NR 446 Collaborative Healthcare
Quiz 1
1.
A recent nursing graduate has not performed a dressing change on a central
catheter for several months and is unsure of how to correctly perform this. The nurse
should refer to the
A)
Documentation
B)
Practice rules
C)
Organization policy
D)
Procedure manual
2.
A)
B)
C)
D)
Which strategy should the manager adopt when attempting to empower staff?
Role model the characteristics of an empowered nurse
Follow a rigid but consistent rule enforcement policy
Arrange for all employees to get an annual cost-of-living raise
Encourage staff to establish a strong unit culture
3.
The manager of a clinic is considering a change in the scheduling of vacation time
in which nurses would self-schedule their vacation rather than having the manager
respond to their submitted requests. A nurse has pointed out that it is possible that
newer nurses may feel intimidated by more experienced nurses on the unit when
scheduling their vacation. This observation constitutes what component of a SWOT
analysis?
A)
S
B)
W
C)
O
D)
T
4.
The nurse who provides oversight to a large health-care organization can best
demonstrate leadership during a time of change by:
A)
Clearly and assertively reminding nurses of their responsibilities to accept change
B)
Asking permission of nurses before proposing a change process
C)
Acknowledging that there is going to be resistance during the change process
D)
Communicating a vision that change is an opportunity to be embraced.
5.
The nurse is caring for a client who has health insurance that is a form of
managed care. What are likely characteristics of this client’s health-care plan? Select
all that apply.
A)
Clients as gatekeepers of their health-care services
B)
A focus on prevention of illness
C)
Decreased emphasis on inpatient hospital care
D)
Capitation
E)
Unlimited choice of health-care providers
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6.
The nurse manager has begun the movement stage of a proposed change.
What is the manager’s most appropriate activity?
A)
Gather data about the need for change
B)
Accurately diagnose the problem
C)
Decide whether change is needed
D)
Collaborate with stakeholders to develop a plan
7.
A nurse-manager is having difficulty finishing the necessary tasks for each day.
When implementing the time management process, what should the manager do first?
A)
Complete the highest priority task
B)
Allow enough time for sufficient daily planning
C)
Reprioritize based on new information received
D)
Delegate work that cannot be accomplished in a day
8.
A nurse-manager makes lists of tasks for each day. What should the manager do
in order to ensure that lists accurately reflect changes in priorities?
A)
Reevaluate the lists on a regular basis and adjust them as needed
B)
Ensure that each day’s list is significantly different from the previous day’s list
C)
Make lists as detailed as possible in terms of the time allocated and the specifics
of each task have the lists reviewed by a trusted colleague on a regular basis
9.
The manager on a hospital unit has highlighted some of the large gaps between
desired client outcomes and actual client outcomes. What component of Lewin’s
change theory is the manager demonstrating?
A)
Unfreezing
B)
Movement
C)
Refreezing
D)
Resistance
10.
The nurse-manager at a long-term care facility is participating in fiscal planning
for the first time. What is fiscal planning?
A)
A learned skill that improves with practice
B)
A job role of the facility business manager
C)
Part of the organizing phase of the management process
D)
Reactive, based on political, social, and economic forces
11.
The nurse is participating in a planning process in a large health-care
organization. The nurse and the other members of the team should:
A)
Avoid specifics so that the plan can be applied in any health-care setting
B)
Ensure that long-term priorities are always prioritized over short-term priorities
C)
Ensure that evaluation occurs at several points during the process
D)
Begin to engage employees in the process after the plan has been implemented
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12.
A nursing assistant says, “I have never learned how to transfer a resident with
end-stage Parkinson’s disease from the bed to the chair.” The nursing assistant refuses
to transfer the resident at this time. Select the appropriate approach for the charge
nurse to take.
A)
Arrange to teach the nursing assistant how to transfer the resident
B)
Encourage the nursing assistant to carry through with the transfer
C)
Mention that nursing assistants can be charged with insubordination if they do
not perform their jobs.
D)
Reprimand the nursing assistant for not performing the job.
13.
A)
B)
C)
D)
What quality is rarely found in democratic leaders?
Effective communication
Assertiveness
Arrogance
Desire for new learning
14.
During an emergency, the charge nurse tells the RN “I need you to place the
patient on a nonrebreather mask now.” The charge nurse has little regard for the RN
input at this time. The charge nurse is displaying what leadership style?
A)
Situational
B)
Laissez faire
C)
Autocratic
D)
Democratic
15.
A student nurse asks, “What’s the difference between laws and ethics?” Which
response best explains the difference between nursing laws and ethics?
A)
Ethics are derived from laws, whereas laws are enacted by non-nurse legislators.
B)
Ethics refer to ideal behavior of nurses, but laws require mandatory observance
by nurses
C)
Ethics are specific to individual agencies, but laws are state-specific.
D)
Nursing ethics are formalized by statues, whereas laws are permissive codes.
16.
