NSG 441 Module 1-7 Practice Questions | Verified with 100% Correct Answers

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NSG 441 Module 1-7 Practice Questions | Verified with 100% Correct Answers Which theory or group of theories arose late in the past millennium because of globalization and other related factors? A.... expectancy B. two-factor C. transformational D. hierarchy of needs Which nursing theorist does not specifically address leadership but addresses the nurse as the person who participates in patient care and educates patients? A. Ira Chaleff B. Patricia Benner C. Dorothea Orem D. Ida Jean Orlando Which term is used to describe connecting thoughts and inner driving forces that give purpose, direction, and precedence to life priorities? A. Goals B. Values C. Visions D. Theories The National Academy of Medicine and the Robert Wood Johnson Foundation Report acknowledges nurses contribute to the health and well-being of the populations they serve in which way? A. providing direct patient care B. educating patients and families C. advocating for improved outcomes D. collaborating with other health team members Which statement describes emotional intelligence? A. the ability to plan, direct, control, and evaluate others B. each member contributing optimally but acquiescing to a peer C. the use of individual traits to interpret the environment and define a plan D. social skills and interpersonal competence to create harmony in the workplace Communication requires a leader to perform which tasks? Select all that apply. A. repeat the information in different forms and at different times B. provide clear instruction to avoid misinterpretation and frustration C. transfer patient-centered communication skills to leadership D. use negotiation procedures and processes such as ethics committees and other neutral entities E. provide necessary resources to those involved to offer support, information, and assistance Rationale: The art of communication involves multiple steps including communicating and explaining repeatedly; providing clear instruction to avoid employees interpreting the message with their personal viewpoints; and applying patient-centered communication skills to the leadership role. Which skill involves nimbly responding to changing situations and roles with little or no fanfare? A. leadership B. serving as a symbol C. systemic thinking D. emotional intelligence Which processes are include in Bleich's tasks of management? Select all that apply. A. demonstrating accountability to the team effort B. recommending ways to improve systems or processes C. eliminating barriers and obstacles to work effectiveness D. offering knowledge, skills, and abilities to accomplish the task at hand E. identifying systems and processes that require responsibility and accountability Which term describes the practice of nurses viewing themselves as members of the discipline of nursing with an obligation to make a commitment and contribution to the profession? A. expertise B. professionalism C. self-actualization D. career commitment Which action requires the leader to specify a desired organizational outcome and engage members of the organization to work together to achieve the objective? A. managing B. motivating C. affirming values D. envisioning goals Which type of care is defined as "secondary care"? A. long-term care B. first-access care C. rehabilitative care D. disease-restorative care Rationale: tertiary care can be described as long-term care. Primary care is described as first-access care. Tertiary care can also be described as rehabilitative care In 2004, which organization developed the masters level clinical nurse leader (CNL) role in response to the need for more evidence-based, collaborative, cost-effective, patient-centered care? A. National League of Nursing (NLN) B. American Nurses Association (ANA) C. American Medical Association (AMA) D. American Association of Colleges of Nursing (AACN) Which part of Medicare covers hospice care? A. Part A B. Part B C. Part C D. Part D Rationale: Medicare Part A covers inpatient care and hospice care. Part B covers doctor's services, testing, outpatient care, home health services, and durable medical equipment. Part C allows private health insurance companies to provide Medicare benefits. Medicare Part D is the prescription drug supplement. Which statement reflects the average length of stay for an acute hospital A. less than 10 days B. less than 30 days C. more than 50 days D. between 30 and 50 days A historic hospital study was completed in 1983, and the goal of the study was to discover factors attracting qualified professional nurse. Of these hospitals, 41 were identified by their ability to attract and retain professional nurses who provided quality care. What were these 41 "best hospitals" called? A. magnet hospitals B. tertiary care centers C. gold standard hospitals D. employee recognition hospitals Which part of Medicare provides for durable medical equipment? A. Part A B. Part B C. Part C D. Part D Rationale: Part B covers doctor's services, testing, outpatient care, home health services, and medical