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Question 1

A nurse-manager is reviewing the provisions of the consumer bill of rights and responsibilities with a group of new nurses. The manager should address what goals of legislation? SATA

a. Ensuring every client has access to quality and affordable healthcare
b. Promoting strong relationships between clients and healthcare providers
c. Promoting clear communication between members of health care team
d. Helping clients feel confident in health care system
e. Assisting clients with understanding provisions of their health insurance

Answer 1

Promoting strong relationships between clients and healthcare providers

Helping clients feel confident in health care system

Question 2

A nurse-manager can implement worlplace advocay and subordinate advocacy by performing what actions? SATA

a. creating an atmosphere that is free of violence or threat of violence
b. Providing education about injury prevention and safety
c. Making efforst to ensure that nurses have reasonable and predictable work schedules
d. Including nurses in the decisions that must be made at the facility
e. Encourage clients to provide feedback about the care they provide when they are discharged

Answer 2

a. creating an atmosphere that is free of violence or threat of violence
b. Providing education about injury prevention and safety
c. Making efforst to ensure that nurses have reasonable and predictable work schedules
d. Including nurses in the decisions that must be made at the facility

Question 3

The manager of a community health center is committed to acting as an advocate. What action by nurse promotes this goal?

a. taking prompt action when working conditions appear unsafe
b. Seeking formal and informal interactions with media
c. Communicating a vision that advocacy is something highly values in the organization
d. Pushing for the creation of a binding, national bill of rights for patients

Answer 3

taking prompt action when working conditions appear unsafe

Question 4

The nurse-manager of a hospital unit has set a goal of increasing client advocacy. What activities are likely to help the manager attain this goal? SATA

a. Staffing the unit with a sufficient number of care providers
b. Orienting staff on the safe use of a new mechanical lift
c. Providing an in-service on culturally meeting the clients end-of-life needs
d. Arranging for a client to have a meeting with a member of finanical office
e. Organzing an equitbale system for distributing vacation time to staff

Answer 4

a. Staffing the unit with a sufficient number of care providers
b. Orienting staff on the safe use of a new mechanical lift
c. Providing an in-service on culturally meeting the clients end-of-life needs
d. Arranging for a client to have a meeting with a member of finanical office

Question 5

A nurse is revewing the provisions of legislation that relates to nursing practice in the jurisdiction where the nurse provides care. The nurse should identify what primary purpose of this legislation?

a. protecting clients rights and safety
b. Organizing the overall structure of the health care system
c. Promoting a unique role for nursing in promoting wellness
d. Ensuring nurses provide care that is ethical and moral

Answer 5

a. protecting clients rights and safety

Question 6

Which nursing intervention demonstrates attention to nursing values central to client advocacy? SATA

a. ASsuring clients that their wishes will be respected regarding the care they receive
b. Reassuring clients that they will always make the right decisions
c. Identifying clients religious dietary practices when discussing a prescribed diet
d. Answering clients questions regarding the alternatives to proposed procedures
e. Suggesting to the clients that a social services consult would help with discharge needs

Answer 6

a. ASsuring clients that their wishes will be respected regarding the care they receive
c. Identifying clients religious dietary practices when discussing a prescribed diet
d. Answering clients questions regarding the alternatives to proposed procedures
e. Suggesting to the clients that a social services consult would help with discharge needs

Question 7

A nurse is concerned about the implications of a new piece of legislation that is being debated by lawmakers. The nurse has decided to draft a letter to a legislator and should do what actions? SATA

a. Self identify as a constituent in the first paragraph
b. Sate the reason for writing in second paragraph
c. Sign the letter and include contact information
d. Address the legislator by his or her title
e. Hand deliver the letter to the legislators office, if possible

Answer 7

a. Self identify as a constituent in the first paragraph
c. Sign the letter and include contact information
d. Address the legislator by his or her title

Question 8

Which statement is an example of a process objective?

a. Every nures will screen newly admitted clients for alcohol abuse
b. The falls rate on the unit will decrease by 50% compared with 2016 rates
c. The health care facility will achieve accreditation within the next 24 months
d. The new bowel care protocol will be fully implemented by the end of the calendar year

Answer 8

a. Every nures will screen newly admitted clients for alcohol abuse

Question 9

A nurse has been asked to join the health care organizations strategic planning committee. What actions shoudl the committee perform in order to create an efficient and evidence-based planning process. SATA

a. Enlist members with expertise in healthcare economics
b. Carefully consider political issues related to healthcare
c. Prioritize the role of intuition in the planning process
d. Identify and implement a planning theory
e. Include as many stakeholders as possible int he planning process

Answer 9

a. Enlist members with expertise in healthcare economics
b. Carefully consider political issues related to healthcare
d. Identify and implement a planning theory
e. Include as many stakeholders as possible int he planning process

