NUR FUND- PREP-U {Chapter 22 Collaboration Foundations}
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 521
"Dispose of the disconnected IV set."
A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet. The nurse recognizes the client is in the unfreezing stage of Lewin's Change theory with which client statement?
"I understand why I need to eat a low-sodium diet."
A nurse is planning to delegate client care to an unlicensed assistive personnel (UAP). The UAP is experienced, but has limited exposure to the type of clients who are on the nursing unit. Which client should the nurse recognize as being appropriate to for the UAP?
A client who is admitted for hypovolemic shock one day prior and needs to have urinary output measured.
Which nursing actions demonstrate the aim of nursing to promote health MLK Quiz
A-Increasing student awareness of sexually transmitted diseases by distribution informational pamphlets at a college health center. C-Serving as a roll model of health for patients by maintaining a healthy weight. E-Facilitating decisions about lifestyles that would enhance the well-being of a teenager.
The new graduate nurse is having difficulty managing the time required to care for a group of complex clients and is several hours behind in completing nursing interventions. Of the following outstanding tasks, which nursing intervention should the nurse complete first?
Administer a dose of digoxin (lanoxin) that is two hours behind schedule.
What is reflective mindset?
Allows managers to mentally digest experiences and reflect on them in a different way
After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to
Assess whether the desired results have occurred
The registered nurse (RN) is preparing to delegate tasks to an unlicensed assisted personnel (UAP). Which tasks would be appropriate for the RN to delegate to the UAP?
Assessing oxygen (O2) saturation
A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating?
Autocratic
A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 510
Autocratic leadership
The nurse manager for the psychiatric unit sees that there are major conflicts between the day and night shift staff. The nurse manager suggests that each shift put aside their differences for a time and determine a common major goal. Which of the following conflict resolution styles does the nurse manager display?
Collaborating
The nurse manager in a critical care unit actively listens to his staff and engages the staff to offer decisions regarding problem solving and implementing these decisions. What type of managerial mindset does this manager exhibit? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 519
Collaborative mindset Explanation: The collaborative mindset involves listening more than talking, and allowing people to take initiative and control their own work. The reflective mindset allows managers to mentally digest experiences and reflect on them in a different way. The analytical mindset encourages introspection so that one can recognize biases and see things in a unique new way. The action mindset mobilizes energy to change while being sensitive about the capabilities of the team and the direction that is needed
The nurse is working to enhance time management skills and has to administer pain medications to several patients, obtain vital signs, and assist clients with bathing. What should the nurse do next?
Delegate bathing and vital signs tasks
The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 511
Democratic
The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and physicians is exhibiting what style of leadership? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 511
Democratic
What is analytical mindset?
Encourages introspection so that one can recognize biases and see things in a unique way
The nurse manager is concerned about the large number of teenage mothers being seen in the obstetrics clinic. How can the nurse manager use the transformational leadership style to address the concern? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 512
Enlist volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy.
The unit manager on a medical unit is trying to encourage the nursing staff to use a new protocol for documentation. To help with this, the nurse manager recruits one of the staff nurses who serves as a role model for many of the staff. Which type of power does the staff nurse exhibit?
Implied
A nurse manager is teaching staff how to use a new piece of hospital equipment. What educational setting would that be? MLK QUIZ
In-service education
Autocratic leadership
Involves the leader assuming control over the decisions and activities of the group like dictating schedules and work responsibilities.
A nurse educator is discussing the roll of nursing based on the American Nurses Association (ANA) MLK Quiz
Its the role of nursing to provide a caring relationship that facilitates health and healing.
Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses?
Laissez-faire
Laissez-faire leadership
Leader relinquishes power to the group and encourages independent activity by the group.
What is action mindset?
Mobilizes energy to change while being sensitive about the capabilities of the team and the direction that is needed.
A nurse identifies a patient's health care needs and devises a plan of care to meet those needs. What guideline is being followed in this case? MLK Quiz
Nursing process
Which is a task that the nurse can delegate to the unlicensed assistive personnel (UAP)?
Obtaining intake and output on a client with a foley catheter
A nurse manager must provide care to her clients and her employees under the constraints of her resources. This involves maintaining the financial constraints of her division. What term best describes this scenario? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 514
Resource management Explanation: In modern healthcare organizations, managers usually are responsible for accomplishing the work of the unit within the constraints of available resources. This process is called resource management.
A nurse manager best demonstrates effective leadership characteristic by which action?
Sharing a vision for the unit and enlisting support
Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status?
Staff nurses are developing innovative solutions to problems.
The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states she will begin to count caloric intake beginning with the next meal. The client also states intentions to begin an exercise program with friends. Which statement illustrates Lewin's stage of unfreezing?
The client acknowledges the need to lose weight.
The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task?
The stability of the patient's condition, potential for harm, and complexity of the activity
Which of the following nursing functions would most likely be found in an ambulatory care facility? a. Serving as an administrator or manager b. Providing direct patient care c. Educating individuals or groups d. Assessing the home environment MLK Quiz
b. Providing direct patient care
Which statement is true of the nursing process? a) It is more appropriate in medical-surgical settings than community health care. b) It is a valid alternative to using intuition to respond to nursing situations. c) Trial-and-error problem solving is incongruent with the nursing process. d) Scientific problem solving can occur within the nursing process. MLK QUIZ
d) Scientific problem solving can occur within the nursing process.
Karen Wolf, RN, is the charge nurse on the orthopedic unit. She believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which Karen contributes. Karen's style of leadership can be described as which of the following?
Laissez-faire
A nurse manager values group satisfaction and tries to motivate the staff to be the best nurses possible. In which style of leadership is the group satisfaction and motivation the primary benefit?
Democratic
What is collaborative mindset?
