exam 2

Question 1

The nursing supervisor states “I really don’t have the time to delegate this task to a nurse. I can do it faster. What is the most likely basis for this statement?

Answer 1

The nursing supervisor is concerned that staff is ill prepared at assume additional responsibilities

Question 2

What action is necessary by a delegate accepting delegation

Answer 2

Clarify the timelines and expectations

Question 3

Which factor influences a persons interpretation of information

Answer 3

Past experiences
Preconceptions
Environment
Context
Precipitating events

Question 4

The nurse manager is discussing with a staff nurse a performance review. Which nonverbal behavior by the staff nurse reflects a silent message to the nurse manager

Answer 4

Arms folded across the chest
Eye rolling

Question 5

The nurse has attended a refresher course on successful delegation. Which statement indicates successful learning has taken place

Answer 5

I knew that effective delegation made my job easier, but I never thought about how it could benefit the hospital

Question 6

An LPN has transferred to a nursing unit arrives for the first day. The RN checks with the LPN often throughout the to provide support and determine if assistance is needed. The RN is providing which level of supervision

Answer 6

Continual supervision is being provided until the RN determines competency

Question 7

An RN delegates to the UAP the task of performing blood pressure checks for a group of pts on a nursing unit. The UAP accepts the task and is responsible for what associated risk?

Answer 7

Keeping the RN informed of any abnormal BP readings

Question 8

Which task is appropriate for the RN to delegate to the UAP provided the delegate has had experience and training

Answer 8

Obtain a sterile urine sample from a patient with a foley catheter that is connected to a closed drainage system

Question 9

A newly licensed nurse is concerned about the legal aspects of delegation. What is the most important question for the nurse to consider prior to delegating a task

Answer 9

does this task involve nursing judgement

Question 10

Which budget result could impact the nurse managers performance evaluation

Answer 10

overtime use

Question 11

A nurse moves from california to arkansas and due to having 20yrs of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two UAP. The RN is unsure of the scope of practice for the LPN and reviews the nurse practice act for Arkansas which lacks clarity on some tasks. What should the RN do to best acquire the necessary information?

Answer 11

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

Question 12

The nurse manager is preparing a budget using the incremental method for an existing cardiac care unit. Which action should the nurse manager take

Answer 12

Determine the expected increase in salaries from the previous year

Question 13

A nurse manager is delegating a new complex task to the unit secretary. Which of the following strategies would be ineffective if used by the nurse manager

Answer 13

Introduce generalities of the task with the promise of providing additional details such as a timeline later

Question 14

Which of these represent an obstacle to delegation

Answer 14

There is a budget shortfall for the current fiscal year
Unclear chain of command

Question 15

The nurse manager is reviewing the capital expenditures for the budget of an outpatient surgical center. Which item would the nurse manager include

Answer 15

Cardiac monitor

Question 16

The job description of the staff nurse states the nurse is responsible for attending hospital committee meetings as assigned. The nurse manager is asking the staff member to attend a risk management meeting is an example of which concept

Answer 16

Work assignment

Question 17

The nurse manager is discussing a situation that has occured between staff nurse and a UAP. The staff nurse states, When I work with the UAP they always ignore the client care tasks I have delegated. Which statement by the nurse manager promotes open communication

Answer 17

What I hear you saying is that your clients are not getting the care that you expect

Question 18

As a member of the budgeting committee the nurse manager reviews the salaries for file checks in the accounting department. These salaries should be included in which budget item

Answer 18

The indirect cost

Question 19

The nurse manager overhears a discussion between the charge nurse and staff nurse discussing the delegation of responsibilities. Which response by the staff nurse demonstrates aggressive communication

Answer 19

Who gives you the authority to tell me what to do

Question 20

Which initial action should the new nurse manager take when learning to develop a budget

Answer 20

Review the organizational budgeting guidelines

Question 21

The nurse manager is developing the budget for a brand new outpatient clinic. Which resource allocation will be a priority before the clinic generates revenue

Answer 21

Advertising

Question 22

Which situation indicates the nurse needs additional training on effective delegation

Answer 22

The office nurse calls in orders for admission on a client following a surgical complication

Question 23

The nurse manager observes a social media post by a staff nurse that discusses the care of a client. Which action should the nurse manager take

