KAPLAN LEADERSHIP & MANAGEMENT EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED, Exams of Nursing

Download KAPLAN LEADERSHIP & MANAGEMENT EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED and more Exams Nursing in PDF only on Docsity! KAPLAN LEADERSHIP & MANAGEMENT EXAM KAPLAN LEADERSHIP & MANAGEMENT EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED The essence of leadership is the leader's ability to: A) Get people to work together B) Influence other people C) Help others meet their personal goals D) Influence the group to follow the leader's way of thinking - ACCURATE ANSWERS✔✔ Answer: A According to "trait theories," the most common traits of a good leader are: A) Information giving and decision-making B) Public speaking and nonrisk behaviors C) Intelligence and initiative D) Verbal and written communication skills - ACCURATE ANSWERS✔✔ Answer: C Of the following qualities, which would least likely be attributed to an effective nursing leader? A) Energy and integrity B) Pessimism and stress C) Courage and initiative D) Optimism and perseverance - ACCURATE ANSWERS✔✔ Answer: B Behaviors of an effective leader include: - ACCURATE ANSWERS✔✔ A) Denying the exchange of information B) Inability to communicate effectively C) Giving only negative feedback D) Developing oneself and others Answer: D Sally has been working only 3 months after graduating from her nursing program. She confides in a friend that she wants to develop herself as a "good follower." Her friend says, "Anyone can follow—just walk behind someone and do nothing." How might Sally respond? - ACCURATE Emotional intelligence is also an important part of leadership. Which of these qualities is not part of emotional intelligence? - ACCURATE ANSWERS✔✔ A) Understanding self B) Listening skills C) Acknowledging others D) Responding quickly to a crisis Answer: D The major hallmark of situational leadership is: - ACCURATE ANSWERS✔✔ A) Understanding the readiness of the follower B) Major focus on interpersonal relationships C) Effective listening skills D) Motivating others Answer: A Matthew is completing his first year of employment as an RN on a medical-surgical unit. A new graduate has just started her orientation on his unit. He found her crying in the patient lounge stating, "I can't do this. This is just not like we learned in school." What response from Matthew demonstrates his leadership skill? - ACCURATE ANSWERS✔✔ A) "If you are already crying this is not the career for you." B) "I remember those feelings—come on—let's talk about it." C) "Why don't you talk to the nurse manager? Maybe she can give you a lighter load." D) "I would consider a transfer to an easier unit." Answer: B The role of the manager includes: - ACCURATE ANSWERS✔✔ A) Interpersonal, informational, and decisional actions B) Extroverted personality, hidden agenda, and personal gain C) Introversion, asking questions, and inability to take action D) Extreme prejudice, being unknowledgeable, and being uncaring Answer: A Sally meets with all the staff to get input on the governance of the unit. Her management style is most likely: - ACCURATE ANSWERS✔✔ A) Autocratic B) Participative C) Directive D) Permissive Answer: B During a code Sue begins giving order to the staff. Her management style at this time is: - ACCURATE ANSWERS✔✔ A) Nondirective B) Permissive C) Controlling D) Participative Answer: C An example of a human relations-oriented manager is one who: - ACCURATE ANSWERS✔✔ A) Motivates employees to work to their highest potential B) Uses control rather than guidance C) Assumes close supervision over staff development D) Implements punishment rather than rewards potential Answer: A Which of the following qualities would be detrimental to effective nursing management? - ACCURATE ANSWERS✔✔ A) Leadership B) Clinical expertise C) Business sense D) Minimum communication Answer: D Michelle believes that her employees operate from the Theory Y philosophy. Based on this, how would she assist them in developing a scheduling plan for the unit? - ACCURATE ANSWERS✔✔ A) Send a completed schedule for 2 months out over e-mail. B) Ask for a committee of volunteers to develop the schedule. C) Meet with each employee to get his or her input about the best scheduling plan. Wilhelmina, an RN for over 6 years, had her license suspended because an audit of her continuing education credits showed that she had not met the mandatory