Leadership CH 1-6 Exam 30 Questions with Verified Answers,100% CORRECT, Exams of Nursing

Download Leadership CH 1-6 Exam 30 Questions with Verified Answers,100% CORRECT and more Exams Nursing in PDF only on Docsity! Leadership CH 1-6 Exam 30 Questions with Verified Answers The clinical nurse leader (CNL) is best prepared to assume which of the following nursing roles? A. Responsibility for the evaluation of a client's plan of care B. Preoperative assessments on clients requiring surgical interventions C. Research to provide evidence-based practice regarding neonatal feeding practices D. Acting as advocate for an elderly, cognitively impaired client hospitalized with gastrointestinal pain - CORRECT ANSWER Responsibility for the evaluation of a client's plan of care The CNL is a master's-prepared RN who designs, implements, and evaluates client care by coordinating, delegating, and supervising the care provided by the health care team, including licensed nurses, technicians, and other health professionals. A Clinical Nurse specialist (CNS) is an advanced practice nurse who has expertise in a defined area of nursing practice such cardiac or infant and child care. The CNS engages in care as an expert clinician, educator, consultant, researcher, and administrator. The professional nurse (RN) addresses the humanistic and holistic needs of patients, acting as a care provider, advocate, and educator. What event in American history influenced the role African-American women have played in the nursing profession? A. The creation of the U.S. Marine Hospital Service in 1798 B. The Civil War, beginning in 1861 C. The Army Nurse Corps, established in 1901 D. The North Carolina Nurse Practice Act of 1903 - CORRECT ANSWER The Civil War, beginning in 1861 The American Civil War allowed and encouraged African-American women to volunteer as nurses, thus setting the stage for their ultimate involvement in the profession of nursing. The U.S. Marine Hospital Service was the forerunner of today's U.S. Public Health Service. The Army Nurse Corps was an outcome of the Army Reorganization Act. North Carolina was the first state to implement the registration of nurses through its nursing practice act. In the Middle Ages (467 BCE to 1450 AD), women delivered food, medicine, and care to the community's ill based on the: A. Christian concepts of charity and the sanctity of human life. B. need to make offerings to the gods in exchange for good health. C. emphasis being placed on the patient-centered approach to health care. D. emerging understanding of the importance of hygiene and sanitation. - CORRECT ANSWER Christian concepts of charity and the sanctity of human life. The Middle Ages saw the Christian church as the central figure in the organization and management of health care, and its concepts of charity and sanctity of human life were influential in the practice of caring for the sick. Beginning in prehistoric times, there was a belief that illness was a direct outcome of displeasing the gods, which gave rise to the practice of making offerings to the gods. In many cultures, it is still believed that illness is related to punishment from the god(s). The concept of patient-centered care and use of the scientific method of problem solving originated with the Greeks (1500 to 100 BCE). The Romans (27 BCE to 476 AD) are credited with the concepts of good hygiene and sanitation being vital to good health Which of the following interventions best demonstrates that a nursing administrator understands the challenges currently facing the professional nurse regarding patient safety? A. Supporting nursing interventions directed towards providing holistic care to both the client and his/her support system B. Requiring representation of the nursing staff in any discussion related to the redesign of patient care environments C. Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration D. Supporting the right of the registered nurse to appropriately act as an advocate when a family disagrees with a client's wishes to limit visitors. - CORRECT ANSWER Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration A. the misuse of social media forums by nurses. B. the hesitation of state boards of nursing to discipline offenders. C. the courts' reluctance to uphold legal decisions involving professional boundaries. D. the nursing profession's inability to adequately define unacceptable behaviors. - CORRECT ANSWER the misuse of social media forums by nurses. The ramifications of inappropriate posting of information by nursing professionals as well as nursing students via the various forms of social media has created serious problems affecting confidentiality and professional boundaries. State boards of nursing take these breaches of nursing practice seriously, revoking nurses' license to practice and expelling students from nursing programs. Currently the courts have upheld legal decisions involving such actions. A staff nurse routinely finds it difficult to receive clarification on prescriptions and orders written by a particular member of the medical staff. When numerous attempts to deal directly with the physician fail, the nurse most appropriately manages the problem by: A. making it known to the nurse manager that they will no longer accept the physician's clients as patients. B. documenting the problem in terms of client safety concerns and