NURS 1240 Collaboration EAQ Exam Questions
With Complete Answers
Which health care team member is familiar with all the needs of any individual
client?
- Orderly
- Social worker
- Charge nurse
- Unlicensed assistive personnel (UAP) - ANSWER Charge nurse
rationale: The charge nurse is involved in the coordination and assignment of
care to individual clients. The charge nurse is the only person familiar with all
the needs of any individual client under care. Orderlies are unlicensed assistive
personnel delegated to care for the client's basic needs, and they do not have
complete knowledge of a client's condition. A social worker is not familiar with
all the needs; their focus is on social/emotional support, financial needs, and
community resources for the client and family. The UAP is involved in basic care
of the client.
Which health care team member is the designated delegator?
- Unit secretary
- Nurse manager
- Registered nurse (RN)
- Licensed practical nurse (LPN) - ANSWER Nurse manager
rationale: The nurse manager is the designated delegator. The unit secretary
has no formal medical preparation or legal recognition. The RN is answerable to
the delegator. The LP has a dependent status, functioning under the direction of
a RN.
Which component of delegation is the ability to perform duties in a specific role?
- Authority
- Responsibility
- Accountability
- Legal authority - ANSWER Authority
rationale: Authority is the ability to perform duties in a specific role.
Responsibility refers to reliability, dependability, and obligation to accomplish
work. Accountability determines whether a person's actions are appropriate
and provides a detailed explanation of what occurred. Legal authority is the
,ability to transfer selected nursing activities in a given situation to a competent
individual.
Which health care team member supervises unlicensed assistive personnel
(UAPs) in providing care to the client?
- Charge nurse
- Nurse manager
- Registered nurse (RN)
- Unlicensed assistive personnel (UAP) - ANSWER Registered nurse (RN)
rationale: The RN supervises UPs and licensed practical nurses (LPs) in
providing care to the client. The charge nurse and the nurse manager may
supervise RNs. The charge nurse delegates tasks to the LPN and UP when the
RN does not. The nursing manager is in charge of the RN, LPN, and UAP. The
UAP does not supervise other UAPs.
Which description by the nurse is a correct explanation of delegation?
- The transfer of responsibility for the performance of an activity
- The person's responsibility and accountability for individual actions or
omissions
- The active process of directing, guiding, and influencing the outcome of an
individual
- The transfer of both the accountability and responsibility from one person to
another - ANSWER The transfer of responsibility for the performance of an
activity
rationale: Delegation is the transfer of responsibility for the performance of an
activity. Personal liability defines each person's responsibility and
accountability for individual actions or omissions. Supervision is defined as the
active process of directing, guiding, and influencing the outcome of an
individual. Assignment is the transfer of both the accountability and the
responsibility from one person to another.
Which factor is the likely cause of the laboratory result when arterial blood
gases done on a client who is being resuscitated after cardiac arrest show a low
pH?
- Ketoacidosis
- Irregular heartbeat
- Lactic acid production
- Sodium bicarbonate administration - ANSWER Lactic acid production
rationale: Cardiac arrest causes decreased tissue perfusion, which results in
anaerobic metabolism and lactic acid production. Fat-forming ketoacids occur
in diabetes. An irregular heartbeat does not cause acidosis. Sodium
bicarbonate causes alkalosis, not acidosis.
, Which behavior of the nurse leader is characterized as "delegating" according
to Hersey's model?
- Guiding or directing
- Observing or monitoring
- Explaining or persuading
- Encouraging or problem-solving - ANSWER Observing or monitoring
rationale: Observing or monitoring behavior of the leader is characterized as
delegating" according to Hersey's model.
Guiding or directing behavior of the leader is characterized as "telling
according to Hersey's model.
Explaining or persuading behavior of the leader is characterized as selling"
according to Hersey's model.
Encouraging or problem-solving behavior of the leader is characterized as
"participating" according to Hersey's model.
Which type of relationship between the nurse delegator and delegate causes the
nurse delegator to use the leadership behavior of "telling?"
- Limited
- Established
- New or developing
- Developing or ongoing - ANSWER Limited
rationale: When the delegator and delegate are unlikely to work together again,
the relationship is limited and the delegator uses the leadership behavior of
"telling." When the relationship between delegator and delegate is established,
the delegator uses the leadership behavior of "delegating." When the
relationship between delegator and delegate is new or developing, the
delegator uses the leadership behavior of "participating." When the relationship
between delegator and delegate is developing or ongoing, the delegator uses
the leadership behavior of "selling."
In a health care organization, which role would a resource person assigned by
the nurse manager have?
- Delegates tasks
- Supervises actions
- Serves as a mentor
- Reassigns duties to workers - ANSWER Serves as a mentor
rationale: The nurse manager assigns a resource person in a health care
organization to serve as a mentor for the agency nurse to prevent potential
problems that could arise if the staff member does not know the institutional
routine. The nurse manager also delegates a task, supervises actions, and
reassigns duties to workers.