course requirements. The Board of Nursing has the ability to do this based on: - ACCURATE ANSWERS✔✔ A) Case law B) Administrative law C) Civil law D) Statutory law Answer: B Jeremy graduated from an associate degree nursing program 2 years ago. He is brought before the State Board of Nursing for offering to give physicals for summer camp for $25. Because Jeremy has violated the Nurse Practice Act in his state, he is charged with committing a: - ACCURATE ANSWERS✔✔ A) Misdemeanor B) Felony C) Civil law D) Common law Answer B Which of the following would not be considered one of the elements for a negligence claim? - ACCURATE ANSWERS✔✔ A) Duty B) Breach of duty C) Spontaneous duty D) Harm Answer: C Lorena, an RN, is flying from Los Angeles to New York. The flight attendant requests the help of a nurse or physician if one is on board. Lorena approaches the flight attendant and asks if she can assist. Lorena is protected by the Good Samaritan Act because the act states that a licensed health-care provider can: - ACCURATE ANSWERS✔✔ A) Administer care any time B) Provide care that any other prudent individual with the same education would provide C) Provide the same care as a paramedic D) Provide care outside the scope of her practice as long as she knows how to perform the required procedure Answer: B Larry was brought to the hospital by two police officers. He was combative and verbally abusive. After waiting for over an hour, Larry tells the nurse he is leaving. The nurse removes Larry's clothes from the room, leaving him only in his underwear. The nurse may be charged with: - ACCURATE ANSWERS✔✔ A) Cruel and unusual punishment B) Slander and libel C) False imprisonment D) Assault and battery Answer: C Jose and his girlfriend are driving on the highway and witness a motor vehicle accident. He calls 911 and pulls over to the side of the road. He immediately begins to assess the victim to determine what he can do until the paramedics arrive. His girlfriend says, "This guy can't give you permission to help him; maybe you should just leave him alone." Jose explains that he has implied consent. Implied consent is assumed when a client: - ACCURATE ANSWERS✔✔ A) Sees a physician or nurse by appointment in the office or clinic setting B) Arrives in the operating suite C) Is admitted to the hospital D) Is treated at the scene of an accident Answer: D Three nursing students are in the elevator and overhear Evan, one of the staff nurses, discussing his neighbor who was hospitalized last night for liver failure. Evan told his colleague that a mutual friend told him that the neighbor was "known for liking his brandy." A family member was in the elevator and also overheard the conversation. Evan may be charged with: - ACCURATE ANSWERS✔✔ A) Slander B) Libel C) Fraud D) Breach of confidentiality Answer: A Juliana, an RN, is caring for Mary Lewis, 80 years old. Ms. Lewis falls and injures herself. Which of the following actions should Juliana take to decrease her liability? - ACCURATE ANSWERS✔✔ A) Document the incident carefully on an incident report form. Answer: C The health-care provider orders an injection for a pediatric client. The client's legal guardian refuses to allow the nurse to administer the medication, however, the nurse proceeds to administer the injection. Legally, the nurse has committed: - ACCURATE ANSWERS✔✔ A) An assault B) A battery C) An invasion of privacy D) False imprisonment Answer: B After administering an incorrect dosage of a medication the nurse realizes that too little medication was given to the client. The nurse then administers a second dose in order to give the correct dosage. Legally, the nurse must: - ACCURATE ANSWERS✔✔ A) Not tell anyone about the error B) Document that the correct medication was administered C) Document the error in the nursing notes D) Both A and B Answer: C A nursing student is preparing for the NCLEX. Which of the following activities would be most appropriate 2 days before the student is to take the examination? - ACCURATE ANSWERS✔✔ A) Pack a bag of items that may be needed during the test. B) Map out the route to the exam site. C) Eat a diet high in fats and carbohydrates. D) Both A and B Answer: D Which of the following would be considered an extrinsic value? - ACCURATE ANSWERS✔✔ A) Food B) Water C) Money D) Shelter Answer: C Mrs. Chou has been suffering from senile dementia Alzheimer's type for over 5 years. Her