Question 10

Which element should influence the nurse executive most heavily when assessing the organizations philosophy of nursing services for possible revision?
a. Consumer surverys
b. Input from other health disciplines
c. The organizations mission statement
d. Policy statements

Answer 10

c. The organizations mission statement

Question 11

A nurse manager is on a strategic planning team that is applying the balanced scorecard while strategic planning. The team should specifically consider what variables when creating the scorecard? SATA

a. Legislation that governs the organizations operations
b. the heathcares organizations budget
c. Goals identified by similar organizations
d. The existing processes that are in place
e. Opportunities for learning and growth
f. Feedback that clients and families have provided

Answer 11

b. the heathcares organizations budget
d. The existing processes that are in place
e. Opportunities for learning and growth
f. Feedback that clients and families have provided

Question 12

A nurse-manager has been asked for the first time to join the health care facilitys strategic planning committee. What action should the nurse manager take first?

a. Approach potential mentors on the committee
b. Perform a SWOT analysis of the issues facing the committee
c. Identify and examine their own planning style
d. Review the committees most recent blanaced scorecard

Answer 12

c. Identify and examine their own planning style

Question 13

What characterisitic of a health care organization most clearly suggests that it is an aged organization?

a. The organization was esta more than 75 years ago
b. The organization used to be the largest in the region but now is smaller than several similar organizations
c. The organization has a history of stifling innovation
d. The organization is having difficultly attracting new graduates

Answer 13

c. The organization has a history of stifling innovation

Question 14

A nurse is ostracizing a staff member who dresses “unprofessionally” and is encouraging other nurses to treat the staff member the same way. What most closely represents which change strategy?

a. Power-coercive
b. Normative-reeducative
c. Rational-empirical
d. Resistance-withdrawl

Answer 14

b. Normative-reeducative

Question 15

Which statement best describes the philosophy of nonlinear change theories?
a. change occurs in sequential steps of varying speed
b. change predictable with proper analysis
c. change success relies on clear policies and hierarchies
d. change is necessary because organizational stability is brief

Answer 15

d. change is necessary because organizational stability is brief

Question 16

Which statements are true regarding planned change? SATA

a. Resistance to change should be expected as a natural part of the change process
b. Change should be viewed as a chance to do something innovative
c. Technical changes are more resisted by staff than are social changes
d. Change effects the homeostasis of a group
e. Careful planning can guarantee the success of a change initiative

Answer 16

a. Resistance to change should be expected as a natural part of the change process
b. Change should be viewed as a chance to do something innovative
d. Change effects the homeostasis of a group

Question 17

Frequent turnover in leadership at a healthcare organization has meant that change is often occurred by drift what are the characteristics of this mode of change SATA

a changes are planned by teams
B changes occur accidentally
C changes take place even though they are unplanned
D changes take place only as the result of threats he changes take place democratically

Answer 17

B changes occur accidentally
C changes take place even though they are unplanned

Question 18

A nurse manager is describing the forces that are driving change in today’s Healthcare environment what phenomena should the nurse describe SATA

a increased cost of healthcare services
B shortages of healthcare professionals and providers
C decreased third-party reimbursement for health care services
D decreased use of Technology due to high cost of inflammation implementation
E increased me to update Health Care related Technologies

Answer 18

a increased cost of healthcare services
B shortages of healthcare professionals and providers
C decreased third-party reimbursement for health care services
E increased me to update Health Care related Technologies

Question 19

A nurse leader has implemented changes in the advancement documents for nurses who are aspiring to earn more money which statement is true concerning the refreezing phase of the process SATA

A the focus of the phase is to integrate the change into status quo
B stabilization of change requires 6 to 9 month period of time
C if refreezing is incomplete pre-change Behavior will be resumed
D the change ancient must remain involved until refreeze stage is complete
E the priority in this phase is to identify resistance

Answer 19

A the focus of the phase is to integrate the change into status quo
C if refreezing is incomplete pre-change Behavior will be resumed
D the change ancient must remain involved until refreeze stage is complete

Question 20

A nurse 10 intends to enroll in graduate school and has informed a colleague of this intention what response suggests that the colleague is in the pre-contemplation stage of the change ?

A I haven’t decided but I might start looking into doing that as well
B that’s a good idea for you but I’m just thankful I’m done with school
C I suppose that will open up some new opportunities for you
D that’s my plan as well when will you start

Answer 20

B that’s a good idea for you but I’m just thankful I’m done with school

Question 21

A nurse manager is having difficulty finishing the necessary tasks for each day When implementing the time management process what should the manager do first
A complete the highest priority task
B allow enough time for sufficient daily planning
C reprioritized based on new information received
D delegate work that cannot be accomplished in a day

Answer 21

B allow enough time for sufficient daily planning

Question 22

A nurse manager is focused on improving time management which activity is associated with leadership role in time management?

