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Role and Scope Exam 3
1.) A school nurse conducting a screening for pediculosis capitis identifies several children
who need treatment. What advice do you give the parents? Seal non-washable items in airtight bags for 2 weeks.
2.) One of the tenets of the Patient Protection and Affordable Care Act was to focus
interdisciplinary care on producing better client outcomes….What term is used to describe the effort to make maintenance of healthy environments the responsibility of healthcare professionals? Environmental health care model is the RIGHT answer, but DO NOT click it. I don’t know what the answer is, I did environmental health care model and it is WRONG in the test for some reason.
3.) Nurses often need to plan and coordinate collaborative interdisciplinary care for the
patient. What do they need to keep in mind while doing so? Pretty sure it’s avoid an authoritarian attitude.
4.) The new nurse-manager recently implemented a training program for staff members
who show signs of leadership. There will be no monetary reward, so the staff are not eager to apply for the program. The manager tells the staff that if someone does not apply, one will be forced to do so or risk extra shift time. What type of management is the nurse manager employing? Transactional.
5.) A client with a stroke is having a hard time feeding themselves – who do you request a
referral to? Occupational therapy.
6.) Which of the following actions violates a patient’s legal right to privacy and
confidentiality? Looking up your neighbor’s chart.
7.) A nurse states to a client, “Things will look better tomorrow after a good night’s sleep.”
This is an example of which communication technique? Giving false reassurance
8.) Nurse is taking care of patient who has COPD. Which task do you use the occupational
therapist for? Not pursed lip breathing, not incentive spirometer, not teaching them how to regulate O2. It’s using kitchen utensils to cook meals.
9.) A charge nurse gently corrects a new nurse’s technique during a sterile procedure. The
new nurse gets angry and defensive, saying she should never have come to work on that unit. What factor of communication is the new nurse experiencing? Stress results when someone is threatened which can lead to anger
10.) Professional nurses are constantly required to communicate patient information to
other members of the nursing team. The SBAR is a system developed to help nurses and other
medical professionals to communicate. What does SBAR stand for? situation, background, assessment, recommendation
11.) **A nurse is caring for a client who has MRSA in an abdominal wound. The nurse
enters the room to check the patient’s pulse. Which of the following actions should the nurse take? Do NOT click wear clean floor gloves. Other options are sterile gloves, N-95 mask, or face shield. Possibly face shield? Who knows.
12.) A nurse is preparing to perform an abdominal assessment on a client. Identify the
sequence the nurse would follow. Inspect, auscultate, superficial palpation, deep palpation, document.
13.) A nurse is interested in learning more about advocating for safe staffing ratios. The
hospital educator asks the nurse to name the key elements to be considered when staffing a hospital unit. Which response by the nurse needs correction? medical reimbursement
14.) The chief nursing officer (CNO) recognizes that if a nurse is not paid a salary that would
meet the needs for food, transportation, and housing, those needs will become the nurse’s primary concern rather than delivering high-quality client care. What theory of motivation is the CNO describing? Maslow's hierarchy
15.) An unlicensed assistive personnel (UAP) is assigned to help the Antepartum nurse on a
busy shift. One of the clients on the unit is in the process of completing a 24-hour urine collection. What can the nurse assign to the UAP to do for this client? ensure that all the urine collected is kept on ice
16.) A clinical nurse-educator has taught the nursing staff the basics of Nursing Informatics.
Which statement made by the staff indicates the need for further education? if a nurse does not have computer competencies a nurse must be fully competent in informatics
17.) A new nurse manager is assembling a team to work on a project. Which of the following
are traits of an effective team? SATA any group of people that can easily be an effective team teams should be focused on accomplishing a specific task effective and respectful communication is essential to team success
18.) Which of the following is part of the Joint Commission (JC) goal to improve patient
safety by reducing medical errors? using appropriate abbreviations
19.) Charge nurse has access to facility’s electronic health records. It is appropriate for the
charge to share her personal password with whom? NOBODY
20.) A nurse manager wants to reduce the number of medication errors that occur on her
unit. Which steps does she take? I can’t remember this one. Just remember you have to assess your situation before you can make a plan to fix the problem.
