HESI Leadership Management Exam Correct 100%

Which actions should be completed by the manager of a group of nursing case managers? (SATA) - Study the current licensed to unlicensed staffing ration - Discuss revision of position descriptions for cross trained staff - Analyze status of clients movements through clinical pathways - Match clinical pathway actions with expected diagnostic related grouping activities - Coordinating communication among all departments in the organization - Answer - Analyze status of clients movement through clinical pathways - Match clinical pathway actions with expected diagnostic related grouping activities - Coordinate communication among all departments in the organization Case management is being implemented in a major city hospital. What should the manager include when instructing the nursing staff about this care delivery method? (SATA) - The case manager advocates for the client and family - The case manager identifies outcomes and coordinates care activities - Case managers help control the costs for high-risk, high cost client populations - Identifying tasks that can be performed by other care providers is just one activity - Case management includes the client, family and all health care provider involvement - Answer - The case manager advocates for the client and family - Case managers help control the costs for high-risk, high-cost client populations - Case management includes the client, family and all health care involvement What term began to be used in the 1960's to describe case management? - process control - risk management - quality improvement - utilization management - Answer - utilization management The count of hydrocodone is incorrect. After several mins of searching the medication cart and medication records, no explanation is found. Who should the primary nurse notify about the discrepancy? - nursing unit manager - hospital administrator - quality control manager - healthcare provider prescribing the med - Answer - Nursing unit manager The nurse leader conducts an education session for the nursing staff regarding case management. Which statement made by the nursing staff indicates they do NOT understand the role of case management? - It increases hospital profits by providing the optimal client care - it manages the client are by managing the client care environment - it promotes the appropriate use of hospital personnel and resources - It represents that primary health prevention is managed by a single case manager - Answer - it represents that primary health prevention is managed by a single case manager (Case management represents an interdisciplinary health care delivery system, but not the primary health prevention that is managed by a single case manager ) During an interview for the position of manager in the health care industry, the candidate is asked about the important qualities of a successful manager. Which response would be appropriate? (SATA) - A successful manager should take risks - A successful manager should tolerate uncertainty - A successful manager should show willingness to lead and follow peers - A successful manager should experiment with ideas for a unique situation - A successful manager should exert power for communication through different channels - Answer - A successful manager should take risks - A successful manager should tolerate uncertainty - A successful manager should experiment with ideas for a unique situation A nurse manager determines which nurses on the unit will care for patients for the upcoming shift. Which element of the health care system is the manager practicing? - Delegation - Leadership - Supervision - Assignment - Answer - Assignment A nursing student is listing the nursing manager's role in the hospital setting. Which roles listed by the nursing student are accurate? (SATA) - The nursing manager coordinates the activities of the nursing staff in delivering nursing care - The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff - The nursing manager investigates ways to improve nursing care and further define and expand the scope of nursing practice - The nursing manager establishes an environment for collaborative care to provide safe and quality care with a positive client outcome - The nursing manager provides independent care to women during pregnancy, labor and delivery and also provides care to the newborn - Answer - The nursing manager coordinates the activities of the nursing staff in delivering nursing care - The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff - The nursing manager establishes an environment for collaborative care to provide safe and quality care with a positive client outcome In a mass casualty situation, which is the facility-level organizational model for disaster management used by hospital or long term care facilities? - Emergency operations center (EOC) - Hospital incident command system (HICS) - National incident management system (NIMS) - Federal Emergency Management Agency (FEMA) - Answer - Hospital incident command system (HICS) The nurse would consider which disaster management plan to be most applicable if an earthquake hits a metropolitan area, causing death and injuries? - recruitment of additional healthcare personnel - evacuation and relocation from the disaster site - activation of the facilities emergency management plan - collaboration of multiple agencies and health care facilities - Development of policies and procedures for managing these events - Answer - Activation of the facility's emergency management plan - Collaboration