31. The nurse manager evaluates the performance of a subordinate. Which management
function is being implemented by the nurse manager?
1. Planning
2. Directing
3. Organizing
4. Controlling
Answer: 4. (The controlling function of management includes the evaluation of staff members.
This is in addition to ensuring that plans are carried out and the outcomes evaluated.)
32. Which is most related to systems theory?
1. End result
2. Linear format
3. Trial and error
4. Cyclical process
Answer: 4. Systems Theory is a cyclical process in which a whole is broken down into
parts and the parts are studied individually as well as how they work together within the
system. Every system consists of matter, energy, and communication. Because each
part of a system is interconnected, the whole system reacts to changes in one of its
parts. The concept of treating a patient holistically is based on an understanding of
systems theory.
33. The nurse and a nursing assistant (unlicensed assistive personnel) are
working together on a surgical unit. Which nursing activity should the nurse
assign to the nursing assistant?
1. Assessing the results of blood glucose monitoring
2. Explaining to a patient how to use an incentive spirometer
3. Emptying a urine collection bag that is attached to continuous bladder irrigation
4. Assisting the post-anesthesia care unit nurse to help a patient to make the transition
to the surgical unit
Answer: 3. Emptying and recording the volume of output collected from a urine
collection bag is within the legal role of unlicensed assistive personnel. The nurse will
then calculate the volume of urine by deducting the volume of irrigating solution
instilled from the total output. Calculating the actual urine output is an assessment that
requires the skill of a licensed nurse.
34. Which tasks should be delegated to a Registered Nurse? Select all that apply.
1. _____ Obtaining vital signs
2. __X__ Providing discharge teaching
3. __X__ Evaluating a patient's response to morphine
4. _____ Administering a cleansing enema to a patient
5. _____ Transporting a patient to the operating room for surgery
Answer: 2 & 3 Discharge teaching requires the knowledge and judgment of a
Registered Nurse. It requires synthesizing and summarizing information as well as
coordinating a variety of community health-care services to meet patient needs. 3.
Evaluation requires the knowledge and judgment of a Registered Nurse. The skill of
evaluation requires reassessing, synthesizing and analyzing data, determining
significance of data, and diagnosing and responding to the data. In addition, it involves
an unpredictable outcome and requires problem solving that may call for innovation in
the form of an individually designed plan of care to address the patient's need for pain
relief if pain is still being experienced.
35. Lewin's planned change theory progresses through phases. Order these
statements by the nurse manager as change moves through the process.
1. "Let's implement a pilot project next week."
2. "This is a new venture that should be exciting."
3. "I know it may be difficult but you are doing a great job."
Answer: 213
35. Answer: 2, 1, 3
-1st phase is called "unfreezing" and is concerned with identifying the need for change,
exploring alternative solutions, and stimulating enthusiasm.
-2nd phase is called "moving/ changing" and is concerned with creating actual visible
change.
-3. The third phase is called "refreezing" and is concerned with providing feedback,
encouragement, and constructive criticism to reinforce new behavior.