Pretty sure it was criticism directed at one person.
31.) A new nurse is having a disagreement with an older, more experienced nurse.
The new nurse crosses her arms over her chest and looks away. What behavior is the new nurse exhibiting? defensiveness
32.) The nurse (RN) and the respiratory therapist (RT) are arguing about the timing
of a nebulizer treatment. The nurse argues that because the client is the nurse’s responsibility, nursing will be making all the decisions about timing. What important piece of interdisciplinary care did the nurse forget? team members need to respectfully work together providing positive outcome for the client
33.) Identify the purpose of an electronic healthcare record (HER). SATA
communication education research Maybe reimbursement? I selected all three and got it wrong.
34.) A new nurse is having a disagreement with an older, more experienced nurse.
The older nurse says, “You’re just like all the other young people…you think you know more than you do.” What behavior is the older nurse exhibiting? Judgmental
35.) Nurse joins a Health Care Cooperative group that practices at a global level.
What type of collaboration? IntraORGANIZATIONAL.
36.) Dispute arises between an RN and LPN and the tension begins to effect all of
the staff on the unit. This situation might have been prevented by… Intervening during the INITIAL conflict and not letting it get to this point.
37.) Which element increases the likelihood of incivility? Increased stress.
38.) A nurse has just assumed the position of nurse-manager. During orientation,
the nurse is questioned about the roles of effective unit management. Which statement by the new nurse-manager requires correction? Manager must know everything about each staff member personal problems to prevent issues
39.) Health care brings people of different ages, gender, ethnic groups, educational
levels, and professions together for the purpose of caring for the patient. Sometimes conflicts arise. Which of the following is a task-related conflict? UAP refuses to mop up a spill saying it’s a housekeeping job
40.) A nurse is teaching a class about safe medication administration. What
resources does the nurse use to plan the lesson on safe med admin? Davis’s Drug Guide, published nursing journals, hospital pharmacist.
41.) A charge nurse is scolding an unlicensed assistive personnel (UAP) member for
failing to complete a task. She calls the UAP lazy in front of other nurses and aides. What type of communication style is the charge nurse using? Aggressive (I think).
42.) A nurse-manager has made a decision to transfer to case-management. In
training, the nurse-manager is asked to list the duties of the case-manager. Which statement by the nurse-manager requires correction? there's still no known nationally recognized educational preparedness or certificate for the nurse case manager
43.) The nurse has assessed a new admission to the unit. She heard scattered
rhonchi on the right side of the patient’s chest and calls the physician to request a chest x-ray. Which part of the SBAR is she using? Recommendation
44.) Nurse asks AP to take a specimen to the lab, but the AP refuses. What does the
nurse do? Ask the AP what concerns they have about the assignment.
45.) The nurse is teaching a newly diagnosed client about celiac disease and diet.
The client has a master’s degree in astronomy. What does the nurse recognize as a key factor in the client’s motivation? the clients higher the education highly indicates motivation to attend to his diet
46.) A nurse is caring for a patient with a suspected diagnosis of bacterial
meningitis. Which of the following actions is the nurse’s priority? Placing the patient in isolation.
47.) A charge nurse is learning about communicating with the staff nurses.
Sometimes the nurses do not seem to understand what the assignments are. What are the known barriers to communication? SATA distractions such as background noise, ringing phones, others talking unclear directions about the assignments difference in perception about what should be done stressful situation at home or in the workplace organization and clear thinking (I got this one wrong, I selected all of them but the last two. I should have done all of them except organizational and clear thinking.)
48.) A nurse calls the health care provider with an update on a client whose blood pressure
has gone from 130/80 to 116/56 in one hour. The client’s pulse is 56. The nurse says “I am not sure what is happening but the client seems to be deteriorating.” What part of SBAR is the nurse using? assessment
49.) A nurse is caring for a client for a client that reports crepitus and pain on their TMJ.
What referral does the nurse make for this patient? Oral surgeon.
50.) Which of the following are parts of the five rights of delegation? Right circumstance
Right person Right task Right communication Right supervision
