RN LEADERSHIP ONLINE
PRACTICE 2023 B REVIEW
Instructions
All answers are underlined and all questions are in bold.
Questions
A charge nurse is discussing issues with a staff
nurse. When evaluating statements by the staff nurse,
the charge nurse should recognize that
which of the following reflects an intrapersonal
conflict?
a. "I'm not sure whether I want to apply for the unit
manager's position or start a family this year."
,b. "I feel frustrated because I just readmitted a client
who refuses to take their insulin."
c. "The unit manager is more concerned with saving
money than with clients getting quality care."
d. "Every time I request an extra day off, I'm denied,
but other nurses' requests are approved." <answer>a.
"I'm not sure whether I want to apply for the unit
manager's position or start a family this year."
Rationale
The nurse's statement indicates an intrapersonal conflict
because the nurse is struggling with competing personal
and professional values and desires.
A charge nurse is leading a committee that is revising
the policy for client discharge. After developing the
initial plan, which of the following actions should the
nurse take next?
a. Set target dates for completion.
b. Identify areas of support.
c. Determine goals and objectives.
d. Implement recommended strategies. <answer>c.
Determine goals and objectives.
,Rationale
According to evidence-based practice, the nurse
attempting to make a change or revision to a policy should
first develop the initial plan and then determine goals and
objectives. Objectives define strategies or implementation
steps to attain the identified goals.
A charge nurse is managing conflict with a staff nurse
who does not agree with the client care assignment.
Which of the following statements example of using
the conflict resolution strategy known as smoothing?
a. "Would you accept the assignment if we reassign
your client who has total care needs and assign
another client who can provide more self-care?"
b. "Tell me what changes we need to make so that
you'll feel comfortable with the assignment."
c. "I didn't mean to make you feel overwhelmed. Why
don't you look over the assignments with me and
suggest changes?"
d. "You always complete your work on time and do a
great job. I believe you can handle the assignment
well." <answer>d. "You always complete your work on
, time and do a great job. I believe you can handle the
assignment well."
Rationale
The charge nurse is using smoothing as a conflict
resolution strategy by complimenting or focusing on
shared ideas to reduce the emotional component of the
conflict.
A charge nurse is planning client care assignments
for a unit. Which of the following tasks should the
nurse assign to a licensed practical nurse (LPN)?
a. Determine the swallowing ability of a client who has
had a stroke.
b. Provide an enteral feeding to a client who has
Crohn's disease.
c. Develop a teaching plan for a client who has a new
diagnosis of type 2 diabetes mellitus.
d. Weigh a client who is 3 days postoperative
following coronary artery bypass grafting. <answer>b.
Provide an enteral feeding to a client who has Crohn's
disease.
Rationale
PRACTICE 2023 B REVIEW
Instructions
All answers are underlined and all questions are in bold.
Questions
A charge nurse is discussing issues with a staff
nurse. When evaluating statements by the staff nurse,
the charge nurse should recognize that
which of the following reflects an intrapersonal
conflict?
a. "I'm not sure whether I want to apply for the unit
manager's position or start a family this year."
,b. "I feel frustrated because I just readmitted a client
who refuses to take their insulin."
c. "The unit manager is more concerned with saving
money than with clients getting quality care."
d. "Every time I request an extra day off, I'm denied,
but other nurses' requests are approved." <answer>a.
"I'm not sure whether I want to apply for the unit
manager's position or start a family this year."
Rationale
The nurse's statement indicates an intrapersonal conflict
because the nurse is struggling with competing personal
and professional values and desires.
A charge nurse is leading a committee that is revising
the policy for client discharge. After developing the
initial plan, which of the following actions should the
nurse take next?
a. Set target dates for completion.
b. Identify areas of support.
c. Determine goals and objectives.
d. Implement recommended strategies. <answer>c.
Determine goals and objectives.
,Rationale
According to evidence-based practice, the nurse
attempting to make a change or revision to a policy should
first develop the initial plan and then determine goals and
objectives. Objectives define strategies or implementation
steps to attain the identified goals.
A charge nurse is managing conflict with a staff nurse
who does not agree with the client care assignment.
Which of the following statements example of using
the conflict resolution strategy known as smoothing?
a. "Would you accept the assignment if we reassign
your client who has total care needs and assign
another client who can provide more self-care?"
b. "Tell me what changes we need to make so that
you'll feel comfortable with the assignment."
c. "I didn't mean to make you feel overwhelmed. Why
don't you look over the assignments with me and
suggest changes?"
d. "You always complete your work on time and do a
great job. I believe you can handle the assignment
well." <answer>d. "You always complete your work on
, time and do a great job. I believe you can handle the
assignment well."
Rationale
The charge nurse is using smoothing as a conflict
resolution strategy by complimenting or focusing on
shared ideas to reduce the emotional component of the
conflict.
A charge nurse is planning client care assignments
for a unit. Which of the following tasks should the
nurse assign to a licensed practical nurse (LPN)?
a. Determine the swallowing ability of a client who has
had a stroke.
b. Provide an enteral feeding to a client who has
Crohn's disease.
c. Develop a teaching plan for a client who has a new
diagnosis of type 2 diabetes mellitus.
d. Weigh a client who is 3 days postoperative
following coronary artery bypass grafting. <answer>b.
Provide an enteral feeding to a client who has Crohn's
disease.
Rationale