Involves listening more than talking, and allowing people to take initiative and control their own work
Which of the following abilities would be most important for a nurse who works in a crisis intervention center? a. Well developed technical skills b. Low tolerance for frustration c. Stong communication/counseling skills d. Ability to relate to coworkers on a professional level MLK Quiz
c. Stong communication/counseling skills
Which of these statements regarding a nurse manager role is accurate?
To effectively manage the nursing unit, the nurse manager should also be a leader.
Transactional leadership
Based on task-and-reward orientation. Team members agree to satisfactory salary and working conditions in exchange for commitment and compliance to their leader, usually encourages health care reform.
The nurse is working at a facility that is applying for Magnet® Recognition. The nurse recognizes that research supports Magnet® hospitals as having which direct effect on client care? -Higher nurse retention -Better patient outcomes -Shorter length of stays -High job satisfaction scores Better patient outcomes Hint: All are correct pertaining to Magnet hospitals but which had a direct effect on patient care.
Better patient outcomes Hint: All are correct pertaining to Magnet hospitals but which had a direct effect on patient care.
A nurse manager is trying to resolve a conflict between the day and night shifts. She wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which of the following types of conflict resolution?
Collaborating
The nurse and unlicensed assistive personnel (UAP) are working together to admit a pediatric client to a nursing unit. Which task would be inappropriate to delegate to the UAP?
Initiating intravenous therapy
A staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles?
Laissez-Faire
A registered nurse (RN) serves as the chair of the Nursing Practice Committee for the hospital. The meetings do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. This chairman's leadership style could be termed what?
Laissez-faire
The nurse manager calls a staff into a unit meeting to discuss patient satisfaction. During the meeting, several staff members assume control. The nurse manager does not intervene to regain control of the group. Which type of leadership style is the nurse embodying?
Laissez-faire
In caring for his group of patients, the nurse makes every effort to respect patients' preferences and values. Which QSEN competency does this action reflect? Patient- and family-centered care Collaboration and teamwork Evidence-based practice Quality improvement MLK QUIZ
Patient- and family-centered care Correct Recognizing the patient as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs is considered to be part of the QSEN competency of patient- and family-centered care.
The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices concern with the physician who gave the order, but the physician refuses to change the order. Whom should the nurse consult next regarding the order? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 520
The charge nurse
A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 522
The charge nurse is providing support for the staff nurse in new responsibilities.
The nurse recognizes that a new mother is having difficulty breastfeeding her baby. The nurse provides assistance by demonstrating various positions to hold the baby while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the baby again using the new techniques and is successful. Which statement illustrates Lewin's stage of refreezing?
The new mother attempts to breastfeed the baby again using the techniques recently acquired and is successful.
Two new graduate nurses are requesting the same preceptor for unit orientation. Both new graduates have been very vocal about being unhappy if they do not receive their choice of preceptors. Which illustrates the nurses using a compromise approach to conflict resolution?
The nurses decide to share the preceptor. The preceptor will precept one nurse at the beginning of the orientation and precept the other nurse at the end of the orientation.
Members working on a pediatric unit may have an explicit or implied role. What is the most likely implied role? a) Nursing Manage b) Lead Nurse c) Nursing Director d) Veteran nurse with 20 years experience MLK Quiz
d) Veteran nurse with 20 years experience- it is implied that he/she has power due to the years on the unit
A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)? Chapter 22: Nurse Leader, Manager, and Care Coordinator - Page 520-522
obtaining vital signs every 4 hours
Democratic leadership
sense of equality among the leader and other participants, with decisions and activities being shared-polling other nurses would be an example.
The chief nursing officer (CNO) wants to encourage nurses in the hospital to become clinical nurse leaders (CNL) and is reviewing a roster of nurses working on the medical-surgical unit. Which nurse should the CNO recognize as being qualified to take the CNL examination?
Jane Doe, MSN, RN; nurse manager; 7 years of nursing experience; supportive; engaged in community service activities Explanation: Jane Doe is the only nurse qualified to become a CNL. The American Association of Colleges of Nursing (AACN) requires that the registered nurse must have received a minimum of a master's degree
The case manager works in a facility that supports a participative leadership style. Which of the following should the nurse recognize as an example of democratic leadership style?
The interdisciplinary health care team collectively developing plans of care for clients
A nurse administers medications to a pclient as part of the implementation step of the nursing care plan. What step of the nursing process would the nurse perform next? a) Planning b) Diagnosing c) Evaluating d) Assessing MLK Quiz
c) Evaluating
Kurt Lewin developed a change model involving three steps: unfreezing, changing and refreezing.
Unfreezing Communication is especially important during the unfreezing stage so that employees can become informed about the imminent change, the logic behind it and how it will benefit each employee. Changing: also referred to as 'transitioning' or 'moving,' is marked by the implementation of the change. This is when the change becomes real. It's also, consequently, the time that most people struggle with the new reality. It is a time marked with uncertainty and fear, making it the hardest step to overcome. Refreezing: to symbolize the act of reinforcing, stabilizing and solidifying the new state after the change. The changes made to organizational processes, goals, structure, offerings or people are accepted and refrozen as the new norm or status quo. Lewin found the refreezing step to be especially important to ensure that people do not revert to their old ways of thinking or doing prior to the implementation of the change.
Florence Nightingale was a nursing pioneer who challenged prejudices against women and elevated the status of all nurses. MLK QUIZ
She promoted the publication of books about nursing and health care.
Critical thinking and reasoning is: MLK Quiz
purposeful, informed, outcome-focused thinking. Driven by patient family and community needs. Its based on principles of nursing process and scientific method. Uses both intuition and logic, based on knowledge, skills and experience. Requires strategies that make the most of human potential. Is constantly reevaluating, self-correcting and striving to improve.
