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Exam (elaborations)

ESSENTIAL OF NURSING LEADERSHIP & MANAGEMENT QUESTIONS AND ANSWERS ACCURATE RATED A.

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ESSENTIAL OF NURSING LEADERSHIP & MANAGEMENT QUESTIONS AND ANSWERS ACCURATE RATED A.

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ESSENTIAL OF NURSING LEADERSHIP &
MANAGEMENT QUESTIONS AND ANSWERS
ACCURATE RATED A.
Delegation is defined as:
A) Reassigning the responsibility of performing a job from one person to
another
B) Explaining how you want a job done
C) Telling other people what to do
D) Developing ways to classify people into job categories to learn what they
are capable of doing
Answer: A


Lorena has worked in Labor and Delivery for 15 years with a total RN staff.
She is now the associate nurse manager of a busy postpartum unit and has
RNs and UAPs. She realizes that she needs to make assignments to
members of the health-care team based on each individual's:
A) Length of service
B) Scope of practice
C) Ability to perform the task
D) Job title
Answer: C


Kimberly has been a nurse for 10 years, and she is precepting Loren, a new
RN. Loren is having difficulty prioritizing client care. Kimberly explains to her
that prioritizing client care is based on:

,A) The nursing process
B) Virchow's triad
C) Client requests
D) Maslow's hierarchy
Answer: D


As a charge nurse, which of the following clients would be the most
appropriate to assign to a nurse pulled to a neurological unit from a general
surgical unit?
A) A client with a stable cervical fracture who is in halo traction
B) A client with Guillain-Barré syndrome who is having respiratory
difficulties
C) A client with chronic amyotrophic lateral sclerosis
D) A newly admitted client diagnosed with myasthenia gravis
Answer: A


A nurse is caring for a client who has dementia and urinary incontinence.
Which nursing action could be appropriately delegated to a UAP?
A) Teaching the client to use the call bell when needing the bed pan.
B) Offering the bed pan to the client every 2 hours.
C) Obtaining a sterile urine sample for culture and sensitivity.
D) Assessing the client for skin breakdown.
Answer: B


Which of the following clients should be assigned to the UAP?

,A) A client who has just returned from the post-anesthesia recovery room.
B) A client whose call light is not working.
C) A client with Alzheimer's type dementia.
D) A client who is receiving heat treatment.
Answer: B


The existing health-care delivery system is influenced by trends and issues
beyond the health-care system, including:
A) Globalization, standard precautions, and technology
B) Societal demographics, economics, and legislation
C) Core measures, diversity, and regulation
D) Evidence-based practice, system errors, and environment
Answer: B


Which of the following non-profit agency or organization completed the
report that now serves as the foundation and strategy for health system
reform?
A) The Joint Commission
B) The U.S. Senate
C) The American Medical Association
D) The Institute of Medicine
Answer: D


To promote safe, quality health care, the American Nurses Association
(ANA):

, A) Mandates safe RN staffing levels to health-care agencies
B) Regulates RN competency to practice at the bedside
C) Maintains oversight of the National Database of Nursing Quality
Indicators
D) Funds research promoting consumer protection from RN mistakes and
errors
Answer: C


Effective methods for the RN to influence the health-care system include all
of the following methods EXCEPT:
A) Letter-writing regarding important topics to legislators and ANA
leadership
B) Verbalizing concerns to peers during a unit staff meeting
C) Voting for candidates who support your views and those of your
profession
D) Volunteering on unit or hospital-based quality or safety initiative
Answer: B


Historical, social, political, and economic trends and issues:
A) Have contributed to the complexity of today's health-care system
B) Have had a limited impact on today's health-care delivery system
C) Can be positively correlated with outcomes of care at the bedside
D) Have been mitigated by the strong influence of professional organizations
like the ANA and the AMA
Answer: A

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