Recently, Grace who is an RN has been coming to work late and leaving early because she is having
difficulty getting babysitters. Grace's co-workers are starting to get frustrated because they have to
cover her clients when she is not there. The most appropriate action for Grace's co-workers would be
a. to discuss the situation with Grace and suggest alternatives for babysitting.
b. to refer Grace to the College of Nurses of Ontario's resolution department.
c. to file a formal complaint about Grace's negligence with the College of Nurses of
Ontario.
d. to file a formal complaint about Grace's incapacity with the College of Nurses of
Ontario ANS: a. to discuss the situation with Grace and suggest alternatives for babysitting.
In order to be an effective leader, which of these is the primary quality that the nurse must have?
a. honesty
b. integrity
c. passion
d. vision ANS: d. vision
A nurse is assigned to be the wound care nurse during a 12-hour day shift on a busy surgical unit. What
is the most likely model of care being practiced on this unit?
a. Team nursing
b. Primary nursing
c. Functional nursing
d. Client-centred care ANS: c. Functional nursing
,Which of these is an advantage of group decision making?
a. less costly
b. less conflict
c. less time involved
d. higher quality outcomes ANS: d. higher quality outcomes
Which type of leader focuses on operations and short-term goals?
a. transformational leader
b. charismatic leader
c. transactional leader
d. autocratic leader ANS: c. transactional leader
From which three perspectives should critical thinking be viewed?
a. thinking ahead, thinking in action, and thinking back
b. thinking about clients, the physician, the nurse
c. thinking about management, cost, outcomes
d. thinking of client, nurse, or management ANS: a. thinking ahead, thinking in action, and thinking back
Which of these activities is a manifestation of groupthink?
a. basing decisions on anecdotal evidence
b. developing an illusion of vulnerability
,c. viewing themselves as invincible
d. stereotyping insiders ANS: c. viewing themselves as invincible
Which model of care encourages accountability and allows the nurse to develop a plan of care with the
client and family that guides client-care delivery for the length of hospital stay.
a. Team nursing
b. Primary nursing
c. Functional nursing
d. Total patient care ANS: b. Primary nursing
Which of these tasks is appropriate for the registered nurse to delegate to a registered practical
nurse?
a. Perform a sterile dressing change for an infected wound.
b. Complete the initial admission assessment and plan of care.
c. Teach a patient about the effects of prescribed medications.
d. Document patient teaching about a routine surgical procedure. ANS: a. Perform a sterile dressing
change for an infected wound.
A group of RNs and doctors in an Intensive Care Unit just form a group to review family visiting times. A
nurse and a particular doctor are constantly arguing about the number of visitors
to allow at the bedside at a given time. At what stage of group development is this group most likely to
be?
a. storming
b. norming
, c. forming
d. performing ANS: a. storming
The rehabilitation unit at St. Joseph hospital is the next patient care area to adopt electronic
documentation. Which of these responses indicates that a nurse is an early adopter to this planned
change?
a. "I am quite happy with the way we document now, but I need to be in the loop."
b. "I am looking forward to this new way of charting. I am up for the challenge."
c. "I am excited to know more about this. ICU actually started a year ago."
d. "This is going to take forever to do. I hope they will pay us overtime." ANS: c. "I am excited to know
more about this. ICU actually started a year ago."
A nurse knows that the goal of population health is best described by which of these
statements?
a. to improve immunization rates among a population
b. to analyze the health status of an entire population
c. to improve the health of an entire population
d. to decrease inequities within a population ANS: d. to decrease inequities within a population
What is the term for leadership that is participatory and where authority is delegated to others?
a. autocratic
b. democratic
c. laissez-faire
d. employee centered ANS: b. democratic