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QSEN TEAMWORK EAQ EXAM
STUDY GUIDE
A client is hospitalized with a brain injury and a skull fracture. The registered nurse is delegating tasks to the healthcare team. Which member of the healthcare team is suitable to provide client care?
- Charge nurse
- Chief nursing officer
- Licensed practical nurse
- Newly hired registered nurse
- Unlicensed nursing professional - Answer 1,
A client is admitted to the emergency department following a motor vehicle accident. The client's wounds are extensive. Which healthcare team member is best suited to care for this client in the emergency ward?
- Charge Nurse
- Registered Nurse
- LPN
- Unlicensed nursing personnel - Answer 2
The registered nurse orders unlicensed nursing personnel (UNP) to check blood oxygen saturation levels every 6 hours and to report the results regularly. Which activity is the registered nurse performing in this situation?
- Active Delegation
- Passive Delegation
- Individual accountability
- Organizational Accountability - Answer 1
A nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. How should the nurse manager address this situation?
- Assign articles about various cultures so that they can become more knowledgeable.
- Relocate the nurses to units where they will not have to care for clients from a variety
of cultures.
- Rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures
- Plan a workshop that offers opportunities to learn about the cultures they might encounter while at work. - Answer 4
Which statement is true related to the role of the registered nurse in active delegation?
- To provide direct care to a client
- perform the task on behalf of a delegatee
- perform certain functions as the healthcare provider
- Direct an unlicensed practical nurse to perform certain tasks - Answer 4
A nurse manager agrees to mentor a newly recruited nurse who wishes to develop leadership qualities. Which statements hold true about this mentor relationship?
- The mentor should serve as a role model.
- The mentor should not expect anything in return
- The mentor should be geographically close.
- The mentor should provide advice whenever necessary.
- The mentor should give appropriate feedback to promote improvement. - Answer 1,4,
A nurse providing care in a hospital witnesses a client's spouse shaking the client vigorously because the client has had an episode of incontinence. Because of the suspicion of physical abuse, legally the nurse should discuss the concerns with which party?
- The client
- The client's spouse
- The client's primary healthcare provider
- Adult Protective Services - Answer 4. Adult Protective Services
A nurse manager asks for extra help from other nurses in the unit. In exchange, the nurse manager ensures special care for the parent of a staff nurse who is currently a client in the hospital. Which behavior does the nurse manager exhibit?
- Supportive
- Having the title of chief executive officer indicates a good leader.
- Leadership is an earned honor and an action-oriented responsibility.
- Playing an administrative role can automatically place the title of leader on an individual.
- Strengthening the mission of an organization purely depends on the leader himself or herself. - Answer 2
What are the desired attributes of the nurse as a leader?
- Identifying the needs of followers
- Avoiding the use of personal intuition over facts
- Motivating others assertively towards the objective
- Focusing on a single option to accomplish the objective
- Using a critical thinking approach while making a decision - Answer 1,3,
Which statement of the nurse is true regarding Hersey's Situational Leadership Model?
- The situational leadership model cannot be applied to real work-related situations.
- The situational leadership model provides a solid foundation for delegation decisions.
- The situational leadership model does not relate to the behavior of the delegatee during delegation.
- The situational leadership model contends that managers should not behave differently on different occasions. - Answer 2
The leader is teaching a nursing student about systems theory. Which statement by the student nurse indicates the need for further teaching?. - Answer "Systems theory accounts for unpredictability."
"Systems theory focuses on the effect of random events."
A 36-year-old primigravida is receiving treatment for preeclampsia at 29 weeks' gestation. In light of the latest information on the client's record, which nursing intervention is of the highest importance at this time?
- Assessing the fetal heart rate for tachycardia
- Promoting adequate urine output by offering oral fluids
- Monitoring respiratory status and ascertaining that calcium gluconate is at the bedside
- Notifying the primary healthcare provider regarding the epigastric pain, headache,
and blurred vision - Answer 4. Notifying the primary healthcare provider regarding the epigastric pain, headache, and blurred vision
The nurse is a member of the critical incident stress management unit that looks to meet the psychosocial needs of first responders after a mass casualty incident. Which action by the nurse is appropriate when conducting a session? - Answer Arranging Group Discussions
What is the main motto of the Hersey's 2006 model?
