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Leadership final
WE DID IT!!!! CLOCK THAT TEA
| Question | Answer |
|---|---|
| Leadership is best defined | Inspiring people to accomplish goals through support and confidence-building |
| After receiving the assignment for the day, the RN prioritizes which patient to see first. | 65-year-old patient complaining of left arm pain and indigestion |
| After receiving the report on the following patients, which patient should the nurse see first? | A 50-year-old patient admitted with TIS and labile blood pressure |
| The first sign of the recovery phase for reality shock is | Sense of humor |
| A patient with DM who has had chest surgery arrives in the PACU. Which staff member should the charge nurse assign to care for the patient? | RN with 5 years of PACU experience elsewhere who has been working for 6 months in this PACU |
| An RN and LPN work together in caring for a stable client who needs all of the following interventions after orthopedic surgery. Which of the interventions should only the RN complete? | Developing a discharge plan in conjunction with the patient and physician |
| When administering a blood transfusion, the nurse inadvertently hangs incompatible blood, resulting in an anaphylactic reaction and death. This occurrence can best be described as a/an | Sentinel event |
| After a nursing unit changes to the primary nursing model of care, the nurse manager praises the nurses for the positive feedback received from the patients and families. This action by the nurse manager represents which stage of the change process? | Refreezing |
| In identifying an appropriate individual to delegate to, the MOST important consideration is | Scope of practice |
| The RN must be able to explain actions and outcomes when delegating. This is referred to as: | Accountability |
| Which actions by the manager contribute to a successful performance appraisal (SATA): | Allowing time to set mutual goals with the employee, Providing specific examples of performance behavior |
| The nurse understands which statement is true of critical paths? They | Outline optimal care and time milestones for routine patient |
| Several novice nurses share lunch breaks and have made comments such as, “I have insomnia from worrying about what I forgot to do for my patient. I am so tired I keep having arguments with my boyfriend”. These novice nurses are experiencing symptoms of | Burnout |
| Place the steps of progressive discipline in sequential order: | Informal reprimand, Written warning, Suspension with/without pay, An employee termination |
| The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to: | Call the facility and obtain the name and title of the person |
| A new graduate arrives for the first interview feeling prepared and excited about beginning a nursing career, but quickly becomes concerned when the recruiter asks which illegal question? | “Because you are applying for a recovery room position, you must be on call. Do you have children you will need to make arrangements for?” |
| The statement, “We will provide high-quality, cost-effective health services that patients and families recommend, employees are proud of, and the community values,” was seen on a hospital’s website. This is an example of: | Mission statement |
| The statement, “We strive to be a leader in world health,” is an example of a: | Vision statement |
| When differentiating between policy and a procedure, the nurse knows a procedure would apply to (SATA) | Tracheostomy care, Medication administration |
| The difference between a policy and a procedure is that a: | Procedures outline the specific steps to take to complete a task |
| The healthcare industry is a highly regulated environment. One governmental agency set up the “conditions of participation,” which are rules designed to improve quality and protect the health and safety of the beneficiaries. This agency: | Center for Medicare and Medicaid Services (CMS) |
| The difference between a leader and a manager is that a: | Leader influences people to accomplish goals |
| A nurse manager delegates patient rounds with the physician to the charge nurse. Which management function is being practiced? | Directing |
| The leadership style where the manager adapts their style based on the individual circumstances and task to be accomplished is: | Situational |
| The nurse manager wants the unit to be a place nurses want to work, & PT satisfaction is high, & where care is innovative & interdisciplinary & are encouraged to be on the hospital committees & bring best practices Other managers. What type of leader? | Transformational |
| A nurse manager is satisfied with the status quo & is not proactive in addressing problems on the unit. The manager relies on the power of position & formal authority to reward and punish employees for job performance. This manager is what type of leader? | Transactional |
| A nurse on the unit tells the nurse manager that the evening shift has identified a new way to self-schedule. The nurse manager states, “We will use the scheduling criteria that I developed to make the schedule”. Which type of leadership style | Authoritative |
| The nurse who is proficient and skilled on the unit is used as a preceptor on the unit. This type of power is referred as: | Expert power |
| The CNO has what type of power | Legitimate power |
| The Institute of Medicine recognized that healthcare was harming patients. Which of the following are principles to redesign healthcare? (SATA) | The patient is the source of control, Decision-making is evidence-based, Care is customized based on patient needs |
