Nursing Leadership and Management Exam Review, Exams of Nursing

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NUR223 Exam 1 Chapters 1, 7, 13, & 19

Questions With Complete Solutions

The nurse manager on the labor and delivery unit evaluates that one of the staff nurses has leadership qualities. Which of the following is a basis for this judgement? a. The nurse works overtime every week b. The nurse stays long after her shift is over to chart c. The nurse uses a monthly forum to review current knowledge content d. The nurse uses a negative approach when evaluating staff skills C

1. As a nurse, you are aware that one element that is common to the nursing process and the management process is: a. Identification of needs b. Identification of resources c. Planning d. Control C One main difference between an ideal leader and an organization-focused manager is that an: a. Ideal leader maintains the status quo

b. Organization-focused manager is creative c. Ideal leader is a risk-taker C Which of the following is NOT the middle-level manager's responsibility? a. People within the departments they supervise b. Liaison between upper management and first-level manager c. Establishment of organizational goals d. Activities within the departments they supervise C The middle-level manager: a. Makes hospital-wide decisions b. Supervises a number of upper-level managers c. Is responsible for the people and activities on a 24-hours-a- day/7-days-a-week basis d. Is responsible for their specific shift only C You are mentoring a new nurse. You know that which of the following is NOT a mentor's responsibility? a. Discuss means to correct chronic tardiness b. Offer criticism on nursing skills c. Perform a nurse's probation period review d. Evaluate the nurse's exact break and lunch times A

The four skill sets needed by good leaders are: a. Self-awareness, self-management, social awareness, and relationship management b. Self-awareness, self-management, social control, and relationship management c. Self-awareness, self-control, social awareness, and relationship management d. Self-awareness, self-management, social awareness, and relationship performance A Ruiz (1997) defines the "four agreements" that leaders must make with themselves. They are as follows: a. Be impeccable with your world, take nothing personally, make no assumptions, and always do your best, no more and no less b. Be impeccable with your actions, take nothing personally, make no assumptions, and always do your best, no more and no less c. Be impeccable with your word, take nothing personally, make assumptions, and always do your best, no more and no less d. Be impeccable with your word, take nothing personally, make no assumptions, and be appreciative of your staff A Leader competencies are a necessary aspect of a leader's role. As a leader, you are aware that the following is needed for the role:

a. A clear vision and owned purpose b. A pessimistic attitude with colleagues c. A negative approach with families d. A membership with more than three committees A The vice president of nursing is responsible for: a. Establishing organizational goals and strategic plans for nursing b. Developing and maintaining daily assignments c. Prioritizing events during disaster plan implementation d. Overseeing the mission and vision of the organization A A political process by an individual or group that aims to influence public policy and resource allocation decisions within political, economic, and social systems and institution is: a. Policy change b. Advocacy c. Institutional policy d. Public policy B Nurses represent one of the largest workforces in the nation at 3.1 million. It is estimated that only ____% belong to the ANA a. 5 b. 10

c. 15 d. 20 A Which of the following would be an example of a policy dealing with workplace safety? a. Safe patient handling b. Prevention of workplace bullying c. Staffing rations d. All of the above are correct D There are four major areas of political action in nursing. They are: a. The workplace, the government, professional organizations, and the community b. The workplace, the educational institutions, professional organizations, and the community c. The government, professional organizations, and the state regulators d. The government, the community, and nursing boards A Which of the following is a policy that pertains to the positions taken by professional organizations such as ANA? a. Health b. Organizational

c. Institutional d. Health B Which of the following is a policy that pertains to the governing of workplaces? a. Social b. Health c. Organizational d. Institutional D Which of the following is policy that pertains to the decisions that promote the welfare of the public? a. Social b. Health c. Organizational d. Public A Which of the following is a policy formed by governmental bodies such as legislation passed by a state legislature? a. Social b. Health c. Organizational d. Public D

