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Leadership Final
Final Exam
| Question | Answer |
|---|---|
| patient w/ pneumonia... including decisions with patient... what QSEN competency are you following? | provide patient centered care |
| how can we ensure implementation of teamwork & coordination? | care coordination |
| How can nurses provide safe quality care? | nurses must be TRANSPARENT in care |
| what takes up the majority of a hospital budget? | nursing |
| if a patient can't afford health care but is needing immunizations for their child, where can we refer them to? | health department |
| a busy surgical unit has a problem with clocking in & out on time. As a nurse manager, what can we do to assist in this? | review the clocking in & out procedure with staff |
| who funds the health care department? | tax payer dollars |
| 5 elements of AACN: | SELECT ALL 6 ANSWERS |
| what is a statement made by an authoritative leadership style? | all work must be completed at this time |
| 2003 IOM... | nurses something with patients |
| what is an example of health policy? | building a children's park with exercise equipment |
| what are the most commonly reported patient errors? | incorrect medication dosages |
| how can we provide safe care? | use EBP |
| what is an example of EBP? | providing care with up to date research |
| UAP non interactive work duties: | clerical work |
| A UAP is assigned his/her duties for the day. One duty includes reinforcing that teaching was effective in a patient. Is this acceptable duty to delegate to a UAP? | No, UAPs can't teach |
| An ER nurse is upset with the minor inconveniences, what can the nurse manager tell the nurse to prevent poor opinions of patients? | private practices do not have to provide care for patients who can't pay |
| what is true about private practices? | private practices do NOT have to provide care for people who can't pay |
| the majority of individuals have private insurance from who? | employment |
| which situations exist for leaders & managers in nursing in relation to the cost & quality of healthcare? | health care cost continue to rise; existing health care resources are limited; there are increased number of people with health insurance |
| patient who is hospitalized for the 3rd time for DKA. They don't eat hospital food & only fast food. What is the barrier? | health literacy |
| ambulating 3 times a day, patient doesn't want to: | autonomy |
| social justice: | sign language interpreter |
| moving objects out of the way: | beneficence |
| patients' rights: | self-determination act |
| nurse suspects abuse: | state disclosure act |
| patient has feces, nurse doesn't clean them up: | negligence |
| nurse suggests bottle feeding rather than breast feeding to a teen mom: | paternalism |
| breach in confidentiality: | nurse talks about patient with another nurse from a different floor |
| right to confidentiality: | nurse tells patient's sister information |
| type of leadership that doesn't help innovation: | transactional |
| Authentic (SATA): | heart, commitment, |
| type of democratic leadership: | transformational |
| nurse leader wants to come up with a better way to decide on vacations/ type of thinking: | reactive thinking |
| type of thinking that deals with decision making: | reflective thinking |
| home nurse visits patient, patient has history of schizophrenia, patient is standing rigid, what info does the nurse use to decide if patient needs dose of medication: | all 3 answers with the word "harm" in them |
| difference between nurse leader & nurse manager: | nurse leaders deal with staff relationships |
| what's important for all nurses to have: | establishing delegation skills; effective working relationships |
| nurses complain that assignments don't add up to adequate workload: | interpret |
| getting the job done: | commitment |
| before a procedure, what do you not need to check? | 2 surgeons don't need to check off |
| sentinel event: | hypothermic blanket burning a patient |
| technological advancement: | innovation to change |
| safety culture most important aspect: | not giving a punishment for reporting |
| safety culture: | why did the safety error occur |
| nurse using pain medication for personal use: | increased patient safety problems |
| nurse manager not letting staff nurses help make decisions, fighting: | competing |
| remembering, attending, understanding: | SATA |
| nurse manager communication of new sick day policy: | EMAIL is best communication |
| Director of nursing talking to 62 year old nurse manager: | drop by her office for best communication |
| nurse manager avoiding grapevine communication by: | providing regular communication to nursing staff |
| 2 nurses not getting along: | lateral communication |
| 2 staff nurses: | interpersonal conflict |
| SBAR recommendation question | answer involves suggesting colace |
| personal approach question- | Did you learn this procedure in nursing school? |
| nursing sensitive quality indicators: | patient care time |
| National Quality Forum (asking for the wrong one): | answer with "advancement" at the beginning |
| 1,000 lives campaign question (SATA): | reduce medication errors |
| 5 standard protocols (SATA): | medication accuracy at transitions of care; correct procedure at the correct body site |
| Barrier to safe practice/ change: | limiting communication between staff |
| avoidance: | avoiding |
| nurse manager characterizes (SATA): | 2 answers are correct |
| the pareto principle pertains to a strategy for balancing life & work through the prioritization of efforts. Which is correct regarding this principle? | 80 unfocused 20 focused |
| it is important to remember what about a for-profit healthcare organization? | funds are not always readily available |
| tertiary healthcare organizations are made up of mostly what? | hospice |
| centralized structure: | decision making may be delayed |
| decentralized structure: | authority & power for decision making are shared by a number of individuals across the organization |
| 1st step to implementing a plan: | ensure that the mission, vision, & philosophy statements are up to date |
| most important component: | the job description was updated 2 years ago |
| what would a person who has an extensive health history take with them to a new doctor? | a personal health record |
| entering pneumonia or something into the computer with prompts: | activation of a rule |
| what do you need to have the meaningful use program? | must meet criteria of the center for medicare & medicaid |
| what must you have in order to scan a med & give it to a patient? | a computerized provider order entry (CPOE) |
| what must you have in place before system downtime (SATA): | let the nurses know ahead of time; have a plan in place for when the system goes down (all of the answers except for taping the nurses notes & putting the info on a personal flash drive) |
| who do you contact for a problem with the computer system? | a clinical network engineer |
| what is most important to know for a panel of interviewers? | know the job description |
| healthy work environment (SATA): | 2 answers |
| which violations require HR involvement? (SATA) | 3rd; 4th |
| which violation involves termination? | 4th |
| who is the stakeholder in implementing a new electronic health record? | super user who is a shift expert |
| emerging trends in labor statistics data have reported that nurses are continuing to work as they age. what would nurse managers do? | utilize flexibility |
| which option would reflect best practice when a nurse manager does a performance appraisal? | discuss plans for professional growth |
| nurses at all levels of an acute care facility are preparing for joint commission accreditation visit & know that accreditation is necessary for what reason? | it guarantees that the organization has met Medicare certification standards |
| 360 feedback vs. peer review feedback: | 360 feedback is more anonymous while peer review follows a more structured approach |
| a type of coding system: | CPT (current procedural terminology) |
| performance appraisal question, nurse manager would intervene if: | nurse did not mention areas that needed improvement |
| something you can't ask in an interview: | where do you practice your religious beliefs? |
| what is a vision statement? | answer has "vision" in it |
| what contributes to the shortage of nurses? (SATA) | high turnover rate from new grad nurses; increased availability of healthcare; |
Created by:
yulissalira
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