forwarding the information to both the nursing manager and chief of medical staff. C. informing the clients that any dissatisfaction with their care should be directed towards their physician for resolution. D. presenting the issues to the unit's entire nursing staff so that a unified plan can be developed to ensure the safety of the physician's clients. - CORRECT ANSWER documenting the problem in terms of client safety concerns and forwarding the information to both the nursing manager and chief of medical staff. The problem will best be addressed as a medical staff problem with appropriate documentation of the problem as it affects client safety being forwarded to both nursing and medical staff administration. Refusing to treat a particular physician's clients or discussing the situation with the clients themselves is not professional behavior and so not a viable option. Involving the entire nursing staff may seem effective but it merely identifies the situation as a nursing problem rather than what it truly is—a medical problem. Which educational intervention demonstrates the most acceptable application of technology as a trend that is currently influencing nursing education as well as client safety? A. Scheduling an orientation session on computer-based documentation for each freshman nursing student B. Providing a list of acceptable Internet sites to use as resources for medication administration C. Requiring each student to have access to a personal laptop computer installed with all required software D. Allowing pre- and postclinical written assignments to be submitted electronically - CORRECT ANSWER Providing a list of acceptable Internet sites to use as resources for medication administration The ever-expanding need for rapid, accurate information has presented a problem for both faculty and student. Appropriate Internet sites can serve as effective sources of information when faculty plays a role in identifying these sites. Such faculty involvement also helps ensure client safety because this information is used to provide client care. Scheduling time for the students to become familiar with computer-based documentation systems is helpful but is not as safety oriented as is the correct option. Requiring personal computers for classroom work and testing and allowing electronic submission of written assignments is student focused rather than client focused. Increasing professional and personal responsibility has been identified as an issue influencing the education of today's nursing professional. Which of the following has the greatest impact on client safety in the acute care setting? A. Requiring all nurse managers to possess at least a Bachelor's degree in nursing (BSN) B. Scheduling mandatory competency assessments on all shifts to facilitate compliance C. Offering monetary incentives to nursing staff who earn appropriate certifications D. Providing nursing staff with classes that focus on effective communication skills - CORRECT ANSWER Scheduling mandatory competency assessments on all shifts to facilitate compliance Although all the options contribute to safe nursing care, regular, rigorous assessment of clinical skills has the greatest impact on client safety. A nurse manager recognizes which of the following as an example of a desirable practice-based competency outcome for a recently licensed registered nurse? The novice nurse: A. demonstrates excellent communication and interpersonal skills. B. meets orientation expectations 1 week ahead of schedule. C. has no absences during the required probationary employment period. D. asks for a work schedule that supports enrollment in an advanced nursing program. - CORRECT ANSWER meets orientation expectations 1 week ahead of schedule. The outcomes of practice-based competency relate to clinical practice. Demonstrating the ability to achieve the goals of the facility's orientation program 1 week ahead of schedule shows clinical expertise and professional confidence, both reflective of practice-based competency. An excellent attendance record and an interest in earning an advanced nursing degree reflect professionalism, and although effective communication and interpersonal skills are desirable, they are not considered among the necessary clinical care skills. The nursing faculty incorporates which practice-based learning activity in order to meet the students' need to learn about the sociodemographics currently present among today's population? A. Inclusion of a geriatric experience as a clinical requirement of all nursing students B. Participation in a panel discussion on the political agendas of several national nursing organizations C. Creation of a poster that compares and contrasts Medicaid and private insurance health care coverage D. Preparing a care plan that addresses the needs of an immigrant client with limited English language skills - CORRECT ANSWER Inclusion of a geriatric experience as a clinical requirement of all nursing students The sociodemographics of a population includes descriptions of the sociological and statistical information represented among a population. Age-related information would be included and thus bring attention to the growing Where can a registered nurse (RN) find the most reliable guidelines regarding the appropriate delegation of activities or tasks to unlicensed nursing personnel? A. The National Council of State