) have not been completed by the end of the shift, leaving her to complete them. Which action by the new charge nurse is best? A. Continue to complete the tasks that were assigned to the CNA while attempting to build a relationship of trust with the CNA. B. Inform the nurse manager that the CNA has not completed the tasks assigned to her. C. Approach the CNA in private to discuss the tasks that were not completed. D. Write up a counseling form to give to the nurse manager, citing specific tasks that were not completed.
D
A nurse manager is implementing a quality control tool that is systematic and will allow the official examination of a record for patients with postoperative infections. What type of tool is the nurse manager using to collect and evaluate this data? A. An examination B. An evaluation C. A review D. An audit
C
After a patient had a negative outcome related to a medical error, the nurse follows the policy for sentinel events. What organization does the nurse recognize monitors the adherence to this type of policy for accreditation? A. American Nurses Association (ANA) B. Leapfrog C. The Joint Commission (JC) D. Institute of Medicine (IOM)
C
An RN has delegated care of a newly postoperative client to an LPN/LVN. The LPN/LVN notifies the RN that the client's blood pressure and respirations are elevated from previous readings and that the client is complaining of pain and dyspnea. Which action should the RN take next? A. Thank the LPN/LVN for update and document the information in the patient's medical record. B. Request that the LPN/LVN offer the client an opioid analgesic, which has been ordered postoperatively. C. Assess the client, check the client's surgical notes, and gather additional data before calling the surgeon. D. Call the attending surgeon to report that the client is having pain and dyspnea.
D
Betty, a licensed practical nurse/licensed vocational nurse (LPN/LVN), took phone report from the emergency department (ED) and accepted a patient onto the floor. Which of the five rights of delegation does this action violate? Right communication Right level of supervision Right circumstances Right person
B
Carol was visibly angry about the perceived inequity between her work assignment and Fred's work assignment. When managing her own anger, Carol should: A. acknowledge the fact that anger is a reasonable response to injustice and inequity. B. try to identify the specific triggers that caused her to become angry with Fred. C. ask Roxanne for assistance in helping resolve her conflict with Fred. D. ask trusted colleagues whether she was justified in being angry with Fred.
D
During the admission of pediatric client with a compound fracture of the right femur following a sports injury, which delegation by the charge nurse is most appropriate? A. Ask the LPN/LVN to obtain the admissions vital signs on the client while the RN obtains telephone orders from the admitting physician. B. Request the nursing assistant to obtain the client's vital signs while the nurse obtains a history from the family. C. Request the LPN/LVN to assess the peripheral pulses of the client's left leg while the nurse completes the admission form. D. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family.
C
Samantha communicated with Dr. Gonzalez about Mary's health status using the SBAR technique. When applying this technique, a nurse should begin the communication by presenting what information? A. The patient's name and most recent assessment data B. The nurse's suggestion for action C. The specific reason why the nurse has contacted the provider D. A brief summary of the patient's health history
B
The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. What is the best care assignment for this client? A. Delegate complete care to unlicensed assistive personnel (ULAP). B. Assign a nursing assistant to help the client with self-care activities. C. Assign an RN to provide total care to the client. D. Supervise the nursing assistant who will be performing skin care.
B
The charge nurse, who is an RN, is preparing to make assignments for a busy surgical unit. Which concept should the charge nurse consider when making patient care assignments? A. The charge nurse should make patient care assignments based on staff preference. B. The charge nurse should retain the client care activities that only an RN can perform and delegate other activities as appropriate. C. The charge nurse should assume care for those patients newly admitted to the unit. D. The charge nurse should delegate all possible client care to other caregivers on the team, such as LPN/LVNs and UAPs.
D
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 (QI) project to reduce the number of the falls on this rehab unit, what will be most effective in preventing falls in this client? a. Attach a sensor to the client's bed, so that the bed alarm will sound when the client attempts to get out of bed. b. Encourage a family member to stay with the client. c. Complete a fall diary with the family to determine if there were any falls before the CVA. d. Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
B
The nurse working on a medical-surgical nursing floor should plan to assess which client first? A. A patient with diabetes and a MRSA-infected leg wound who is requesting to leave the hospital against medical advice. B. A patient admitted with renal failure with a previous day's urinary output of 900 cc. C. A patient with a chest tube treating a spontaneous pneumothorax with continuous bubbling in the suction control chamber. D. A patient who is three days' postoperative for a below-knee amputation (BKA) who is tearful and refusing to get out of bed.