Information decay
Information salience
Situational leadership
Individual accountability - Answer Situational Leadership
Which nursing model includes a registered nurse (RN) paired with technical assistance?
- Answer Co-primary Nursing Model
The registered nurse (RN) is caring for a client who is currently hospitalized for a stroke. What is the most effective professional management strategy for the RN to improve the safety and quality of client care?
Delegation
Leadership
Supervision
Assignment - Answer Delegation
The registered nurse is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction? - Answer "The delegator should recheck and redo the work of the delegatee."
Which members of the health care team have dependent status under the registered nurse?
Unit secretary
Certified nursing aide
Licensed practical nurse
Licensed vocational nurse
Unlicensed nursing personnel - Answer Certified nursing aide
The nurse is teaching a nursing student how to care for a client who underwent stereotactic radiosurgery for a pituitary adenoma. Which statement made by the student indicates effective learning? - Answer I will monitor serum osmolarity
Which task must a nurse leader undertake to lead a healthcare culture?
- Serving as a coach or a guide
- Maintaining a good relationship with the team
- Working to solve process problems with the team
- Empowering staff to be continuous learners and risk takers - Answer 4
While assigning a task, the registered nurse finds that one of the delegatees is not competent to hold the current position. Which strategy does the nurse follow for managing this issue during delegation?
Attacking the delegate verbally
Doing the task himself or herself
Adjusting the quality of client care
Lowering the expectations temporarily - Answer Lower Expectations Temporarily
The hospital management is planning a study that compares the benefits and harms of a particular method to the benefits and harms of alternative methods when treating clients with chronic disorders. Which approach does the nurse manager follow to improve client care? - Answer Comparative Effectiveness Research
The nurse leader conducts an education session for the nursing staff regarding case management. Which statement made by the nursing staff indicates they do not understand the role of case management?
- It increases the hospital profits by providing the optimal client care."
- "It manages the client care by managing the client care environment."
- "It promotes the appropriate use of hospital personnel and resources."
- It represents that primary health prevention is managed by a single case manager." - Answer 4
The nurse leader is representing the nursing unit and the values and beliefs of the organization to staff members. Which leadership task does the nurse's behavior indicate according to Gardner's tasks of leadership? - Answer Serving as a symbol in a management position
Which questions should the delegator assess to determine the right task?
- Is the task legally appropriate to delegate?"
- Is the environment conducive to completing the task safely?"
- Does the delegator provide clear and concise directions for the task?"
- Is the task appropriate to delegate based on institutional policies and procedures?"
- Does the delegatee have the knowledge and experience to perform the specific task safely?" - Answer 1,
Which group discussion technique involves a large number of respondents who may be participating in the discussion remotely? - Answer Delphi Technique
A client with a history of ulcerative colitis is admitted to the hospital because of severe rectal bleeding. The client engages in angry outbursts and places excessive demands on the staff. One day an unlicensed healthcare worker tells the nurse, "I've had it. I am not putting up with that behavior. I'm not going in there again." What is the best response by the nurse?
- You need to try to be patient. The client is going through a lot right now."
- I'll talk with the client. Maybe I can figure out the best way for us to handle this."
3.Just ignore it and get on with your work. I'll assign someone else to take a turn."
- The client's frightened and taking it out on the staff. Let's think of approaches we can take." - Answer 4
A nurse is caring for a client who is being given intravenous magnesium sulfate to treat preeclampsia. Which effect alerts the nurse to notify the primary healthcare provider? - Answer Urine output of less than 100mL in 4 hours
The nurse leader states, "The people in rural America dress and act differently from those in urban centers." What concept describes this statement? - Answer Cultural Marginality
Before assigning a task, the registered nurse makes sure that the prospective delegatee is willing to complete the task. Which delegation right does this situation reference? - Answer Person
Which actions should be completed by the manager of a group of nursing case managers?
- study the current licensed to unlicensed staffing ratio.
- Discuss revision of position descriptions for cross-trained staff.
- Analyze status of clients' movement through clinical pathways.
- Match clinical pathway actions with expected diagnostic-related grouping activities.
