NURSE 420 Exam 3 leader Question And Answers( Download To Score An A)

Document Content and Description Below

NURSE 420 Exam 3 Leader 1. Progressive discipline is a strategy used by managers to deal with problem employees. Which of the following is the usual order of steps in a progressive discipline process... ? Verbal warning, written warning, suspension, dismissal. 2. Which of the following is true of a formal employee grievance process? Usually an employee grievance follows a progressive lodging of complaints up the formal organizational chain of command 3. The RN team leader, near the end of her shift, notices that a newly hired UAP has not calculated the intake and output for several clients. Which of the following actions should the RN take first? Ask the UAP if assistance is needed to complete the intake and output records 4. An RN witnessed a maintenance worker in a paralyzed and unconscious pediatric patient’s room inappropriately touching the patient’s genital area. What step of the disciplinary process is most likely to be taken by the organization against this worker? Termination 5. A member of the team reports that they have been given too much to do and are not going to be able to complete the work on time. What action will the RN take to effectively manage this situation? Examine the workload and assist the individual in reprioritizing 6. An RN on a medical-surgical unit is making assignments at the beginning of the pm shift. Which of the following tasks would be appropriate for the RN to delegate to the LPN/LVN? Obtain q 2 hour vital signs and pulse oximetry for a client who had an uncomplicated bronchoscopy this morning 7. Which one of the following statements about conflict is true? Inter-personal conflict can occur when there are value differences and unclear expectations between 2 or more people 8. Which intervention for a patient with a sudden pulmonary embolism could be delegated to the LPN/LVN on your patient care team? Check/document vital signs, oxygen saturation (pulse oximetry), and the color of sputum 9. Which method best provides a structured orderly approach to communicating accurate, relevant information in emergent patient situations as well as routine handoffs? SBAR tool 10. Periodically during the day the RN checks with his/her team members to determine whether they are having any difficulty completing their assigned tasks. This primarily describes which managerial role of the RN? Quality control monitoring (EFFECTIVE DELEGATION) 11. Which behavior is a priority to minimize an RN’s risk for a malpractice claim? Function within the state’s nursing practice act when delegating care activities to other nursing team members 12. When delegating tasks to staff, which action by the charge nurse best demonstrates appropriate delegation principles? Communicate the work assignment in a clear and concise manner 13. A registered nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment for the certified nursing assistant? A client requiring frequent re-orientation and assistance with ambulation 14. A nursing supervisor is responsible for conducting performance appraisals on all of his unit’s night shift employees. Which of the following would not be an appropriate action for the nursing supervisor when preparing and giving a performance appraisal to an employee? Use mostly peer input when writing the employee’s performance appraisal 15. A nursing staff member comes into the nurse manager’s office and complains about another staff member who does not complete his/her work. The nurse manager should tell the staff member to first: Talk to the other person 16. A new graduate RN approaches a more experienced RN and says “I am having difficulty speaking up to some of the physicians.” Which one of the following initial responses by the experienced RN is best? “What factors are causing difficulty when speaking with some physicians?” 17. A staff RN is asked to participate with a team of other nurses on a continuous quality improvement (CQI) project to reduce the number of medication administration errors on her unit. Which step below should the CQI project team initiate first? Review events leading up to each medication administration error under review 18. An RN in the telemetry unit is caring for a client who has a tracheostomy and is receiving frequent endotracheal suctioning. The client also has an indwelling catheter to gravity drainage and a central venous catheter, and is on anticoagulant therapy for thrombophlebitis of the left leg. Which of the following specimens collections can the RN delegate to an unlicensed assistive personnel (UAP) to collect? Stool sample for occult blood 19. A nurse assigns a nursing assistant (NA) to provide care for a client who is at risk for falls. After delegating the most important aspects of the client’s care, what question should the nurse ask the nursing assistant to ensure the client’s safety? “Can you tell me the priority activities for this client’s care?” 20. An RN is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and a certified nursing assistant (CNA). Which of the following is the most appropriate assignment for the LPN? Administer an enteral feeding to a client who has a gastrostomy tube 21. Which assignment should not be given to a licensed practice nurse? Teaching a new diabetic patient how to manager low blood sugar symptoms 22. A nurse manager calls dietary services to request a late tray for a patient and speaks with a dietary technician. This is an example of what kind of communication? Diagonal 23. Your nurse manager has assigned you and several other unit RNs to meet and recommend to you a process for evaluating a new piece of equipment. Your group members have met several times already, but are getting nowhere on the assignment because people have differing opinions and won’t listen to each other. Based on current behaviors of group members, what phase of the team communications process is your team going through right now? Storming phase 24. A nurse manager would like nursing staff members on the unit to become more involved in using EBP in the care of patients. The nurse manager invites several nurses from a nearby Magnet Hospital to the next staff meeting to share how they are using EBP to decrease patient injuries related to falls. According to Lewin’s Change Theory, the nurse manager is trying to stimulate what phase of the planned change process? Unfreezing phase 25. An unlicensed assistive personnel (UAP) “suffers in silence” instead of speaking up about an unfair assignment to the charge