family has kept her at home, and each member has participated in her care. The community health nurse has been supporting the family in this effort. Recently, Mrs. Chou has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to: - ACCURATE ANSWERS✔✔ A) Say nothing; this is a family issue. B) Speak with the members individually and persuade them to do "what is best for their mother." C) Discuss the conflicting opinions with the physician. D) Persuade the family members to meet together to express their feelings to one another. Answer: D Mr. Jeremy received the wrong dose of a narcotic, and the error was caught during the shift's narcotic count. The nurse performing the count was not the nurse who signed out the medication. The nurse's next action should be to: - ACCURATE ANSWERS✔✔ A) Speak about the error with the nurse who gave the medication. B) Report the medication error without first consulting the nurse who signed out the medication. C) Call the nurse manager and ask her to handle the situation. D) Write out an incident report. Answer; A A family insists that their father, Alvin Shure, 68 years old, not be told he is dying of lung cancer. While hanging his IV medication, Mr. Shure asks the nurse, "I never had a medication in a bag like that. What is it for?" The nurse knows that the medication is an antineoplastic agent. The best response by the nurse is: - ACCURATE ANSWERS✔✔ A) "This is a new drug your physician ordered." B) "This medication is often used in the treatment of cancer." C) "This medication has more than one use, and I am not sure why you are receiving it." D) Request that the family tell him why he is getting the medication. Answer: B Mrs. Brandon has breast cancer. She was diagnosed quite late in the illness and is terminal. She knows that she has breast cancer and has undergone a mastectomy, however, no one has told her the extent of her A nurse working in the critical care unit is described as being an excellent friend and critical thinker. This would be considered an example of: - ACCURATE ANSWERS✔✔ A) Virtue ethics B) Moral ethics C) Nursing ethics D) Power ethics Answer: A A common theme in both the ANA and the ICN code is: - ACCURATE ANSWERS✔✔ A) A focus on the importance of compassionate care B) Nurses making decisions for clients C) Promoting nursing practice acts D) Maintaining continuing education Answer: A A new graduate is considering working at a health-care institution that focuses on core values. It is important for the new graduate to: - ACCURATE ANSWERS✔✔ A) Read the organization's mission and philosophy B) Develop a new set of values that blend with the organization C) Speak with other nurses who work in the institution D) Both A and C Answer: D Sources of coercive power come from which of the following? - ACCURATE ANSWERS✔✔ A) Responsibility B) Recognition C) Expertise D) Punishment Answer; D The structure of many organizations is the: - ACCURATE ANSWERS✔✔ A) Traditional approach B) Organic structure C) Decentralized approach D) Network structure Answer: A Empowerment is psychological and includes a feeling of: - ACCURATE ANSWERS✔✔ A) Control B) Loss C) Effectiveness D) Quantity Answer: C Empowerment occurs more often with: - ACCURATE ANSWERS✔✔ A) Authoritarian management B) Shared governance C) Laissez-faire governance D) Autocratic management Answer: B Sharing decision-making responsibilities may be difficult for some managers for which of the following reasons? - ACCURATE ANSWERS✔✔ A) They believe that empowered staff members have higher levels of job-related tension. B) There is inadequate staffing on the unit. C) There is a lack of time and situational support. D) They may be reluctant to give up their control. Answer: D For registered nurses to enhance their expertise and sense of empowerment, certain activities are necessary. Which of the following will least prepare registered nurses for enhancing their competence? - ACCURATE ANSWERS✔✔ A) Actively participating in interdisciplinary team conferences B) Attending professional organization meetings C) Refraining from participating in research projects in a clinical specialty D) Returning to school to earn a higher degree in nursing Answer: C B) Encoder, message, method of sending, decoder, feedback C) Decoder, message, encoder, method of sending, feedback D) Feedback, decoder, message, method of sending, encoder Answer: B The two basic channels of communication