Boards of Nursing (NCSBN) B. The American Nurses Credentialing Center (ANCC) C. The American Nurses Associate (ANA) D. That state's Nurse Practice Act - CORRECT ANSWER That state's Nurse Practice Act Guidelines for delegation have been developed by many nursing organizations, including the ANA and NCSBN. Although the professional organizations' guidelines are helpful, it is the nurse practice acts of individual states that establish the legal definitions of appropriate delegation practices. Because regulations differ among states, each nurse must identify and understand the regulations for the state in which he or she practices. The ANCC is an organization that focuses on the certifications of nurses in various areas of nursing practice. Although requirements governing the practice of advance practice nursing may vary significantly, all states require: A. a master's degree in nursing. B. certification in the specialty area. C. 10 years of practice in the specialty area. D. a supervisory relationship with a physician. - CORRECT ANSWER certification in the specialty area. All states require evidence of certification in the specialty area. A master's degree is not required in all states. Requirements concerning supervisory and collaborative practices vary, as do requirements for years of practice in the specialty. What factor qualifies nursing to be defined as a profession? A. Existence of a substantial body of nursing knowledge B. Regular collaboration with members of the medical profession C. Implementation of the nursing process in the delivery of care D. Engagement in the management of unlicensed nursing care givers - CORRECT ANSWER Existence of a substantial body of nursing knowledge Only when a substantial body of nursing knowledge is collected, organized, and developed will the profession be defined and its scope of practice differentiated. The other options, although true of nursing, are not criteria for profession status. The question that is being focused on during the implementation of the scientific process is referred to as the: A. method. B. theory. C. result. D. hypothesis - CORRECT ANSWER hypothesis The hypothesis asks the question that is to be the main focus of the process. The method decides what data will be collected to answer the hypothesis while the result is the conclusion arrived at after the data is analyzed. A theory is a collection of knowledge that is specific while addressing a phenomenon or the relationship between phenomena. A theory meets the criteria of fruitfulness when it: A. includes all concepts related to the area of interest. B. generates new directions for future research. C. is easily understood and replicated. D. is reflective of its scientific basis. - CORRECT ANSWER generates new directions for future research. The theory meets the criteria of fruitfulness when it is able to generate avenues for new research. When all related concepts are represented in the theory it is said to have inclusiveness. Simplicity refers to the theory's ability to be replicated. Relevance is represented in a theory's reflection of its scientific basis. When a nurse places clean linen on the bed of a comatose client, which nursing theory is being implemented? A. Roy's Adaptation Model B. Nightingale's Theory of Practice C. Rogers' Science of Unitary Human Beings D. Peplau's Interpersonal Relations as a Nursing Process - CORRECT ANSWER Nightingale's Theory of Practice The Nightingale theory investigates the effect of the environment on healing. Roy focuses on the client's adaptation to conditions using environmental stimuli to adjust perception. The interpersonal relationship of the nurse and the client is the focus of Peplau's work. Energy fields, openness, reorganization, and patterns are components of Rogers' theory. The primary benefit nursing theories have provided the profession is to: A. add additional information to the body of nursing knowledge. B. guide the nursing process in the effective delivery of nursing care. C. encourage the use of scientific inquiry when planning client care. D. focus on future research related to nursing care. - CORRECT ANSWER guide the nursing process in the effective delivery of nursing care. The theoretic models that have been conceptualized to guide nursing actions, interventions, and implementation have improved the nursing process. Although research is a process encouraged by a theory, it is not the primary benefit. The scientific process is used to help develop the theory. Theory is based on knowledge. The primary reason nurses engage in research is to: A. achieve equal status with other health care sciences. B. provide the most appropriate evidence-based client care. C. advance the profession of nursing in the eyes of the public. D. collaborate with other members of the science community. - CORRECT ANSWER provide the most appropriate evidence-based client care. The main outcome of a research activity for a nurse is to put the knowledge gained to work in health care delivery. Although engaging in research may achieve the other outcomes, they are not the primary reason behind nursing research. f a nursing research project strives to discover new information concerning client care practices, this project is said to be a model of: A. quantitative design. B. qualitative design. C. a pilot study. D. triangulation. - CORRECT ANSWER qualitative design.