HESI RN LEADERSHIP AND MANAGEMENT TEXT
BANK NEWEST 2024-2025 COMPLETE ACTUAL TEST
QUESTIONS AND CORRECT DETAILED ANSWERS
(COMPLETE VERIFIED SOLUTIONS) LATEST
UPDATED VERSION |GUARANTEED PASS
An 83-year-old white man is admitted to a large suburban
nursing home. Today, an African-American nurse's aide is
assigned to care for the patient and assist him with a shower.
The patient refuses to go with the nurse's aide for the shower.
Later in the day, the patient's son arrives and insists that no
African Americans be allowed to participate in the patient's
care. Only a few nurse's aides and professional staff members
in this setting are African American. What is the most
appropriate strategy to manage this situation?
a)Refer the patient and his son to the administration.
b)Because this will be the patient's home, plan the care to
accommodate the family's wishes.
c)Offer to have someone else bathe the patient today until
someone in administration can talk with the patient.
d)Indicate that it is not within the institution's practice to
restrict who provides care to patients. - Answer-D
,A new graduate is asked to serve on the hospital's Quality
Improvement Committee. What does the nurse know is the
first step in the quality improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - Answer-C
A nurse manager wants to decrease the number of medication
errors that occur in the department. The manager arranges a
meeting with the staff to discuss the medication error
concerns. How does the manager convey a philosophy of total
quality management?
a) Explaining to the staff that disciplinary action will be taken
for further errors
b) Recommending that a multidisciplinary team assess the root
cause of the medication errors
c) Suggesting that the pharmacy department explore their role
in the problem
d) Changing the unit policy to allow a certain number of
medication errors per year without penalty - Answer-B
,A nurse manager wants to highlight the accomplishments of the
nurses who are providing high-quality care on a medical unit in
a tertiary care medical center. What is an example of a nurse-
sensitive outcome that could be used for this project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
d)Percentage of patients with heart failure who are prescribed
an angiotensin-converting enzyme (ACE) inhibitor on hospital
discharge - Answer-A
Recently, a medical center surveyed patients who smoked
regarding their desire to quit smoking. A high percentage were
"motivated smokers," interested in quitting in the next 30 days,
but were not offered resources to help with quitting. The
nursing research council wants to introduce an evidence-based
protocol for smoking cessation based on patient survey
findings. What would be an appropriate initial action?
a)Start a journal club to review the protocol.
b)Survey nurses to determine barriers and facilitators to using
smoking cessation interventions.
c)Distribute the protocol to all staff nurses.
, d)Collaborate with physicians to develop a standard set of
orders to be implemented for all patients. - Answer-B
How can a leader deal fairly with employees who fail to meet
established standards of care?
a)Determine if the employee issue is a will or skill issue.
b)Conduct a chart review that reflects the care issue.
c)Ask questions of the employee that can reflect the
employee's knowledge base.
d)Ask other staff to document concerns to use for discharging. -
Answer-C
The charge nurse observes a specific employee has a significant
increase in errors and may have some emotional problems
from personal issues at home. What is the appropriate
response by the charge nurse?
a)Schedule a series of meetings with the employee to support
and assist the employee in addressing the problem.
b)Ask the employee some questions ending with a suggestion
that Employee Assistance might be an option.
c)Put the employee on the first steps of disciplinary action.
d)Send the employee to the mental health center and ask for
documentation before returning to work. - Answer-b
BANK NEWEST 2024-2025 COMPLETE ACTUAL TEST
QUESTIONS AND CORRECT DETAILED ANSWERS
(COMPLETE VERIFIED SOLUTIONS) LATEST
UPDATED VERSION |GUARANTEED PASS
An 83-year-old white man is admitted to a large suburban
nursing home. Today, an African-American nurse's aide is
assigned to care for the patient and assist him with a shower.
The patient refuses to go with the nurse's aide for the shower.
Later in the day, the patient's son arrives and insists that no
African Americans be allowed to participate in the patient's
care. Only a few nurse's aides and professional staff members
in this setting are African American. What is the most
appropriate strategy to manage this situation?
a)Refer the patient and his son to the administration.
b)Because this will be the patient's home, plan the care to
accommodate the family's wishes.
c)Offer to have someone else bathe the patient today until
someone in administration can talk with the patient.
d)Indicate that it is not within the institution's practice to
restrict who provides care to patients. - Answer-D
,A new graduate is asked to serve on the hospital's Quality
Improvement Committee. What does the nurse know is the
first step in the quality improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - Answer-C
A nurse manager wants to decrease the number of medication
errors that occur in the department. The manager arranges a
meeting with the staff to discuss the medication error
concerns. How does the manager convey a philosophy of total
quality management?
a) Explaining to the staff that disciplinary action will be taken
for further errors
b) Recommending that a multidisciplinary team assess the root
cause of the medication errors
c) Suggesting that the pharmacy department explore their role
in the problem
d) Changing the unit policy to allow a certain number of
medication errors per year without penalty - Answer-B
,A nurse manager wants to highlight the accomplishments of the
nurses who are providing high-quality care on a medical unit in
a tertiary care medical center. What is an example of a nurse-
sensitive outcome that could be used for this project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
d)Percentage of patients with heart failure who are prescribed
an angiotensin-converting enzyme (ACE) inhibitor on hospital
discharge - Answer-A
Recently, a medical center surveyed patients who smoked
regarding their desire to quit smoking. A high percentage were
"motivated smokers," interested in quitting in the next 30 days,
but were not offered resources to help with quitting. The
nursing research council wants to introduce an evidence-based
protocol for smoking cessation based on patient survey
findings. What would be an appropriate initial action?
a)Start a journal club to review the protocol.
b)Survey nurses to determine barriers and facilitators to using
smoking cessation interventions.
c)Distribute the protocol to all staff nurses.
, d)Collaborate with physicians to develop a standard set of
orders to be implemented for all patients. - Answer-B
How can a leader deal fairly with employees who fail to meet
established standards of care?
a)Determine if the employee issue is a will or skill issue.
b)Conduct a chart review that reflects the care issue.
c)Ask questions of the employee that can reflect the
employee's knowledge base.
d)Ask other staff to document concerns to use for discharging. -
Answer-C
The charge nurse observes a specific employee has a significant
increase in errors and may have some emotional problems
from personal issues at home. What is the appropriate
response by the charge nurse?
a)Schedule a series of meetings with the employee to support
and assist the employee in addressing the problem.
b)Ask the employee some questions ending with a suggestion
that Employee Assistance might be an option.
c)Put the employee on the first steps of disciplinary action.
d)Send the employee to the mental health center and ask for
documentation before returning to work. - Answer-b