A, C, D
Which action by a nurse can result in disciplinary action by a State Board of Nursing? (Select all that apply.) A. Caring for patients in an intoxicated state B. Refusal of a nurse to work on Sundays due to religious reasons C. Refusal to care for a pediatric client who has not been immunized D. Release of a client's diagnosis to a neighbor E. Administration of a prescribed medication from which the client experienced an anaphylactic reaction
C
Which statement about total quality management is correct? A. It is a process with a definitive endpoint. B. It involves only a select few employees in an organization. C. It considers the individual as the focal element on which production and service depend. D. It emphasizes that profit should be considered before quality.
D
Which statement is the most appropriate for a nurse manager to use when counseling an employee about repeated absences for the first time? A. I have to address your frequent absences because our unit policy is that two absences in one month requires a verbal warning. B. If you can you promise me that you will not call in sick on Mondays anymore, I will not have to give you a written warning. C. If there something going on in your life that is making it difficult for you to work on Mondays, I can work with you to give you that day off. D. I am concerned about your attendance because you have called in sick every Monday for the last few weeks.
B
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 in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse? A. Starting an IV prior to a patient going to surgery B. Educating a patient and ensuring full understanding C. Obtaining blood for transfusion D. Inserting an indwelling catheter
A
A charge nurse is delegating to a LPN/LVN. What would be considered improper delegation for the charge nurse to delegate? A. The employee is given highly detailed exact instructions to complete the task. B. The person to whom a task is delegated considers it a challenge. C. The charge nurse and the person to whom the task is delegated exchange regular updates on the task. D. Momentary authority is given to support completion of a delegated task.
c
A charge nurse is delegating to a staff member who is resistant to authority. After delegating a task to the staff member, what action should the charge nurse have the staff member do to ensure compliance? a. Submit a progress report to the charge nurse. b. Follow the charge nurse's directions exactly. c. Ensure the staff member has a voice in how the task is completed. d. Decide the best time to complete the task.
A, B, C, D
A charge nurse is planning client activities for the day. Which tasks should the charge nurse delegate to the nursing assistant? (Select all that apply.) A. Restock pediatric patient care rooms with oral rehydration fluids using a standardized check list. B. Assist with delivering breakfast trays to clients after checking for correct patient, room number, and diet. C. Empty and record the amount of urine out of Foley bags at the end of each shift. D. Take and record temperatures, pulses, respirations, and blood pressures on all assigned patients. E. Assist the pharmacy technician in refilling the automatic medication dispenser. F. Check the emergency crash cart (cardiopulmonary resuscitation cart) for necessary supplies using a checklist.
B, C, E
A chemically impaired night shift nurse has completed a treatment program and is returning to the work setting. The nurse manager is reviewing reentry guidelines with the returning nurse. What should the returning nurse expect as part of these guidelines? (Select all that apply.) A. Give an in-service to unit nurses about his experience in the drug treatment program B. Consent to random urine screening for drugs and alcohol C. Provide evidence of continued involvement in support groups (e.g., D. Narcotics Anonymous) Assignment to the day shift for the first two months after returning to work E. Peer mentoring and support from a successfully recovered nurse
A
A health care team has been challenged to determine what other facilities are doing to decrease the number of hospital-acquired infections so that an action plan can be created to decrease the rate in their facility. What will the health care team do to achieve this challenge? A. Benchmarking B. Best practices C. Root cause analysis D. Patient outcome evaluation
B, C, D
A health care team is implementing the Toyota Production System (TPS) because the facility is having financial difficulty and may have to consider minimizing its workforce. Prior to implementing TPS, what should the team consider? (Select all that apply.) A. How it will allow for problem solving B. How it will change the organization's culture, values, and roles C. The commitment of time and resources from the facility's leadership D. The level of staff preparation and involvement that will be required E. The ease with which the transition will take place
C
A new graduate asks the nurse manager what organization develops the standards of the nursing profession so that the quality of practice can be measured. What is the best response by the manager? A. The Joint Commission (JC) B. The American Medical Association (AMA) C. The American Nurses Association (ANA) D. The Institute of Medicine (IOM)
D
A new graduate nurse believes that a work schedule developed by the nurse manager is unfair, with more weekend shifts assigned to the new 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? A. Ask another senior nurse to review the work schedule and advise if the work schedule is unfair. B. Wait to address this issue until upcoming schedules are posted, to see if they also have the excessive weekend shifts still assigned. C. Ask the Director of Nursing to meet with the nurse manager and the new graduate nurse to resolve this issue. D. Make an appointment to formally discuss this with the nurse manager, bringing previous and current examples of concerning work schedules.
