Leadership Exam 1 Actual Test Questions

The ANA Code of Ethics With Interpretive Statements guides nurses in ethical behaviors. Provision 3 of the ANA Code of Ethics says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Which of the following best describes an example of this provision? 1.Respecting the patient's privacy and confidentiality when caring for him 2.Serving on a committee that will improve the environment of patient care 3.Maintaining professional boundaries when working with a patient 4.Caring for oneself before trying to care for another person

1.Respecting the patient's privacy and confidentiality when caring for him

which of the following is the best recommendation for resume writing? 1. limit the resume to one page 2. state what you will be able to do for the organization 3. list your highest degree earned 4. write an objective that is specific to the position, but broad enough for any organization

2. state what you will be able to do for the organization

Health Insurance Portability and Accountability Act (HIPAA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? SATA 1.The patient is from a correctional institution 2.The situation involves child abuse 3.An injury occurred from a firearm 4.The patient is a physician5.The breach of information was unintentional

2.The situation involves child abuse 3.An injury occurred from a firearm

during a malpractice suit, how can the standard of what the wise and prudent nurse would do best be established? 1. by consulting the standards written by the joint commission accrediting agency 2. by consulting with nursing faculty regarding standards of care/standards of practice 3. by the expert opinions of another nurse on the appropriate care 4. conferring with a lawyer regarding malpractice parameters

3. by the expert opinions of another nurse on the appropriate care

1. A registered nurse (RN) is caring for a patient who is one of Jehovah's Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle? A. Autonomy B. Nonmaleficence C. Beneficence D. Distributive justice

A. Autonomy

1. Which of the following is a skill emotionally intelligent leaders must develop? A. Encourage constructive criticism. B. Work to complete all assigned tasks on his or her own. C. Minimize one's own emotions, instead of seeking to understand the emotions of others. D. Encourage others to work efficiently and independently.

A. Encourage constructive criticism.

. Which of the following is a good recommendation for a nurse who is searching for a job using the Internet? A. Use short paragraphs. B. Be sure to remove your address and phone number and replace it with your e-mail because your résumé will be on the Internet. C. Save your résumé in .docx format. D. Copy and paste your résumé into the e-mail.

A. Use short paragraphs.

the nurse is involved in a legal case against the hospital. which judgment error by the nurse would be considered most damaging? A. being argumentative while on witness stand B. making illegal changes in the chart C. arguing with the plaintiff over the case D. withholding information from the hospital attorney

B

Health-care facility has sponsored a continuing education offering on emergency management of COVID. at lunch, a nurse is overheard saying "im not going to take care of anyone that been admitted with COVID. i have kids to think about" what is true of this statement? SATA A. nurse has this right as no nurse-patient contract has been established B. this statement is breach of the Code of Ethics of Nurses C. this statement reflects defamation and may result in legal action against the nurse D. the nurse has a greater obligation than a lay person to care for the sick or injured in an emergency E. the nurse has the right to refuse to care for anyone that could endanger the nurse

B, D

1. An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN's friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying? A. Fidelity B. Confidentiality C. Veracity D. Accountability

B. Confidentiality

1. An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders? A. Use shortcuts in documentation. B. Only use approved abbreviations. C. Documentation should be subjective. D. Document after care is provided.

B. Only use approved abbreviations.

1. Which of the following is true regarding followership and leadership? A. Effective leadership is more important than followership. B. Good leaders do not need to be good followers. C. A good follower is not just skilled but also self-directed. D. Critical thinking is only required for effective leadership.

C. A good follower is not just skilled but also self-directed.

1. A registered nurse (RN) administered a patient's morning insulin as the breakfast tray arrived at 0800. The RN performed a complete assessment at the same time. Then, the RN got busy with her other patients and did not check on the patient until 1400. At that time, she found the patient unresponsive with a blood glucose of 23. Both the breakfast and lunch tray were at the bedside untouched. Which of the following could the RN be charged with?A. Quasi-intentional tort B. Misdemeanor C. Negligence D. Juvenile offense

C. Negligence

a legal document that requires health-care providers to divulge the benefits, risks, and alternatives to be suggested treatment, nontreatment or procedure: A. professional boundaries B. medical record C. patients bill of rights D. informed consent

D

1. The staff in the emergency department has presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need to implement the suggestion? A. Courage B. Integrity C. Energy D. Initiative

D. Initiative

A new graduate plans on moving into nursing administration. What steps should the graduate take to ensure this goal is reached? SATA 1. Further professional education 2. Meet the specific requirements for the entry-level job position 3. Seek new experiences 4. Volunteer to work in committees 5. Find a mentor

