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TEST BANK-Chapter 14: Providing Competent Staff Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition

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TEST BANK-Chapter 14: Providing Competent Staff Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition

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Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank


Chapter 14: Providing Competent Staff
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition Q&A

MULTIPLE CHOICE

1. In what ways can hospitals meet The Joint Commission goals of adequate competent staffing?
a. Using contract nurses
b. Training and educating staff
c. Promoting “best nurses"
d. Salary inequities
ANS: B
Training and education are the best methods for ensuring competency. The other options do
not address competency.

DIF: Cognitive Level: Application REF: page 176

2. Orientation of new employees is a two-stage process. The first stage includes orientation to
the hospital and its policies and expectations. What would the new nurse expect to accomplish
at the time of the hospital orientation?
a. ECG interpretation
b. Critical care course
c. Medication test
d. BLS training
ANS: D
BLS skill is required to workNinUthe
RShospital
INGTB.C OMThe other options would be included in
setting.
unit-specific orientation.

DIF: Cognitive Level: Analysis REF: pages 176-177

3. Orientation of new employees is a two-stage process. The first stage includes orientation to
the hospital and its policies and expectations. What would the new nurse expect to accomplish
at the time of the unit orientation?
a. Computer training
b. Transcription of orders
c. ECG interpretation
d. BLS training
ANS: C
ECG interpretation is a unit-specific orientation. The other options are incorrect because they
are hospital orientation.

DIF: Cognitive Level: Analysis REF: page 177

4. A new graduate requires a lengthy time commitment to orientation from the nurse manager.
The socialization of the new nurse may take as long as 2 years. Which of the following would
be expected as a time frame for developing confidence?
a. 6 to 12 months
b. 4 to 6 months



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, Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank

c. 12 to 18 months
d. 18 to 24 months
ANS: A
The process of clinical decision making is lengthy and confidence in clinical judgment should
not be expected before 6 to 12 months. 4 to 6 months is the time frame for learning practice
norms. 12 to 18 months is the time frame for consolidation of relationships. 18 to 24 months is
the time frame for seeking challenges.

DIF: Cognitive Level: Application REF: page 176

5. What is the nurse manager’s primary role in a new nurse’s orientation program?
a. Provides feedback
b. Acts as a role model
c. Orients to unit
d. Encourages shift changes
ANS: A
Nurse managers provide feedback evaluations at certain intervals. The other options are not
the role of the nurse manager.

DIF: Cognitive Level: Analysis REF: page 180

6. In addition to evaluative feedback, the nurse manager is also involved in orientation in which
areas?
a. Encourages precepting with several nurses
b. Provides for optimal learning experiences
c. Orients to delegation of UAPs
NURSINGTB.COM
d. Orients to nurse manager role
ANS: B
Nurse managers are responsible for providing the best learning environment for new staff.
The other options are not the nurse manager’s role.

DIF: Cognitive Level: Application REF: page 180

7. What retention strategies should the nurse manager use when working with a new orientee?
a. Provide a safe practice environment
b. Encourage more time shadowing preceptor
c. Encourage early independence
d. Provide multiple preceptors for diverse learning
ANS: A
The nurse manager is responsible for providing a safe learning and practice environment to
encourage retention. The other strategies would not make for a good learning environment
during orientation and could adversely affect retention.

DIF: Cognitive Level: Analysis REF: page 180

8. Accrediting agencies require that staff demonstrate competency in their jobs. Annual
competency of mandatory skills is evaluated. Which of the following skills should be
demonstrated annually in the health care field as required by accrediting agencies?



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