FINAL for Role and Scope/Leadership

I GOT AN 88. FINAL for Role and Scope/Leadership 6/12/19 1. A charge nurse has heard one of the staff RN’s complaining about her …. Problem and negotiate a better schedule for both of the,. 2. The nurse is caring for a client who is a Native American Indian.. The client is wearing a medicine bag ….. advocate for the client’s spiritual needs? 3. According to expert nursing theorists, Nursing does not meet all criteria for the… (SATA 4. During a meeting on the pre-operative care unit, the staff ….. and purchase them if the budget allows. In a few weeks 5. The RN has asked the unlicensed assistive personal (UAP) on the unit to perform some tasks for her. Which one is NOT within the scope of practice? 6. A school nurse has been caring for a child who fell and hurt his ankle on the school playground. The child … healthcare provider for further evaluation. In which of the following situations should the nurse question? 7. The evening charge nurse takes control of the unit when she is working her shift. She follows a …. She is not one to take suggestions from others. What leadership style is the charge nurse using? 8. A nurse from the neonatal intensive care unit NICU is floated to the emergency room ER for the day. Which of the following … 9. A babysitter has brought a six year old client to the emergency department ED with a fractured … 10. A clinic nurse is teaching a newly diagnosed client about stage 1 chronic kidney disease… nurse’s best response? 11. A new nurse asks her preceptor about the purpose of the Quality and Safety Education for Nurses …. 12. A nurse manager implements a new protocol used in a randomized controlled trial to determine … outcomes, the nurse discovers that the incidence of VAP on the unit has remained the same. What …. 13. A nurse wants to develop political advocacy skills. What appropriate ….. 14. Two floor nurses are arguing over the usage of the unit’s only available computer …. Fact about anger? 15. A nurse is working on a Master’s Degree Capstone project and researches the factor …? 16. An RN from the operating room is told by the charge nurse to report (float) to the intensive care unit (ICU) … Which action should the nurse take first? 17. A novice nurse is having trouble delegating tasks to other members of the … 19. The Joint Commission requires documentation of patient teaching in the charts … teaching so important? 20. In 2008, the institute of Medicine (IOM) began a two year study to … recommendations for the Future of Nursing. Which one is NOT one of the ..? 21. A client with diabetes mellitus had been brought unconscious to the emergency department….. Check the clients blood sugar 22. A nurse manager encourages staff to work it out between themselves….. Democratic 23. A client in a long term care facility is about to receive a feeding through…. Obtain the feeding formula from the nutrition department 24. The nurse is working in the Emergency department and has just received report from the…. The client who stepped on a wasp’s nest and has hives and wheezing. 25. A day shift nurse has just begun work and has received report for four clients…. A client on 2L of O2 per nasal cannula who had difficulty breathing during the night 26. A new unlicensed assistive person (UAP) has begun his first shift on the unit .. before making an assignment for the UAP? What is the scope of practice for the UAP 27. A graduate nurse is about to take the NCLEX and asks a nursing instructor for advice .. correction? Choose the answer based on your previous real world experience 28. MATCHING definitions (read carefully) • (B)Delegation -Process of transferring authority and responsibility to another team member to complete the task WHILE RETAINING THE ACCOUNTABILITY • (G)Assignment – Process of transferring authority, accountability and responsibility of client care to another member of the healthcare team • (C)Veracity -The nurses duty to tell the truth • (H)Autonomy -ability for client to make personal decisions even when the client’s decision is not in the client’s best own interest • (I)Fidelity -keeping ones promise to the client about care that was offered • (F)Nonmaleficence -the nurses obligation to avoid harm to the client • (J)Beneficence -care that is in the best interest of the client • (A)Utilitarianism – “the greatest good for the greatest number” • (E)Malpractice – Professional Negligence EX: a nurse administers a large dose of meds due to calculation error, they die • (D)Negligence -Practice or misconduct that does not meet expected standards of care in places the client at risk for injury EX: a nurse fails to implement safety measures for client at risk for falls 29. A Chief Nursing Officer (CNO) is providing an in service to a .. members, praising their involvement on the team, by doing so what….? Support collaborative care by recognizing each discipline ? 30. A nurse who is also graduate student is preparing to research the effects of … the study? Autonomy 31. A nurse is caring for a client who is experiencing pain, which statement but the nurse to the…. “I am here to check on your pain level, like I said I would. How are you feeling now?” 32. The nurse manager of telemetry unit makes a habit of acting in a professional manner……… speak with the RNs on the unit. If the unit is suddenly busy the nurse manager .. displaying? Leading by example and modeling professional behaviors that staff can follow. 33. A nurse manager has noted a decrease in the skill level of the novice nurses he has hired. …. Help develop the novice nurse’s skills and increase their clinical knowledge to promote better client care… Nurse Residency Program 34. A novice nurse is having difficulty transitioning from working with …. Supposed to get this all done on time? What problem has the ….? Reality shock 35. Which agencies have the power to grant licenses, ….. State Board of Nursing 36. A graduate nurse tells a peer that he wants to work in a hospital that ….. Magnet status is a project to improve the quality and safety …. A magnet facility has been certified as giving nurses more… 37. Which of the following has contributed to the ongoing having…. Poor working conditions such as short staffing Lack of equal pay for equal work Aging populations with increased health care … 38. What type of conflict situations do typical nurses often encounter during the … Uncooperative clients Coworkers who do not share the same work ethic Hostile health care providers Authoritative administrators 40. A nurse with two years of bedside nursing experience…. Burnout syndrome 41. The IOM described five areas of competency…. Safety 42. The public health nurse is planning an educational session… (order is 1. The nurse spends time with.. 2. The nurse, together with the patient.. 3. The nurse instructs the client.. 4. The nurse has the client teach back.. 5. When beginning the first lesson.. 6. The nurse documents the even in the home health.. ESSAY: Write about the 3 types of leaderships, give examples for each, 200 words minimum. Authoritarian=“controlling, directive, or autocratic” strong control over all aspects of the group and its activities. They provide direction by doing orders that the group is expected to carry out w/out questions. The final decision making is that person alone. People who work under this style of leadership usually has hostile feelings and are fearful to express, uses passive- aggressive techniques to try to even the playing field. Communication goes down the chain of command. • Authoritarian= best person to have during CODES o EX: A child is brought to the ER and is in a Code Blue, The authoritative leader would be best to take lead and manage the situation in a timely manner to ensure best patient outcome and to delegate appropriate tasks to the nurses they are working with. Democratic= “supportive, participative, transformational” all aspects of the process of achieving a goal, from planning and goal setting to implementing and taking credit for the success of the project, are shared by the group. There is four beliefs: every member participates, freedom of expression, accept responsibility for themselves and respect all the other members. Communication goes up and down the chain of command. • Democratic= It works best with groups whose members have a relatively equal status and who know each other well b/c they have worked together for an extended period. o EX: A group of nurses are working on the same unit are having a dispute about an issue, the democratic leader would ask each nurse about their opinions on the issue to come together to solve it as a team. Laissez-faire= “leave it alone or lazy” permissive, nondirective or passive. It allows the group members to determine their own goals and the methods to achieve them. Communication MAY go up and down chain of command. • Laissez-faire= . It works best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members. When the nurse’s team is already experienced and self-directed, and doesn’t necessarily need a general giving orders. o EX: A nurse working with another nurse does not give any orders to another nurse due to them working together for a long time and sharing the same skils as each other.