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Test
| Question | Answer |
|---|---|
| The nurse admits a new patient and want to deliver culturally competence care. How care the nurse best learns about the patient culture? | Ask the patient. |
| The nurse manager on the 11 P.M. to 7 P.M. shift periodically makes rounds observing and checking on the staff and residents. Which is the reason the nurse manager does this? | It is responsible behavior. |
| Which action best describes the most honest form of communication? | Your body language as you explain the dressing change you are doing. |
| Which will happen if the nurse gets involved in a power struggle with an autocratic leader? | you and the organization will lose. |
| The use of "I" messages by the nurse means that the nurse has developed the ability to: | be assertive. |
| Which often results under a laissez-faire leader? | chaos in the system. |
| You make an error while caring for a patient. Which is the appropriate person to whom to report this mistake? | Report the error to your instructor immediately. |
| Which example best demonstrates the concept of cultural imposition? | Baptizing comatose patients without family approval |
| Which action by a nurse is necessary to provide culturally competent care? | Acceptance of the beliefs and characteristics of a patient |
| Communication occurs when: | both the sender and the receiver have understood the meaning of the communication. |
| The new graduate nurse often asks the experienced nurse for advice on how to handle a situation. The charge nurse often consults with a nurse >during a crisis on the unit the evening supervisor asks the experienced nurse for suggestions to manage the cris | The experienced nurse. |
| Which type of communication often is not natural behavior for nurse? | Assertive communication |
| Passive communication result in: | Failure to move up Maslow's hierarchy. |
| A nurse works in delivery and is attending two women in labor. The patient in bed A asks how dilated the patient in bed B is. The nurse tells her, "She is farther along than you. She is 7 cm dilated and 100 percent effaced." This is an example of? | breaking confidentiality. |
| Which of the following would indicate that you are a good listener? SATA | Others frequently come to you for advice. You listen both with your ears and visually. |
| You are the nurse manager and know that you must assess a client’s needs before you delegate a task regarding that patient to a certified nursing assistant. Assessing the client’s needs involves: | gathering information about the client. |
| The nurse truly wants to learn about the patient’s culture in order to improve the quality of care delivered. Which component of culture competence is this nurse displaying? | Cultural desire |
| When a nurse uses ethical reasoning, the nurse performs which action? | Clearly identifies the issue based on the perspective of the persons involved. |
| You are an LPN employed in your first job. A resident complains to you about the care and incompetence of a nurse on the previous shift. Which action is most appropriate? | Report the incident to your head nurse or supervisor. |
| The nurse demonstrates cultural competence when including which components of cultural understanding? SATA | Integration Communication Sensitivity Acceptance |
| An LPN on the unit has a name tag that has her name and RN listed after it. She doesn't change it because she is an RN student. This is an example of: | fraud. |
| Staff nurses consider their manager as effective when the manager has which skills? SATA | - interpersonal relationship skills. -understanding of the organization and how it works. -Ability to establish goals and objectives. |
| In a profession of nursing, It is necessary to develop? | assertiveness. |
| Patient assignments are best made by delegating tasks based on: | patient acuity. |
| The nurse manager incorporates verbal reports and walking rounds for what purpose? | To improve communication and provide opportunities for feedback. |
| A nurse asks you to hold a patient down against his wishes while she attempts to start an IV. If you do this, you can be prosecuted for: | battery. |
| The nurse is going to delegate bathing a patient to another member of the team. What information should the nurse communicate when delegating? SATA | What is to be done When to seek help Any expected abnormal findings When the job is to be complete |
| Which commonly happens when failed communication occurs? SATA | A "mind tape" results, which is played over and over to justify what was done. The reason for the failed communication is determined quickly and dismissed. |
| It is necessary for the practical nursing student communication with patients and families in the clinical area. | quiet and gentle |
| The patient uses terminology in describing cultural beliefs the nurse has never heard before, so the nurse goes to the Internet to better understand what the patient is talking about. What component of cultural competence is this nurse displaying? | Cultural knowledge |
| The nurse manager gives a staff nurse a performance evaluation with several recommended areas for improvement. What should the staff nurse do to indicate that he or she appreciates the feedback and wants to improve? | Ask questions about how to improve. |
| Which of the following are example of a communication block? | preconceived opinions. physical disabilities. |
| Which action is critical to communication? | Listening carefully to your staff member as he or she shares a problem. |
| A performance plan for improvement should include: | A time frame for achieving each goal. |
| Which type of leadership style do most people prefer initially? | Democratic |
| The nurse is standing in the hallway talking to one of the residents in the long-term care facility. Every time the nurse moves closer to the patient, he takes a step backward. What aspect of this patient's culture does the nurse need to consider? | Personal space needs |
| The nurse is attempting to deliver culturally competent care to a patient from an unusual culture the nurse has never encountered before. The patient is becoming irritated. What actions might be causing barriers to cultural competence? | Planning care according to the nurse's textbook Showing distaste when the patient explains her diet Applying what was learned on the Internet into the plan of care. |
| As the nurse manager, when you hold staff members responsible for their actions and require them to document on flow sheets such tasks as intake, output, and personal care, which of the following terms applies? | Accountability |
| The nurse caring for an African American patient knows this patient is at higher risk for hypertension and teaches the patient how to eat healthy to reduce this risk. This is an example of the nurse's awareness of this patient's what? | Race |
| What does the nurse need to put in place in order for the environment to be considered empowering? SATA | Incorporate the staff's input into unit decisions Share information with staff regarding patients assigned to them Use staffing models based on empowerment |
| The nurse brings the patient's lunch tray into the room and sets it on the over-bed table, positioning it so that it is comfortable for the patient to eat. The patient sweeps the tray off the table, screaming "Get this slop out of here! I'm not hungry." W | "You seem angry. Would you like to talk about what's bothering you?" "That behavior in unacceptable. You could simply ask me to remove the tray." |
| What best demonstrates the student nurse performing in an ethical manner in the clinical setting? | Performing procedures as taught |
| David, a student practical nurse, is bathing Mr. Smith. He puts on gloves to brush Mr. Smith's dentures and keeps the same gloves on throughout the bath. His reasoning is that he will be able to get the bath finished more quickly and allow Mr. Smith to re | unethical behavior. |
| Which type of leadership style do most people try to avoid? | Laissez-Faire |