NUR NUR1211 Leadership - Exam 3

NUR NUR1211 Leadership - Exam 3 1. An Rn witness worker in a paralyzed and unconscious pediatric patient’s room inappropriately touching the patient’s genital area. What step of the disciplinary process is most likely to be taken by the organization against this worker? Termination 2. Which organization is actively engaged in clarifying to the delegation parameters for RNs? State Boards of Nursing Licensure 3. Which one of the following statements about conflict resolutions strategies is correct? Avoiding may be appropriate for minor conflicts when an issue is likely to work itself out over time 4. 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? Examine the workload and assist the individual in reprioritizing 5. A quiet, passive nurse who hates conflict is not likely to use which one of the following conflict resolution strategies. Competing 6. 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 frequent re-orientation and assistance with ambulation. 7. 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 Unit Secretary are using which of the following conflict resolution strategies? Accommodating 8. Which task cannot be delegated to an unlicensed assistive personnel (UAP). Assessing the quality of the drainage from the NG tube 9. The hospital has been experiencing low census and staff are concerned about being laid off, even though everyone has been told they will be able to keep their jobs. The evening change nurse reported to the nursing director, however, that his staff was discussing various rumors about mass layoffs. What is the best approach for nursing director to take? Schedule meetings for all staff to discuss the issues and to tell them the rumor is not true 10. Instances for which a staff member needs to report an occurrence directly to a manager include which of the following: (SATA) An RN is diverting drugs A nurse sees a gun in another staff member's locker at work A patient reports that a male LVN made a sexual advance toward her 11. A nurse manager calls dietary services to request a late tray for a patient and speaks with dietary technician. This is an example of what kind of communication Diagonal 12. Which statement about conflict is not true? In conflict resolution, getting agreement is more important than trying to understand the needs of those involved in the conflict 13. A registered nurse (RN) is planning the assignments for the day and is leading a team composed of a licensed practitioner nurse (LPN) and a nurse assistant (NA). The RN should assign which client to the LPN? A client who is one-day post-mastectomy 14. 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 IV chemotherapy as ordered. Which nursing action is most appropriate at this time? Notify the charge nurse of the situation to get Bioethics Committee help in exploring options 15. When delegating tasks to staff, which action by the charge nurse best demonstrates appropriate delegation principles? Communicate the work assignment in a clear and concise manner 16. Which of the following is an example of a sentinel event? (SATA) A patient develops third degree burns to 50% of his body during surgery due to an electrical fire A patient has a major allergic reaction to an antibiotic that he has never taken before 17. Periodically during the day the RN checks with his/her team members to determine whether they are having difficulty completing their assigned tasks Effective delegation 18. Two RNs on the unit are complaining that their patient assignments 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? Smoothing 19. 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? Passive 20. A nursing staff member comes into the nurse manager’s office and complains about another staff member who does not complete his/her work. The nurse manager should tell the staff member to first: Talk to the other person 21. Which behavior is a priority to minimize an RN’s risk for a malpractice claim? Function within the state’s nursing practice act when delegating care activities to other nursing team members. 22. Which intervention for a patient with a sudden pulmonary embolism could be delegated to the LPN/LVN on your patient care? Check/document vital signs, oxygen saturation (pulse oximetry), and the color of sputum 23. A RN in the telemetry unit is caring for a client who has a tracheostomy and is receiving frequent endotracheal 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 specimen’s collections can the RN delegate to an unlicensed assistive personnel (UAP) to collect? Stool sample for occult blood 24. An RN on a medical-surgical unit is making assignments at the beginning of the pm shift. Which of the following tasks would be appropriate for the RN to delegate to the LPN/LVN? Obtain q 2 hour vital signs and pulse oximetry for a client who had an uncomplicated bronchoscopy this morning. 25. In the 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? Tell the emergency technician that she finds the pictures offensive and ask him to remove it. 26. 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? Verbal Warning, Written Warning, Suspension, Dismissal