Leadership Final

Front 1

Which trend is an effect of the nursing shortage on nursing education?

Back 1

Students may be assigned to preceptors who have not yet developed expertise in the field of interest.

Front 2

The NCLEX examination is created and administered by the:

Back 2

National Council of State Boards of Nursing (NCSBN).

Front 3

The primary purpose of licensure for RNs is to:

Back 3

protect the public.

Front 4

Nurse practice acts:

Back 4

are written and passed by legislators.

Front 5

To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?

Back 5

Sunset legislation.

Front 6

Current trends in telecommunications and increased mobility of nurses have led to approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would l nurse find a list of current compact states?

Back 6

National Council of State Boards of Nursing (NCSBN)

Front 7

An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:

Back 7

diagnosis-related groups (DRGs).

Front 8

Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing

Back 8

length of hospital stay.

Front 9

Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. This practice is referred to as:

Back 9

cost shifting

Front 10

The teen pregnancy rate in one community significantly increased, and, as a result, the school system was seeing an increase in the drop-out rate of teenage mothers. A student nurse recently worked with the local school system to develop a day care program for the children of high school students so that they could return to school. This is an example of which of the following?

Back 10

Responding to changes within the community

Front 11

A client who is reading a newspaper asks, "This article about health care states that many providers of health care lack effectiveness. What is the difference between this and efficiency?" The nurse explains that:

Back 11

effective means peforming the correct test or intervention, whereas efficiency refers to the wise use of supplies and resources for the desired outcome.

Front 12

The most important competency in community nursing is which of the following?

Back 12

Role of the Caregiver

Front 13

Vulnerable populations of patients are those who are more likely to develop health problems as a result of which of the following?

Back 13

substance abuse

Front 14

A client is admitted with chest pain. A series of diagnostic tests are ordered, and the client undergoes coronary artery bypass grafting. The cost of care for this client is increased because of a four-pack-per-day smoking history that resulted in extension of the client's intensive care unit (ICU) stay by 3 days because of respiratory problems. The case manager realizes that under the terms of the diagnosis-related group (DRG) payment system for this diagnosis:

Back 14

although the cost of care for this client was greater than the DRG reimbursement amount, the hospital will be reimbursed only at the set fee.

Front 15

What is the primary characteristic of a community health nurse?

Back 15

Providing care to subpopulations

Front 16

All hospitals receiving Medicare and Medicaid funds must ask clients whether they have a living will or a durable power of attorney. This act is known as:

Back 16

Patient Self-Determination Act.

Front 17

A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility?

Back 17

Emergency Medical Treatment and Active Labor Law

Front 18

A family requests that no additional heroic measures be instituted for their terminally ill mother who has advance directives in place. The nurse respects this decision in keeping with the principle of:

Back 18

autonomy

Front 19

The nurse who admits making a medication error and immediately files an incident report is demonstrating:

Back 19

accountability

Front 20

A 13-year-old female is brought to the family planning clinic by her enraged father, who has just learned that she is pregnant. The pregnant client states, "I want to have this baby and give it up for adoption;" however, the father is adamant that she will disgrace the family and demands that the health care providers tell his daughter that she has a physical condition that would prohibit her from carrying this baby to a viable stage. The nurse realizes that this is a conflict that involves the ethical principle of:

Back 20

veracity

Front 21

In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:

Back 21

utilitarianism

Front 22

When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?

Back 22

Diagnosis

Front 23

A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three-part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. the nurse is acting as a :

Back 23

change agent

Front 24

A nurse working in a factory performs routine hearing tests for employees. The factory uses 90 dB as the safe limit for an 8-hour day's exposure to machine noise rather than 85 dB as recommended by the Occupational Safety and Health Administration. The nurse is function in the role of:

Back 24

occupational health nurse

Front 25

Potential nursing students are concerned about choosing a profession with job security and ask, "Because more people are choosing nursing, will I have a job in a few years?" The nurse answers, on the basis of the U.S. Bureau of Labor Statistics prediction, that by 2020,

Back 25

the total number of RNs will not meet the demand for the workforce number required.

Front 26

An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in:

Back 26

forensic nursing

Front 27

The primary focus of the care provider role for the nurse involves:

Back 27

assessing the client to plan care based on the client's needs

Front 28

What is the purpose of Nurse Reinvestment Act of 2002?

Back 28

FUNDS PUBLIC SERVICE ANNOUNCEMENTS THAT PROMOTE UNLICENSED CAREGIVERS AS AN ALTERNATIVE TO PROFESSIONAL NURSES

Front 29

A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:

Back 29

Educator

Front 30

A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved is:

Back 30

change agent according to Roy's adaptation model.

Adaptation Model: client incurs an insult that renders him or her in need of environmental modification

Front 31

A client involved in a motor vehicle accident is blinded. The nurse assists the client to obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?