RN. This is an example of which of the following communication styles? Passive 26. Which of the following statements about assertive communication is correct? It allows expression in direct, honest, and nonthreatening ways that do not infringe upon the rights of others 27. In the Emergency Department (ED), staff share a staff break room area. One of the male emergency technicians posts a calendar with suggestive female pictures on it. A female RN is offended by the pictures on the calendar. What is the best course of action for the offended RN to take first? Tell the emergency technician that she finds the pictures offensive and ask him to remove it 28. A quiet, passive nurse who hates conflict is not likely to use which of the following conflict resolution strategies: Competing 29. Instances for which a staff member needs to report an occurrence directly to a manager include which of the following: An RN is diverting drugs A nurse sees a gun in another staff member’s locker at work A patient reports that a male LVN made a sexual advance toward her (MAYBE ALL) 30. Which statement below about the quality improvement process below is correct? Quality improvement includes measuring performance against a set of predeterminded standards 31. Which of the following organizations mandates the use of selected core measures to monitor patient outcome data for accreditation? The Joint Commission 32. What is the first step the manager takes when a subordinate is having difficulty carrying out a delegated task? Be available to the employee as a role model and resource for the task 33. An RN smells alcohol on the breath of a float LVN who is working with patients on her team. There have been no staff or patient complaints about this person’s behavior or appearance. Which action should the RN take first? Inform the nursing supervisor about the situation and ask him/her to observe the nurse’s behavior 34. Which task cannot be delegated to a UAP? Assessing the quality of the drainage from the NG tube 35. A new graduate RN is speaking to the nurse manager about a schedule request. The nurse manager puts his arm around the new grad RN and whispers in her ear, “Lets talk about this over dinner at my place tonight, ok?” Which of the following is appropriate response by the nurse? “Stop. When you touch me and talk this way, I feel uncomfortable” 36. A UAP and a unit secretary have helped the nurse manager plan the holiday party for the past two years. They learn that other staff members are not happy with the party themes, locations and activities they planned for the last two holiday parties. As it is not that important for them to do, the two decide to let other interested staff members take over doing the holiday party planning this year. This UAP and the unit secretary are using which of the following conflict resolution strategies? Accommodating 37. Two RNs on the unit are complaining that their patient assignment is too heavy. Each feels the other RN has a lighter workload. Each complains to the RN Charge nurse. The charge nurse asks them to please calm down and focus on their current patients’ needs right now so that everyone can get through the difficult shift. Which of the following conflict resolution strategies is the charge nurse demonstrating? Smoothing 38. During the change of shift, the oncoming charge RN notes a discrepancy in the number of morphine vials listed and the number present in the narcotic drawer. What should the charge RN do first? Notify the nursing supervisor/manager 39. A registered nurse (RN) is planning the assignments for the day and is leading a team composed of a licensed practical nurse (LPN) and a nursing assistant (NA). The RN should assign which client to the LPN? A client who is one day post-mastectomy 40. Which of the following statements about conflict resolutions strategies is correct? Avoiding may be appropriate for minor conflicts when an issue is likely to work itself out. 41. An RN is caring for a 17 year-old client who is experiencing a relapse of leukemia and is very vocal in refusing treatment. The client’s mother insists that her daughter receive continued IV chemotherapy as ordered. Which nursing action is most appropriate at this time? Notify the charge nurse of the situation to get Bioethics Committee help in exploring options 42. A nurse manager who consistently uses assertive communication knows that this communication style: involves rights and responsibilities for all parties involved in the communication 43. An RN asks a float unlicensed assistive personnel (UAP) to weight the client with the bed scale. Which action should the RN take first? Talk to the UAP to determine if the UAP knows how to do the procedure correctly 44. Which of the following is an example of a sentinel event? A patient develops third degree burns to 50% of his body during surgery due to an electrical fire A mental health patient hangs himself in a restroom on the mental health unit 45. A nurse manager is preparing to talk to her staff about quality improvement at a staff meeting. Which statement below is a correct statement to share with her staff about quality improvement? (Nurse indicator – fall rates, pressure ulcer, urinary tract infections) 46. The hospital has been experiencing low census and staff are concerned about being laid off, even though everyone has been told they will be able to keep their jobs. The evening charge nurse reported to the nursing director, however, that his staff was discussing various rumors about mass layoffs. What is the best approach for nursing director to take? Schedule meetings for all staff to discuss the issues and to tell them the rumor is not true 47. Which organization is actively engaged in clarifying the delegation parameters for RNs? State boards of nursing licensure 48. The nursing leadership team within a medical center plans to initiate a change in their approach to improving patient satisfaction. Nurse leaders recognize that communication about the new change will have a higher likelihood of being accurately interpreted if they use which of the following strategies? Send a carefully worded to all nursing staff explaining the change 49. Which statement about conflict is not true? In conflict resolution, getting to agreement is more important than trying to understand the needs of those involved in the conflict 50. Which of the following states that employees should not be discriminated based on physical or mental status: Americans with Disabilities Act [Show More]

Last updated: 2 years ago

Preview 1 out of 7 pages