NUR 206 TRENDS EXAM 2 (ALL FILES) | Cherry &
Jacob: Contemporary Nursing: Issues, Trends, and
Management, 7th Edition
Answered full file at: https://www.stuvia.com/doc/1501703/nur-206-trends-exam-2-all-filescherry-en-jacob-contemporary-nursing-issues-trends-and-management-7th-edition
Trends exam # 2 1.What is the difference between leader and manager?  A
manager focus on coordinating resources  The leader focuses on
accomplishing goal of the organization  The manager motivates and inspires
others  A leader has legitimate authority 2. What is the first step in both
the nursing and problem solving process?  Implementing appropriate
interventions  Identifying the problem  Gathering information  Considering
the consequence of changes 3. Managers who exhibit an authoritative
behavioral style are most likely to use which source of power?  Expert 
Reward  Informal  Coercive 4. A nurse manager is concerned with
restocking the emergency cart, creating the staff schedule, requesting floor
stock from pharmacy, and checking the orders on patients charts. Which type
of leader accurately describes this nurse?  Contemporary  Transactional 
Transformational  Situational 5. A nurse is reading about positive
reinforcement with the goal of increasing staff motivation. Which action would
demonstrate positive reinforcement?  Every morning at shift change, thank
each employee for an excellent job.  Rotate a monthly "employee recognition
award" among all employees on the unit.  Wait until the annual performance
review to recognize accomplishments.  Give spur-of-the-moment recognition
to an employee who has accomplished a goal. 6. A nurse manager wants his
nursing unit to be a place where all nurses want to work, where patient
satisfaction is high, and care is innovative and interdisciplinary. Staff are
encouraged to chair taskforces to improve quality of care and he counsels
staff in areas of measuring patient outcomes. Other managers want to mimic
this manager's approach to improve their own units. This nurse is which type
of leader?  Transformational  Transactional  Authoritative  Laissez faire 7.
A manager just finished the last annual performance review of the staff,
reviews the unexpected expenditures for the month due to use of agency
nurses, and shares the latest quality indicators with the staff nurses. This
manager is performing which management function?  Controlling  Planning
 Directing  Organizing 8. A consumer is learning about electronic health
records at a local fair and states “i am worried that someone can read my
health information and i really don't understand the difference between privacy
and confidentiality” the nurse provides what as as example of confidentiality?
 A teenager who sustains a broken arm and in the emergency department
and withholds information about personal use of recreational drugs  A patient
who does not tell the primary health care provider that he or she has been
treated for a sexually transmitted disease  Locking medical records in
cabinets to prevent unauthorized user from accessing patient information  A
pledge that states “i will hold matters pertaining to my patients in strict
intimacy” 9. A nurse on a medical surgical unit places her finger to the sensor
on a computer in the hallway and is given access to patient data. A few
moments later another nurse performs the same steps and is granted access.
A visitor who has been watching places their finger on the sensor and receive
an error access denied message. How is security maintained in this example?
 Robot technology  Telehealth technology  Biometric technology 
Ubiquitous computing 10. A nursing student has aspirations of practicing in a
community which has a large population of mexican american individuals.
They enroll in spanish classes while in nursing school. What does this nursing
student value?  Prejudice  Cultural competence  Ethnocentrism 
Stereotyping 11. All of the following are barriers to reporting workplace injuries
except Termination Harassment Stigmatization Fatigue 12. A nurse providing
care at the bedside received an alert that a patient's stat potassium level is 2.5
and a dose of digoxin is scheduled. The nurse holds the medication and
prevents and possible complication. This feature of the electronic health
record is available through which function of EHR  Order entry/order
management  Decision support  Patient support  Administrative support 13.
