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NUR 206 TRENDS EXAM 2 (ALL FILES) | Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th Edition

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Trends exam # 2 1.What is the difference between leader and manager?  A manager focus on coordinating resources  The leader focuses on accomplishing goal of the organization  The manager motivates and inspires others  A leader has legitimate authority 2. What is the first step in both the nursing and problem solving process?  Implementing appropriate interventions  Identifying the problem  Gathering information  Considering the consequence of changes 3. Managers who exhibit an authoritative behavioral style are most likely to use which source of power?  Expert  Reward  Informal  Coercive 4. A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patients charts. Which type of leader accurately describes this nurse?  Contemporary  Transactional  Transformational  Situational 5. A nurse is reading about positive reinforcement with the goal of increasing staff motivation. Which action would demonstrate positive reinforcement?  Every morning at shift change, thank each employee for an excellent job.  Rotate a monthly "employee recognition award" among all employees on the unit.  Wait until the annual performance review to recognize accomplishments.  Give spur-of-the-moment recognition to an employee who has accomplished a goal. 6. A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to chair taskforces to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager's approach to improve their own units. This nurse is which type of leader?  Transformational  Transactional  Authoritative  Laissez faire 7. A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?  Controlling  Planning  Directing  Organizing 8. A consumer is learning about electronic health records at a local fair and states “i am worried that someone can read my health information and i really don't understand the difference between privacy and confidentiality” the nurse provides what as as example of confidentiality?  A teenager who sustains a broken arm and in the emergency department and withholds information about personal use of recreational drugs  A patient who does not tell the primary health care provider that he or she has been treated for a sexually transmitted disease  Locking medical records in cabinets to prevent unauthorized user from accessing patient information  A pledge that states “i will hold matters pertaining to my patients in strict intimacy” 9. A nurse on a medical surgical unit places her finger to the sensor on a computer in the hallway and is given access to patient data. A few moments later another nurse performs the same steps and is granted access. A visitor who has been watching places their finger on the sensor and receive an error access denied message. How is security maintained in this example?  Robot technology  Telehealth technology  Biometric technology  Ubiquitous computing 10. A nursing student has aspirations of practicing in a community which has a large population of mexican american individuals. They enroll in spanish classes while in nursing school. What does this nursing student value?  Prejudice  Cultural competence  Ethnocentrism  Stereotyping 11. All of the following are barriers to reporting workplace injuries except Termination Harassment Stigmatization Fatigue 12. A nurse providing care at the bedside received an alert that a patient's stat potassium level is 2.5 and a dose of digoxin is scheduled. The nurse holds the medication and prevents and possible complication. This feature of the electronic health record is available through which function of EHR  Order entry/order management  Decision support  Patient support  Administrative support 13. What should the RN do when asked to accept a patient assignment that he or she may feel unqualified to manage?  Determine whether he or she is familiar with the types of patients being assigned  Refuse to take on the assignment  Accept the assignment as appropriate if assigned by a legitimate power  Ask how other nurses have handled the assignment in the past 14. What workplace factor has been found to contribute to the nursing shortage?  Movement of nurses into acute care settings  The use of unlicensed assistive personnel to replace RNs  An aging nursing workforce  A severe lack of males who have chosen nursing as a career 15. What is the key to organization success for healthcare facilities?  Offering incentives such as sign on bonuses  Making effect to retaining practicing professional nurses  Recruiting younger more energetic nurses  Hiring highly qualified advanced practice nurses 16. Which non pharmacological pain measure to help relieve early morning stiffness for a patient diagnosed with rheumatoid arthritis should be delegates to the UAP?  Sharing some relaxation techniques  Assisting patient to get in a bathtub full of warm water  Evaluating the effectiveness of paraffin therapy  Assisting patient to take a warm shower 17. A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. What information is the nurse likely to learn at the committee meeting?  Multitasking is seldom desired by the younger generation of nurses  Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work hours but fail to retain nurses because insufficient autonomy over professional practice is provided.  multitasking is seldom desired by the younger generation of nurses.  Many younger workers are less concerned with longevity and are willing to change institutions to achieve professional advancement and flexible work hours. 19. The occupational health and safety nurse would like to develop programs designed to decrease mortality and morbidity among the workforce. When considering factors related to mortality among healthcare workers, the nurse should focus efforts on prevention of what most likely outcome?  