NUR 4600 Final Exam With
Complete Solution
Types of leadership styles - ANSWER Autocratic: gives orders and makes decisions
for the group
Democratic: share the leadership and work as a team.
Laissez-Faire: very little planning or decision making and fails to encourage other to
do it; "lack of leadership"
Michigan Board of Nursing - ANSWER LARA: Michigan Department of Licensing and
Regulatory Affairs
HIPAA violations - ANSWER -Discussing patient's case with others than clinical
educators, patient and family or designated representative
- Talking about patient case in not approved nor secure places nor on cellphones -
keep conversations in private (closed door)
-Copying records and files
-"Loaning" patients file to someone else
NCLEX criteria - ANSWER 1. Safe and Effective Care Environment
-Management of Care 17-23%
-Safety and Infection Control 9-15%
2. Health Promotion and Maintenance 6-12%
3. Psychosocial Integrity 6-12%
4. Physiological Integrity
, -Basic Care and Comfort 6-12%
-Pharmacological and Parenteral Therapies 12-18%
-Reduction of Risk Potential 9-15%
-Physiological Adaption 11-17%
Preventing Medication Errors - ANSWER -Multiple systems of checks and balances
-Legible and correct orders
-Appropriate consultation
-Check medication order three times
"Six Rights" of medication administration
(the book has 9 rights on page 36)
☆☆☆RIGHTS☆☆☆
1. Drug
2. Dose
3. Route
4. Time
5. Patient
6. Reason
☆☆☆☆☆☆☆☆☆☆
7. Documentation
8. Form
9. Response
, Conflict management - ANSWER Signs that conflict resolution is needed:
1. You feel very uncomfortable
2. Members of your team are having trouble working together
3. Team members stop talking to each other
4. Team members begin "losing their cool" and attacking each other verbally
Problem resolution:
1. Identify the problem
2. Generate possible solutions
3. Evaluate the suggestions
4. Choose best solution
5. Implement
6. Problem resolved (if yes end), if not resolved, repeat process
Reporting unethical behavior - ANSWER Employing institutions that provide nursing
services have an obligation to establish a process for the reporting and handling of
practice that jeopardize patient safety (pg. 66)
Go up the chain of command
Shared governance - ANSWER Practice councils
Unit budgeting and scheduling
Committees
Peer review
Under this, staff nurses may be included in the highest levels of decision making
within the nursing department through representation on various councils that
Complete Solution
Types of leadership styles - ANSWER Autocratic: gives orders and makes decisions
for the group
Democratic: share the leadership and work as a team.
Laissez-Faire: very little planning or decision making and fails to encourage other to
do it; "lack of leadership"
Michigan Board of Nursing - ANSWER LARA: Michigan Department of Licensing and
Regulatory Affairs
HIPAA violations - ANSWER -Discussing patient's case with others than clinical
educators, patient and family or designated representative
- Talking about patient case in not approved nor secure places nor on cellphones -
keep conversations in private (closed door)
-Copying records and files
-"Loaning" patients file to someone else
NCLEX criteria - ANSWER 1. Safe and Effective Care Environment
-Management of Care 17-23%
-Safety and Infection Control 9-15%
2. Health Promotion and Maintenance 6-12%
3. Psychosocial Integrity 6-12%
4. Physiological Integrity
, -Basic Care and Comfort 6-12%
-Pharmacological and Parenteral Therapies 12-18%
-Reduction of Risk Potential 9-15%
-Physiological Adaption 11-17%
Preventing Medication Errors - ANSWER -Multiple systems of checks and balances
-Legible and correct orders
-Appropriate consultation
-Check medication order three times
"Six Rights" of medication administration
(the book has 9 rights on page 36)
☆☆☆RIGHTS☆☆☆
1. Drug
2. Dose
3. Route
4. Time
5. Patient
6. Reason
☆☆☆☆☆☆☆☆☆☆
7. Documentation
8. Form
9. Response
, Conflict management - ANSWER Signs that conflict resolution is needed:
1. You feel very uncomfortable
2. Members of your team are having trouble working together
3. Team members stop talking to each other
4. Team members begin "losing their cool" and attacking each other verbally
Problem resolution:
1. Identify the problem
2. Generate possible solutions
3. Evaluate the suggestions
4. Choose best solution
5. Implement
6. Problem resolved (if yes end), if not resolved, repeat process
Reporting unethical behavior - ANSWER Employing institutions that provide nursing
services have an obligation to establish a process for the reporting and handling of
practice that jeopardize patient safety (pg. 66)
Go up the chain of command
Shared governance - ANSWER Practice councils
Unit budgeting and scheduling
Committees
Peer review
Under this, staff nurses may be included in the highest levels of decision making
within the nursing department through representation on various councils that