are: - ACCURATE ANSWERS✔✔ A) Verbal and interpretive B) Nonverbal and interpretive C) Nonverbal and verbal D) Verbal and written Answer: C Liu Chen, an RN, is taking a client history. She is entering the information into her handheld as the client speaks to her and asks questions clearly and concisely. However, Liu asks questions regarding information the client has already given. The client says to Liu, "Are you listening to me?" Of the following, which best indicates Liu is listening to the client? - ACCURATE ANSWERS✔✔ A) Maintaining appropriate eye contact. B) Glancing around the room and writing a note. C) Asking another question immediately after receiving an answer to the first question. D) Typing notes on the computerized record while the client is speaking. Answer: A The staff is discussing the confusion they have over some directions regarding a JCAHO project given by Linda, the associate nurse manager. Each staff member has a specific assignment, however, some of the tasks seem to be duplicated. Based on the five elements of communication, who is responsible for the clarity of messages? - ACCURATE ANSWERS✔✔ A) The decoder B) The transcriber C) The encoder D) The receiver Answer: C Maggie is a new UAP. She has been working the 7:00 p.m. to 7:00 a.m. shift on a busy telemetry unit for 3 months. She is perpetually late to work. The other UAPs on the unit are complaining about the situation. Of the following responses, which demonstrates the best example of assertive communication? - ACCURATE ANSWERS✔✔ A) "You are always late; what are you going to do about this situation?" B) "Being late is unacceptable; you need to change this behavior." C) "I noticed that you often arrive late; I think we need to discuss how this affects your performance." D) "Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem." Answer: D Louis, an RN, is caring for Emil Jones, a 58-year-old newly diagnosed diabetic. Louis needs to instruct Emil regarding his insulin pump. While performing client teaching, which of the following barriers to communication can Louis eliminate? A) Noise from the television - ACCURATE ANSWERS✔✔ A) Noise from the television B) Language differences C) Educational level D) Mr. Jones' lack of attentiveness Answer: A Communication has the best chance of being interpreted accurately when: - ACCURATE ANSWERS✔✔ A) Face-to-face communication is used B) The message is repeated by the sender C) Sent electronically D) More than one mode is used Answer: D While working as the charge nurse on the 7:00 p.m. to 7:00 a.m. shift, the nurse overhears the UAP speaking harshly to Mr. Hernandez, who has an expressive aphasia and a left hemiparesis from a stroke. When the UAP leaves the room, the nurse decides to speak with her. Which of the following would be the most appropriate approach? - ACCURATE ANSWERS✔✔ A) "I have decided to change your assignment from Mr. Hernandez to Mrs. Hopkins." B) "I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez." Answer: B Madeline is working in the pediatric oncology unit as a pediatric client care technician and enjoys playing with the children. Every time the nurse needs her for something, Madeline can be found in the play area or in a child's room. The nurse believes if Madeline would do her tasks, then she would be able to deliver better nursing care. The nurse is finally exasperated with Madeline after finding her in the playroom one more time. The nurse says, "You are lazy and never get anything of importance done for this unit!" The nurse has just provided Madeline with: - ACCURATE ANSWERS✔✔ A) Neutral criticism B) Positive feedback C) Negative feedback D) Constructive criticism Answer: C Jose has switched to the night shift from the evening shift so that he has more time to spend with his family. However, he is finding it difficult to sleep during the day. His wife asks him to do numerous tasks around the house while he is at home. The lack of sleep is beginning to affect his job performance, and he has made several medication errors over the past month. His evaluation is a month away. The best approach for the nurse manager to take in this situation would be to: - ACCURATE ANSWERS✔✔ A) Wait until his evaluation in a month B) Ask the night supervisor to speak with him C) Schedule a meeting with Jose for the next morning D) Ignore the situation because the manager knows Jose will improve Answer: C Which of the following