A
A new graduate nurse plans to administer early morning medications after receiving change-of-shift report. Which medication should the nurse administer first? A. A scheduled IV antibiotic for a client who has resolving pneumonia B. An antipyretic to a client who has a temperature of 37.9° C (100.7° F) C. A narcotic to a client who has a pain level of 6 on a 1 to 10 scale D. An antidiarrheal for a client who had one watery stool in the last hour
A, B, C, E, F
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? (Select all that apply.) A.The right person B.The right communication C. The right task D. The right time E. The right circumstance F. The right level of supervision
D
A nurse delegates a task to unlicensed assistive personnel (UAP). After the UAP informs the nurse that the task is complete, what is the appropriate action by the nurse? A. No further action is required since the task is complete. B. Inform the UAP that you will confirm that the work is complete. C. Redo the task if not acceptable. D. Evaluate the outcome of the task.
C
A nurse informs 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 error is the nurse making? A. Underdelegating B. Overdelegating C. Improperly delegating D. Delegating the wrong task
a, b, c
A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (Select all that apply.) a. Routine tasks that are done every day b. Tasks that require imagination, vision, and strategic planning c. Tasks with a degree of predictability requiring independent thinking to accomplish d. Tasks that require direct supervision e. Tasks that are ambiguous
B, D
A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks are delegated to unlicensed assistive personnel (UAP). What would be important for the nurse to consider when delegating to UAP? (Select all that apply.) A. Whose turn it is to be delegated to B. Qualifications of the person who will carry out the task C. The monetary cost of the delegation D. What can and can't be delegated safely E. If the UAP wants to do the task
A
A nurse is tasked with performing an audit on patients in the long-term care facility who are developing pressure ulcers. After identifying the information relevant to the criteria, what is the nurse's next action? A. Determine ways to collect data B. Analyze the data C. Make a judgment about quality D. Reevaluate
B
A nurse leader at a long-term care facility wants to determine if vital signs are being checked according to policy. What can the leader do to measure this process of care? A. A critical event analysis B. A process audit C. Patient outcome evaluation D. Benchmarking
B, C, D
A nurse leader is performing a process audit. Which would be a consideration on a process audit? (Select all that apply.) A. Assessing the availability of fire extinguishers in patient care areas B. Checking the completeness of a patient's medical record C. Comparing a patient's medication order to the medications the patient has been taking D. Ensuring that machines are recalibrated according to department policy E. Ensuring that a patient has access to television in their room
A
A nurse leader is trying to bring about change on the unit. Which intervention is associated with the nurse leader role? a. Inspiring staff to maintain high standards regarding patient care b. Being aware of the changes in quality control regulations c. Reviewing research results upon which to base changes d. Identifying outcomes that support quality nursing care
B
A nurse leader wants to ensure that the team is always practicing proper hygiene after caring for a patient. A complaint was filed against a nurse for not washing the hands before examining a wound on a child's knee. What is the nurse leader's control criteria? A. Why the team is not practicing proper hygiene B. Whether the team is practicing proper hygiene C. Who on the team is not practicing proper hygiene D. If there are enough hygiene reminders in each patient's room
D
A nurse leader works at a facility that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. Which activity reflects how the leader can practice TQM on their unit? A. Encourage employees to think of a unit slogan. B. Develop a quota system for number of patients cared for. C. Explain to the staff that 'if it's not broke, don't fix it.' D. Promote teamwork rather than individual accomplishments.