of multiple agencies and healthcare facilities Which action makes a nurse manager also a leader? - implementing best management skills when hiring employees - having financial accountability associated with the organization - screening effectively to select the right employees for the organization - helping employees reach the highest level of their potential excellence - Answer - Helping employees reach the highest level of their potential excellence What qualities does the the professional nurse require to lead, manage and follow in a team? - being insensitive - impeding relationships - exercising self awareness - motivating self and others - managing emotions in self and others - Answer - exercising self awareness - motivating self and others - managing emotions in self and others The nurse manager is delegating tasks to the healthcare team to care for a client who underwent brain surgery. Which individuals on the team share accountability during delegation? (SATA) - attendant - nurse manager - certified tech - healthcare provider - UAP - Answer - Health care provider - nurse manager The nurse leader as a manager makes a decision regarding the method of documentation that benefits the nursing team. Which type of decision-making style does the nurse leader utilize? - Autocratic - informative - paternalistic - shared decision making - Answer - paternalistic (The nurse manager is making a decision based on what is best for the nursing team) The nurse leader suffers from headaches, HTN and GI probelms. Which affirmative statement by the leader reflects an appropriate way to manage stress? - I will avoid protein - I will plan a vacation - I will get enough sleep - I will participate in support groups - Answer - I will get enough sleep The nurse manager asks the staff nurse to participate in creating new guidelines for providing services to the client. Which management strategy utilized by the nurse manager? - insubordination - use of expert power - empowerment of staff - management by exception - Answer - empowerment of staff What are the responsibilities of the nurse as a leader? (SATA) - being accountable for financial matters - encouraging the direct care nurses to provide input into decisions - Identifying charge nurses who have a potential to become managers - being responsible for the selection, hiring and orientation of employees - ensuring the day to day activities of the staff are correctly planned and executed - Answer - Encouraging the direct care nurses to provide input into decisions - ensuring that day to day activities of the staff are correctly planned and executed The unit manager comes to work obviously intoxicated. Which action is the staff nurse ethically obligated to take? - call the security guard - tell the nurse manager to go home - have the supervisor validate the observation - offer the nurse manager a large cup of coffee - Answer - have the supervisor validate the observation (Call the supervisor and have them confirm the suspicion and handle the situation) Which intervention is a part of the response phase of disaster planning? - stabilize the community - limiting the impact of disaster - implementing the disaster plan - evaluate the events of disaster management - Answer - implement the disaster plan An elderly client falls while going to the bathroom and gets injured. The nurse taking care of the client informs the HCP. What step should the nurse take to alert the risk management team? - the nurse should document the incident in the occurrence report tool - the nurse should provide info in the medical record about the occurrence - the nurse should document in the client's medical repot that an occurrence has been made - the nurse should document in the clients medical report that the PCP has been contacted - Answer - the nurse should document the incident in the occurrence report tool Which healthcare team member would the RN state is most suitable to provide oral medication to a client? - nurse manager - patient care tech - LPN -UAP - Answer - LPN A group of clients is admitted with mass fatalities in the emergency unit. Which emergency medical service agency offers services for this condition? - medical reserve corps - hospital incident command system - Internal medical surgical response team - disaster mortuary operational response team - Answer - disaster mortuary operational response team An ED consists of 5 nurses who take care of 30 clients. Which responsibility of the RN is most helpful in overcoming this overwhelming situation? - task behavior - span of control - sharing activities - situational leadership - Answer - span of control Which nursing intervention can help a terminally ill client cope with feelings related to death? (SATA) - providing medications and therapies for pain management - teaching the client about the importance of complementary medicine - helping the client to find meaning and purpose in life by listening to their concerns - allow time for religious readings, spiritual visitations or attendance at religious service - encourage the client to pray if he or she wishes by facilitating privacy and a proper environment - Answer - helping the client to find meaning and purpose in life by listening to their concerns - allow time for religious readings, spiritual visitations or attendance at religious service - encourage the client to pray if he or she wishes by facilitating privacy and a proper environment The emergency operation center is triaging a group of clients who have been injured during a major earthquake. Which