As the head of a nursing program, you always invite the ideas of your team about innovations in teaching and curriculum design, and invite participation
... [Show More] in decisions. Many of these ideas have been implemented, and your staff members are keen to try other new ideas. You are employing _______ leadership. - correct answer Transformational
the director of nursing has been observing staff interactions in a 20 bed coronary care unit. Based on her observations, which of the following staff members is an obvious leader? - correct answer The staff nurse who persuades other staff members to practice by making evidence based decisions.
After being interviewed for the unit manager position, the staff nurse reflects on the interview process. The staff nurse is aware that leadership begins: - correct answer Within
The nurse manager decides to involve those to be affected by change early in the change management process. This can positively result in: - correct answer Conflict
The CEO asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit. The nurse manager explains that nursing research has validated which statement about a low nurse-to-pationt ratio? It: - correct answer Improves patient outcomes
Identify the primary position advocated by the 1965 ANA position Paper on Education for Nurses - correct answer Baccalaureate education should be the basic level of preparation for professional nurse.
Identify the primary purpose for the development of the QSEN project. - correct answer Focus nursing education on competencies to reduce the number of medical errors
Which of the following elements from the list below are not QSEN competencies? - correct answer Outcome based education
Which is a joint commission on accreditation of healthcare organizations (JCAHO) requirement for client education? - correct answer Nursing staff must provide and document client education
Statistically, which of the following factors is most likely to increase a client's motivation to learn? - correct answer The presence of the client's significant other during teaching session
What is the primary reason a nurse should develop learning objectives for all client teaching? - correct answer Learning objectives help the nurse to organize the teaching materials.
Identify what a new graduate nurse who is having unresolved role conflicts may experience. - correct answer High levels of Anxiety
Identify the most important element in nursing's attempt to gain full autonomy of practice - correct answer Gaining and maintaining control of nursing practice by nurses
Identify the element that is the best indicator of increasing accountability in the profession of nursing. - correct answer Demonstration of competency and high
What is the recommended method for nurses to prepare for future professional practice? - correct answer Understand and explore the issues involved in professionalism as nurses
After her first week working on a busy medical/surgical unit, a new charge nurse notes that the nurses, although highly competent, are unable to function productively as a team. What can she do to facilitate team-building on her unit? - correct answer a. Provide an opportunity for the nurses to express their feelings and emotions
b. hire more staff members to reduce stress and fatigue from understaffing
c. allow the staff more input into important policy decision-making
d. give the staff members more time to adjust to the change in charge nurses
A or C?
The oxygen saturation for a client with acute infective bronchitis drops to 84% and the client develops severe dyspnea. there is a standing order for a handheld nebulizer treatment PRN for SOB. the respiratory therapy department is designated to give all respiratory treatments in the facility. when the nurse calls the RT, he states that he has several more treatments to give but he should be there in 10 or 15 minutes. which action by the nurse is most appropriate at this time? - correct answer Do not wait for the respiratory therapist, give the HHN treatment himself or herself
Identify the two most important ethical issues surrounding organ transplantation - correct answer Beneficence and non-maleficence
Provision number 1 of 2001 Code of Ethics for Nurses states: "the nurse, in all professional relationships, practices with compassion and respect or the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health-care problems." On which ethical principle is this statement primarily based? - correct answer Fidelity
Provision number 7 of the 2001 code of ethics for nurses states: "the nurse participates in the advancement of the profession through contributions to practice, education, administration and knowledge development." On which ethical principle is this statement primarily based? - correct answer Accountability
the manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have always practiced in a primary nursing-delivery system and are very resistant to this idea. the best initial strategy in this situation would include: - correct answer Examining the reasons for resistance and the values of the RN group in relationship to this change
You overhear a newly graduated RN telling one of your colleagues that leadership and management belong to the unit manager and not to her. as a nursing colleague, your response demonstrates understanding that the perception of the new graduate: - correct answer Would benefit from further understanding of her role as a professional, whose influence may affect the decision making of patient and colleagues
After assessing an older adult patient in long term care who has been slowly deteriorating for weeks, the nurse manager calls the family and asks them to come in, as the patient is dying. The nurse manager's decision and actions are based on: - correct answer Tacit knowledge and clinical judgement
a family is keeping vigil at a critically ill patient's bedside. Other, distant family members, not yet able to come, call the unit continuously, asking for updates and wanting to express concern. You speak with the distant family members and suggest that you are going to refer them to the hospital social worker, whose role is to work with such situations. What role are you assuming through this action? - correct answer Manager
Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication? - correct answer You have made some good points, but I have another suggestion
what is the primary concern that some healthcare providers have in the use of computers in client care? - correct answer a. the ability to maintain privacy and confidentiality
b. the training and knowledge required by nurses to use the system effectively
c. the ability to provide quality care when the computers malfunction
d. the legal implications of having a computerized record of every aspect of client care
B?
Identify the health care area in which the use of computers has improved the efficiency of care - correct answer Documentation
Identify the underlying premise for evidence based practice - correct answer Practice based on research produces better client outcomes
What is a type of nursing education program that is conducted in junior and community colleges that is typically 2 years in length? - correct answer Associate degree program
which contribution of florence nightingale had the greatest impact on nursing education? - correct answer Recognizing that formal, systematic education in both theory and practice was essential for the preparation of high quality nurses.
Identify the primary position advocated by the 1965 ANA position paper on education for nurses? - correct answer a. any nursing education program is acceptable as long as the graduates take and pass the NCLEX examination
b. baccalaureate education should be the basic level of preparation for professional nurses
c. associate degree education should be the basic level of preparation for professional nurses
d. only nurses educated at the master degree or higher level should be considered professional nurses
What is the first step in the process of critical thinking? - correct answer Identify the problem
What is an important role that the nursing process fulfills in professional nursing? - correct answer Forming the ethical basis for nursing practice
Which step of the nursing process identifies the success or failure of the plan of care developed by a nurse? - correct answer Evaluation
Identify the term defined as systems of valued behaviors and beliefs - correct answer Morals
What are rules of conduct that protect the community and society overall? - correct answer Laws
As nurses achieve increased professional autonomy, what must they also accept? - correct answer Ethical accountability
What is the most common emotion experienced by nurses who are developing burnout? - correct answer Powerlessness
Which personality characteristics would make a person more susceptible to burnout? - correct answer Above average intelligence, idealistic, perfectionist
Why do many nurses ignore the signs of burnout? - correct answer They're worried that they spent time, money and energy on a career they no longer want.
Which activity tends to increase nurses' satisfaction during work? - correct answer Taking time to talk with clients about their needs
Identify the most appropriate political activities for nurses at the state level. - correct answer Suggest legislation and seek sponsors
Why is the input of nurses vital to legislators? - correct answer The majority of legislators do not have health care backgrounds
Why is the term healing preferred to medicine when referring to alternative and complementary methods of care? - correct answer Clients might associate alternative treatments with hospital or physician based care
Identify the outcome that best demonstrates a critical care nurse's successful application of the ethical principle of veracity to the care of a client who was diagnosed with late stage pancreatic cancer. - correct answer The client is aware of his or her diagnosis despite attempts of the [Show Less]