NUR 2790 The Scope and Focus of Professional Nursing III Exam with Questions and Answers

It covers key domains which include; Leadership and Management in Nursing, Advanced Clinical Decision-Making, Legal, Ethical, and Regulatory Frameworks, Quality Improvement and Evidence-Based Practice (EBP) and Professional Development and Career Transition. A 68-year-old man, Mr. Akio, is admitted with chronic obstructive pulmonary disease exacerbation. His oxygen saturation fluctuates, and the staff report inconsistent adherence to respiratory therapy protocols. As the nurse leader, which approach best promotes compliance and ensures patient safety? a. Implementing strict disciplinary measures for noncompliant staff b. Holding a team meeting to clarify protocols and provide training c. Assigning respiratory therapy duties only to the most experienced nurses d. Reducing the frequency of oxygen monitoring to avoid staff burnout Correct Answer: b Rationale: Holding a team meeting and providing education addresses gaps in knowledge and clarifies expectations, fostering a culture of safety and collaboration rather than punitive actions. Leadership in nursing emphasizes guidance and support to improve care outcomes. Mrs. Fatima, a 54-year-old woman with diabetes mellitus, frequently misses appointments and struggles with blood glucose management. As the charge nurse, you notice staff frustration with her nonadherence. Which leadership strategy is most effective in this situation? a. Reprimanding staff for expressing frustration b. Ignoring patient nonadherence to avoid conflict c. Coaching staff on motivational interviewing and patient-centered communication d. Delegating patient education to unlicensed assistive personnel Correct Answer: c Rationale: Coaching staff on motivational interviewing equips them with communication strategies to engage patients in self-care, demonstrating transformational leadership by empowering both staff and patients for better outcomes.