Back 31

Orem's self-care deficit

Front 32

When reading Peplau's theory, a nurse was unable to determine the relationships among concepts. The nurse listed each concept and drew lines denoting relationships to be able to understand the effect of each element. The nurse created a(n):

Back 32

model.

Interpersonal Relations (Positive attitude=positive outcome)

Front 33

A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study?

Back 33

Martha Roger's science of unitary human beings: humans as energy fields that interact constantly with the environment

Front 34

What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?

Back 34

Theories

Front 35

A client is hypertensive, and the doctor prescribes weight reduction. The client is excited about beginning the diet, but on arriving home the spouse states, "You have always been fat and I am not going to starve because you can't control yourself." The client becomes anxious and is unable to participate in the diet plan, resulting in a weight gain of 5 pounds in 2 weeks. Which theorist could best be referred to for guidance regarding interventions in this situation?

Back 35

Hildegard E. Peplau

Front 36

A nurse researcher determines that findings are substantial by calculating the level of significance. Which aspect of the scientific inquiry is being conducted?

Back 36

Evaluation

Front 37

Institutional review boards determine whether research studies involving human subjects will:

Back 37

cause harm.

Front 38

The use of research to guide nursing practice is called:

Back 38

utilization

Front 39

A public health nurse is interested in determining which educational programs are needed in the aggregates served. The researcher personally interviews individuals who are walking on the streets in the community. This type of research design is:

Back 39

Survey

Front 40

Which organization provides federal funding for research?

Back 40

National Institute of Nursing Research

Front 41

During orientation a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?

Back 41

Honeymoon

Front 42

A novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity from a central line before antibiotic therapy is started. The novice reads and rereads the procedure manual. An hour later he stands at the bedside of the patient and stares at the central line, without knowing how to proceed. This phase of reality shock is termed:

Back 42

shock or rejection phase

Front 43

Several novice nurses share lunch breaks and have comments such as, "I have insomnia from worrying about what I forgot to do for my patient," and "I have no energy," and "I can't believe I can't do my job correctly." These novice nurses are experiencing:

Back 43

burnout

Front 44

Which nurse is more prone to burnout? The nurse who:

Back 44

is industrious and concsientous

Front 45

A nurse is concerned about possible burnout. Which action should the nurse perform first?

Back 45

Determine if the cause of burnout is internal, external, or both.

Front 46

In deciding whether to say no to a request that involves a time commitment, the professional nurse must consider:

Back 46

cost/benefit ratio

Front 47

When using the ABC system of managing time, those items coded A include:

Back 47

checking to see why a ventilator is alarming.

Front 48

When deciding whether and when a task should be completed, a nurse must:

Back 48

ask, "What will happen if I don't complete the task now?"

Front 49

An experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management. However, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. Which source of energy is missing in this nurse?

Back 49

mental

Front 50

In differentiating between interprofessional and multidisciplinary

Back 50

interprofessional involves members of many disciplines working together to provide patient care to a distinct population

Front 51

An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in _____ nursing.

Back 51

forensic

Front 52

Three illegal immigrants with no health insurance or money sustained life-threatening injuries during an automobile accident. Two of these individuals had head trauma and lacerated internal organs. The decision was made to provide extended care in the trauma center after emergency surgery was performed to save their lives. The third individual received only minor injuries, which were treated in the emergency department. The care of the two critical clients was based on the ethical principle of:

Back 52

Deontology

Front 53

What is the purpose of the Nurse Reinvestment Act of 2002?

Back 53

Focuses on nurse retention and safety enhancement grants

Front 54

Charles Dickens' character Sairy Gamp:

Back 54

chose nursing because she had no other avenue for employment

Front 55

A nurse who is licensed in Georgia and moves to Oregon:

Back 55

must check Oregon's nurse practice act related to licensure for endorsement

Front 56

When practicing in a compact state:

Back 56

patients' rights in relation to the nurse practice act are protected by the mutual recognition model

Front 57

When participating in a nurse licensure compact, the nurse

Back 57

is held responsible for complying with the nursing practice laws in the state where practicing at the time care is rendered.

Front 58

A nurse holds a license in one state but wishes to practice in a second state that is not participating in a nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not retake the licensure exam. The nurse obtains licensure in the second state:

Back 58

by licensure and by endorsement.

Front 59

A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to:

Back 59

learn what the key issues are in the candidate's platform.

Front 60

A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation. Which action by the nurse should have the greatest impact on passage of the bill?

Back 60

Contact the elected representative's office by phone to request support for the bill.

Front 61

A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study? Rogers' science of unitary human beings:

Back 61

humans as energy fields that interact constantly with the environment

Front 62

A client involved in a motor vehicle accident is blinded. The nurse assists the client to obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?

Back 62

Orem's self-care deficit

Front 63

A nurse researcher determines that findings are substantial by calculating the level of significance. Which aspect of the scientific inquiry is being conducted?