A
A nurse manager determines that a nurse on the team comes from a future-oriented culture. What task may be best delegated to this nurse? A. Working on a strategic team plan for the unit B. Overseeing the daily stocking of supplies C. Performing a retrospective study on infection rates on the unit D. Making assignments for the unit for the day
D
A nurse manager discusses with the health care team the importance of performing core measures for the designated areas of implementation. What should the manager be sure to inform the team may be the consequence of noncompliance? A. The hospital will lose accreditation by The Joint Commission B. Discontinuation of participation in Medicaid and Medicare. C. A 5% reduction in the Medicaid annual payment. D. A 2% reduction in the Medicare annual payment.
D
A nurse manager has a high turnover rate of assistant managers in the unit. The current assistant manager states to the manager, 'I may not be the right fit for this position. I can't keep up with the amount of work and delegated tasks.' What delegation error is the manager making? A. Delegating to the wrong person B. Improper delegating C. Underdelegating D. Overdelegating
A
A nurse manager is attempting to ensure adequate resources are available in order to meet changing patient needs. What would be the best type of audit for the manager to perform? A. A structure audit B. An outcome audit C. A process audit D. A quality audit
B, C, D, E
A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process? (Select all that apply.) A. Ask for volunteers B. Communicate the time frame in which the task should be completed C. Communicate what the task is D. Train the person delegated for the task E. Monitor the person until the task is done
c
A nurse manager is implementing a comprehensive program to prevent the chances of chemical impairment in the work setting. What should the nurse manager include as part of the program? a. Develop a zero-tolerance policy that mandates immediate termination if impaired b. Implement mandatory staffing ratios with mandatory overtime as necessary to meet ratios c. Provide continuing education on substance use and its detection in the workplace d. Train and assign a dedicated narcotic administration nurse for each shift
A, C, D, E
A nurse manager is implementing the National Patient Safety Goals (NPSG) for the acute care unit. What will the manager have the staff implement to meet these goals? (Select all that apply.) A. Check identification bracelet and ask the patient name and date of birth prior to medication administration. B. Ask the patient about their financial status to determine ability to pay for hospitalization. C. When handing off report to other staff, use SBAR format. D. Have patient identify surgical site prior to going to the perioperative suite. E. Ensure that urinary catheters are properly secured to promote unobstructed urine drainage.
A, B, C, D
A nurse manager suspects a staff nurse of being chemically impaired. Which changes may have prompted the nurse manager to suspect impairment? (Select all that apply.) A. Increasing absences without adequate explanation B. Defensiveness related to high frequency of medication errors c. Frequently volunteering to pull narcotics for other nurses d. Frequent breaks and leaving the unit without explanation e. Poor handwriting for nursing notes f. Reports that a patient's pain medication regimen is ineffective
a
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 arm band. The nurse manager, working with a unit-based committee of nurses and nursing assistants, developed a plan including goals, objectives, and a timeline to address this problem. This is an example of which approach? a. Performance improvement project b. Patient and family-centered care initiative c. Risk management project d. Six-Sigma approach
B
A nurse manager would like to determine how well the team is doing in terms of meeting the hospital's goal of increased patient satisfaction. What action should the manager take after determining best practices? A. Reevaluate. B. Capture when the team is and is not using best practices and the outcomes. C. Take corrective action. D. Make a judgment about the quality of the team's work.
A
A patient is planning to have a surgical procedure but is concerned about poor patient care quality at the local hospital, and performed a quality check and comparison of several hospitals. What conglomeration of non-healthcare Fortune 500 companies defined quality measurements to allow consumers to compare hospitals? A. Leapfrog B. Patient Safety Center C. National Quality Forum D. Prevention of Medical Errors, Inc.
C
A patient on a busy neurosurgical unit who just returned from surgery requires neurological checks every hour, but the nurse is too busy to do it and delegates this task to the unlicensed assistive personnel (UAP). What error in delegation has the nurse made? A. Delegation at the wrong time B. Underdelegation C. Improper delegation D. Overdelegation
B
A root cause analysis (RCA) is a process during which participants: A. Include consideration of all relevant literature related to the incident B. Identify risk points before, during, and after the event and the impact on the incident C. Identify one primary factor that may have contributed to the event D. Identify the individuals who are at fault in the incident.