is usually not part of a job evaluation? - ACCURATE ANSWERS✔✔ A) The job description B) Being compared with others C) The results of the employee's efforts D) What the evaluator has seen Answer: B When giving feedback it is important to include: - ACCURATE ANSWERS✔✔ A) Suggestions for change B) Only negative feedback C) Positive feedback followed by negative feedback D) A general opening statement comparing this person with others Answer: A Which of the following is least effective when giving evaluation feedback? When it is given: - ACCURATE ANSWERS✔✔ A) Immediately B) Frequently C) Privately D) Negatively Answer: D Which of the following guidelines is not appropriate when giving negative feedback? - ACCURATE ANSWERS✔✔ A) Think before you speak B) Allow personal feelings to guide your response C) Focus on behavior, not the personality D) Uncover hidden feelings Answer: B Negative feedback should be given: - ACCURATE ANSWERS✔✔ A) In the nursing station B) During report C) With a yearly evaluation D) Privately Answer: D A client's husband recently died. During her doctor's appointment, what would be the most appropriate statement by the nurse to the client at this time? - ACCURATE ANSWERS✔✔ A) "At least your husband didn't have to suffer." B) "It's better to go quickly as your husband did." C) "Your husband's loss must be very painful for you." D) "You'll begin to feel better after you get over the shock." Answer: C A problem-solving process used in the nurse-client relationship is known as: - ACCURATE ANSWERS✔✔ A) Case management B) Nursing process C) Evaluation techniques D) Remediation theory Answer: B What is the goal of conflict management? - ACCURATE ANSWERS✔✔ A) A conflict-free workplace B) Resolving conflicts C) Avoiding conflicts at any cost D) Problem reduction Answer: B Problem resolution, as opposed to negotiation, is appropriate in which of the following situations? - ACCURATE ANSWERS✔✔ A) Complex, widespread disagreement B) Highly charged situation C) Political issue D) Interpersonal misunderstanding Answer: D Ground rules are set during a negotiation in order to: - ACCURATE ANSWERS✔✔ A) Prevent escalation of the conflict B) Restrict freedom of discussion C) Clarify the source of the conflict D) Reduce formality Answer: A The best indication that a conflict is resolved is when: - ACCURATE ANSWERS✔✔ A) Everyone falls silent. B) The group that was correct is the winner. C) Issues remain a concern. D) Everyone is satisfied with the solution. Answer: D Collective bargaining is best described as: - ACCURATE ANSWERS✔✔ A) An informal problem-solving process B) A generally informal process involving all staff members C) A formal procedure governed by labor laws D) Focused on interpersonal relationships Answer: C Resistance to change has three major sources: - ACCURATE ANSWERS✔✔ A) Technical concerns, psychosocial needs, threats to a person's position B) Staffing concerns, physical needs, threats to hierarchy needs C) Prior concerns, social needs, threats to self-actualization D) Technology concerns, personal needs, threats to hospitalized clients Answer: A Once resistance to change is recognized, it must be: - ACCURATE ANSWERS✔✔ A) Ignored B) Pacified C) Addressed D) Justified Answer: C One way to lower the resistance to change would include: - ACCURATE ANSWERS✔✔ A) Centralization of information B) Confirmation of currently held beliefs C) Provision of psychological safety D) Ensuring the involvement of few people to reduce confusion Answer: C New nursing graduates may assist in implementing change by: - ACCURATE ANSWERS✔✔ A) Participating in staff meetings B) Maintaining current status of client data C) Using procedures suggested by the hospital D) Ignoring quality improvement issues Answer: D Individual staff members are likely to respond to change: - ACCURATE ANSWERS✔✔ A) In ways that can be predicted consistently B) Consistently negatively C) In ways affected by personality and life experience D) Consistently positively Answer: C Providing psychological safety is accomplished by: - ACCURATE ANSWERS✔✔ A) Designing the change to be technically of high quality B) Allowing time for learning a new procedure C) Delaying change implementation as long as possible D) Putting the changes into effect as fast as possible Answer: B Personal change is best described as: - ACCURATE ANSWERS✔✔ A) Part of one's development as a leader B) An entirely different