Nurs761 Exam

Question 1

What does the NZNO define Clinical and professional supervision as?

Answer 1

Is a practice focused professional relationship that enables reflection on practice with the support of a skilled and qualified supervisor.
Professional and clinical supervision facilitates professional growth by allowing safe and supported exploration of clinical practice.

Question 2

Formative is the first function identified in professional supervision. What are the other functions?

Answer 2

Formative
Normative
Restorative

Question 3

What is the formative function of professional supervision?

Answer 3

Where the process has an educative role.

Question 4

What is the normative function of professional supervision?

Answer 4

Where professional clinical supervision helps to develop consistency of an approach to patient care.

Question 5

What is the restorative function of professional supervision?

Answer 5

Which provides support and validation for the supervisee through peer feedback.

Question 6

Supervision can not be summarised as a chat session, gossip or it should not be a friendship. What are five other types of interactions that are not deemed professional supervision.

Answer 6

Counseling
Management
From the supervisor to talk about his/her issues.
Appraisal
Judgemental
A chat session
Gossip
Friendship

Question 7

True or false. Professional supervision should be confidential and ethical.

Answer 7

True. It should also include ongoing and regular meetings that are deemed supportive but not counseling.

Question 8

True or False. According to Davys, professional supervision should only include issues that are accountable to the organisation in which the Nurse works. In turn this will help the organisation and enable the nurse to be a better nurse at work.

Answer 8

True.
Although some would argue that professional supervision should include the person as a whole, as the outside stuff might have a signficant impact on the nurse while at work.

Question 9

True or false. Potential benefits of professional supervision include increased resilience against stress and improved practical and theoretical knowledge resulting in high quality of care to patients.

Answer 9

True.
It may also further develop skills, knowledge, and professional values.
It may also encourage reflection on practice and improve patient outcomes.

Question 10

What are the two forms of professional supervision?

Answer 10

Group or peer supervision.

Question 11

A new graduate nurse may be reluctant to delegate to members of the team. The most likely reason for this is:
a. insufficient orientation time given to new graduate nurses.
b. the philosphy of the graduate nurse’s school of nursing.
c. role modelling behaviours of other team members.
d. lack of trust in the team members.

Question 12

Fill in the missing gap for the Five Rights of Delegation below:
“The right……, the right circumstances, the right person, the right communication, the right direction / supervision.

Question 13

The decision to delegate is a professional judgement made by an RN and should take all of the following EXCEPT what into account?
a. the health status of the consumer.
b. the context of care and level of experience of the professional assigned the task.
c. the role-modelling of other RNs in the ward.
d. the complexity of the nursing intervention required.

Question 14

When delegating:
a. you will directly perform, together with the nursing assistant, the tasks delegated.
b. you will not be responsible for determining patient progress.
c. you will need excellent communication skills very clear.
d. you will have your own preferences.

Question 15

At the end of a shift, a new RN tells the charge nurse that she has not documentated her medications. You should:
a. ask her why she was unable to chart medications.
b. tell the nurse manager about the situation.
c. tell her you will pay her overtime for proper documentation completion.
d. ask her if she would like the charge nurse to complete the documentation.

Answer 15

Ask her why she was unable to chart medications.

Question 16

Appropriate tasks for consideration in delegation decision making include those that frequently recur in the daily care of a client or group of clients. These include:
a. tasks that do not use a standard and unchanging procedure.
b. tasks related to medication delivery.
c. tasks that do not require the unlicensed assistive personnel to exercise nursing judgement and do not require complex and/or multidimensional application of the nursing process.
d. tasks that require nursing process assessment.

Question 17

Which of the following are delegation factors?
a. hospital policies and procedures, job descriptions, patient needs, staff competencies, professional standards, clinical situation.
b. personal preference, hospital policies and procedures, job descriptions, patient needs, staff competencies, professional standards.
c. hospital policies and RN expectations, job descriptions, patient needs, staff competencies, professional standards.
d. hospital policies and procedures, job descriptions, patient needs, staff competencies, professional standards, workload and willingness of RN.

Question 18

You just recieved report from the night shift nurse. You must assign both direct patient care and indirect patient care to staff members. An example of a direct patient care task is:
a. restocking shelves and patient rooms.
b. performing and ECG.
c. asking patient what they are requesting when their light is on, then informing the RN.
d. transporting patients.

Answer 18

You have just recieved report on a patient with an acute MI, and are delegating patient case load to a patient care technician (PCT). which of the following can be delegated to the PCT?
a. dietary teaching.
b. physical care.
c. admission assessment.
d. asking the patient what pain level he or she is experiencing.

Question 19

Who works under the direction and supervision of the RN?
a. licensed practical nurse.
b. unlicensed personnel.
c. patient care technicians.
d. all of the above.

Answer 19

D

Question 20

The person accountable for establishing systems to assess, monitor, verify, and communicated ongoing competence requirements in areas related to delegation is:
a. nurse manager
b. nurse leader, vice president of nursing.
c. nursing supervisor
d. all of the above.

Question 21

The five rights of delegation are:
a. right direction, right circumstance, right person, communication.
b. right task, right circumstance, right person, right direction, communication.
c. right task, right circumstance, right scope of practice, right direction, communication.
d. right task, right circumstance, right person, right discussion.

Answer 21

Right task
Right circumstance
Right person
Right direction,
communication

Question 22

Acknowledgement and assumption of responsibility for actions, decisions, and policies within the scope of the role or employment position and encompassing the obligation to report, explain, and be answerable for resulting consequences is referred to as:
a. accountability
b. autonomy
c. authority
d. assessment

Question 23

A manager that is not readily available to approach and passes a lot of demands from higher leadership onto the team without discussion shows characteristics of what type of leader?
a. charismatic leader
b. bureaucratic leader
c. authoritarian leader
d. situational leader

Question 24

Mandy is a charge nurse in an older person’s rehabilitation ward. She encourages the team to start discharge planning from the time of admission and to look at the individual needs of each client. Why is Mandy’s appraoch showing a situational leadership style?
a. She is clearly instruction staff about organisational expectations.
b. She is focused on planning and organisation.
c. she is encouraging staff to respond to individual need and difference.
d. She is leading by example and directing staff to focus on specific tasks.

Question 25

What BEST describes Nursing leadership?
a. Using interpersonal skills to influence others.
b. being responsible and accountable for efficiency.
c. Defining the organisation’s mission and goals.
d. Choosing the means to assign and coordinate tasks.

Answer 25

Using interpersonal skills to influence others.

Question 26

What is the key statement that leads to successful change?
a. in order to succeed, the change needs to be management driven.
b. Planned change occurs when members of the team are dissatisfied with the status quo.
c. Planned change is a fluid process where the goals are modified at each stage.
d. The purpose of planned change is a rationalisation of services.