NURS 101 Leadership Exam 3 {UPDATED} | NURS101 Leadership Exam 3 - Chamberlain College of Nursing

NURS 101 Leadership Exam 3 {UPDATED} Leadership Exam 3 1. The nursing leadership team within a medical center plans to initiate a change in their approach to improving patient satisfaction. Nurse Leaders recognize that communication about the new change will have a higher likelihood of being accurately interpreted if they use which one of the following strategies: - Use a variety of communication methods to convey a consistent message about the change. - Send a carefully worded letter to all nursing staff explaining the change. - Schedule staff meetings to announce the change. - Share the message with their nursing supervisors first and then ask each of them to discuss the change during their shifts with staff. 2. The RN team leader, near the end of her shift, notices that a newly hired UAP has not calculated the intake and output for several clients. Which of the following actions should the RN take first? - Notify the nurse manager. - Complete an incident report. - Delegate this task to the LVN on the team. - Ask the UAP if assistance is needed to complete the intake and output records. 3. A nurse manager calls dietary services to request a late tray for a patient and speaks with a dietary technician. This is an example of what kind of communication? - Vertical - Diagonal - Downward - Lateral 4. Two RNs on the unit are complaining that their patient assignment is too heavy. Each feels the other RN has a lighter workload. Each complains to the RN Charge nurse. The charge nurse asks them to please calm down and focus on their current patients' needs right now so that everyone can get through the difficult shift. Which of the following conflict resolution strategies is the charge nurse demonstrating? - Negotiating - Cooperating - Smoothing - Avoiding 5. Progressive discipline is a strategy used by mangers to deal with problem employees. Which of the following is the usual order of steps in a progressive discipline process? - Suspension, Verbal Warning, Written Warning, Dismissal - Verbal Warning, Suspension, Written Warning, Dismissal - Written Warning, Verbal Warning, Suspension, Dismissal - Verbal Warning, Written Warning, Suspension, Dismissal 6. In the Emergency Department (ED), staff share a staff break room area. One of the male emergency technicians posts a calendar with suggestive female pictures on it. A female RN is offended by the pictures on the calendar. What is the best course of action for the offended RN to take first: - Take down the calendar - Report the emergency technician to Human Resources for sexual harassment. - Tell the manager about the situation - Tell the emergency technician that she finds the pictures offensive and ask him to remove it. 7. An unlicensed assistive personnel (UAP) "suffers in silence" instead of speaking up about an unfair assignment to the charge RN. This is an example of which of the following communication styles? - Aggressive - Indirectly aggressive - Passive - Assertive 8. A UAP and a Unit Secretary have helped the nurse manager plan the holiday party for the past two years. They learn that other staff members are not happy with the party themes, locations and activities they planned for the last two holiday parties. As it is not that important for them to do, the two decide to let other interested staff members take over doing the holiday party planning this year. This UAP and the Unit Secretary are using which of the following conflict resolution strategies? - Accommodating - Competing - Smoothing - Collaborating 9. A quiet, passive nurse who hates conflict is not likely to use which one of the following conflict resolution strategies: - Avoiding - Compromising - Competing - Smoothing 10. A RN is caring for a 17 year-old client who is experiencing a relapse of leukemia and is very vocal in refusing treatment. The client's mother insists that her daughter receive continued IV chemotherapy as ordered. Which nursing action is most appropriate at this time? - Tell the daughter that she is sorry, but her mother has the legal right to give consent for her treatment. - Give the IV Chemotherapy to the daughter as ordered by the physician. - Administer a sedative first to calm the daughter; then start the chemotherapy. - Notify the charge nurse of the situation to get Bioethics Committee help in exploring options 11. Which intervention for a patient with a sudden pulmonary embolism could be delegated to the LPN/LVN on your patient care team? - Evaluate the patient's reports of chest pain - Monitor blood gas values for changes in oxygenation - Check/document vital signs, oxygen saturation (pulse oximetry), and the color of sputum - Assess for symptoms of respiratory failure 12. Which one of the following statements about assertive communication is correct? - It is most effective when the communicator uses "you" statements, rather than "I" statements, to prevent defensive responses. - It is a communication style that women of all cultures can use and always receive respect. - It allows expression in direct, honest, and nonthreatening ways that do not infringe upon the rights of others. - It is a culturally sensitive, empathetic communication style that people can use to always get what they want. 13. Which one of the following statements about conflict is true? - Inter-personal conflict can occur when there are value differences and unclear expectations between two or more people. - Teams members who are in the performing phase of team development are trying to establish ground rules for all members to follow during team meetings. - Intra-personal conflict can occur when there are differences in preferences and poor communications between groups of individuals. - Organizations that experience low levels of conflict are consistently viewed as highly creative and forward thinking organizations. 14. A nurse manager who consistently uses assertive communication knows that this communication style: - Is a style of communication that never offends people. - Makes you respect yourself and allows you to get what you want. - Although it is unfeminine, is a necessary communication skill for female managers. - Involves rights and responsibilities for all parties involved in the communication. 