Bloodborne disease  Ergonomic hazards  Suicide  Violence related injury 20. A healthcare practitioner (HCP) inputs the following clinical manifestation open wound with tibia exposed, petechial hemorrhage and temporary loss of consciousness into a computer software program. The computer generates a diagnosis of fat emboli. What is this system known as?  Decision support  Telehealth  Biometric technology  Robotic technology 21. What is the priority intervention to improve work related quality of life for nurses?  Improving nurse physician communication  Improving working relationships between staff nurses and nursing administration  Requiring professional development courses for bedside nurses  Providing safe harbors for unjust or unsafe work assignment 22. A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company . What should the nurse be concerned about with this information?  Currency  Objectivity  Authority  Accuracy 23. A 60 year old patient who was admitted with pain and vomiting r/t a bowel obstruction, has had some relief since the insertion of the NG tube reports feeling weak. She seems more confused compared with her baseline. You observe the NG drainage container has a large amount of water bile colored fluid. Which laboratory values will you check first?  BUN and creat  platelet and WBC  sodium, potassium, pH  bili, HCT, hgb 24. Which of the following tasks should not be assigned to a UAP?  Transportation a patient off the unit for a procedure  Removing a post op dressing prior to discharge  Gently cleaning the nares around a patient with a NG tube  Taking patients vital signs every 2 hours 25. The relatively new nurse tells you (team leader) that she cannot find any documentation that shows the time a patient received their last dose of pain medication. What action should occur first?  Help the new nurse look at the chart and medication administration record  Have the new nurse ask the patient when they last had medication  Speak to the previous shift nurse about the documentation  Tell the new nurse to ask the previous shift nurse before she leaves 26. You are talking with a patient, who has a diagnosis of rheumatoid arthritis, about discharge plans and follow up appointments. She begins to cry “i was so active when i was younger”. What is the most therapeutic response?  Your shoulder will get progressively better with time and patience. Don't cry  I can see that you are really upset. Is your shoulder hurting a lot right now  It is difficult to deal with changes. What types of activities did you used to do  I know what you mean. I used to be anke to do a lot more when i was younger too 27. What is the best example where a nurse can demonstrate workforce advocacy?  A client feels pressured by a healthcare provider into agreeing to a specific medical procedure  A client wishes to become an organ donor despite the family opposition  Staff on a particular unit feel the nurse manager is showing favoritism when granting vacation time  A nurse volunteers time to participate in a fun raiser to provide toys for the pediatric unit 28. Based on current trends which nursing care environment has the greatest employment potential for new nurses?  Long term care facilities  Primary healthcare provider practices  Hospital emergency departments  Ambulatory surgical facilities 29. All of the following are associated with patient advocacy except which one?  Cornerstone of the nursing profession  Delivery of quality nursing care  Promotion of safe patient care  Enhancement of healthcare systems accountability  Promotion of optimal nursing environment 30. A patient is receiving sulfasalazine (azulfidine) 500 mg by mouth every 6 hours for treatment of ulcerative colitis. Which assessment finding concerns you the most?  Decreased urinary output  Nausea and vomiting  Urine discoloration  Headache 31. a nurse is standing bedside the patient's bed Nurse: how are you doing? Patient: i don't feel good Which element will the nurse identify as feedback?  Patient  I don't feel good  How are you doing  Nurse 32. A patient is discouraged and dispirited about ulcerative colitis. She is resistant to TPN because “im being kept alive with tubes” which explanation will encourage her to continue with the TPN therapy?  will help you regain your weight  it will create a positive nitrogen balance  your HCP has ordered this important therapy for you  your bowel can rest and the diarrhea will decrease 33. A nurse uses SBAR when providing a hands off report to the oncoming shift. What is the rationale for the nurses action?  To promote autonomy  To use common courtesy  to establish trustworthiness  To standardize communication 34. A personal decision to withhold information is considered to be associated with which patient right?  Security  Informed consent  Privacy  Confidentiality 35. Computerized provider order entry (CPOE) contributes to the prevention of medical errors for each of the following except which one?  Eliminating the need for human involvement in mentoring diagnostic results  Providing support in the decision making process  Tracking of adverse patient focused events  Improving communication between members of the healthcare team 36. A nurse is listening to the client’'s apical heart rate. The client asks “is everything okay?” The nurse says nothing and shrugs her shoulders. What form of negative communication is the nurse demonstrating?  Blocking  Ad hominem Abusive  Filtration  False Assurance 37. During a health history interview, the nurse listens to a patient relating the precipitating events that led to the onset of chest pain. She focuses her attention on the patient, makes eyes contact, and acknowledges what the patient has to say. What form of communication technique is the nurse demonstrating?  Assertive communication  Active listening  Passive communication  Empathy 38. A 55-years-old male is diagnosed with Stage 4 Lung Cancer. The clients’ spouse states “I am somad, I cannot believe god did this to him, he is going to die!” Which statement by the nurse represents empathy?  “There are many new forms of treatment we can try on your husband, would you like the information.”  “I know he is such a good man!”  “I understand how you feel about your husband's diagnosis, is there anything i can do to help?”  “I understand how you feel, but don’t worry everything will be okay.” 39. A group of nurses are meeting to decide how to staff the upcoming holidays. Each of the four members freely express thoughts about fair staffing but is willing to listen to other thoughts and reconsider their first recommendations. The nurses are avoiding conflict and supporting professional communication through:  Accommodation  Empathy  supportiveness  Positiveness 40. According to the definition which word best describes leadership?  Influence  Control  Allocate Evaluate 41. A nurse manager will likely have which of the following types of power?  Legitimate  Referent  Informal  Connection 42. What situation demonstrates a nurse engaging in active listening?  The nurse has cultural values that are in opposition to the patient but shares that “I agree with your decision to use herbs rather than the prescribed medications.”  While assessing the patient’s vital signs, the nurse records the data and states, “You are improving, your vital signs are normal.”  Eye contact is maintained while focusing on the patient as the patient describes the current pain level and location  The nurse states, “I know how you feel, I recently lost my father and I am still hurting.”  43. A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. WHich would retrieve the most valuable information about health practices.  “Do you exercise?”  “Do you like to exercise?”  “When do you exercise?”  “What exercise practices do you participate in?” 44. An RN with excellent assessment and psychomotor skills would derive power based on which source?  Legitimate  Coercive  Rewards  Expert 45. Which communication term best describes the “receivers understanding of the meaning of the communication.”  Filtration  Information  Interpretation  Perception 46. An Asian teenager is admitted with an eating disorder which she contributes to not meeting the academic expectation of her parents. The nurse is overheard saying, “That isn’t the reason; All Asians are really smart.”  Acculturation  Cultural assimilation  Cultural humility  Stereotyping 47. All of the following are considered “Type of Power” except”  Legitimate  Coercive  Laissez-faire  Reward 48. Which form of management involves the staff in planning and developing new ideas using effective communication?  Authoritarian  Democratic  Laissez-Faire  Organization 49. What is a necessary first action for nurses that work with culturally patient populations?  Continuing education course in spanish  Cultural client assessment  Cultural self assessment  Participation in bias training 50. A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform “huddles to update the team” as needed through the shift as part of best practices. Random visits are made to nursing unites to ensure all nurses are participating and patients are interviewed for their involvement. These practices are associated with which stage of lewin’s change process?  Moving  Refreeze  Unfreeze  Resistance Review sheet trends quiz # 2 1. During a search for the term informatics, what should the nurse determine about the site’s affiliation when the domain “.edu,” is noted? -It’s government agency. -It’s a commercial site -It’s an educational institution -It’s an internet service provider 2. Which statement accurately describes communication? -Communication is linear. -When the receiver becomes the sender, the subcomponent of communication that is in use is feedback. -The components of communication are mutually exclusive. -Communication involves only the sender and the receiver; everything else is superficial 3. A nurse is conducting an assessment on a new client. During the interview, she asks, “do you currently take any medications?” what type of questioning is the nurse using? -Closed-ended question -Aggressive communication -Blocking Style -Open-ended question 4. Which of the following terms describes, “feeling what the other is feeling?” -Equality -Supportiveness -Sympathy -Empathy 5. In this nursing model the RN assumes 24 hour responsibility for planning, directing and evaluating the patients care from admission through discharge. What is this called? -Functional nursing -Partnership nursing -Total patient care -Primary nursing 6. What is the measurable condition that results in interventions by the healthcare team called? -Patient outcome -Patient classification -Functional nursing -Total patient care 7. A nurse wants to apple open communication to obtain a thorough history and to determine cognitive function. Which question represents the use of open communication? -Tell me what day of the week it is Do you know what the first day of the week is -Do you know what day it is -Is today wednesday 8. Which communication style is considered the “most effective” but used less frequently? -Passive communication -Assertive communication -Passive aggressive communication -Aggressive communication 9. Which form of technology is a system that captures, processes, communicates, secures and presents data about a client? -The electronic medical record -Health information technology -The electronic health record -Data management 10. The communication process is considered a dynamic cyclic process made up of three components. Which of the following is NOT considered a component of the communication process? -Receiver -Sender -Feedback -Message Chapter 17: Nursing Leadership and Management Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th Edition MULTIPLE CHOICE 1. In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees’ health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin’s planned change? CONTINUED

