Role & Scope REAL Final (solutions) Latest Fall 2022.

"Have you discussed this with the client?" "I will verify the status of advance directives." "Does the client have a living partner?" "The provider will write a DNR order." 1 points Question 4 1. A nurse is caring ...

"Have you discussed this with the client?" "I will verify the status of advance directives." "Does the client have a living partner?" "The provider will write a DNR order." 1 points Question 4 1. A nurse is caring for a client. The nurse demonstrates adherence to the ethical principle of fidelity in practice by doing which of the following? Confirming that a client going for surgery has signed a consent form. Refusing to disclose information about a client to the media. Keeping an appointment with the client. Allowing a new mother to hold her stillborn infant. 1 points Question 5 1. A nurse receives a client care assignment that he believes is unfair. Which of the following is an appropriate action for him to take? Contact the nursing supervisor and ask her to intervene on his behalf. Ask another nurse to review the equity of the assignment. Speak with the charge nurse about the assignment and his concerns. Accept the assignment and talk with the nurse manager at a later time. 1 points Question 6 1. A nursing unit has recently implemented new actions designed to reduce medication errors. Which of the following methods of evaluation is appropriate to measure the results of these new actions? The number of medication errors avoided after the actions were implemented The number of medication errors before and after the actions were implemented. Results of a staff questionnaire that quantifies staff satisfaction with the changes Results of a study about the time and money costs of implementing the changes 1 points Question 7 1. The nurse is working with a group of clients assisted by an assistive personnel (AP). The nurse should make which of the following determinations before delegating a task to the AP? The AP's ability to prioritize. The AP's rapport with the clients. Whether the nurse can more efficiently complete the task without assistance. The task is within the AP's scope of practice. 1 points Question 8 1. The new Unit Manager on the Medical Unit is not satisfied with the patient satisfaction rate of 60% for two consecutive months and staff morale is at its lowest. The decision to plan and initiate change has been decided. Prior to implementing any change, which of the following actions is a priority? Call for a staff meeting and get input from all members of the team. Seek help from his manager. Develop a strategic action on how to deal with these concerns. Ignore the issues since these will be resolved naturally. 1 points Question 9 1. A new nurse wants to provide client centered care. Which of the following is the best guarantee that the patient’s priority needs are met? Checking with the relative of the patient Preparing a nursing care plan in collaboration with the patient Consulting with the physician Coordinating with other members of the team 1 points Question 10 1. A charge nurse observes that a staff nurse is not able to meet client needs in a reasonable time frame, does not problem-solve situations, and does not prioritize nursing care. The charge nurse has the responsibility to: supervise the staff nurse more closely so that tasks are completed ask other staff members to help the staff nurse get the work done provide support and identify the underlying cause of the staff nurse's problem report the staff nurse to the supervisor so that something is done to resolve the problem 1 points Question 11 1. Nursing often has challenges in gaining independence as a profession. What deciding factors must the nursing profession embrace? Health and happiness of nurses Recognition that the doctors know best Loss of control and negative feedback Responsibility and accountability 1 points Question 12 1. Recommendations made by the Robert Wood Johnson Foundation in The Future of Nursing include: The Bachelor's Degree in Nursing (BSN) must be the minimum entry point for registered nurse. Nurses are not aware that policy making requires better data collection and information infrastructure . Nurses with associate's degrees should not be practicing bedside nursing. Nurses should practice to the full extent of the education and training. 1 points Question 13 1. As part of quality management, the nurse manager double checks to see that all patient teaching is documented in the Electronic Health Record. This is because: She is concerned that nurses are not doing their full share of the work Joint Commission requires documentation of patient teaching in the charts. Nurses do not plan teaching interventions based upon outcomes or goals Discharge teaching should begin when the discharge orders are made by the provider 1 points Question 14 1. Which of the following statements best describes transformational leadership? Shares vision and encourages staff to develop professional goals Serves the followers rather than being served Maintains full trust and confidence in the subordinates Possesses innate charisma that makes others feel good in his presence 1 points Question 15 1. The nurse manager notes that there is an increasing unrest of the staff due to fatigue. Which action is a priority? Evaluate the overall result of the unrest. Initiate a group activity for communication to begin. Develop a plan and implement it. Identify internal and external forces causing the fatigue. 1 points Question 16 1. What is the nurse’s role in Continuity of Care? (Select all that apply). Facilitate the continuity of care provided. Diagnose the patient's medical condition. Coordinate the discharge planning. Act as the liaison and a client advocate. Prescribe the recommended treatments before discharge. 1 points Question 17 1. A nurse manager permits her staff to request which holidays they would prefer to work. This style of leadership is best described as: Autocratic Laissez-faire Democratic Authoritarian 1 points Question 18 1. A nurse manager is called upon to settle a disagreement between two staff nurses. What needs to be done in order to find a solution to the dispute? Go up the chain of command File an incident report Identify the source of the conflict Survey the other nurses to see who is at fault 1 points Question 19 1. Which of the following tasks can safely be delegated to the LPN? Discharge planning Diabetes education Pain medication via IV push Tracheostomy care 1 points Question 20 1. Which of the following are elements of effective team building? Encouraging a workplace that values collaboration and cooperation Publicly announcing staff problems and issues that are of concern Discouraging new ideas that may make older nurses feel uncomfortable Smoothing over potential issues that disturb the patients on the unit 1 points Question 21 1. A charge nurse on a medical unit has been informed that one nurse is talking on the cell phone during her shift. What would be the first step in analyzing the situation? Have a nurses’ meeting reviewing proper use of cell phones. Speak with the nurse in question about the cell phone use. Require all cell phones to be on silent during the shift. Give the nurse a written warning about her use of the phone. 1 points Question 22 1. A school bus driving through a small town ran into a train. There are numerous injuries, many of which are serious. Which type of leadership style would be the most appropriate for the Chief Nursing Officer in this situation? Laissez-faire Authoritative Directional Democratic 1 points Question 23 1. A nurse is planning an educational session for a newly diagnosed diabetic client. Which action should the nurse take first? Refer the client to the American Diabetic Association.