healthcare personnel are required to work with the emergency operation center to organize nursing services? - supply officer - communication officer - infection control officer - trauma program manager - emergency department charge nurse - Answer -trauma program manager - emergency department charge nurse A client scheduled for surgery has a history of MRSA since developing an infection in a surgical site 9 months ago. The site is healed and the client reports having received antibiotics for the infection. What should the nurse do to determine if the infecting organism is still present? - notify the infection control officer - inform the operating room of the MRSA - obtain an order to culture the clients blood - call the surgeon for an infectious disease consultation - Answer - obtain an order to culture the clients blood A PCP prescribes airborne precautions for a client with TB. After being taught about the details of airborne precautions, the client is seen walking down the hall to get a drink. What is the most effective nursing intervention? - ensure regular visits by staff members - explore what precautions mean to the client - report the situation to the infection control nurse - reteach the concepts of airborne precautions to the client - Answer - explore what precautions mean to the client The nurse is caring for a surgical client who develops a wound infection during a hospital stay. How is this type of infection classified? - primary - secondary - superinfection - nosocomial - Answer - nosocomial The RN teaches a nursing student about the implementation process of nursing. Which example does the RN use while describing indirect care interventions using his or her knowledge? - the nurse counseling a client at the time of grief - The nurse administering an IV infusion to a client - the nurse teaching the client about an appropriate nutrition plan - The management of the clients environment to prevent infections - Answer - the management of the clients environment to prevent infection After changing a dressing that was used to cover a draining wound on a client with VRE, the nurse should take which step to ensure proper disposal of the soiled dressing? - place the dressing in the bedside trash can - place the dressing in a red biohazard bag - contact environmental services to pick up the dressing - transport the dressing to the lab to be placed in the incinerator - Answer - place the bag in a red biohazard bag The nurse is caring for a client with breast cancer who is receiving chemo. Which action by the nurse is in accordance with the rules of the centers for medicare and medicaid services? - checks the prescription before administering meds to the client - refers the client to support systems and provides financial assistance - teaches safety measures to the client in order to prevent the risk of infection - enters symptoms and treatment provided to the client in the electronic health record - Answer - enters symptoms and treatment provided to the client in the electronic health record A client is admitted to the hospital with a tentative diagnosis of pulmonary TB. What infection control measure should the nurse take? - don an n95 mask before entering the room - put on a permeable gown each time before entering the room - implement contact precautions and post appropriate signage - after finishing with client care, remove the gown first and then remove the gloves - Answer - don an N95 mask before entering the room What does the nurse explain to a client that a positive diagnosis for HIV is based on? - performance of high risk sexual behaviors - evidence of extreme weight loss and fever - identification of an associated opportunistic infection - positive ELISA and western blot test - Answer - positive ELISA and western blot test A nurse is concerned about the public health implications of gonorrhea diagnosed in a 16 year old adolescent. Which should be of most concern to the nurse? - interviewing the clients parents - finding the clients sexual contacts - instructing the client about birth control measures - determining the reasons for the clients promiscuity - Answer - finding the clients sexual contacts Several individuals who sustained urgent but nonemergent injuries are seated in the ED when an ambulance arrives with a client suspected of having an MI. The nurse must explain to the waiting clients that they will have to wait longer for care. Which explanation should the nurse give? - we will be busy for a while. Unfortunately we have to take care of this other client first - I recognize that you have been waiting for a while but it now looks like you have to wait even longer - there is going to be an additional delay. the client who just arrived had a heart attack and needs to be seen first - I know you have been waiting, but a clients life depends on immediate treatment. you will receive the same attention when you are seen - Answer - I know you have been waiting, but a clients life depends on immediate treatment. you will receive the same attention when you are seen Which actions by the nurse help set the stage for a client-centered interview during the first visit after admission to the healthcare facility? (SATA) - close the door after entering the room - greet the client using their last name - open the curtains to allow plenty of light in the room - introduce oneself with a smile and explain the reason for the visit - obtain an authorization from the client after the interview - Answer - close the door after entering the room - greet the client using their last name