With Complete Answers
Which health care team member is familiar with all the needs of any individual
client?
- Orderly
- Social worker
- Charge nurse
- Unlicensed assistive personnel (UAP) - ANSWER Charge nurse
rationale: The charge nurse is involved in the coordination and assignment of
care to individual clients. The charge nurse is the only person familiar with all
the needs of any individual client under care. Orderlies are unlicensed assistive
personnel delegated to care for the client's basic needs, and they do not have
complete knowledge of a client's condition. A social worker is not familiar with
all the needs; their focus is on social/emotional support, financial needs, and
community resources for the client and family. The UAP is involved in basic care
of the client.
Which health care team member is the designated delegator?
- Unit secretary
- Nurse manager
- Registered nurse (RN)
- Licensed practical nurse (LPN) - ANSWER Nurse manager
rationale: The nurse manager is the designated delegator. The unit secretary
has no formal medical preparation or legal recognition. The RN is answerable to
the delegator. The LP has a dependent status, functioning under the direction of
a RN.
Which component of delegation is the ability to perform duties in a specific role?
- Authority
- Responsibility
- Accountability
- Legal authority - ANSWER Authority
rationale: Authority is the ability to perform duties in a specific role.
Responsibility refers to reliability, dependability, and obligation to accomplish
work. Accountability determines whether a person's actions are appropriate
and provides a detailed explanation of what occurred. Legal authority is the
,ability to transfer selected nursing activities in a given situation to a competent
individual.
Which health care team member supervises unlicensed assistive personnel
(UAPs) in providing care to the client?
- Charge nurse
- Nurse manager
- Registered nurse (RN)
- Unlicensed assistive personnel (UAP) - ANSWER Registered nurse (RN)
rationale: The RN supervises UPs and licensed practical nurses (LPs) in
providing care to the client. The charge nurse and the nurse manager may
supervise RNs. The charge nurse delegates tasks to the LPN and UP when the
RN does not. The nursing manager is in charge of the RN, LPN, and UAP. The
UAP does not supervise other UAPs.
Which description by the nurse is a correct explanation of delegation?
- The transfer of responsibility for the performance of an activity
- The person's responsibility and accountability for individual actions or
omissions
- The active process of directing, guiding, and influencing the outcome of an
individual
- The transfer of both the accountability and responsibility from one person to
another - ANSWER The transfer of responsibility for the performance of an
activity
rationale: Delegation is the transfer of responsibility for the performance of an
activity. Personal liability defines each person's responsibility and
accountability for individual actions or omissions. Supervision is defined as the
active process of directing, guiding, and influencing the outcome of an
individual. Assignment is the transfer of both the accountability and the
responsibility from one person to another.
Which factor is the likely cause of the laboratory result when arterial blood
gases done on a client who is being resuscitated after cardiac arrest show a low
pH?
- Ketoacidosis
- Irregular heartbeat
- Lactic acid production
- Sodium bicarbonate administration - ANSWER Lactic acid production
rationale: Cardiac arrest causes decreased tissue perfusion, which results in
anaerobic metabolism and lactic acid production. Fat-forming ketoacids occur
in diabetes. An irregular heartbeat does not cause acidosis. Sodium
bicarbonate causes alkalosis, not acidosis.
, Which behavior of the nurse leader is characterized as "delegating" according
to Hersey's model?
- Guiding or directing
- Observing or monitoring
- Explaining or persuading
- Encouraging or problem-solving - ANSWER Observing or monitoring
rationale: Observing or monitoring behavior of the leader is characterized as
delegating" according to Hersey's model.
Guiding or directing behavior of the leader is characterized as "telling
according to Hersey's model.
Explaining or persuading behavior of the leader is characterized as selling"
according to Hersey's model.
Encouraging or problem-solving behavior of the leader is characterized as
"participating" according to Hersey's model.
Which type of relationship between the nurse delegator and delegate causes the
nurse delegator to use the leadership behavior of "telling?"
- Limited
- Established
- New or developing
- Developing or ongoing - ANSWER Limited
rationale: When the delegator and delegate are unlikely to work together again,
the relationship is limited and the delegator uses the leadership behavior of
"telling." When the relationship between delegator and delegate is established,
the delegator uses the leadership behavior of "delegating." When the
relationship between delegator and delegate is new or developing, the
delegator uses the leadership behavior of "participating." When the relationship
between delegator and delegate is developing or ongoing, the delegator uses
the leadership behavior of "selling."
In a health care organization, which role would a resource person assigned by
the nurse manager have?
- Delegates tasks
- Supervises actions
- Serves as a mentor
- Reassigns duties to workers - ANSWER Serves as a mentor
rationale: The nurse manager assigns a resource person in a health care
organization to serve as a mentor for the agency nurse to prevent potential
problems that could arise if the staff member does not know the institutional
routine. The nurse manager also delegates a task, supervises actions, and
reassigns duties to workers.
