leadership final Flashcards

1
Q

Which of the following is true regarding a career in nursing?

A

The responsibility for career advancement is solely on the individual nurse. This is correct. The responsibility for career advancement rests with the employee, not the employer.

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2
Q

A new nurse graduate is working on a SWOT analysis. The nurse is considering the influences that could hinder career planning, such as changes in policies and regulations. Which of the following is most likely the section of the SWOT analysis under consideration?

A

Threats. This is correct. External threats may hinder job searches and career planning.

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3
Q

A nursing student who is graduating in a few weeks is preparing a resume. What should the nursing student highlight first? Select all that apply

A

Educational degrees. If you are a new graduate and have little or no job experience, list your educational background first.
Employment experience. Positions held before you entered nursing might support experience that will be relevant to your nursing career.

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4
Q

Which of the following best describes the purpose of a cover letter?

A

An introduction to your resumé and to you. This is correct. The purpose of the cover letter is to introduce yourself and your resumé and generate interest in hiring you.

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5
Q

A new nurse is preparing for a job interview. Knowing that the interviewer may ask about weaknesses, the nurse is prepared to address the lack of experience and explain how prior skills learned will assist in the position. Asking about weaknesses best falls under which of the following interview categories?

A

Professional questions. This is correct. Professional questions are related to the skills and knowledge needed for the position.

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6
Q

Which of the following is true regarding internship and residency programs for new nurses?

A

Residency programs teach new nurses clinical leadership skills. This is correct. These programs may include content covering specialty patient care skills, organization skills, clinical skills, and communication skills.

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7
Q

If you want to learn more about the issues related to nursing practice and healthcare policy and participate in active discussions about these issues, which organization should you focus on?

A

American Nurses Association. This is correct. The American Nurses Association focuses on profession wide engagement , nurse-focused innovation, and nurse-to-consumer relations.

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8
Q

A nurse is working hard to stay up-to-date on current practice and continuing to grow in skill and knowledge for his specialty. The nurse is not looking to advance his career, but to remain in his current position. Which of the following phases of the nursing career is this nurse most likely in?

A

Harvest phase. This is correct. During the harvest phase, nurses have reached their prime. They need to continue to grow and develop in order to retain their position and status. They may also start thinking about the legacy they will leave in nursing.

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9
Q

Which of the following is the most effective method of coping with the transition from student to nurse?

A

Identify nurses who were able to make the transition successfully and discuss work-related issues with them. This is correct. Developing a support network will help make the transition easier, and you can work together to improve the organization.

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10
Q

Which of the following is a challenge some new nurses may face when transitioning from student to nurse?

A

Employers expect new nurses to be able to provide safe care and set work priorities right from the first day. This is correct. Employers expect new graduates to come to the work setting with the ability to provide safe care, organize their work, set priorities, and provide leadership to ancillary personnel.

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11
Q

Which of the following is true regarding horizontal violence?

A

Horizontal violence is a sentinel event.
Difference between never event and sentinel event

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12
Q

Which of the following best describes why healthcare is so stressful?

A

Continued intensive contact occurs with noncompliant patients.

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13
Q

Which of the following is the best way for a nurse to become a culturally competent practitioner?

A

Reflect on one’s own culture, values, and biases.

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14
Q

Which of the following best contributes to job satisfaction?

A

Learning to manage stress

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15
Q

An RN receives a patient with a diagnosis of thrombotic stroke from the emergency department. The pharmacy alerts the RN that the dose of tPA must be administered within the next 15 minutes and sends the medication to the RN. The usual practice is for tPA to be administered in the emergency department before admission to the unit. The RN checks the medication administration record, noting there is no indication that the tPA was administered in the emergency department. The RN calls down to the emergency department to speak with the nurse who cared for the patient. The previous nurse failed to document administration of the medication and corrects the documentation with a late entry note. This scenario best describes which of the following?

A

near miss

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16
Q

Which of the following is true regarding a root cause analysis?

A

Finding the root cause may not always be possible

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17
Q

An RN identifies a safety concern on an inpatient unit. The RN implements changes in order to improve patient outcomes. Which of the following best describes this scenario?

A

Apply quality improvement.

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18
Q

The Occupational Safety and Health Administration requires employers to inform workers of potential risks and health hazards. Which of the following organizations should a nurse leader monitor to best learn of new and emerging health hazards?