What should the RN do when asked to accept a patient assignment that he or
she may feel unqualified to manage?  Determine whether he or she is
familiar with the types of patients being assigned  Refuse to take on the
assignment  Accept the assignment as appropriate if assigned by a
legitimate power  Ask how other nurses have handled the assignment in the
past 14. What workplace factor has been found to contribute to the nursing
shortage?  Movement of nurses into acute care settings  The use of
unlicensed assistive personnel to replace RNs  An aging nursing workforce 
A severe lack of males who have chosen nursing as a career 15. What is the
key to organization success for healthcare facilities?  Offering incentives
such as sign on bonuses  Making effect to retaining practicing professional
nurses  Recruiting younger more energetic nurses  Hiring highly qualified
advanced practice nurses 16. Which non pharmacological pain measure to
help relieve early morning stiffness for a patient diagnosed with rheumatoid
arthritis should be delegates to the UAP?  Sharing some relaxation
techniques  Assisting patient to get in a bathtub full of warm water 
Evaluating the effectiveness of paraffin therapy  Assisting patient to take a
warm shower 17. A newly hired nurse is asked to serve on a committee
formed to recruit and retain nurses. What information is the nurse likely to
learn at the committee meeting?  Multitasking is seldom desired by the
younger generation of nurses  Magnet hospitals are able to attract nurses
with sign-on bonuses and flexible work hours but fail to retain nurses because
insufficient autonomy over professional practice is provided.  multitasking is
seldom desired by the younger generation of nurses.  Many younger workers
are less concerned with longevity and are willing to change institutions to
achieve professional advancement and flexible work hours. 19. The
occupational health and safety nurse would like to develop programs
designed to decrease mortality and morbidity among the workforce. When
considering factors related to mortality among healthcare workers, the nurse
should focus efforts on prevention of what most likely outcome?  Bloodborne
disease  Ergonomic hazards  Suicide  Violence related injury 20. A
healthcare practitioner (HCP) inputs the following clinical manifestation open
wound with tibia exposed, petechial hemorrhage and temporary loss of
consciousness into a computer software program. The computer generates a
diagnosis of fat emboli. What is this system known as?  Decision support 
Telehealth  Biometric technology  Robotic technology 21. What is the
priority intervention to improve work related quality of life for nurses? 
Improving nurse physician communication  Improving working relationships
between staff nurses and nursing administration  Requiring professional
development courses for bedside nurses  Providing safe harbors for unjust or
unsafe work assignment 22. A nurse is interested in locating reliable
information concerning noninvasive blood glucose monitoring. Information is
located, and the author is a scientist who conducted studies within the last
year on the effectiveness of a particular noninvasive blood glucose monitor.
The scientist received funding from a pharmaceutical company to support the
studies. The URL indicates the pharmaceutical company . What should the
nurse be concerned about with this information?  Currency  Objectivity 
Authority  Accuracy 23. A 60 year old patient who was admitted with pain and
vomiting r/t a bowel obstruction, has had some relief since the insertion of the
NG tube reports feeling weak. She seems more confused compared with her
baseline. You observe the NG drainage container has a large amount of water
bile colored fluid. Which laboratory values will you check first?  BUN and
creat  platelet and WBC  sodium, potassium, pH  bili, HCT, hgb 24. Which
of the following tasks should not be assigned to a UAP?  Transportation a
patient off the unit for a procedure  Removing a post op dressing prior to
discharge  Gently cleaning the nares around a patient with a NG tube 
Taking patients vital signs every 2 hours 25. The relatively new nurse tells you
(team leader) that she cannot find any documentation that shows the time a
patient received their last dose of pain medication. What action should occur
first?  Help the new nurse look at the chart and medication administration
record  Have the new nurse ask the patient when they last had medication 
Speak to the previous shift nurse about the documentation  Tell the new
nurse to ask the previous shift nurse before she leaves 26. You are talking
with a patient, who has a diagnosis of rheumatoid arthritis, about discharge
plans and follow up appointments. She begins to cry “i was so active when i
was younger”. What is the most therapeutic response?  Your shoulder will
get progressively better with time and patience. Don't cry  I can see that you
are really upset. Is your shoulder hurting a lot right now  It is difficult to deal
with changes. What types of activities did you used to do  I know what you
mean. I used to be anke to do a lot more when i was younger too 27. What is
the best example where a nurse can demonstrate workforce advocacy?  A
client feels pressured by a healthcare provider into agreeing to a specific
medical procedure  A client wishes to become an organ donor despite the
family opposition  Staff on a particular unit feel the nurse manager is showing