D
An older adult patient fell out of bed 2 days after a hip replacement and had to return to surgery. What process should be done in order to prevent future negative outcomes such as this? A. Patient outcome evaluations B. Benchmarking C. An audit D. Critical event analysis
A
An older adult patient recently had a hip replacement with an indwelling catheter inserted. The patient developed symptoms of a urinary tract infection (UTI) postoperatively, and the nurse placing the catheter was reeducated by the nurse leader regarding avoidance of UTIs when inserting catheters. Which quality approach did the nurse leader use? A. Quality assurance techniques B. Total quality management techniques C. Continuous quality improvement techniques D. Continuous quality management techniques
D
Betty was willing to administer Samantha's 8:00 a.m. medications. If Betty were unwilling to accept this delegated task, what would be Samantha's best action? A. Remind Betty that administering medication is within the LPN/LVN's scope of practice. B. Enlist the help of the unit manager or leader to address Betty's reluctance. C. Document Betty's response and ask another registered nurse to perform the task. D. Assess the reasons why Betty is unable or unwilling to give the medications.
D
Roxanne chooses to seek a consensus when managing the conflict between Fred and Carol. What outcome would most clearly suggest that Fred and Carol have reached a consensus? A. Fred, Carol, and Roxanne work collaboratively on a goal that Roxanne has chosen B. Fred and Carol are each able to obtain their ideal outcome in the conflict C. Fred and Carol are able to work independently on this unit with no further conflict D. Fred and Carol can both support the outcome, even though it is not ideal for either of them
D
Roxanne, the unit manager, demonstrated effective management of a workplace conflict. After becoming aware of a conflict, what action should a leader-manager prioritize? A. Initiating negotiations between the individuals who are in conflict B. Identifying each party's desired outcomes and bottom line C. Assuring staff members that confidentiality will be maintained D. Gathering as much information about the conflict as possible
A, B, D
Samantha delegated the administration of her 8:00 a.m. medications to Betty so that she could assess Mary promptly. What criteria must be met for this example of delegation to be safe and appropriate? (Select all that apply.) A. Samantha must be able to confirm that Betty has given the medications. B. Betty must have sufficient time to give each patient his or her medications. C. Another RN must be available to work with Betty while Betty gives the medications. D. Samantha must be familiar with Betty's scope of practice with regard to medications. E. Betty must have worked with the patients requiring 8:00 medications before.
C
The charge nurse (an RN) must determine how best to assign another RN and one licensed practical nurse/licensed vocational nurse (LPN/LVN) to provide care to a group of clients on the day shift. What is the appropriate assignment? A. The RN is assigned to obtain vital signs on all patients on the unit because one of the nursing assistants will not be into work until 11 am. B. The LPN/LVN is assigned to provide discharge teaching about medications and maintenance of nephrostomy tube to a 35-year-old man. C. The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). D. The LPN/LVN is assigned to care for a 41-year-old male, post resection of a malignant melanoma lesion 2 days ago.
D
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. A 38-year-old just admitted on airborne precautions for tuberculosis (TB) B. A 58-year-old with Guillain-Barre syndrome who is ventilator dependent C. A 38-year-old just returned from bronchoscopy with biopsy D. A 60-year-old who needs teaching about the use of incentive spirometry
A, D
The charge nurse is preparing the patient care assignments for the day shift, assigning clients to a LPN/LVN and a certified nursing assistant (CNA). Which clients should be assigned to the CNA? (Select all that apply.) A. A client requesting assistance packing his belongings for discharge later today. B. A client requiring reinforcement of teaching about a diabetic diet. C. A client requesting to use the bedpan after a lumbar puncture procedure. D. A client pending discharge after a laparoscopic hernia repair who is requesting to ambulate to the bathroom. E. A client with throat cancer and a tracheostomy requiring frequent suctioning. F. A client requiring a sterile dressing change to a decubitus ulcer.
