"At Thoroughcare, we provide health care for women and
children in transition" is an example of a:
a. Vision statement.
b. Mission statement.
c. Goal statement.
d. Statement of philosophy. Correct Answers B.
"Georgia Hospital will provide care that is a national example of
consumer service" is a:
a. Vision statement.
b. Statement of philosophy.
c. Mission statement.
d. Rationale for care. Correct Answers A.
A 66-year-old native Chinese patient, hospitalized for a
myocardial infarction, asks the nurse manager about seeing his
"acupuncture doctor" for treatment of his migraine headache.
The best response to this patient would be:
a. "How long have you been using acupuncture treatment?"
b. "Do you think acupuncture relieves your pain satisfactorily?"
c. "What have you told your heart specialist about your
migraines and treatment?"
d. "Have you tried nonprescription pain medication or been
given a prescription drug for your headaches?" Correct Answers
A.
A charge nurse on a busy 40-bed medical/surgical unit is
approached by a family member who begins to complain loudly
about the quality of care his mother is receiving. His behavior is
,so disruptive that it is overheard by staff, physicians, and other
visitors. The family member rejects any attempt to intervene
therapeutically to resolve the issue. He leaves the unit abruptly,
and the nurse is left feeling frustrated. Which behavior by the
charge nurse best illustrates refined leadership skills in an
emotionally intelligent practitioner?
a. Reflect to gain insight into how the situation could be handled
differently in the future.
b. Try to catch up with the angry family member to resolve the
concern.
c. Discuss the concern with the patient after the family member
has left.
d. Notify nursing administration of the situation. Correct
Answers A.
A client requires an appendectomy. The surgeon explains the
procedure and asks the client to sign the consent. The patient
speaks very little English and looks worried. As a nurse, you
would:
a. Suggest that an interpreter explain the procedure to the client
and answer any questions.
b. Ask the client if he has any questions.
c. Draw a picture to show the incision.
d. Not intervene. Correct Answers A.
A clinic nurse has observed another nurse deviating from agency
policy in performing wound care. The best approach for the
clinic nurse to take is to:
a. Stay out of it.
b. Inform the nursing supervisor.
c. Fill out a notification form (incident report).
,d. Assess the risk to the client and the agency before proceeding.
Correct Answers D.
A colleague asks you to give her your password access so that
she can view her partner's healthcare record. This request
violates the patient's right to:
a. Privacy.
b. Confidentiality.
c. Undue authorization of treatment.
d. Protection against slander. Correct Answers A.
A dispute arises between an RN staff member and an LPN over
a patient issue. The tension between the two begins to affect
other staff members, who are drawn into the conflict; eventually,
the team becomes polarized toward either the RN or the LPN.
This situation might have been prevented through:
a. Expediency in responding to the initial dispute, once it
became apparent that it could not be resolved by the two parties
themselves.
b. Asking other staff members what the real issues were in the
dispute between the RN and the LPN.
c. Reassigning one of the parties to another unit when it became
apparent that the two individuals could not resolve the dispute
themselves.
d. Calling a staff meeting at the onset of the dispute to allow the
team and the RN and LPN to discuss the initial dispute. Correct
Answers A.
A facility that provides care for patients whose average length of
stay is less than 30 days and to patients whose average length of
stay is longer than 30 days, and who require inpatient and
, ambulatory care for addictions, through a spectrum of wellness
and illness services and providers, would be considered:
a. A healthcare network.
b. A tertiary care institution.
c. Rehabilitative.
d. Long-term care. Correct Answers A.
A family is keeping vigil at a critically ill patient's bedside.
Other, distant family members, not yet able to come, call the
unit continuously, asking for updates and wanting to express
concern. You speak with the distant family members and
suggest that you are going to refer them to the hospital social
worker, whose role is to work with people in such situations. In
response to this situation, you approach the unit manager to
apprise her of your concerns that the family dynamics of the
patient involved may lead to staff-family and patient-family
conflicts. You suggest that the physician may need to discuss the
treatment plan with the family. The unit manager advises that he
will arrange this discussion. If, after the meeting with family
members, this is identified as a desired approach, you support
the manager's decision. Your actions indicate that you are acting
in what role?
a. Leadership
b. Management
c. Follow Correct Answers C.
A family is keeping vigil at a critically ill patient's bedside.
Other, distant family members, not yet able to come, call the
unit continuously, asking for updates and wanting to express
concern. You speak with the distant family members and
suggest that you are going to refer them to the hospital social