15. A registered nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment for the certified nursing assistant? - A client requiring colostomy irrigation. - A client receiving continuous tube feedings. - A client requiring frequent re-orientation and assistance with ambulation. - A client having difficulty swallowing food and fluids. 16. A RN is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and a certified nursing assistant (CNA). Which of the following is the most appropriate assignment for the LPN? - Administer an enteral feeding to a client who has a gastrostomy tube. - Complete an admission assessment for a client who has cellulitis of her right leg. - Measure I & O for a client with an indwelling urinary catheter. - Develop a plan of care for a client who has multiple pressure ulcers. 17. A RN in the telemetry unit is caring for a client who has a tracheostomy and is receiving frequent endotrachial suctioning. The client also has an indwelling catheter to gravity drainage and a central venous catheter, and is on anticoagulant therapy for thrombophlebitis of the left leg. Which one of the following specimens collections can the RN delegate to an unlicensed assistive personnel (UAP) to collect? - Blood culture - Stool sample for occult blood - Sputum culture - Arterial blood gas (ABG) - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - 40. A Nursing Supervisor is responsible for conducting performance appraisals on all of his unit's night shift employees. Which of the following would not be an appropriate action for the Nursing Supervisor when preparing and giving a performance appraisal to an employee? - Conduct the appraisal in a private setting and allow adequate time for the employee to be relieved of other duties during the appraisal meeting. - Use mostly peer input when writing the employee's performance appraisal. - Document observed employee behaviors over the entire time period covered by the performance appraisal. - Compare the employee's performance against standards set forth in the employee's job description and other written job expectations. 41. Which statement below about the quality improvement process below is correct? - Concurrent audits are conducted after the patient has been discharged. - Quality improvement includes measuring performance against a set of predetermined standards. - A process indicator provides important information about the environment where care is provided, the supplies and equipment that are available for care. - A quality gap is the difference between the highest performing health care organizations and the lowest performing organizations in the nation. 42. An RN asks a float unlicensed assistive personnel (UAP) to weigh the client with the bed scale. Which action should the RN take first? - Check the California Nursing Practice Act to see if this activity can be delegated. - Document in the client's medical record that he was weighed using a bed scale. - Assist the unlicensed assistive personnel to weigh the client on the bed scale. - Talk to the UAP to determine if the UAP knows how to do the procedure correctly. 43. A staff RN is asked to participate with a team of other nurses on a continuous quality improvement (CQI) project to reduce the number of medication administration errors on her unit. Which step below should the CQI project team initiate first? - Offer an in-service on medication administration to all the nurses. - Have all the nurses take a medication administration examination. - Develop a disciplinary policy for nurses who make medication errors. - Review events leading up to each medication administration error under review. 44. A registered nurse (RN) is planning the assignments for the day and is leading a team composed of a licensed practical nurse (LPN) and a nursing assistant (NA). The RN should assign which client to the LPN? - Client with dementia. - A client who is one day post-mastectomy. - A client who requires some assistance with ambulation. - A client who requires some assistance with bathing. 45. Which of the following states that employees should not be discriminated based on physical or mental status. - Age Discrimination Act - Americans with Disabilities Act - Civil Rights Act - Equal Pay Act 46. A member of the team reports that they have been given too much to do and are not going to be able to complete the work on time. What action will the RN take to effectively manage this situation? - Assign the work to another team member - Take on the responsibility of the tasks - Have the team member perform only the necessary tasks - Examine the workload and assist the individual in reprioritizing 47. Which method best provides a structured orderly approach to communicating accurate, relevant information in emergent patient situations as well as routine handoffs? - GRRRR listening model - SBAR tool - Hospital Information System - Wireless, local area networking 48. Which organization is actively engaged in clarifying the delegation parameters for RNs? - American Hospital Association (AHA) - The Federal Government - National League for Nursing (NLN) - State Boards of Nursing Licensure 49. What is the first step the manager takes when a subordinate is having difficulty carrying out a delegated task? - Take over the task so the employee will not become demoralized - Reassign the employee a different, less complex task. - Be available to the employee as a role model and resource for the task - Assign another more experienced employee to do the task 50. A RN smells alcohol on the breath of a float LVN who is working with patients on her team. There have been no staff or patient complaints about this person's behavior or appearance. Which action should the RN take first? - Confront the LVN about her drinking and send her home. - Document the details of the situation and leave the information for the nurse manager to handle in the morning. - Send the LVN to the Emergency Department or Employee Health for an alcohol screening test. - Inform the nursing supervisor about the situation and ask him/her to observe the nurse's behavior.