Back 63

Evaluation

Front 64

A priority action for the nurse who works with culturally diverse clients is completion of a:

Back 64

cultural self-assessment

Front 65

When planning health care, the nurse should be mindful that members of the Asian culture tend to:

Back 65

miss appointments because they are present oriented and time is viewed as flexible.

Front 66

The Metropolitan Medical Response System (MMRS):

Back 66

consists of responders who have obtained specialized training and equipment to deal with mass casualty events.

Front 67

The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:

Back 67

provide understandable and straightforward facts about the event within the facility and possibly to the news media.

Front 68

During a community health fair the disaster medical assistance team (DMAT) informs participants that every community must be ready to provide disaster care. A participant asks, "In a disaster, the local community cannot possibly be effective, so why not have a plan to call federal agencies immediately to provide relief?" The correct response by the DMAT is:

Back 68

The community is essentially the 'first responder' to any disaster."

Front 69

A nurse who is conducting a staff in-service on the stages of a disaster continuum teaches participants that during the impact stage, activities focus on:

Back 69

initiating response activities.

Front 70

During the impact phase of a disaster resulting from a "dirty bomb":

Back 70

treatment for burns and poisoning is provided for victims.

Front 71

Nurses caring for the victims of a mass casualty incident

Back 71

: give priority for care to those with the greatest chance of survival rather than those most critically ill.

Front 72

A novice nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:

Back 72

the same ground rules practiced in other settings and during smaller crises will be applicable.

Front 73

Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?

Back 73

. Metropolitan Medical Response System (MMRS)

Front 74

A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:

Back 74

Strategic National Stockpile.

Front 75

An older adult is unable to reach the phone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?

Back 75

"I'll close the door so you can spend time with your dad. I will check back in a few minutes."

Front 76

During a health history interview, the nurse listens to a patient relating the precipitating events that led to the onset of chest pain. She focuses her attention on the patient, makes eye contact, and acknowledges what the patient has to say. The nurse is exhibiting:

Back 76

active listening

Front 77

A male nurse hired to work in the emergency department is observed throwing a contaminated needle into the trash can. The team leader reprimands the nurse for not appropriately disposing of sharps. The nurse states, "You don't care that I threw the needle in the trash. You just want an all-female staff," putting the team leader in a defensive position. This communication technique is known as:

Back 77

red herring

Front 78

The new director of nurses has instituted "walking rounds" on all nursing units, rather than the usual taped shift reports. A veteran nurse exclaims, "She doesn't know how we do things here!" The nurse is demonstrating:

Back 78

appeal to tradition

Front 79

An RN is consistently late to work, causing reassignment of patient care and the need for repeated shift reports. The nurse, who receives a warning for repeated tardiness, states, "My husband left me, I have no car, no family close by, and the bus is always late, which makes me late. The nurse manager doesn't care how hard I try to get here, and I am raising a child by myself." The nurse is using which type of logical fallacy?

Back 79

appeal to emotion

Front 80

A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on the unit." Which type of logical fallacy has influenced the nurse?

Back 80

Appeal to common practice

Front 81

A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly graduated RN with a bachelor's degree is hired. Before the RN arrives on the unit, the LPN is heard saying, "She'll try to tell everyone what to do because she makes more money. She'll sit at the desk and let us do all the work." This is an example of a(n):

Back 81

preconceived idea

Front 82

A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?

Back 82

Past experiences

Front 83

A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?

Back 83

Filtration

Front 84

A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:

Back 84

blocking

Front 85

Which action represents the key management function of strategic planning

Back 85

Developing a 5-year plan that will incorporate the clinical nurse leader as a part of all nursing units

Front 86

A nurse is reading about positive reinforcement with the goal of increasing staff motivation. Which action would demonstrate positive reinforcement?

Back 86

Give spur-of-the-moment recognition to an employee who has accomplished a goal

Front 87

According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?

Back 87

Bureaucracy

Front 88

Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?

Back 88

Trait

Front 89

The first step in the nursing process and in the problem-solving process is to:

Back 89

gather information

Front 90

In differentiating between a leader and a manager, a:

Back 90

manager focuses on coordinating resources.

Front 91

In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change?

Back 91

Unfreeze

Front 92

A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:

Back 92

contact the state board of nursing to determine legal scope of practice for LPNs.

Front 93

A student nurse is concerned about delegation practices and wonders why hospitals employ nursing assistive personnel (NAP) and LPN/LVNs. The student nurse refers to the National Council of State Boards of Nursing and learns that the role of these personnel is to:

Back 93

aid the RN by performing simple, routine patient care tasks.

Front 94

An RN recently relocated to another region of the country and immediately assumed the role of charge nurse. When determining the appropriate person to whom to delegate, the RN knows that:

Back 94

he or she must review the state's nurse practice act for LPN/LVNs, because each state defines the role and scope of practice of the LPN/LVN.

Front 95

The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:

Back 95

case manager

Front 96

Accrediting and licensure agencies such as The Joint Commission address staffing by:

Back 96

looking for evidence that patients receive satisfactory care.

Front 97

The

Back 97

End