When a student nurse prepares diligently for a clinical assignment, the ethical
principle being observed is
A)
Justice
B)
Autonomy
C)
Nonmaleficence
D)
Fear of punishment
17.
The charge nurse asks the nurse manager, “How can I motivate the nursing
assistants on my shift?” The best answer would be
A)
Communicate! Communicate! Communicate! Be clear and specific. Spell things
out. Give the impression that you know what you’re talking about at all times.
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B)
Encouragement is the only way. If you praise and encourage the workers, you
will have them eating out of your hand and doing their best.
C)
Money is the only thing that motivates workers. Since you can’t set a higher
salary, you can’t change their motivation.
D)
Motivation is an inner force. You can’t motivate someone else, but
understanding the things that are important to workers can be helpful.
18.
To function within the scope of the law, the nurse must know that the legal
duties and functions of the nurse in a given state are determined by the
A). bylaws of the professional organization
B)
Nurse Practice Act of the state
C)
U. S. Constitution
D) Bill of Rights
19.
A)
B)
C)
D)
A nurse is found liable for battery. What does this mean? The nurse
Threatened the patient causing fear of bodily harm
Incorrectly performed a procedure that is within their scope of practice
Detained the patient against their will
Without consent, touched the patient in a way that caused harm
20.
A)
B)
C)
D)
When documenting patient behavior, the RN should
Record all interventions performed and patient instruction given
Avoid mentioning communicating with supervisors to seek advice
Summarize care in the progress notes and flow sheets
Record subjective interpretations of patient behavior
21.
A)
B)
C)
D)
Which of the following is true regarding informed consent?
A patient is informed that he or she has the right to revoke consent at any time
Informed consent must be obtained for surgical procedures only
Parents can give informed consent for the treatment of their children
Informed consent means the patient is informed in medical language
22.
A)
B)
C)
D)
When documenting patient behavior, the RN should
Record all interventions performed and patient instruction given
Avoid mentioning communicating with supervisors to seek advice.
Summarize care in the progress notes and flow sheets
Record subjective interpretations of patient behavior
23.
Nurse A is assigned to care for a patient with diabetes who is being regulated on
new types of insulin. The patient performs most of her own care and rarely uses the call
bell to summon the nurse. The nurse knows this and leaves the patient unobserved
most of the shift. Just before change of shift report, the aide reports that she cannot
arouse the patient. The patient enters a vegetative state as the result of brain damage
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related to severe hypoglycemia. Which, if any, of the four elements needed to prove
malpractice are present? Select all that apply
A)
Damages
B)
Duty
C)
No elements are present
D)
breach of duty
E)
proximate cause
24.
Patient A, who has Alzheimer’s disease, wanders and is often noisy and intrusive.
The patient has a prn order for haloperidol IM for assaultive behavior. At report, the
charge nurse explains that staffing is poor and she is unable to provide the supervision
the patient needs. She directs the medication nurse to administer the patient’s prn
haloperidol q4h during the shift. This action constitutes
A)
Assault
B)
False imprisonment
C)
Negligence
D)
Libel
25.
The nurse is applying the traditional problem-solving model when mediating in
a conflict between two colleagues. When applying this model, the nurse should
prioritize what task?
A)
Identifying the root cause of the conflict
B)
Implementing a solution as quickly as possible
C)
Eliciting input from other nurses
D)
Encouraging each nurse to reflect on his or her actions
26.
A nurse-manager has realized that the data gathering process before a recent
decision may have been influenced by confirmation bias. How can the manager best
prevent this in the future?
A)
Delegate data gathering to a trusted colleague who has different values
B)
Make sure not to prioritize information that supports the manager’s beliefs
C)
Consider all of the implications of an alternative before making a decision
D)
Collect only the minimum quantity of data before making a decision
27.
A nurse-manager has to make some difficult decisions around the allocation of
vacation time during the holiday season. When making a decision, what should the
manager do first?
A)
Elicit ideas from as many staff members as possible
B)
Consider how the issue has been addressed in the past
C)
Think of as many alternatives as possible
D)
Clearly identify each of the desired objectives in the situation
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28.
The manager at a long-term care facility has intervened in a conflict between
two staff members about the timing and length of lunch and coffee breaks. What
management function is this manager demonstrating?
A)
Planning
B)
Organizing
C)
Directing
D)
Evaluating
29.
A)
B)
C)
D)
30.
A)
B)
C)
D)
E)
F)
Which statement best depicts leadership?
Strong leaders can coerce people into following them
A leadership position has a narrower scope than a management position
People will follow a person in a leadership position only by choice
Leadership requires meeting organizational goals
An experienced LPN/LVN, under the supervision of the team leader RN, is
assigned to provide nursing care for a patient with a respiratory problem. Which
actions are appropriate to the scope of practice of an experienced LPN/LVN: Select
all that apply:
Auscultating breath sounds
Administering medications via metered-dose inhaler (MDI)
Completing in-depth admission assessment
Checking oxygen saturation using pulse oximetry
Developing the nursing care plan
Evaluating the patient’s technique for using MDIs
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