The nurse is seeking a position as a clinical nurse leader in a major city hospital. What should the nurse prepare to do in order to secure this type of nursing role? - Answer Pass the certification exam
Complete a master's degree in nursing
The nurse is relating to and inspiring the client who has a psychiatric disorder to achieve the client outcomes. Which of Gardner's leadership tasks is reflected in the nurse's actions? - Answer Motivating
A delegator, working in collaboration with a delegatee, allots responsibilities and explains the various procedures and techniques needed to accomplish the task. Which action is the delegator performing, according to the Hersey model? - Answer Explaining and Persuading
The registered nurse (RN) is teaching a newly hired nurse about delegating tasks to the healthcare team. When asked what the rights of delegation are, which right listed by the hired nurse indicates the need for further teaching? - Answer Right drug name
The care delivery committee is considering client-focused care units for a 300-bed community hospital. What cost information should the committee prepare to help the hospital's board of directors make this decision?
- Training charge nurses
- Redesigning all care areas
- Cross-training support personnel
- Hiring additional nurse managers
- Hiring an all registered nurse staff - Answer 2,
What should the manager take into consideration when identifying a delivery model for client care?
- Budget
- Unit objectives
- Staff preference
- Client population
- Organizational goals - Answer 1,2,4,
Which roles require the nurse to prioritize when implementing a primary nursing model of client care?
Manger
Advocate
Decision Maker
Team Leader
Care Coordinator - Answer Manger
Advocate
Decision Maker
Care Coordinator
According to style theory of leadership, which is an action of a nurse leader? - Answer Using feedback from superiors to measure own performance
progressive increase in her blood pressure. The nurse reviews the primary healthcare provider's prescriptions. Which prescriptions does the nurse expect to receive for this client? - Answer Daily weight
Side lying bed rest
Deep tendon Reflexes
The registered nurse delegates the care of a client in the immediate postoperative period to the patient care associate (PCA). Which tasks performed are in the scope of practice of the PCA? - Answer Feeding the client
Assisting the client with bathing
Which emergency response team is involved in emotional recovery of victims after a disaster? - Answer American Red Cross
The nurse leader, while teaching a group of nurse leaders, references an approach of evidence-driven consciousness to be applied in the nursing practice. What is the main concern of the nurse leader? - Answer About the safety of the clients
A healthcare team is delegated the task of assisting a client with bathing. Which member of the healthcare team is responsible and accountable for this aspect of client care? - Answer Registered Nurse
Who is accountable for the ongoing evaluation of a client's care? - Answer Registered Nurse
What characteristics should be included when devising care plans for use with the total client care delivery system? - Answer Holistic
Continuous
Client-centered
Comprehensive
Which personnel should the nurse state are responsible for deciding the number, acuity, and resources needed for clients during a disaster? - Answer Medical command physician
The nurse leader performs his or her own honest appraisals on a regular basis and feels good about the job. Which rule is the nurse leader implementing by this action? - Answer Building Self Confidence
After resolution of a conflict, the nurse leader encourages a team member who was involved in the conflict. To be an effective leader, which action should the nurse leader avoid - Answer Telling the team member that he or she will get legal punishment for conflicts in the future
Which description by the nurse is a correct explanation of delegation? - Answer The transfer of responsibility for the performance of an activity
How does a nurse leader effectively implement change in an organization? - Answer By using personal and professional skills
Which question does the registered nurse recognize as related to the right of circumstance when delegating? - Answer "Is the delegation appropriate to the situation?"