A

National Institute of Occupational Safety and Health

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19
Q

A nurse manager of a busy emergency department is working to reduce the potential for violence on the unit. Which of the following will most likely reduce the potential for violence?

A

Propose a plan to expand and update the waiting room.

20
Q

Which of the following is true regarding ergonomic injuries?

A

Unexpected patient movements during transfers can cause back injuries to nurses.

21
Q

An organization focuses on improving interdisciplinary collaboration. Which of the following most likely is the focus of the organization?

A

Culture of safety

22
Q

An RN has joined the practice council at the hospital network. The RN is able to have some say regarding nursing practice in the network and now feels as if network administration is listening to the RN’s recommendations. Which of the following components of empowerment does this scenario best describe?

A

Impact and decision making

23
Q

Which of the following is true regarding nursing practice councils?

A

Practice councils are a form of shared governance, giving nurses the ability to participate in levels of decision making for the unit.

24
Q

A new RN in the critical care unit joined the professional organization for critical care nurses. The new RN took advantage of webinars and journal articles that offered continuing education credits. The new RN attended the national conference and began studying for the certification examination. Which benefit of professional organizations does this scenario best describe?

A

Enhancement of nursing competence

25
Q

For nurses to participate in decision making, they need to have the authority to make decisions without asking permission. Which source of power does this best describe?

A

Support

26
Q

Management on a nursing unit has decided to upgrade to new beds in an effort to decrease occurrences of skin breakdown on the unit. The manager begins the staff in-service on the new beds by reviewing the recent incidence of skin breakdown and comparing it with statistics from similar units. Which stage of the change process is the manager addressing?

A

Unfreezing

27
Q

A nursing unit updated their barcode scanners because the batteries of the old ones were not replaceable and stopped holding charge. The proposed new scanners are wired so that batteries are not required. However, the registered nurses (RNs) resist this change because the placement of the scanners could make it difficult to reach the patients if they were not in bed. Which of the following most likely describes the source of the resistance?

A

practical reasons

28
Q

Which of the following is true about behavior change?

A

Individuals who are active and engaged can learn to make a change.

29
Q

A nurse manager is planning for implementation of a change in practice based on current evidence. When planning for implementation, which of the following is the priority consideration?

A

Is this the only change taking place?

30
Q

Which of the following will provide psychological safety when making a major change?

A

Provide individuals opportunities to ask questions

31
Q

Which of the following most accurately describes a current concern in health care today?

A

Gun violence has become a rising public health concern.

32
Q

Which of the following is a benefit of the U.S. health-care system?

A

The use of technology is projected to decrease health-care costs and improve clinical outcomes.

33
Q

Which of the following is a change enacted by the Patient Protection and Affordable Care Act?

A

Expansion of school-based health centers

34
Q

Which of the following is a nursing issue of concern today?

A

safe staffing

35
Q

Which of the following is the best argument for lower nurse-to-patient ratio?

A

Greater patient-to-nurse ratios decrease patient mortality.

36
Q

Although there is projected to be a small surplus of nurses by 2030, some states will continue to see nursing shortages. Which of the following is the best explanation for this situation?

A

Workforce availability

37
Q

Which of the following is expected to most likely be true in the near future?

A

Increased focus on care transitions will involve nursing.

38
Q

A new model for health care in the future would be best to include which of the following?

A

Care that encourages a healthy environment

39
Q

Which of the following best describes the public image of nurses today?

A

Nurses are assistants to physicians.

40
Q

Which of the following is the best way to improve nursing’s image?

A

Take every opportunity to speak to the public about nursing.

41
Q

Which of the following is the best way for a nurse to improve quality of care?

A

Collaborate with other health-care professionals, patients, and their families.

42
Q

Which of the following is the best action an individual nurse can take to exert leadership in supporting the profession of nursing?

A

Talk about health-care issues to everyone who will listen, including legislators.

43
Q

Which of the following is true regarding the Affordable Care Act?

A

The Affordable Care Act attempted to address many of the issues of interest to nursing, but came with much controversy.

44
Q

Which of the following new opportunities might a new nurse see in the future?

A

Transitional care

45
Q

Which of the following best describes a major concern about the health-care system in the United States?

A

Quality of care