A
The new charge nurse is planning assignments for a team of licensed practical nurses (LPN/LVNs) and registered nurses (RNs). Which patient assignment would be most appropriate for an LPN/LVN? A. An adolescent with dehydration who is taking fluids well by mouth B. A young adult who suffered burns in a motor vehicle accident and needs dressing changes C. 76-year-old client admitted with right-sided heart failure. D. A middle-aged diabetic client admitted for insulin readjustment
A
The new graduate nurse recalls that when looking at a model for evidence-based practice, what is the final step of the process? A. Evaluation of the new practice change B. Including the practice change in all the unit policies C. Implementation of the new practice D. Submitting a description of the new practice change for publication
A, B, E
The new nurse recalls that which strategies promote evidence-based practice? (Select all that apply.) A. Collaborate with other nurses locally and globally. B. Interact with other disciplines to bring nursing evidence to the table. C. Use sources that are only authored by nurses to stay true to nursing practice. D. Continue to use older and outdated practices if requested by the patient and family. E. Use and encourage use of multiple sources of evidence.
A
The nurse manager explains to the new charge nurse which critical guiding principle with regard to developing patient care assignments? A. The nurse shares accountability for delegated tasks B. Sharing of assigned tasks between unlicensed assistive personnel will facilitate teamwork C. Staff satisfaction with patient care assignments supports unit retention D. Accommodating patient requests for care assignments will result in patient satisfaction
A
The nurse manager of an acute care unit determines the increase in the incidence of medication errors over the last six months and identifies this as a focus area for improvement. What is the next action by the nurse manager? A. Organize a total quality management (TQM) meeting B. Identify variations C. Implement action plan D. Assess results
D
The nurse on a busy hospital unit is anticipating the arrival of an acutely ill patient. What task should the nurse delegate to unlicensed assistive personnel (UAP)? A. Auscultating the lungs of a patient with chronic obstructive pulmonary disease B. Teaching a postoperative patient to perform deep breathing and coughing exercises C. Documenting the improvement in a patient's respiratory function after the patient's nebulizer treatment D. Feeding a patient who is recovering from a stroke
D
The nurse overhears two nursing assistants in the breakroom 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 best? A. Notify the nurse manager of what you have overheard. B. Offer to assist the nursing assistants in finding coverage for their scheduled shift so they will not have to call in sick. C. Do nothing unless they do call in sick to work that day, and then notify the nurse manager of what was overheard. D. Privately ask 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.
C
What action by Roxanne would best address the latent conflict that underlies Carol's and Fred's active conflict? A. Encouraging Carol and Fred to put their thoughts in writing before coming for mediation B. Holding an educational workshop that addresses anger management and communication techniques C. Meeting with the unit's nurses to describe current challenges with staffing levels and possible solutions D. Asking other staff members who witnessed Fred and Carol's conflict to provide input
b
What action can a nurse take to ensure that when delegating to unlicensed assistive personnel (UAP), creativity and independent thinking is encouraged for task completion? a. Assign the same routine tasks. b. Provide consistent and constructive feedback. c. Be sure the task is completed the nurse's way. d. Have the UAP report to the nurse several times.
D
When a 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: A. Constant questioning of the status quo is encouraged to prevent errors. B. All team members share culpability for an error committed by one member of the team. C. Each department reviews the work processes of another department. D. The focus is on system processes that caused an error, not on individual blame.
A
When preparing to take the NCLEX-RN examination, the student nurse recalls which differentiated practice concept that assists with delegating care to a licensed practical nurse/licensed vocational nurse (LPN/LVN)? A. LPN/LVNs should be assigned to stable patients with predictable outcomes. B. LPN/LVNs should be assigned to patients with the highest acuity. C. LPN/LVNs should be assigned to perform standard, unchanging tasks. D. LPN/LVNs should be assigned to patients with no medication orders.
D
While meeting in the conference room, Fred stated that Carol "freaked out" when he asked for assistance. What response by Carol would be most appropriate? A. Fred, do you think that I intended to come across that way? B. So, are you saying that I verbally attacked you when you asked me for help, Fred? C. How would you feel if someone accused you of "freaking out"? D. Fred, can you explain what you mean when you say that I "freaked out"?