phenomenon from technical change C) Much more difficult to put into practice D) Something that happens within a person's comfort zone Answer: A Mr. Reynolds is admitted through the emergency department after being involved in a motor vehicle accident. His airbag failed to deploy, and he was hit in the abdomen with the steering wheel. He has an IV of 0.9% NS @ 100 mL/hr, BP 92/58, and complains of weakness, fatigue, and abdominal pain. On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited 560 mL. The nurse is quite busy and decides to delegate client care activities to the nursing assistant. Of the following activities, which should the nurse keep? - ACCURATE ANSWERS✔✔ A) Taking and recording vital signs every 15 minutes B) Recording accurate intake and output C) Obtaining a baseline weight to guide therapy D) Increasing the IV rate to 250 mL/hr if the blood pressure drops to 85/50 Answer: D Mrs. Dillon, a client recovering from CHF, is being discharged this afternoon. She needs teaching reinforced. The most appropriate caregiver to complete this activity is: - ACCURATE ANSWERS✔✔ A) An LPN/LVN B) A UAP C) A unit secretary D) A second-year nursing student working as a nurse tech on the unit Answer: A Of the following clients, which one could be assigned to a UAP? - ACCURATE ANSWERS✔✔ A) A client with a recent head injury B) A fresh postoperative laparoscopy client for the removal of an ovarian cyst C) A client with stable angina D) A client with a sepsis Answer: C The RN who is the team leader gives assignments to all the team members. The decision is based on: - ACCURATE ANSWERS✔✔ A) The number of staff willing to work B) The age and desires of the team members C) The RN needing to take orders and write client outcomes D) The condition and needs of each client Answer: D Eddie, an RN, is charge nurse and is setting up the day's assignments. Lindsey, a newly licensed RN, has been floated to the unit. When making an assignment for Lindsey, Eddie must consider: - ACCURATE ANSWERS✔✔ A) Lindsey's age B) Lindsey's knowledge of the institution's standards of practice C) Lindsey's nursing degree D) Lindsey's knowledge base and level of skill Answer: D to members of the health-care team based on each individual's: - ACCURATE ANSWERS✔✔ A) Length of service B) Scope of practice C) Ability to perform the task D) Job title Answer: C Kimberly has been a nurse for 10 years, and she is precepting Loren, a new RN. Loren is having difficulty prioritizing client care. Kimberly explains to her that prioritizing client care is based on: - ACCURATE ANSWERS✔✔ A) The nursing process B) Virchow's triad C) Client requests D) Maslow's hierarchy Answer: D As a charge nurse, which of the following clients would be the most appropriate to assign to a nurse pulled to a neurological unit from a general surgical unit? - ACCURATE ANSWERS✔✔ A) A client with a stable cervical fracture who is in halo traction B) A client with Guillain-Barré syndrome who is having respiratory difficulties C) A client with chronic amyotrophic lateral sclerosis D) A newly admitted client diagnosed with myasthenia gravis Answer: A A nurse is caring for a client who has dementia and urinary incontinence. Which nursing action could be appropriately delegated to a UAP? - ACCURATE ANSWERS✔✔ A) Teaching the client to use the call bell when needing the bed pan. B) Offering the bed pan to the client every 2 hours. C) Obtaining a sterile urine sample for culture and sensitivity. D) Assessing the client for skin breakdown. Answer: B Which of the following clients should be assigned to the UAP? - ACCURATE ANSWERS✔✔ A) A client who has just returned from the post-anesthesia recovery room. B) A client whose call light is not working. C) A client with Alzheimer's type dementia. D) A client who is receiving heat treatment. Answer: B The existing health-care delivery system is influenced by trends and issues beyond the health-care system, including: - ACCURATE ANSWERS✔✔ A) Globalization, standard precautions, and technology B) Societal demographics, economics, and legislation C) Core measures, diversity, and regulation D) Evidence-based practice, system errors, and environment Answer: B Which of the following non-profit agency or organization completed the report that now serves as the foundation and strategy for health system reform? - ACCURATE ANSWERS✔✔ A) The Joint Commission B) The U.S. Senate C) The American Medical