Answer 23

Report the post to a supervisor

Question 24

A nurse is concerned about the risk of delegating task to a LPN and UAP. What is the best way for the nurse to determine competency of an inexperienced delegate

Answer 24

Personally observes the delegate perform the assigned task

Question 25

The nurse manager overhears a client scheduled for surgery state to the nurse “I am afraid that I will have too much pain when i wake up” Which response by the nurse would be most therapeutic

Answer 25

Can you tell me more about your fear of too much pain

Question 26

A staff nurse asks the nurse manager. What assignments are you delegating to me today I would like to begin to organize my day before the shift report begins. What is the error inherent in this statement

Answer 26

The nurse manager is not delegating but rather making daily assignments

Question 27

Which action by the nurse manager participating in the budget process demonstrates monitoring

Answer 27

Adjusting the staff assignment based on client census

Question 28

The nurse manager is completing a chart audit on the documentation completed by a new nurse. Which documented statement would require the nurse manager to intervene

Answer 28

The client had an unsteady gait when ambulating requiring a one person assist to avoid falling

Question 29

The nurse manager is confronted by a staff nurse who had their vacation request denied. The staff nurse states “I think this was a mistake my vacation should have been approved” Which statement would be most appropriate response by the nurse manager

Answer 29

I understand this must be frustrating for you

Question 30

Which is the most important reason that practicing and mastering effective delegation skill is essential for nurses

Answer 30

Higher client satisfaction

Question 31

The nurse manager is reviewing the communication technique preference for different generations. Which strategy would be appropriate for staff who are considered baby boomers

Answer 31

formal meeting

Question 32

The nurse prepares the medication ordered for the client. The nurse asks the nurse assistant to give the medication when the client receives breakfast and to report on the task at its completion. The nurse assistant agrees which component of the steps of delegation was violated by this request

Answer 32

Deciding on the delegate

Question 33

The nurse manager is handling conflict between a female staff nurse and a male UAP. The UAP was delegated hygiene care for a client and did not complete the task. Which statement by the UAP demonstrates a red herring logical fallacy

Answer 33

This is because you don’t like male UAPs

Question 34

A healthcare organization has provided intensive education to staff regarding benefits and correct methods of delegation. Which of the following would be reasons for organization to sponsor these sessions

Answer 34

Good delegation helps reduce overtime
Patient satisfaction scores increase when care is efficient and effective
Good delegation increases productivity

Question 35

A nurse educator is asked by the chairperson of the department to submit a list of equipment that could be used to meet the department goals. The list includes projectors, computers, office supplies, and computer assisted programs. How would the educator categorize the materials

Answer 35

As part of the capital budget

Question 36

When considering the feasibility of an all RN staff a nursing administrator determines what fact concerning the RNs role

Answer 36

They have a positive effect on pt outcomes when managing patient care
They are effective overseers of pts overall health condition
Their training makes them effective care delegators

Question 37

The nurse manager is preparing to discuss with a staff member who has repeatedly called in how their actions have affected the unit. Which statement by the nurse manager would be best to make

Answer 37

I am challenged to maintain the quality of care when you call in for your shift

Question 38

For the nurse to effectively and legally delegate which document must be consulted and followed to reduce the likelihood of liability

Answer 38

The regulation of the state nurse practice acts

Question 39

Which describes the time frame the nurse manager should begin developing the budget for the next fiscal year

Answer 39

at least three months before the new fiscal year

Question 40

A nurse manager has made a goal to be more available to staff. Which action by the nurse manager would send a conflicting message to staff members

Answer 40

keep the office door shut during office hours
limited availability beyond 8-5 M-F

Question 41

A nurse asks a UAP to help with discharging pts since so many are going home at one time. The nurse asks can you help get these clients ready to go home by helping them pack? Which option best describes the statement regarding effective delegation

Answer 41

Delegation would have been more effective had the nurse been more specific about which clients and when it should be completed

Question 42

An organization used the top down method for budget development. Which role should the nurse manager expect to take in the budgeting practice

Answer 42

Implementation of the budget

Question 43

When researching interventions that affect the quality and cost of care, which action would be best for the manager to take

Answer 43

Implementation of a quality improvement project

Question 44

A nurse manager has calculated that providing 75 hours of direct nursing care per day requires that 120 hours must be worked by the nursing staff. The manager is involved in what activity

Answer 44

applying productivity metric
monitoring labor budget