Public, private, and governmental health care decision makers at every level should include representation from nursing on: a. Nursing boards b. Executive management teams c. Key leadership positions d. All of the above are correct D The American Nurses Credentialing Center (ANCC) states that Magnet nurses "support organizational goals, advance the nursing profession, and enhance professional development by: a. Extending their influence to professional and community groups b. Increasing the number of nurses obtaining ANCC certification c. Increasing the number of BSN nurses in their facilities d. Speaking at professional conferences A Which of the following is not a principle of delegation? a. The nursing profession determines the scope and standards of nursing practice b. The registered nurse takes responsibility and accountability for the provision of nursing practice c. The RN directs care and determines the appropriate use of resources when providing care d. The licensed practical nurse can delegate tasks to the nursing assistant

D

The _____ nurse no longer relies on rules to understand a situation or to act appropriately; focuses quickly on viable solutions; is able to lead a team efficiently; can organize others; work and supervise them effectively a. Novice b. Expert c. Competent d. Proficient D Barriers to delegation can arise for which of the following health care workers? a. RN delegator b. RN delegate c. LPN d. All of the above D Some activities may not be delegated. All of the following may be delegated except: a. Performing an initial patient assessment b. Updating the patient's plan of care c. Providing direct nursing care d. Giving an RN a needle and syringe, unlabeled, and telling her to administer the medication even though the RN did not see the medication prepared

D

Heidenthal and Marthaler (2005) state that what to delegate depends on all of the following factors except: a. Your state's nurse practice act b. Hospital policies and procedures c. What shift you are working d. The clinical situation C Who is accountable for ensuring that the RN has access to documented competency information for staff to whom the RN is delegating tasks? a. The organization/agency b. The nurse leader c. The nurse supervisor d. The safety office A When accepting a delegated assignment, what does the nurse use per the State of New Jersey Nurse Practice Act, 1999? a. A nursing matrix b. A decision-making algorithm c. Facility policy d. Facility procedure B

When delegating, the requirement of the right ______ means that you must know the competency level, job description, individual level of skill, and education of the individual to whom you are delegating. a. Direction/communication b. Person c. Task d. Circumstance B Many long-term care facilities assign ________ as charge nurses. a. RN b. LPN c. Nursing supervisors d. Nurse externs B What are the five rights of delegation per the National Council of State Boards of Nursing (1997? a. Right task, right circumstance, right person, right direction/communication, right unit b. Right task, right circumstance, right medication, right direction/communication, right supervision c. Right task, right circumstance, right person, right direction/communication, right supervision

d. Right task, right time, right person, right direction/communication, right supervision C A key component of evidence-based practice is: a. Traditional practice b. Organizational commitment c. Patient preference C In the hierarchy of evidence, which of the following has the highest value? a. Single correctional studies b. Randomized clinical trials c. Case study, opinion d. Descriptive studies B The experienced nurse can do the following to use evidence- based practice in their own practice: a. Use textbooks from school for reference b. Maintain membership in alumni organization c. Review professional journals d. Go back to school for an advanced degree C

When implementing an evidence-base practice change, the all- important final step is to: a. Pilot the protocol b. Monitor the results c. Publish the study d. Do a cost-benefit analysis B The first step in integrating evidence into practice is to convert the clinical concern into a a. Solution b. Question c. Decision d. Goal B In the PICO framework for developing the question of concern, "I" stands for: a. Intervention b. Interdisciplinary c. Interrelational d. Integrity A As a nurse, you have just read about a change in intervention insertion practice that sounds like it would work on your unit. Before suggesting such a change in practice, you need to:

a. Perform a cost-benefit analysis of the new practice b. Talk with the nurse manager to gain his or her opinion c. Conduct a further review of the literature d. Contact the nursing research committee C In reviewing a study for applicability for use on your unit, you need to evaluate the study in terms of: a. The sponsoring agency of the study b. Patient context and assess whether they are similar to patients in your unit c. Whether the sample adequately is described d. Qualifications of the study authors B Which of the following would be a reliable source of information for a change in pediatric patients? a. Physician/staff discussion b. Editorial in Pediatric Nursing c. Growth and development charts d. Clinical trial results D An example of a knowledge trigger for an evidence-based research question is: a. Patient fall data b. Database review

c. Benchmark information d. Research study D