1. Further professional education 3. Seek new experiences 4. Volunteer to work in committees 5. Find a mentor

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical? 1. The hospital was supportive and assistive as the nurse coped with this event 2. The nurse was dismissed for incompetence 3. The hospital quality department advised the nurse not to tell the patient about the error 4. The nurse was reassigned to an area in which there is no direct patient care responsibility

1. The hospital was supportive and assistive as the nurse coped with this event

The health-care facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone who might have that flu. I have kids to think about." What is true of this statement? SATA 1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency 2. This statement reflects defamation and may result in legal action against the nurse 3. This statement is a breach of the Code of Ethics for nurses 4. The nurse has this right as no nurse-patient contract has been established

1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency 3. This statement is a breach of the Code of Ethics for nurses

A nursing student is preparing for a first job interview. What should the nursing student research about the organization before going to the interview? 1. Review the salary scale 2. Research the benefits package offered to employees 3. Become familiar with the organization's mission and core values 4. Ask nurses who work at the agency how many patients they are assigned

3. Become familiar with the organization's mission and core values

An RN sees an older woman fall in the mall. The RN help the woman. The woman later complains that she twisted and sprained her ankle. The RN protected from litigation under: 1. Hospital malpractice insurance 2. Good faith agreement 3. Good Samaritan law 4. Personal professional insurance

3. Good Samaritan law

a new nurse graduate is about to go on her first interview. which of the following is a good recommendation for the new nurse graduate? 1. place your portfolio containing your resume on the interviewers desk 2. chew gum to keep your breath fresh 3. when asked about weaknesses, do not directly answer the question 4. ask questions about the position and facility

4. ask questions about the position and facility

Family insists that their family member, not be told they are dying of lung cancer. while hanging the patients IV medication, the patient asks you" I never had a medication in a bad like that. what is it for?" you know the medication is an antineoplastic agent. your best response is: A. this medication is often used in the treatment of cancer B. this is a new drug your physician ordered C. this medication has more then one use, and i am not sure why you are receiving it D. you will need to ask your family why you are getting this medication

A

Mrs. Chou has been suffering from senile dementia Alzheimer's type for over 5 years. Her family has kept her at home, and each member has participated in her care. The community health nurse has been supporting the family in this effort. Recently, Mrs. Chou has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to: A. speak with the members individually and persuade them to do "what is best for their mother" B. persuade the family members to meet together to express their feelings to one another C. say nothing; this is a family issue D. discuss the conflicting opinions with the physician

B

a newborn has several congenital anomalies incompatible with living beyond a month. the newborn cannot retain his formula, and the body temperature drops when the newborn is removed from the warmer. you and another nurse that alternate caring for the newborn argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held. what is the origin of the conflict described? A. nursing role concern B. ethical values C. personal goals for advancement D. personality differences

B

a nurse is providing care to a 6-year old boy with a broken arm. multiple bruises are noted. the boy says that his father got mad because he was bad and that he hit him and broke his arm so that he would remember to be good. what is the best nursing action? 1. report the situation to the appropriate authorities 2. ignore what the child said because little boys often lie 3. chart that the child is a victim of abuse 4. do nothing because you cannot prove he was abused

1. report the situation to the appropriate authorities

A nursing student who is graduating in a few weeks is preparing a resume. What should the nursing student highlight first? SATA 1. Family status 2. Educational degrees 3. Community service 4. Employment experience 5. Leadership experiences in school

2. Educational degrees 4. Employment experience

allocating organs for transplantation based on a person's worth to society would violate what ethical principle for decision making? 1. Beneficence 2. Utility 3. Justice 4. Autonomy

3. Justice

health-care provider orders an injection for a pediatric client. The cients legal guardian refuses to allow the nurse to administer the medication, however, the nurse proceeds to administer the injection. Legally, the nurse has committed: 1. false imprisonment 2. invasion of privacy 3. assault 4. Battery

4. Battery

Which of the following demonstrates a nurse as advocating for a patient? The nurse 1. calls a nursing supervisor in conflicting situations 2. reviews and understands the law as it applies to the client's clinical condition 3. documents all clinical changes in the medical record in a timely manner 4. assesses the client's point of view and prepares to articulate this point of view

4. assesses the client's point of view and prepares to articulate this point of view

RN who graduated from an associated degree program 2 years ago is brought before the state board of nursing for offering to give physicals for summer camp for 25$, because the RN violated the nurse practice act, they are charged with committing a: A. misdemeanor B. civil law C. felony D. common law

C