NUR 4590 Exam 1
1. Which behavior indicates that a nurse manager is excellent and supportive? (SATA)
A. They know their nursing staff and address them by name.
B. Has a consistent style that never changes.
C. Fosters collaboration on the unit.
D. Is visible on the nursing unit, on all shifts, on a frequent basis.
E. Evaluates the problem before making a decision.
F. Uses decisions by consensus to resolve conflicts.
- A. They know their nursing staff and address them by name.
C. Fosters collaboration on the unit.
D. Is visible on the nursing unit, on all shifts, on a frequent basis.
E. Evaluates the problem before making a decision.
F. Uses decisions by consensus to resolve conflicts.
2. Which behaviors would build trust between peers and employees? (SATA)
A. Encouraging competition
B. Sharing relevant information.
C. Reducing controls.
D. Meeting expectations.
E. Avoiding discussing sensitive issues
- B. Sharing relevant information.
C. Reducing controls.
D. Meeting expectations.
3. What process involves making choices that provide a benefit to client care outcomes?
, A. Critical thinking
B. Problem solving
C. Decision making
D. Leading
- C. Decision making
4. The ability for the nurse to recognize any changes in a patient, potentially contacting the
physician, and invoking a rapid response team when needed
- clinical judgment
5. Which of these concepts is key to refining clinical judgment capabilities?
a. Critical judgment
b. Reflection
c. Management experience
d. Nursing expertise
- b. Reflection
6. Which nursing staff member would demonstrate an improvement in their decision
making process?
A. The staff nurse who wants to keep the status quo.
B. The staff nurse who adapts to challenging client assignments
C. The staff nurse who refers issues to quality improvement committee.
D. The staff nurse who questions current practices and refers to the unit manager for
change.
- B. The staff nurse who adapts to challenging client assignments
,7. These are the items for clinical reasoning: the right reason, the right cue, the right client,
and the right time. Which of these four would be the last step in a clinical reasoning
process?
A. The right cue
B. The right reason
C. The right client
D. The right time
- B. The right reason
8. You're working on a unit and it's short staffed, you don't have a CNA. Which is an
example of prioritizing patient care?
A. Charting by exception.
B. Omitting personal hygiene to ensure timely medication administration.
C. Failing to deploy rapid response team when the patient is found on the floor
bleeding.
D. Timely medication administration without scanning the client arm band.
- B. Omitting personal hygiene to ensure timely medication administration.
9. The nursing education department is revising its orientation curriculum for nurse
externs. The curriculum includes a module on clinical reasoning skills. What is the
expected time frame for mastery of clinical reasoning?
a. Nurse externs should master clinical reasoning within 6 months.
b. Clinical reasoning is mastered in nursing school.
c. Clinical reasoning is never mastered.
d. Clinical reasoning is a career-long process.
- d. Clinical reasoning is a career-long process.
, 10. On a day shift a few nurses are upset that supplies are not delivered on time. The nurse
manager recommends that the nurse collaborate as a team to produce a plan to fix this
issue. What attribute is the nurse manager suggesting?
- Shared decision making
11. Nurse managers in patient care areas must manage staffing on a daily basis. The degree
of work needed for any patient is known as nursing intensity and includes which of
these other variables? (Select all that apply.)?
a. Severity of illness
b. Complexity of patient's condition
c. Amount of time needed with patient
d. Complexity of care
e. Patient's dependency
- a. Severity of illness
c. Amount of time needed with patient
d. Complexity of care
e. Patient's dependency
12. You're going to introduce a new EHR product. Which is the best way to describe the
implementation process?
A. A planned change
B. An emergent change
C. Transformation
D. Innovation
- A. A planned change
1. Which behavior indicates that a nurse manager is excellent and supportive? (SATA)
A. They know their nursing staff and address them by name.
B. Has a consistent style that never changes.
C. Fosters collaboration on the unit.
D. Is visible on the nursing unit, on all shifts, on a frequent basis.
E. Evaluates the problem before making a decision.
F. Uses decisions by consensus to resolve conflicts.
- A. They know their nursing staff and address them by name.
C. Fosters collaboration on the unit.
D. Is visible on the nursing unit, on all shifts, on a frequent basis.
E. Evaluates the problem before making a decision.
F. Uses decisions by consensus to resolve conflicts.
2. Which behaviors would build trust between peers and employees? (SATA)
A. Encouraging competition
B. Sharing relevant information.
C. Reducing controls.
D. Meeting expectations.
E. Avoiding discussing sensitive issues
- B. Sharing relevant information.
C. Reducing controls.
D. Meeting expectations.
3. What process involves making choices that provide a benefit to client care outcomes?
, A. Critical thinking
B. Problem solving
C. Decision making
D. Leading
- C. Decision making
4. The ability for the nurse to recognize any changes in a patient, potentially contacting the
physician, and invoking a rapid response team when needed
- clinical judgment
5. Which of these concepts is key to refining clinical judgment capabilities?
a. Critical judgment
b. Reflection
c. Management experience
d. Nursing expertise
- b. Reflection
6. Which nursing staff member would demonstrate an improvement in their decision
making process?
A. The staff nurse who wants to keep the status quo.
B. The staff nurse who adapts to challenging client assignments
C. The staff nurse who refers issues to quality improvement committee.
D. The staff nurse who questions current practices and refers to the unit manager for
change.
- B. The staff nurse who adapts to challenging client assignments
,7. These are the items for clinical reasoning: the right reason, the right cue, the right client,
and the right time. Which of these four would be the last step in a clinical reasoning
process?
A. The right cue
B. The right reason
C. The right client
D. The right time
- B. The right reason
8. You're working on a unit and it's short staffed, you don't have a CNA. Which is an
example of prioritizing patient care?
A. Charting by exception.
B. Omitting personal hygiene to ensure timely medication administration.
C. Failing to deploy rapid response team when the patient is found on the floor
bleeding.
D. Timely medication administration without scanning the client arm band.
- B. Omitting personal hygiene to ensure timely medication administration.
9. The nursing education department is revising its orientation curriculum for nurse
externs. The curriculum includes a module on clinical reasoning skills. What is the
expected time frame for mastery of clinical reasoning?
a. Nurse externs should master clinical reasoning within 6 months.
b. Clinical reasoning is mastered in nursing school.
c. Clinical reasoning is never mastered.
d. Clinical reasoning is a career-long process.
- d. Clinical reasoning is a career-long process.
, 10. On a day shift a few nurses are upset that supplies are not delivered on time. The nurse
manager recommends that the nurse collaborate as a team to produce a plan to fix this
issue. What attribute is the nurse manager suggesting?
- Shared decision making
11. Nurse managers in patient care areas must manage staffing on a daily basis. The degree
of work needed for any patient is known as nursing intensity and includes which of
these other variables? (Select all that apply.)?
a. Severity of illness
b. Complexity of patient's condition
c. Amount of time needed with patient
d. Complexity of care
e. Patient's dependency
- a. Severity of illness
c. Amount of time needed with patient
d. Complexity of care
e. Patient's dependency
12. You're going to introduce a new EHR product. Which is the best way to describe the
implementation process?
A. A planned change
B. An emergent change
C. Transformation
D. Innovation
- A. A planned change