favoritism when granting vacation time  A nurse volunteers time to participate
in a fun raiser to provide toys for the pediatric unit 28. Based on current trends
which nursing care environment has the greatest employment potential for
new nurses?  Long term care facilities  Primary healthcare provider
practices  Hospital emergency departments  Ambulatory surgical facilities
29. All of the following are associated with patient advocacy except which
one?  Cornerstone of the nursing profession  Delivery of quality nursing care
 Promotion of safe patient care  Enhancement of healthcare systems
accountability  Promotion of optimal nursing environment 30. A patient is
receiving sulfasalazine (azulfidine) 500 mg by mouth every 6 hours for
treatment of ulcerative colitis. Which assessment finding concerns you the
most?  Decreased urinary output  Nausea and vomiting  Urine
discoloration  Headache 31. a nurse is standing bedside the patient's bed
Nurse: how are you doing? Patient: i don't feel good Which element will the
nurse identify as feedback?  Patient  I don't feel good  How are you doing 
Nurse 32. A patient is discouraged and dispirited about ulcerative colitis. She
is resistant to TPN because “im being kept alive with tubes” which explanation
will encourage her to continue with the TPN therapy?  will help you regain
your weight  it will create a positive nitrogen balance  your HCP has ordered
this important therapy for you  your bowel can rest and the diarrhea will
decrease 33. A nurse uses SBAR when providing a hands off report to the
oncoming shift. What is the rationale for the nurses action?  To promote
autonomy  To use common courtesy  to establish trustworthiness  To
standardize communication 34. A personal decision to withhold information is
considered to be associated with which patient right?  Security  Informed
consent  Privacy  Confidentiality 35. Computerized provider order entry
(CPOE) contributes to the prevention of medical errors for each of the
following except which one?  Eliminating the need for human involvement in
mentoring diagnostic results  Providing support in the decision making
process  Tracking of adverse patient focused events  Improving
communication between members of the healthcare team 36. A nurse is
listening to the client’'s apical heart rate. The client asks “is everything okay?”
The nurse says nothing and shrugs her shoulders. What form of negative
communication is the nurse demonstrating?  Blocking  Ad hominem Abusive
 Filtration  False Assurance 37. During a health history interview, the nurse
listens to a patient relating the precipitating events that led to the onset of
chest pain. She focuses her attention on the patient, makes eyes contact, and
acknowledges what the patient has to say. What form of communication
technique is the nurse demonstrating?  Assertive communication  Active
listening  Passive communication  Empathy 38. A 55-years-old male is
diagnosed with Stage 4 Lung Cancer. The clients’ spouse states “I am somad,
I cannot believe god did this to him, he is going to die!” Which statement by
the nurse represents empathy?  “There are many new forms of treatment we
can try on your husband, would you like the information.”  “I know he is such
a good man!”  “I understand how you feel about your husband's diagnosis, is
there anything i can do to help?”  “I understand how you feel, but don’t worry
everything will be okay.” 39. A group of nurses are meeting to decide how to
staff the upcoming holidays. Each of the four members freely express
thoughts about fair staffing but is willing to listen to other thoughts and
reconsider their first recommendations. The nurses are avoiding conflict and
supporting professional communication through:  Accommodation  Empathy
 supportiveness  Positiveness 40. According to the definition which word
best describes leadership?  Influence  Control  Allocate Evaluate 41. A
nurse manager will likely have which of the following types of power? 
Legitimate  Referent  Informal  Connection 42. What situation
demonstrates a nurse engaging in active listening?  The nurse has cultural
values that are in opposition to the patient but shares that “I agree with your
decision to use herbs rather than the prescribed medications.”  While
assessing the patient’s vital signs, the nurse records the data and states, “You
are improving, your vital signs are normal.”  Eye contact is maintained while
focusing on the patient as the patient describes the current pain level and
location  The nurse states, “I know how you feel, I recently lost my father and
I am still hurting.”  43. A nurse is preparing an exercise program as part of a
health promotion program for older adults with osteoporosis. WHich would
retrieve the most valuable information about health practices.  “Do you
exercise?”  “Do you like to exercise?”  “When do you exercise?”  “What
exercise practices do you participate in?” 44. An RN with excellent
assessment and psychomotor skills would derive power based on which
source?  Legitimate  Coercive  Rewards  Expert 45. Which
communication term best describes the “receivers understanding of the
meaning of the communication.”  Filtration  Information  Interpretation 
Perception 46. An Asian teenager is admitted with an eating disorder which
she contributes to not meeting the academic expectation of her parents. The
nurse is overheard saying, “That isn’t the reason; All Asians are really smart.”