supplies. Medicare Part A covers inpatient and hospice care. Part C allows private health insurance companies to provide Medicare benefits. Medicare Part D is the prescription drug supplement. Which aspect is a frequently voiced concern about retail clinics? A. limited hours of operation B. lack of chronic disease care C. fragmentation of patient care D. lack of primary preventative care A patient being discharged after complex wound care also requires dialysis for kidney failure. The nurse knows a patient with these needs would benefit from recovery under the care of a team of specialists. Which facility does the nurse suggest? A. home health B. long-term care C. daycare center D. long-term acute care hospital A nurse manager uses a process to empower the associates to have a voice in decision making. Which term refers to a collective decision-making process at the point of service? A. ownership B. partnership C. senior leadership D. shared governance Which dimension of the Quadruple Aim can be achieved through shared decision-making programs and providing outreach and education before service? A. improve population health B. reduce the per capita cost of care C. enhance the patient experience care D. improve the experience of providing care For which primary purpose will the nurse manager contact the human resources department with concerns about an emotionally troubled employee? A. to notify the department of the impending termination B. to provide a referral for the employee assistance program C. to determine whether the employee is protected under the ADA D. to make an appointment for the employee to meet with a human resource representative Rationale: The human resource department will be contacted if an employee appears emotionally troubled. If an employee has a documented mental illness, the organization may be under certain legal constraints as specified in the ADA. Conflict occurs in which broad categories? SATA. A. values B. relationship C. intrapersonal D. interpersonal E. organizational Which type of technology involves the use of equipment in the clinical setting for diagnosis, physiologic monitoring, testing, and administering therapies to patients? A. innovative B. knowledge C. biomedical D. information Which character trait is being exhibited by a nurse who giggles at a patient's diagnosis? A. immaturity B. indifference C. incompetence D. unproductivity The daughter of a health plan's CEO recently graduated with a degree in nursing and was immediately hired as the Director of Disease Management. The positions description states applicants should have at least 5 to 10 years of clinical experience. Which type of power helped the new graduate nurse attain the position? A. expert B. position C. connection D. information Which member characteristic describes the charge nurse who is a practical, prudent, emotionally stable, level-headed, and hard-headed challenger of ideals and theories? A. pragmatic B. results-oriented C. relationship-focused D. process and rule follower Which theory states the survival of an organization is based upon its evolutionary ability to adapt to environmental change? A. chaos B. systems C. complexity D. contingency Rationale: Systems theory attempts to explain productivity in terms of a unifying whole as opposed to a series of unrelated events. Systems theory suggests the survival of an organization depends on its evolutionary response to changing environmental forces. Chaos theory describes complex systems as being highly sensitive to slight changes, giving rise to potential chaos when such changes occur. Complexity theory is similar to chaos theory in that it describes complex systems and how they behave. Contingency theory encourages managers to consider the situation and all its elements when making a decision. The nurse manager wants to bridge differences between the many different cultures of staff and patients on the floor. Which concept is the nurse's goal demonstrating? A. multicultralism B. cultural diversity C. transcultrualism D. cross-culturalism Which organization proposed replacing nurses with registered care technologists in 1988 during a nursing shortage? A. The Joint Commission B. American Nurses Association C. National League for Nursing D. American Medical Association Which application of information technology verifies the five rights of medication administration? A. "Smart" infusion pumps B. automated dispensing unit/cabinet C. pharmacy automation and robotics D. bar coding and radiofrequency identification scanning Which organization is likely to be run as a nurse-owned and nurse-organized service? A. subacute facility B. long-term care facility C. public health department D. university health services Which level of care is appropriate for a patient who needs hemodialysis? A. primary care B. tertiary care C. secondary care D. health maintenance Which components form an organization's foundation for structure and performance in addition to the development of its professional practice models? SATA A. vision B. theory C. system D. mission E. philosophy Which of Gardner's tasks of leading and managing are demonstrated