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NUR 206TRENDS EXAM 2

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Trends exam # 2

1.What is the difference between leader and manager?
 A manager focus on coordinating resources
 The leader focuses on accomplishing goal of the organization
 The manager motivates and inspires others
 A leader has legitimate authority

2. What is the first step in both the nursing and problem solving process?
 Implementing appropriate interventions
 Identifying the problem
 Gathering information
 Considering the consequence of changes

3. Managers who exhibit an authoritative behavioral style are most likely to use which source of
power?
 Expert
 Reward
 Informal
 Coercive

4. A nurse manager is concerned with restocking the emergency cart, creating the staff
schedule, requesting floor stock from pharmacy, and checking the orders on patients charts.
Which type of leader accurately describes this nurse?
 Contemporary
 Transactional
 Transformational
 Situational

5. A nurse is reading about positive reinforcement with the goal of increasing staff
motivation. Which action would demonstrate positive reinforcement?
 Every morning at shift change, thank each employee for an excellent job.
 Rotate a monthly "employee recognition award" among all employees on the unit.
 Wait until the annual performance review to recognize accomplishments.
 Give spur-of-the-moment recognition to an employee who has accomplished a
goal.

6. A nurse manager wants his nursing unit to be a place where all nurses want to work, where
patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to
chair taskforces to improve quality of care and he counsels staff in areas of measuring patient
outcomes. Other managers want to mimic this manager's approach to improve their own units.
This nurse is which type of leader?
 Transformational
 Transactional
 Authoritative
 Laissez faire

7. A manager just finished the last annual performance review of the staff, reviews the
unexpected expenditures for the month due to use of agency nurses, and shares the latest

,quality indicators with the staff nurses. This manager is performing which management
function?
 Controlling
 Planning
 Directing
 Organizing

8. A consumer is learning about electronic health records at a local fair and states “i am worried
that someone can read my health information and i really don't understand the difference
between privacy and confidentiality” the nurse provides what as as example of confidentiality?
 A teenager who sustains a broken arm and in the emergency department and withholds
information about personal use of recreational drugs
 A patient who does not tell the primary health care provider that he or she has been
treated for a sexually transmitted disease
 Locking medical records in cabinets to prevent unauthorized user from accessing patient
information
 A pledge that states “i will hold matters pertaining to my patients in strict
intimacy”

9. A nurse on a medical surgical unit places her finger to the sensor on a computer in the
hallway and is given access to patient data. A few moments later another nurse performs the
same steps and is granted access. A visitor who has been watching places their finger on the
sensor and receive an error access denied message. How is security maintained in this
example?
 Robot technology
 Telehealth technology
 Biometric technology
 Ubiquitous computing

10. A nursing student has aspirations of practicing in a community which has a large population
of mexican american individuals. They enroll in spanish classes while in nursing school. What
does this nursing student value?
 Prejudice
 Cultural competence
 Ethnocentrism
 Stereotyping

11. All of the following are barriers to reporting workplace injuries except
Termination
Harassment
Stigmatization
Fatigue