| One practical method that the nurse can use to incorporate a culture of safety into the daily workflow is to: | Conduct bedside shift reports |
| The manager in the surgery department is working on a quality project with the staff to decrease delays in on-time starts and room turnovers. This practice by the surgery manager demonstrates which STEEEP principle? | Timely |
| The quality manager is speaking with a group of new nurses in orientation about the National Patient Safety Goals (NPSG). Which one of the following statements would be reflective of a 2021 NPSG? | You may be asked to assist in completing handwashing monitors on your unit. |
| In the Plan-Do-Study-Act (PDSA) model of quality, which step reflects the adoption of the change? | Act |
| The nurse manager is reviewing the number of central line infections on her unit. In the review, a comparison is made with the number of central line infections on other units in the hospital and the national average. This process is referred to as: | Benchmarking |
| The quality director is working on a presentation for the medical executive committee about the steps used in the quality improvement process. Which of the following statements accurately reflects the process (SATA)? | Put together an interdisciplinary team to review the data, Establish measurable outcomes and quality indicators, Implement a plan to meet the outcomes |
| The risk manager has convened a multidisciplinary team to participate in a root cause analysis (RCA) to discuss a patient who fell on the evening shift and sustained a fractured hip. The team members understand that the purpose of the RCA is | Understand the systems/processes in the organization that contributed to the error. |
| The nurse manager is very concerned that the unit's HCAPS scores have decreased over the last 3 months. Which activities could the nurse manager implement to improve the unit’s HCAPS score? (SATA) | 1.Staff introduce themselves W/ each patient encounter 2. Fill out the whiteboard in the PT RM & Staff names for each shift 3.Include patient-specific meds teaching sheets for discharge PT 4.Have a secretary greet new PT & walk them to their rooms |
| The quality manager, who is conducting an orientation class for new hires, discussed mandatory event reporting requirements for the hospital. The events identified that are required to be reported include (SATA): | Abuse and neglect, Wrong-site surgery, Patient suicide attempt, Infant Abduction |
| The nurse is present when the physician explains the surgical procedure and obtains informed consent. The nurse understands that the nurse’s role in informed consent is to: | Witness the signature of the patient and ensure informed consent is obtained |
| The nurse manager pulls staff together for an impromptu meeting & states, “Effective today, all RNs will complete the stroke assessment scale on all patients every 4 hours”. The nurses express concern that no training was provided. This is an example of | Unplanned change |
| The nurse manager did a force field analysis regarding a proposed change to conduct walking rounds for the shift report. A nurse said, “This is going to make the report longer. The PT will start wanting things..” The is | Restraining forces |
| The CFO, who is responsible for the budget, has started the budgeting process for the fiscal year. The CFO is reviewing the goals of the organization, predicting revenues and expenses, & looking at services for the coming year. What stage of the budgeting | Planning |
| The nurse manager has been asked by the Chief Nursing Officer (CNO) to review the non-productive time on her unit because there appears to be a significant variance for the month. The nurse manager will review which of the following: | Education hours, Orientation hours, Vacation hours |
| The manager of the staffing office is discussing the staffing plan with other nurse managers at lunch. Which statement by the staffing manager reflects an understanding of the goal of staffing? | I need to staff with the appropriate number and mix of nursing staff. |
| The nurse manager is calculating the hours per patient day on the unit to develop the staffing plan. The manager understands that to calculate this number, the following information is required (SATA): | Nursing hours worked in a 24-hour period, Patient census |
| The nurse manager has requested an additional nurse for the evening shift because a patient with complex wound care and a patient with intermittent gastrointestinal bleeding have been admitted to the unit. This request for additional staff is based on: | Patient acuity |
| The nurse manager has been asked to forecast staffing for the next budget year. In preparation for planning staffing, the nurse manager should consider which of the following (SATA): | Effectiveness of the current staffing plan, Experience and education of the staff, New programs and services, Historical staffing requirements for the unit |
| When making the decision to pull a nurse from one unit of the hospital to another unit to cover a staffing vacancy, the nurse manager should consider which of the following? (SATA) | Education, knowledge, and skills, Competency level, Experience |
| The nurse manager has a nurse who goes out on sick leave unexpectedly. The manager covers the vacant shifts with a PRN (as needed) nurse from the same unit. This type of scheduling used is: | Decentralized |
| On a nursing unit, a nurse is assigned to do all the assessments, another nurse is assigned to give all the IV medications, and another nurse is assigned to give all of the oral medications. This unit practices which type of nursing care delivery: | Functional |