when the nurse inspires patients and families to achieve their visions? A. managing B. explaining C. renewing D. motivating Which statement is an accurate characterization of health maintenance organizations (HMOs)? A. HMOs do not provide for any dental services B. HMOs must offer treatment for drug and alcohol problems C. fees are discounted from their usual or customary charges D. physicians are paid on a fee-for-service basis by a prepaid pan to deliver care to Rationale: must offer services to be federally qualified. One strategy to develop personal empowerment is developing a powerful image. Which actions contribute to this process? SATA A. following through on promises B. learning to be comfortable with conflict C. treating people with courtesy and respect D. thinking of oneself as powerful and effective E. ensuring that clothing, hair, and general appearance are appropriate Which is an example of a sentinel event? A. hand hygiene B. wrong site surgery C. severe pressure ulcer D. patient suicide on the unit Rationale: sentinel events are serious unexpected events that cause death or physical/psychological harm, such as an inpatient suicide. Hand hygiene is an ALWAYS event because it should occur 100% of the time. Wrong site surgery and a severe ulcer are NEVER events. Never events are preventable and therefore should never happen. Which statement refers to a healthcare organization's view of what nursing practice should be within the organization and how it contributes to the health of individuals and communities? . A. vision statement B. values statement C. mission statement D. philosophy statement Rationale: Vision statement is a future-oriented, purposeful statement designed to identify the desired future of an organization. A values statement expresses the core values as part of a strategic plan. A mission statement defines a healthcare organization's reason or purpose for being, identifies its costumers, and identifies the types of services offered. Which concepts illustrate traits of an effective follower? SATA A. willing to be led B. creative C. passive D. professional E. permissive Which right of delegation is addressed with feedback related to the task? A. task B. person C. supervision D. communication Which statement describes transformational leadership? A. attending to the needs and motives of followers B. demonstrating a certain set of traits that inspire others C. motivating others through the hierarchy of human needs D. responding to patient and organization problems differently Rationale: Trait theory states that leaders have a certain set of traits that inspire others. The hierarchy of needs theory states that leaders motivate others through hierarchy of human needs. In adaptive leadership, leaders respond to patient and organization problems differently Which characteristic is retained by the delegator in every delegation situation? A. payment B. efficiency C. responsibility D. accountability A healthcare team member is trapped in distress and reacting at the unconscious reactive level and making quick judgments. Which type of statement will help the individual think compassionately? A. I want... B. I feel... C. I can't... D. I think... Rationale: I think statements are beneficial to think compassionately. I want statements are the conscious reflective response to emotional distress. I feel is at the accountability level. I can't statements are negative, reactive responses rather than positive, reflective responses Which healthcare organization is under private ownership? A. public hospitals B. VA C. academic medical centers D. The Women's and Infant's Project Which activity applies the chaos theory to nursing practice? A. the budgeting process B. tracking of systems patterns C. analysis of the healthcare system D. occurrence of an adverse event such as a nosocomial infection Rationale: The occurrence of an adverse event such as a nosocomial infection illustrates chaos theory, because such events are unpredictable and random. The other options represent the systems theory, which demonstrates exchange between inputs, throughputs, and outputs. Which does the Joint Commission recommend when planning and implementing health information technology that involves medication? A. involving pharmacists B. choosing a low-cost system C. limiting exposure to too many vendors D. ensuring a long period of time between training and implementation. Which tool is widely used by healthcare organizations to determine harm to patients? A. TeamSTEPPS B. Global Trigger C. Choosing Wisely D. Magnet Recognition Program The nurse manager takes a personal approach when interacting with a staff member, with the goal of improved employee performance. Which strategy is the nurse manager using with this approach? A. coaching B. assessing C. educating D. managing Which right of delegation takes into account the knowledge and skill of any individual to whom the RN may delegate elements of care? A. right task B. right direction C. right person D. right supervision Which is the ultimate goal of nursing delegation? [Show More]

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