12. A nurse providing care at the bedside received an alert that a patient's stat potassium level
is 2.5 and a dose of digoxin is scheduled. The nurse holds the medication and prevents and
possible complication. This feature of the electronic health record is available through which
function of EHR
 Order entry/order management
 Decision support

,  Patient support
 Administrative support

13. What should the RN do when asked to accept a patient assignment that he or she may feel
unqualified to manage?
 Determine whether he or she is familiar with the types of patients being assigned
 Refuse to take on the assignment
 Accept the assignment as appropriate if assigned by a legitimate power
 Ask how other nurses have handled the assignment in the past

14. What workplace factor has been found to contribute to the nursing shortage?
 Movement of nurses into acute care settings
 The use of unlicensed assistive personnel to replace RNs
 An aging nursing workforce
 A severe lack of males who have chosen nursing as a career

15. What is the key to organization success for healthcare facilities?
 Offering incentives such as sign on bonuses
 Making effect to retaining practicing professional nurses
 Recruiting younger more energetic nurses
 Hiring highly qualified advanced practice nurses

16. Which non pharmacological pain measure to help relieve early morning stiffness for a
patient diagnosed with rheumatoid arthritis should be delegates to the UAP?
 Sharing some relaxation techniques
 Assisting patient to get in a bathtub full of warm water
 Evaluating the effectiveness of paraffin therapy
 Assisting patient to take a warm shower


17. A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses.
What information is the nurse likely to learn at the committee meeting?
 Multitasking is seldom desired by the younger generation of nurses
 Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work
hours but fail to retain nurses because insufficient autonomy over professional
practice is provided.
 multitasking is seldom desired by the younger generation of nurses.
 Many younger workers are less concerned with longevity and are willing to
change institutions to achieve professional advancement and flexible work hours.

19. The occupational health and safety nurse would like to develop programs designed to
decrease mortality and morbidity among the workforce. When considering factors related to
mortality among healthcare workers, the nurse should focus efforts on prevention of what most
likely outcome?
 Bloodborne disease
 Ergonomic hazards
 Suicide
 Violence related injury

, 20. A healthcare practitioner (HCP) inputs the following clinical manifestation open wound with
tibia exposed, petechial hemorrhage and temporary loss of consciousness into a computer
software program. The computer generates a diagnosis of fat emboli. What is this system
known as?
 Decision support
 Telehealth
 Biometric technology
 Robotic technology

21. What is the priority intervention to improve work related quality of life for nurses?
 Improving nurse physician communication
 Improving working relationships between staff nurses and nursing administration
 Requiring professional development courses for bedside nurses
 Providing safe harbors for unjust or unsafe work assignment

22. A nurse is interested in locating reliable information concerning noninvasive blood glucose
monitoring. Information is located, and the author is a scientist who conducted studies within the
last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist
received funding from a pharmaceutical company to support the studies. The URL indicates the
pharmaceutical company site.com. What should the nurse be concerned about with this
information?
 Currency
 Objectivity
 Authority
 Accuracy

23. A 60 year old patient who was admitted with pain and vomiting r/t a bowel obstruction, has
had some relief since the insertion of the NG tube reports feeling weak. She seems more
confused compared with her baseline. You observe the NG drainage container has a large
amount of water bile colored fluid. Which laboratory values will you check first?
 BUN and creat
 platelet and WBC
 sodium, potassium, pH
 bili, HCT, hgb

24. Which of the following tasks should not be assigned to a UAP?
 Transportation a patient off the unit for a procedure
 Removing a post op dressing prior to discharge
 Gently cleaning the nares around a patient with a NG tube
 Taking patients vital signs every 2 hours

25. The relatively new nurse tells you (team leader) that she cannot find any documentation that
shows the time a patient received their last dose of pain medication. What action should occur
first?
 Help the new nurse look at the chart and medication administration record
 Have the new nurse ask the patient when they last had medication
 Speak to the previous shift nurse about the documentation
 Tell the new nurse to ask the previous shift nurse before she leaves
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Barbara Cherry, Susan R. Jacob Contemporary Nursing
  • 2016
  • 9780323390224
  • Onbekend

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Geschreven in
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Type
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I know how frustrating it can get with all those assignments mate. Nursing Being my main profession line, i have essential guides that are A graded, I am a very friendly person so 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