Association D) The Institute of Medicine Answer: D A sentinel event occurs at a hospital. Which of the following is NOT an end result of the Continuous Quality Improvement Process? - ACCURATE ANSWERS✔✔ A) Identification of the factors contributing to the event. B) Improving the system to prevent future sentinel events. C) Termination of all health-care professionals involved. D) Reporting to Risk Management the potential for similar events. Answer: C In many states there is a legal requirement to report: - ACCURATE ANSWERS✔✔ A) Adverse events B) Skill-based errors C) Safety gaps D) Near misses Answer: A C) Voting for candidates who support your views and those of your profession D) Volunteering on unit or hospital-based quality or safety initiative Answer: B The RN knows that an example of a diagnostic error is: - ACCURATE ANSWERS✔✔ A) A failure to act on critical lab results reported B) The failure of an IV pump to infuse at the programmed rate C) Error in administering a PO medication D) Error in calculating an IV drug dose Answer: A The IOM identified five Core Competencies for health professionals. As the RN you identify and plan to develop all of the following identified competencies EXCEPT: - ACCURATE ANSWERS✔✔ A) Implement quality and safety initiatives B) Employ evidence-based practice C) Work in interdisciplinary teams D) Utilize informatics Answer: A Historical, social, political, and economic trends and issues: - ACCURATE ANSWERS✔✔ A) Have contributed to the complexity of today's health-care system B) Have had a limited impact on today's health-care delivery system C) Can be positively correlated with outcomes of care at the bedside D) Have been mitigated by the strong influence of professional organizations like the ANA and the AMA Answer: A The Institute of Medicine (IOM): - ACCURATE ANSWERS✔✔ A) Was unable to quantify the prevalence or significance of health-care quality issues B) Was organized after efforts of the AMA failed to improve health-care system quality C) Was given authority to legislate health-care system quality and safety deficits D) Authored a series of reports that provided the foundation for health- care system reform Answer: D In Continuous Quality Improvement (CQI), data collection is: - ACCURATE ANSWERS✔✔ A) Everyone's responsibility B) The means to lay blame to those who commit errors at the bedside. C) Limited to data available from a patient chart D) Limited by the CQI software limitations Answer: A Which of the following is NOT accurate regarding the organization and agency efforts to support quality and safety in the health-care system? - ACCURATE ANSWERS✔✔ A) The U.S. Department of Health and Human Services is the primary agency responsible for protecting health in America. B) The American Nurses Association manages a database of unit- specific nurse-sensitive data known as NDNQI. C) Nonprofit organizations such as the Robert Wood Johnson Foundation and Leapfrog Group all have the singular focus to improve health-care outcomes for the underserved. D) The purpose of the Joint Commission is to provide voluntary accreditation of hospitals and health-care organizations. Answer: C Which of the following is FALSE regarding the three aspects of health- care evaluation? - ACCURATE ANSWERS✔✔ A) Structural factors guarantee quality health care. B) Processes include evaluation of the care that nurses and respiratory therapists provide. C) Outcome measures evaluate the effectiveness of care provided by nursing and other health-care team members D) A comprehensive evaluation of health care includes structure, process, and outcomes. Answer: A Answer: D A method for working smarter and not harder would be: - ACCURATE ANSWERS✔✔ A) Gathering all the equipment needed to help a physician perform a procedure in advance of the physician coming to the unit B) Trying to perform a task you are unsure about prior to asking for assistance or instructions C) Ignoring client statements such as, "I don't feel right," as assessing these issues at the time interrupt your routine D) Obtaining all your vital signs first thing in the morning so that you do not have to repeat them prior to giving medications Answer: A Which of the following methods uses technology to decrease the time spent on paperwork? - ACCURATE ANSWERS✔✔ A) Scanning in nurses' notes B) Using multidisciplinary charting sheets C) Bar-coding certain types of client data D) Keeping