Which hospital care setting is most appropriate for a case manager to perform tasks as a delegatee? - Answer Rehabilitative care
The nurse observes a dispute between staff members due to differences in perspective concerning nursing practices. Which approaches of the nurse as a leader would be appropriate in building up negotiation "loop-backs" to resolve the conflict? - Answer
Teaching the client about range-of-motion (ROM) exercises
What is the most important information the nurse and the rapid response team must keep in mind when caring for a client who had a cardiac arrest? - Answer How long the client was anoxic
The nurse is giving unlicensed assistive personnel (UAP) strategies to care for a 2-year-old child admitted to the hospital with severe diarrhea. Which strategies should the nurse provide? - Answer Weighing the child at the same time every day
A nurse leader has resolved a conflict within the team. Which further action of the nurse leader prevents the same conflict in the future? - Answer Working with the team members after the conflict
A nurse manager wants to change the protocol of preoperative teaching to include aspects of deep breathing and infection control measures. Which strategies should the nurse implement to support this change? - Answer Developing new skills and competency required for implementing the change
Making modifications in preoperative teachings to support the change initiative
Reducing the negative influences of late adopters from the group implementing the change
The nurse is managing a client who underwent cardiac bypass surgery. Which healthcare member can be safely delegated the task of monitoring electrocardiography? - Answer Cross-trained technician
A nurse manager receives a complaint from a client that a particular staff member had been rude when providing care. The nurse, rather than punishing the staff member, listens to his or her side of the story and then talks to the client to clarify the misunderstanding. Which leadership theory is reflected in this scenario? - Answer
Situational-contingency theory
Which activity performed by the registered nurse (RN) indicates effective supervision of the delegatee? - Answer Guiding the delegatee while he or she is performing the task
When assigning a task, the delegator should understand the delegatee's personal values and align them with the organizational values. Which task can be achieved from this delegation? - Answer Affirming
The nurse leader sent a team of followers to conduct a community health session. The session was completed successfully. Which action of the nurse indicates leadership quality? - Answer Giving rewards to the followers responsible for the success
Which member of the healthcare team, when using the team nursing approach, is responsible for prioritizing client care? - Answer Team Leader
Which healthcare professionals would the nurse say work under active delegation? - Answer Licensed practical nurse (LPN) administering oral medications as delegated by the registered nurse (RN)
Unlicensed nursing practitioner (UNP) maintaining oral hygiene of the clients as delegated by the registered nurse
The nurse manager shares experiences faced during the journey to leadership with other staff members. Which statement made by the nurse appropriately describes the barriers faced during the leadership journey? - Answer "It requires time commitment."
"The title doesn't guarantee good leadership."
The nurse leader is teaching a student nurse about the modifications in the patient-focused care model. Which statement made by student nurse indicates ineffective learning? - Answer "It requires a technician to provide client care."
diabetes. Which statements are true in this scenario? - Answer The registered nurse (RN) is accountable for the delegatee's work.
The licensed practical nurse (LPN) should report to the RN once the task is completed.
The licensed practical nurse (LPN) can be held responsible for any failure in administration of oral medication.
In a long-term care facility, the care tasks for a client who is suffering with liver disease are being delegated. Which statement made by the delegator indicates the responsibility for the tasks is with the registered nurse? - Answer "You will assess alleviation of the client's symptoms."
"You will be monitoring the client care on an hourly basis."
"You will admit the client to the intensive care unit (ICU) if her condition deteriorates."
A medical-surgical unit is expecting a large volume of client admissions after a train derailment. Which member of the nursing care team will prioritize care for the unit? - Answer Charge Nurse
Which internal factors should be considered while implementing any change in an organization? - Answer Number of staff
Leader competency
Nurse education level
The client with methicillin-resistant staphylococcus aureus (MRSA) is admitted to the medical unit. Which of the following tasks should be performed by the registered nurse?
- Answer Initiating intravenous (IV) antibiotic therapy
Under a leader, a team of followers has failed to achieve success in conducting research. What does an effective leader do in this situation? - Answer Accepts failure and gains experience from it
Which statement is true regarding leadership theories? - Answer Expectancy theory states that leaders should provide specific feedback about positive performance.
A nursing assistant is working with a delegator. Which action of the nursing assistant may negatively affect client care management? - Answer Performing the same tasks as the delegator
The unlicensed healthcare worker assigned to the 7:00 am shift has not been coming to work until 8:00 am. Nursing care is delayed, and assignments are started late. What is the most appropriate action by the charge nurse/team leader? - Answer Document the information before discussing it with the unlicensed healthcare worker.
A nurse manager determines that one of the nurses in the intensive care unit may be experiencing burnout. What can the nurse manager do to help this nurse begin to confront the problem? - Answer Help the nurse identify personal responses to daily stresses on the job.
Which action is specific to the role of a nurse leader or manager in the area of clinical research? - Answer Facilitating the application of research findings in practice
Before assigning a task, the registered nurse makes sure that the delegation process is appropriate to the situation. To which delegation right does this situation refer? - Answer Circumstance
The registered nurse assesses if an unlicensed assistive personnel (UAP) new to the unit is capable of carrying out a task. Which principle of delegation does this illustrate? - Answer Right Person
