Final exam Flashcards
Which statement is accurate in describing care delivery models?
a. In team nursing the team delivers care to a group of patients and maximizes the skills of each team member while collaborating.
b. Functional nursing model and team nursing are equivalent models.
c. Hierarchical communication exists in primary nursing model.
d. Integrated models utilize registered nurses to provide primary care to patients.
A. Correct
B. Functional nursing focused on functions and tasks but did not focus on collaborative team.
C. Lateral communication exists in primary nursing model
D. Integrated models use the UAP to provide primary care aspects.
A group of nursing students are discussing how staffing affects patient safety. Which nursing student comment if observed by the nursing instructor would warrant intervention?
a. Research has indicated that if staffing is adequate then patients are less likely to develop nosocomial infections.
b. If staffing is adequate with registered nurses (RNs), then patient mortality is decreased.
c. There is little evidence to support that adequate staffing leads to improved patient outcomes.
d. Adequate staffing helps to prevent nursing fatigue leading to better clinical decision making.
C. Correct
All other statements are true about staffing and patient safety.
A charge nurse is preparing staffing for the upcoming shift on a medical-surgical unit. Which factor would take priority in planning?
a. Productive time
b. Adequate staffing mix
c. Average daily census
d. High patient acuity
D. Correct: High patient acuity present on a unit would be a priority consideration in planning for adequate staffing. This fact would increase the need for staffing.
A. Productive time relates to patient-related delivery of care, and while important to consider, it by itself does not assume priority in planning staffing.
B Adequate staffing mix would help to support staffing needs, but by itself it does not assume priority in planned staffing.
C Average daily census provides trended information related to the number of patients who would be on a specific unit. While it is important to consider, it by itself does not assume priority in planning staffing.
D
When monitoring the productivity of any nursing unit, it is important to consider whether there is evidence of what critical factor?
a. Job satisfaction of staff
b. Quality of care delivered
c. Stable economic costs
d. Adequate staffing
B. Correct: Productivity refers to efficiency of delivered services while maintaining quality of care.
A. While job satisfaction of staff is important, it is not the critical factor in monitoring the productivity of any nursing unit. Productivity refers to efficiency of delivered services while maintaining quality of care.
C Productivity refers to efficiency of delivered services while maintaining quality of care. With regard to economic concerns, productivity also looks at allocation of resources to hopefully redistribute or decrease costs to have a better outcome ratio.
D While adequate staffing is important, it is not the critical factor in monitoring the productivity of any nursing unit. Productivity refers to efficiency of delivered services while maintaining quality of care.
A nurse observes a nurse and patient having a loud conversation. The nurse is yelling at the patient and is pointing a raised finger at the patient stating that “he’d better behave.” How would the nurse who is observing this interaction categorize this type of behavior in terms of violence?
a. Lateral
b. Third party
c. Vertical
d. Horizontal
B Correct: B Because this behavior is occurring between a nurse and a patient and is being observed by another nurse, this would be an example of third-party violence.
A. Lateral violence occurs between individuals at the same level. Because this behavior is occurring between a nurse and a patient and is being observed by another nurse, this would not constitute lateral violence.
C Vertical violence occurs between individuals at different levels, that of a subordinate and another individual at a higher level. Because this behavior is occurring between a nurse and a patient and is being observed by another nurse, this would not constitute vertical violence.
D Horizontal violence is another term that can be used to explain lateral violence. These terms can be used interchangeably. Lateral violence occurs between individuals at the same level. Because this behavior is occurring between a nurse and a patient and is being observed by another nurse, this would not constitute lateral violence.
Which action would contribute to nurse fatigue in a staff nurse who is working a 12-hour shift on a medical unit and who has been assigned to take care of five patients based on a primary care model?
a. Nurse eats lunch meal at the nurse’s station while answering unit phone
b. Nurse leaves the unit on time at the end of the scheduled shift
c. Nurse does not sign up for additional shifts to cover unit vacancies
d. Nurse states she typically sleeps 8 hours a night
A Correct: A nurse should be able to take a break and relinquish care in order to get the best benefit from a rest period.
B Time management can contribute to fatigue. If a nurse ends up staying after the shift has ended this can contribute to nurse fatigue.
C Keeping one’s regular work schedule will not contribute to nurse fatigue.
D Having a regular sleep pattern between 7 and 9 hours a night can help prevent nurse fatigue.
Which action supported by current research contributes to the existence of workplace violence in the clinical setting?
a. Most nurses report incidents that have occurred without fear of retaliation.
b. Nurses are more aware of the likelihood that workplace violence will occur.
c. There are strong organizational support and zero tolerance policies for bullying.
d. There is no support from administration.
D. Correct: Lack of perceived or actual support from administration can contribute to the occurrence of workplace violence.
A. Research indicates that nurses who report incidents do fear for retaliation and/or punitive action. The victim becomes victimized.
B Nurses being aware that workplace violence is likely to occur does not alone contribute to the existence of workplace violence. Research has confirmed that most individuals are aware of workplace violence, but this does not lead to the perpetuation of more violence.
C Zero tolerance policies in an organization are aimed at preventing workplace violence from occurring.
Which of the following tasks can a charge nurse delegate to an LPN?
a. Discharge instructions on new medication.
b. Administration of a subcutaneous injection.
c. Administration of hemodialysis.
d. Family education on home safety.
B. Correct
All the others require RN.