charts at the beside Answer: C The Rhythm Model uses the anachronism PQRST. The letters stand for: - ACCURATE ANSWERS✔✔ A) Prioritize, Question, Re-check, Self- reliance, Treat B) Plan, Quantify, Re-evaluate, Self-assurance, Treat C) Prioritize, Quantify, Re-check, Self assurance, Treat D) Plan, Question, Re-evaluate, Self-reliance, Treat Answer: A In order to manage time effectively it is important to: - ACCURATE ANSWERS✔✔ A) Do the tasks that take the least amount of time first B) Do the tasks that take the most amount of time first C) Prioritize tasks according to importance D) Alternate shorter tasks with longer tasks Answer: C The employer is responsible for providing a safe working environment by: - ACCURATE ANSWERS✔✔ A) Driving all employees to work B) Following the OSHA guidelines C) Teaching employees to use their back muscles for lifting clients D) Allowing the recapping of contaminated needles Answer: B Threats to the employee do NOT include: - ACCURATE ANSWERS✔✔ A) Potentially lethal chemicals B) Exposure to infectious materials C) Recapping safety devices in each room D) Radioactive materials in open containers Answer: C Ways to reduce risk of infection to yourself and others include: - ACCURATE ANSWERS✔✔ A) Not going into the client's room B) Wearing gloves whenever you go into a client's room C) Placing all clients in isolation rooms D) Good hand-washing practices Answer: D According to OSHA, employers must provide all of the following EXCEPT: - ACCURATE ANSWERS✔✔ A) Tuberculosis testing and hepatitis B vaccine B) Client rooms that are painted with pleasant colors C) Protective equipment, such as gloves, gowns, and masks D) Immediate treatment after exposure to bloodborne pathogens Answer: B Circumstances surrounding health-care work that contribute to workers' susceptibility to homicide and assault include: - ACCURATE ANSWERS✔✔ A) Working in low-crime areas B) Having good hospital security C) Experienced staff to deal with problems D) Working in large groups Answer: C Answer: B OSHA requires employers to protect employees by: - ACCURATE ANSWERS✔✔ A) Providing annual training B) Giving free hepatitis B vaccines C) Maintaining universal precautions D) Maintaining staffing ratios Answer: D The American Nurses Association recommends that questionable practices in the workplace be reported. These may NOT include: - ACCURATE ANSWERS✔✔ A) Endangering a client's health B) Abusing authority C) Violation of rules or standards of practice D) Being short-tempered with others Answer: D Stress, according to Hans Selye, is best described in the general adaptation syndrome (GAS) and includes three stages. Which one is NOT included in the three stages? - ACCURATE ANSWERS✔✔ A) Alarm B) Acceptance C) Resistance D) Exhaustion Answer: B Physiological changes that can be associated with stress include: - ACCURATE ANSWERS✔✔ A) Constricted pupils B) Decreased blood sugar C) Tachycardia D) Bradypnea Answer: C The most important factor related to stress is: - ACCURATE ANSWERS✔✔ A) Physiological stress impacts all other stressors. B) How we interpret stress determines our body's response to it. C) We have little or no control over environmental stressors. D) Cumulative effects of minor everyday hassles are more stressful than a major life event. Answer: B An example that may be a cause of reality shock is: - ACCURATE ANSWERS✔✔ A) Taking care of six clients during your first day on the floor B) Getting to lunch every day C) Having the nurse technician do all of the a.m. care D) Charting after finishing each assessment Answer: A Ways to deal with reality shock include all of the following EXCEPT: - ACCURATE ANSWERS✔✔ A) Finding a mentor B) Leaving the profession C) Exhausting yourself D) Communicating effectively Answer: C Burnout differs from reality shock in that: - ACCURATE ANSWERS✔✔ A) Burnout occurs early in the nursing profession. B) Reality shock occurs late in the nursing profession. C) Professional frustration is the cause of burnout. D) Low expectations of the job cause reality shock. Answer: C There are four stages of burnout syndrome according to the text. Which of the following is NOT one of these stages? - ACCURATE ANSWERS✔✔ A) High expectations and idealism B) Optimism and early job satisfaction C) Withdrawal and isolation D) Irreversible detachment and loss of interest Answer: B Ways to manage burnout include: - ACCURATE ANSWERS✔✔ A) Eating constantly