NUR 221: Leadership for Exam #1

1. A nurse manager calls a meeting of the unit's staff members to discuss costcontainment issues. The nurse manager has asked for staff input regarding strategies that might help reduce costs. Which of the following types of leadership is the nurse manager using? a. Autocratic b. Democratic c. Laissez-faire d. Moral 2. Makes decisions independently and then notifies staff of the decisions made. Maintains a high degree of control over the staff and allows little freedom of staff members - Autocratic 3. Guides staff toward reaching an objective and shares responsibility with the staff. This is an ideal type of leadership because a great amount of creativity can occur and many strategies can be developed - Democratic 4. A home health nurse is caring for a client who asks what is included in a living will. Which of the following statements should the nurse include in the teaching? a. It establishes who will make health care decisions if the client is not able b. It allows the client to express personal wishes regarding health care decisions c. It serves as an informed consent for procedures 5. Using quality monitoring tools, a facility committee identifies that clients who have congestive heart failure have an average length of stay that is 5 days instead of the established standard of 3 days. Which of the following steps should the nurse implement next in the quality improvement process? a. educate staff members on shortening the length of stay for these patients b. collect data regarding length of stay for these patients c. determine which actions can be instituted to address this problem 6. A nurse is working with an AP in a long term care facility. According to the five rights of delegation, which of the following determinations should the nurse make prior to assignment of tasks? a. whether the AP has consented to the performance of delegated tasks b. the client's willingness to consent to the care of the AP c. whether the task can be more efficiently completed by the nurse d. the degree of supervision that the AP will require to complete the task 7. A charge nurse in an ER is making assignment for an AP for a shift with unexpected staff absences. Which of the following assignments should the charge assign to a float AP from the med surg unit? a. escort clients from the ER to other areas of the facility for tests b. sit at the reception desk answering and directing clients 8. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? a. A client who is to be discharged with a PICC line b. A client who is disoriented and awaiting transfer to a long term facility c. A client who is 16 hr post op following a total larryngectomy 9. A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which of the following is an assertive statement that the charge nurse should use to initiate discussion of the issue? a. I understand that you are allowed to take scheduled breaks during each shift, but you are taking more than the number allocated. Let's set a time when we can discuss this behavior b. you are taking more breaks during each shift than hospital policy allows. You will need to take only the number of breaks specified and be sure you are back on time 10. A nurse is ambulating a client who has an IV with an infusion pump. Upon returning to the client's room and plugging the infusion pump in, the client reports a slight tingling in his hand. Which of the following actions should the nurse take? a. plug the pump into a different outlet b. place a service tag on the pump for a routine inspection c. unplug the pump and plug it back into the same outlet to see if the sensation of tingling is repeated d. turn the pump off 11. A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents? a. I want to talk to you how important it is for you to consider donating your child's organs for transplantation b. I want to give you some info about an option that you have regarding donating your child's organs to others who are in need. 12. A nurse is working with an AP who appears to be under the influence of alcohol during the night shift. Which of the following is the priority action the nurse should take? a. Confront the AP regarding alcohol use and remove him from the client care b. Ask the nursing supervisor to obverse the AP and validate the nurse's suspicions c. Document observations made about the AP's behavior in a factual manner 13. A nurse is reviewing lab results for a client who is at 12 weeks gestation. Which of the following findings should the nurse report to the provider? a. Hgb 12 g/dL b. WBC 15,000/mm3 c. Fasting blood glucose 80 mg/dL d. Serum creatinine 0.4 mg/dL 14. A nurse is providing discharge teaching about home safety with an older adult client and his family. Which of the following statements should the nurse include in the teaching? a. you should set the water heater temp to 125 degrees F b. you should grasp the cord when unplugging it c. you should use a gas stove for cooking d. you should install a handrail on at least one side of the stairs 15. A charge nurse is observing a group of new RNs. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? a. assigning a client who requested a private room to a semi private due to unavailability b. placing a client who is confused in restraints c. talking about clients with other nurses in the cafe 16. A charge nurse on a ped unit is delegating tasks to an AP who is pregnant and reports that she is unsure of her immune status. Which of the following clients should the charge nurse assign to the AP? a. A 9 yr old child who has fifths disease b. A 4 yr old child who has varicella c. A 6 yr old child who has rubella