Professional Nursing NCLEX questions
A leader should have time-management skills. Arrange the principles of time management in order. 1.Evaluation 2.Time analysis 3.Interruption control 4.Goal setting 5. Priority Setting
1.Goal Setting 2.Time analyzing 3.Priority Setting 4.Interruption Control 5.Evaluation Rationale: The first step of time management is setting goals. The second step is analyzing the time needed to complete the goal. The third step is to set priorities. The fourth step is interruption control. The last step is evaluation.
A nurse experiencing burnout feels despair and tries to conform to the expectations of other people. Which strategy helps to combat this nurse's behavior? 1.Balance 2.Integrity 3.Awareness 4.Compartmentalizing
2 Integrity Rationale: A nurse experiencing burnout may feel despair and may forget his or her needs by trying to conform to the expectations of others. Restoration of personal integrity is an important strategy that helps to combat burnout. Balance among work, family, leisure, and lifelong learning enhances personal judgments, satisfaction, and productivity. Awareness helps to identify and create boundaries to prevent stress. Compartmentalizing helps the nurse to complete as much of a job at hand as possible.
A nurse manager transfers the task of caring for a client who has undergone appendectomy to a registered nurse (RN). Which element of the healthcare system is the RN practicing? 1.Delegation 2.Leadership 3.Supervision 4.Assignment
4 Assignment Rationale: Both accountability and responsibility are transferred from one person to the other in assignment. When a nurse manager delegates the task of client care to an RN, responsibility is transferred to the RN. The nurse manager shares accountability with the RN in delegation. The nurse manager, as leader, manages the healthcare team and delegates tasks to members of the healthcare team. In supervision, the nurse manager oversees the RN in completing the task.
The nurse leader is teaching the staff that the health care provider continuously strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining? 1.Cultural diversity 2.Cultural sensitivity 3.Cultural imposition 4.Cultural competence
4 Cultural Competence Rationale:Cultural competence is the process in which the health care provider continuously strives to achieve the ability to effectively work within the cultural context of a client, individual, family, or community. Cultural diversity describes a vast range of cultural differences among individuals or groups. Cultural sensitivity describes the affective behaviors in individuals such as the capacity to feel, convey, and react to ideas, habits, and customs or traditions unique to a group of people. Cultural imposition is defined as the tendency of an individual or group to impose their values, beliefs, and practices on another culture for various reasons.
A nurse manager expects the unit nurse leader to oversee a staff of mature adults who work best as a team. Which type of leader would be most suitable for the group? 1.Autocratic leader 2.Situational leader 3.Permissive leader 4.Democratic leader
4 Democratic Leader Democratic leadership is a people-centered approach that emphasizes team building and collaboration through the joint effort of all team members. This leadership works best with mature employees who work well as a group. Autocratic leadership is important in emergency situations where immediate decisions are required. Situational leadership is a comprehensive approach that takes into account the style of the leader, the group being managed, and the situation at hand. In permissive leadership, the leader completely relinquishes control. These two leadership styles would not be appropriate for mature adults who can work as a team.
A client with rheumatoid arthritis does not want the prescribed cortisone and informs the nurse. Later, the nurse attempts to administer cortisone. When the client asks what the medication is, the nurse gives an evasive answer. The client takes the medication and later discovers that it was cortisone. The client states an intent to sue. What factors in this situation must be considered in a legal action? Select all that apply. 1.Clients have a right to refuse treatment. 2.Nurses are required to answer clients truthfully. 3.The health care provider should have been notified. 4.The client had insufficient knowledge to make such a decision. 5.Legally prescribed medications are administered despite a client's objections.
Correct 1,2,3 Rationale: Clients who are mentally competent have the right to refuse treatment; the nurse must respect this right. Client's questions must always be answered truthfully. The health care provider should be notified when a client refuses an intervention so that an alternate treatment plan can be formulated. This is done after the nurse explores the client's reasons for refusal. The client had a discussion with the nurse that indicated that the client had sufficient information to make the decision to refuse the medication. The client has a right to refuse treatment; this right takes precedence over the health care provider's prescription.
What should the nurse do initially when obtaining consent for surgery? 1.Describe the risks involved in the surgery. 2.Explain that obtaining the signature is routine for any surgery. 3.Witness the client's signature, which the nurse's signature will document. 4.Determine whether the client's knowledge level is sufficient to give consent.
Correct 4 Rationale: Informed consent means the client must comprehend the surgery, the alternatives, and the consequences. Describing the risks involved in the surgery is not within nursing's domain. Although obtaining a signature is routine, explaining that obtaining the signature is routine for any surgery does not determine the client's ability to give informed consent. Although witnessing the client's signature will be done, the nurse first should assess the client's knowledge of the surgery.
A nurse is teaching a client about false imprisonment. What information should the nurse provide? Select all that apply. 1."False imprisonment is an example of an intentional tort." 2."False imprisonment refers to any intentional touching without consent." 3."False imprisonment involves restraining a person unjustly without any legal warrant." 4."A falsely imprisoned client should be aware of his or her confinement." 5."An unconscious client in restraints is considered to be falsely imprisoned."
correct 1,3,4 Rationale: Intentional torts are willful acts that violate the rights of other individuals. False imprisonment is an example of an intentional tort. Restraining a person unjustly without any legal warrant is called false imprisonment. Falsely imprisoned clients should be aware of their confinement. Any intentional touching without obtaining consent is called battery. An unconscious client in restraints is not considered to be falsely imprisoned.