A assisting followers and working cooperatively to maximize time use
B prioritizing day-to-day planning to meet short-term and long-term unit goals
C building time for time management planning into the work schedule
D utilizing technology to facilitate timely communication and documentation

Answer 22

A assisting followers and working cooperatively to maximize time use

Question 23

How can subordinates be discouraged from taking up a nurse manager’s time on productively? SATA
A having the manager be accessible in the nursing station
B instituting an open door policy
C having limited office seating available
D refocusing conversations when needed
E work in public areas

Answer 23

C having limited office seating available
D refocusing conversations when needed

Question 24

A leader manager is recognized the need to be more consistent with time management What skill should the nurse develop to facilitate time management?
A enlisting the help of an administrative assistant
B recognizing the need for goal setting
C Prioritizing tasks accurately
D handling emergency situations quickly

Answer 24

C Prioritizing tasks accurately

Question 25

Which statement identifies a common mistake made related to daily planning?

A crisis always come up so my plan keeps changing
B I always handle each clients needs as they arise
C sometimes it’s difficult to reserve time for daily planning
D client care requires a lot of reassessment by nursing

Answer 25

B I always handle each clients needs as they arise

Question 26

Which statements demonstrate adherence to habits that supports good personal time management skills?

A it’s important to me to be professional
B I’m learning to trust the members of my team
C I’ve learned that I’m most energetic in the morning
D I’ll adjust my sleep schedule now that I’m on night shift
E I’ll never quit a task that I’ve decided to do

Answer 26

B I’m learning to trust the members of my team
C I’ve learned that I’m most energetic in the morning
D I’ll adjust my sleep schedule now that I’m on night shift

Question 27

A nurse has accepted a position as a staff nurse and will practice primary care nursing The nurse will be the only RN on the team What is an appropriate role expectation for fulfillment?

A planning nurses nursing care independently of others
B assigning work according to the expertise of group members
C being responsible for care planning only during the shift they work
D carrying out the majority of personal care for a sign clients

Answer 27

B assigning work according to the expertise of group members

Question 28

A registered nurse is providing care in a setting that uses modular nursing what tasks should the nurse perform during a shift?

A providing every aspect of care to one half to one third of the many teams assigned to clients
B collaborating with another registered nurse to plan the care of all the many teams signed clients
C confirming that each member of the mini team is completing their assigned tasks
D providing total client care to the most acutely ill clients that the many team is assigned

Answer 28

C confirming that each member of the mini team is completing their assigned tasks

Question 29

What is the primary focus of case management in prioritizing client care?

A assessing each client’s needs individually
B minimizing cost to the organization
C minimizing cost to the client
D applying the principles of team nursing

Answer 29

A assessing each client’s needs individually

Question 30

Primary care nursing is organized so that the client is at the center of the structure How many nurses have responsibility for the care planning and coordination for the client during the 24-hour period?
A 1
B 2
C 3
D 4

Answer 30

A 1

Question 31

An experienced registered nurse has begun a position as a clinical nurse leader In this role what task should the nurse perform? SATA

A collaborating with theater disciplinary team
B guiding clients and families through the healthcare system that various sites C coaching nurses to provide evidence-based care
D introducing quality improvement initiatives
E preceptoring senior nursing students

Answer 31

A collaborating with theater disciplinary team
C coaching nurses to provide evidence-based care
D introducing quality improvement initiatives

Question 32

A nurse manager is part of a committee that has been commissioned to change the care delivery model at the healthcare facility When planning this change the nurse and other committee members should be aware that this process will?

A be difficult to implement without hiring staff who have experienced the new model
B effects social relationships and group functioning in the workforce
C require equal input from every staff member during the planning stage
D be best conducted by objective consultants from outside the organization

Answer 32

B effects social relationships and group functioning in the workforce

Question 33

A primary health care team has been established to coordinate the care of a client with complex health care needs What should the nurses primary role be in this team?

A communicate the wishes of the client to the other team members
B way the benefits of suggested interventions with their costs
C provide the client’s direct bedside care whenever possible
D the emphasize improved quality of life and client centered care

Answer 33

D the emphasize improved quality of life and client centered care

Question 34

Which statement’s demonstrate an understanding of the factors that should be considered when a change in the care delivery system is being proposed? SATA

A we’ve determined that our level of care would improve if we provided it differently
B it’s questionable whether our current nursing staff is large enough to support the proposed change
C we will discuss our proposed change with the multidisciplinary team members D administration has been supportive of the plan change in our care delivery system
E we’re going to make our decision based on which option is newest in the literature

Answer 34

A we’ve determined that our level of care would improve if we provided it differently
B it’s questionable whether our current nursing staff is large enough to support the proposed change
C we will discuss our proposed change with the multidisciplinary team members D administration has been supportive of the plan change in our care delivery system