| A nurse arranges for an antibiotic therapy, home health visits, a bed and walker, and schedules an appointment at the wound care clinic for a patient being discharged tomorrow. What model of care is practiced? | Case Management |
| Which task is appropriate for the RN to delegate to the unlicensed assistive personnel (UAP)? | Transporting a patient to the X-ray department for a chest X-ray. |
| The RN has delegated the task of obtaining the output on the Foley catheters and recording the information While closing out the shift , the RN reviews the UAP output documentation. This represents which stage of the five rights of delegation: | Right supervision |
| Which of the following are factors that can be considered by the RN when delegating a task (SATA): | Right task, Right circumstance, Right person, Right direction |
| A new nurse on the unit does not delegate to the UAP but does everything independently. During a conversation he nurse stated, “I don’t want everyone on the floor to think that I can’t do my job”. This represents which common delegation error? | Under delegation |
| The CNO has a meeting with the nursing leadership team to discuss a very sensitive issue. The CNO is aware that the message must be delivered with sensitivity & awareness of body language, tone of voice, & vocab. Which communication does this represent? | Style of transmission |
| A nurse is dressing a patient’s stage III pressure ulcer. The patient asks, “Is everything okay? It’s getting better, right?” The patient observed the nurse shrug her shoulders and make no response. The nurse demonstrated: | Blocking |
| The CNO is aware of the diversity among the nursing directors. When planning to realign departments on the nursing organizational chart, the CNO understands that there could be conflict due to: | Blurred job boundaries, Unmet expectations, Personality differences |
| A nurse manager asks another manager, “Will you make patient satisfaction rounds for me this weekend if I make your rounds next weekend?” This is an example of which conflict resolution? | Compromising |
| The risk manager has pulled together a team of RNs & UAP to work on the issue of falls in the organization. The manager hears a group of UAPs state, “I don’t trust RNs bc they will blame us for falls. idc what the group decides This represents a: | Dysfunctional team |
| A multidisciplinary committee meets monthly to discuss PT safety in the inpatient areas. The RT consistently finds something wrong with every safety suggestion & explains why the suggestion will not work on the units. What behavior does this represent? | Squasher |
| Which patient requires immediate intervention by the charge nurse? | A newly admitted patient with angina, with observed ST-segment elevation on the telemetry monitor |
| In evaluating which patient can be safely transferred out of the ICU so that a patient from the ED can be admitted to the unit, the nurse decides that it is safe to transfer which patient? | Sinus arrhythmia with a rate fluctuation during respiration |
| A PT is admitted to the ED with an infiltrated IV line requiring a restart for infusion of continuous fluid. The nurse caring for the PT puts off restarting the IV and passes the task off to the next shift in report. This represents which time distractor? | Procrastination |
| National response teams have been activated to manage the situation. | |
| A nurse manager reviews the budget report for the month. The educational hours budget for this month was noted to be 200 hours more than the budget allowed. This is known as: | Negative variance |
| A nurse is assigned to pass out medication, perform wound care, and perform the blood glucose monitoring for the day shift. What model of care is practiced? | Functional |
| The first sign of the recovery phase of reality shock is: | Humor |
| The nurse manager is preparing a budget that is based on the revenue & expenses of the prior year. The nurse manager has factored in an increased census based on the recruitment of a new surgeon to the hospital. The manager is using which budget method? | Incremental |
| The graduate nurse who is transitioning into professional practice understands that: | It is normal to feel isolated and vulnerable |
| A nurse has interviewed with the nurse manager for a position on the night shift and is very interested in obtaining the position. After the interview, what would be an appropriate action to take: | Call the recruiter in 1-2 weeks if the applicant has not heard anything |
| A graduate nurse is preparing a resume to submit with a job application for a position in a local hospital. The GN understands that a professional resume should include: | Education and work experience are listed in reverse chronological order |
| A graduate nurse who is interested in a position as a registered nurse prepares a cover letter to attach to the resume. Which statement would be the most appropriate in a professional cover letter? | I am looking for a position where community outreach is valued, as noted in the organization’s mission statement. |
| The graduate nurse has been offered a job at a local hospital. The nurse understands that the purpose of a background check is to: | Ensure the safety and security of employees in the organization. |
| The graduate nurse understands that professional behavior during a job interview would include: | Smiling, being attentive, and making eye contact with the interviewer |
| The nurse manager understands that the meaningful use of technology in healthcare is a priority in the provision of safe care. Safety initiatives with technology in the healthcare setting include: | The Electronic Health Records, Computerized order entry, Barcode scanning of medication administration |