 Acculturation  Cultural assimilation  Cultural humility  Stereotyping 47. All
of the following are considered “Type of Power” except”  Legitimate 
Coercive  Laissez-faire  Reward 48. Which form of management involves
the staff in planning and developing new ideas using effective
communication?  Authoritarian  Democratic  Laissez-Faire  Organization
49. What is a necessary first action for nurses that work with culturally patient
populations?  Continuing education course in spanish  Cultural client
assessment  Cultural self assessment  Participation in bias training 50. A
hospital recently learned that their scorecard did not meet the national
benchmark for patient satisfaction and brought in a professional change agent
to determine what their issues were and how they could improve their score.
The agent collected data and recommended that nurses participate in
interdisciplinary walking rounds and allow the patient and family to be
participants. Nurses now round every shift and perform “huddles to update the
team” as needed through the shift as part of best practices. Random visits are
made to nursing unites to ensure all nurses are participating and patients are
interviewed for their involvement. These practices are associated with which
stage of lewin’s change process?  Moving  Refreeze  Unfreeze 
Resistance Review sheet trends quiz # 2 1. During a search for the term
informatics, what should the nurse determine about the site’s affiliation when
the domain “.edu,” is noted? -It’s government agency. -It’s a commercial site It’s an educational institution -It’s an internet service provider 2. Which
statement accurately describes communication? -Communication is linear. When the receiver becomes the sender, the subcomponent of communication
that is in use is feedback. -The components of communication are mutually
exclusive. -Communication involves only the sender and the receiver;
everything else is superficial 3. A nurse is conducting an assessment on a
new client. During the interview, she asks, “do you currently take any
medications?” what type of questioning is the nurse using? -Closed-ended
question -Aggressive communication -Blocking Style -Open-ended question 4.
Which of the following terms describes, “feeling what the other is feeling?” Equality -Supportiveness -Sympathy -Empathy 5. In this nursing model the
RN assumes 24 hour responsibility for planning, directing and evaluating the
patients care from admission through discharge. What is this called? Functional nursing -Partnership nursing -Total patient care -Primary nursing 6.
What is the measurable condition that results in interventions by the
healthcare team called? -Patient outcome -Patient classification -Functional
nursing -Total patient care 7. A nurse wants to apple open communication to
obtain a thorough history and to determine cognitive function. Which question
represents the use of open communication? -Tell me what day of the week it
is Do you know what the first day of the week is -Do you know what day it is Is today wednesday 8. Which communication style is considered the “most
effective” but used less frequently? -Passive communication -Assertive
communication -Passive aggressive communication -Aggressive
communication 9. Which form of technology is a system that captures,
processes, communicates, secures and presents data about a client? -The
electronic medical record -Health information technology -The electronic
health record -Data management 10. The communication process is
considered a dynamic cyclic process made up of three components. Which of
the following is NOT considered a component of the communication process?
-Receiver -Sender -Feedback -Message Chapter 17: Nursing Leadership and
Management Cherry & Jacob: Contemporary Nursing: Issues, Trends, and
Management, 7th Edition MULTIPLE CHOICE 1. In an attempt to persuade
employees to bargain for another type of health insurance, a handout is
circulated that describes the present employees’ health care insurance as
being insensitive, limiting choices of care providers, and providing inferior
care. This reflects which aspect of Lewin’s planned change?
>>>>>>>>>>>>>>>>>>>>>>>>>CONTINUED>>>>>>>>>>>>>>>>>>>>>
Answered full file at: https://www.stuvia.com/doc/1501703/nur-206-trends-exam-2-all-filescherry-en-jacob-contemporary-nursing-issues-trends-and-management-7th-edition
Answered full file at: https://www.stuvia.com/doc/1501703/nur-206-trends-exam-2-all-filescherry-en-jacob-contemporary-nursing-issues-trends-and-management-7th-edition
Answered full file at: https://www.stuvia.com/doc/1501703/nur-206-trends-exam-2-all-filescherry-en-jacob-contemporary-nursing-issues-trends-and-management-7th-edition
Answered full file at: https://www.stuvia.com/doc/1501703/nur-206-trends-exam-2-all-filescherry-en-jacob-contemporary-nursing-issues-trends-and-management-7th-edition