| A patient walking past the nursing station with their belongings states, “I’m leaving the hospital now.” The charge nurse understands that the patient is leaving against medical advice (AMA). The most important action that the nurse should take is to: | Explain the risks and dangers of leaving the hospital against medical advice to the patient |
| A nurse called the provider for restraints for a combative patient. The nurse understands that a complete order for a restraint must include (SATA): | The reason for the restraints, Behaviors that warrant a restraint, The type of restraints, Location of the restraints, Length of time the restraint can be used |
| An elderly patient, with high BP, verbally refuses to take any morning med from the nurse. The nurse, concerned about lowering the patient’s BP, forces the patient to take the medication. What are the potential legal consequences of the nurse’s action? | The nurse could be charged with battery. |
| After attending an in-service on malpractice, the nurse understands that there must be a link between the action of the nurse and the injury to the patient to establish malpractice. This element of malpractice is known as: | Foreseeability |
| The nurse manager understands that patient safety and employee injury are regulated by: | Occupational Safety and Health Act (OSHA) |
| Prior to surgery, the nurse checks to ensure that the patient has signed an informed consent form. Which ethical principle is the nurse supporting? | Autonomy |
| A nurse is frequently tardy to work, causing other nurses to have to change their plans to cover the unit. What ethical principle is the nurse violating? | Fidelity |
| After attending an in-service on restraints, the nurse understands which of the following nursing interventions demonstrates false imprisonment? | A patient has been irritating and attention-seeking most of the shift. The nurse escorts the patient to the room and says, “Stay in your room, or I will place you in seclusion.” |
| The nurse tells an elderly patient that a potassium 80 meq IV bolus “will not hurt at all” when the nurse is aware that the bolus will be painful when infusing. What ethical principle is the nurse violating? | Veracity |
| The nurse manager understands that deterring disruptive behavior on the unit can be accomplished by (SATA): | Modeling appropriate behavior, Educating staff on the code of conduct, Educating staff on how to report disruptive behavior |
| The nurse understands that the most significant cue for impending patient violence is: | Body language |
| A novice nurse is experiencing horizontal violence from a staff nurse on the unit. What step should the nurse take to address the problem? | Inform the nurse manager and ask for assistance in handling the issue. |
| A patient is admitted to the unit with a HXs of drug abuse & domestic violence. The nurse is aware that the PT has risk factors for potential violence during the hospital stay. The strategies for the nurse to take to ensure personal safety (SATA): | Being aware of the surroundings, Explaining all care before it is provided, Being in tune with the patient’s posture and movements |
| The local hospital is participating in a city-wide disaster drill. The hospital has received 15 victims in the emergency room. The PT are being triaged, & the hospital has initiated the Emergency Operations Plan. Which phase of a disaster plan is this | Relief response |
| A tornado caused damage to a local college & the other neighborhood. The local hospitals have been put on alert that there are injured PT en route . The director of doing inventory the linen to ensure that there is enough . which part of the Emgt Plan? | Logistics and supply management |
| The primary responsibility of the nurse who is preparing for disaster management, that includes natural disasters and bioterrorism incidents, would be to: | Be aware of the organization’s emergency response plan. |
| A physician on the unit is angry about the care of 1 of his PT. The physician states in a harsh voice, “My order stated that this PT dressing was to be changed at 8:00 am every day. my orders have not been carried out . The physician is demonstrating: | Aggressive communication |
| Two UAPs on the unit disagree about whose responsibility it is to clean up the patient shower room after a.m. care is completed on all the patients. This is an example of what type of conflict? | Interpersonal conflict |
| A nurse requested to have a Saturday off to attend her child’s soccer game. The manager states, “I will give you Saturday off if you will work the next two weekends to cover vacant shifts”. This is an example of which type of conflict resolution style? | Coercing |
| The safety committee has been charged with improving safety for staff in the ED. They must decide what the committee wants 2 achieve, what safety features should be the same, & how to avoid safety issues in the ED. which step in the DECIDE model is this? | Establish the criteria |
| A nurse is planning to interview for a position on the telemetry unit. A nurse should do which of the following in preparation for the interview? | Be familiar with the content of the resume. |
| After attending a legal seminar on nursing practice, the nurse understands which of the following statements could be defined as misconduct or unprofessional behavior based on the Nurse Practice Act (SATA)? | Violating patient confidentiality, Failing to supervise delegated tasks, Failing to practice according to the nursing standards |
| A staff nurse becomes angry when learning that a vacation request was not granted by the nurse manager. This is an example of which stage of conflict? | Felt conflict |
Created by:
fsanoe