NR 446 COLLAB EXAM 1 LEADERSHIP LATEST UPDATE VERIFIED Q&A (50 Q&A)

NR 446 COLLAB EXAM 1 1. A nurse assumes a variety of roles while working with clients, which of the following describes the nurse’s role protecting the client and supporting the client’s decisions? advocate 2. A nurse is preparing to administer prescribed medication to a client to demonstrate advocacy, which action should the nurse include in the clients plan of care? a. tells the client that refusal of medication is considered noncompliance b. encourage the client to verbalize questions c. insist the client take prescribed medications d. Inform the client the medications .... (I guess I didn't say it, sowy lol) 3. A nurse is in the provider’s office returns a telephone call by the end of the day as promised, to a client who is worried about the outcome of their lab results. Nurse is demonstrating which of the ethical principles? a. Fidelity 4. A nurse on the medical surgical unit is assigning task to an AP. Which of the following task to delegate to the AP (select all the apply)? -demonstrate the technique to install eye drops irrigate a wound record urinary output transfer client to stretcher ambulate client who has a cane - - - 5. A nurse is preparing to administer an eternal feeding via NG, Identify the correct sequence the nurse should follow to initiate the feeding? (move the steps) -verify tube placement 1 -check the residual feeding contents 4 -administer feeding 2 -evaluate tolerance of the feeding 3 (not the correct order I got this wrong) 6. One of the most commonly used tools in strategic planning in healthcare organizations in SWOT analyze. What does O mean? -External conditions that promote achievement of organizational objects 7. A hospital is implementing a new electronic medical records in system. Which factor is the greatest contribution to the resistance encounter with the organizational change? a. Presence of employee mistrust b. insufficient staff involvement in the process c. poor organizational leadership d. ineffective management 8. During medication administration a nurse is hit by a client who is confused and uncreative. The nurse asks the charge if risk restraints can be applied. Apply wrist restraints to a client is an example of which type of tort? imprisonment b. battery c. invasion of privacy d. ? 9. A nurse is reviewing a providers prescriptions for four clients, Which is outside the label scope of practice for the nurse. a. insert a tunneled central cath b. Provider education for client with Type 1 diabetes   c. perform a type and cross match on a client for packed RBC ete a glascoma scale on client 10. A nurse is reviwing information about the health insurance proberbility and accountability (HIPAA) with newly licensed RN. Which of the following statements by the new RN indicate need further instruction? a. HiPAA establish regulation of individualy identify health information and verbal .... b. information of a client can be disclosed to a family member at any time c. Hippa is a federal law d. 11. A nurse leads a unit an hour early without permission or notification of the charge nurse. The clients in the nurses care are stable , which torts apply to the situation? a. Libel b. neglagience c. Slander d. battery 12. A nurse and an experienced LPN are caring for a group of client. Which of the following task should the RN delegate to the LPN? (select all) -cath a client who hasnt voided -iniate plan of care who is post operative -provide discharge instructions to a confused client spouse -obtain vitals signs from client who is 6 hours post op --give tap enema to pre op client 13. Following .... which of the following which of the clients assigned to her care can be discharged to free up beds for injured clients. which of the following clients should discharge? (in an emergency situation I think a tornado) adult who has chrons and is pre op for iI. ostomie adult who was admitted for diabetes keto acid, and most recent abgs PH is 7.32 cent client admitted 24 hours ago for spontaneous pnemonthorax d. middle age , 36 hours post op open lectomy 14. A nurse is teaching a newly licensed nurse about methods to reduced cost of client care. Which of the following indicate the understanding. a.Encourage client to receive annual flu shot b. I should wait to empty my clients drain colostomy 3/4 full c. I should reccomend who have an establish treach to use a sterile technique at home to provider care d. I should delegate providing closed irrigation to AP 15. A client is interviewing who is hispanic, the clients partner answers and says she specks very little english. Which of the following actions should the nurse take? a. ask the client partner to translate questions and answer questions for client ge to complete an assessment with only the client and translator present c. use an internet website ending in .com to translate for the client d. ask student nurse who speaks spanish to translate for the client 16.a nurse is caring for a client who has a hip fracture who requires surgical repair, which of the following healthcare professional is responsible for obtaining consent before the procedure? cal suite nurse b. nurse c. surgeon d. anesthisialogist 17.a graduate nurse is told that a prospecative nurse managers leadership style is one of letting staff nurses make the decisions about the units operations . when the grad nurse meets the nursing staff on the unit which questions should the grad nurse ask to confirm that the nurse manager style is Lassie fair? a. does the manager assume a passive non directive appraoch b. does the manager maintain control and make all decisions c. does manager decision making by the group d. does manager change her nursing style by needs of group 18. a nurse is caring for a client whose family member request to view the medical record. What response should the nurse make? a. healthcare provider will share this information with you ethics comm. will need to approve this request for you c. Ill ask the nursing supervisor to obtain for you d. Client must grant permission to share records with you 19. charge nurse plans to use affective change strageties, when implementing a change in the nursing procedure in the med surg unit, which of the following actions support by KURT LEWIN model, should the charge take during the movement of change. a asses the problem b. use tactics to alerts staff when change is needed c. implement a time table and set target dates d. evaluate the effectiveness 20. A manager on an oncology unit has two potential canidates for a position and and ask the charge nurse and staff nurses to interview the canidates and provide feedback, on which one to hire. Manager is showing which leadership style? a. democratic 21. A nurse manager evaluating a new grad after graduation , which behavior demonstrates the nurses complidences as an emotional intelligent quality? a. nurse adovcates for team members b. nurse is good at time management c. nurse follows policies and procedures d. nurse is profient in technical skills 22. A nurse administer incorrect medication to a client , follwoing assessment of client nurse determines that client has experience no effects from the med. The nurse does not complete an incident report because no harm was done to client. which of the following nursing principals did the nurse violate? a. autonmy ity c. confidentiality d. beneficence 23. While being assisted to the bathroom by a nurse a client falls and fractures her right femur. The client plans to sue the nurse. which standard is used in legal proceeds to determine if the nurse is neglogate in providing care? a. expert nurse provides testimony that the nurse should have handle the situation differently er nurse provides testimony about how a response responsible prudent nurse would handle the situation c. nurse provider testifies the nurse was at fault for injury and will be held accontable d. the client attonery state the injury of the client couldhave been prevented and will be reported to the board of nursing 24. A nurse manager is reviewing good samaritan laws to newly licen. nurses. Which of the following statement made by manager is appropriate. a. Good samaritan laws prohibit the victim from filing lawsuit against the news b. nurse who volunteer at a summer camp or children is covered c. federal laws requires a licen. nurse to render aid in accident d. Do not leave the scene of....... ( I paused) 25. A charge nurse observes a staff nurse delegating an unfair share of tas to an AP. Nurses on the next shift report the same nurse frequently leaves task un completed. Which statement should the charge make to the RN when confronting. a.I need to talk to you about the units expectations regarding delegation and time management b. you been very inconsiderate of others c. several staff members have commented you do not do your share of work d. if you dont do your share I will... 26. Nurse manager is observing the care provided by a nurse who is orientation to the unit. which of the following actions by the nurse indicated that the manager should intervene? a. Nurse uses clients telephone number for one form of identifiation when administerating medication to client b. nurse opens top flap of sterile tray towards the body when assisting the provider. c. nurse empties drain the colostompy pouch when 1/3 third full d. nurse uses clean gloves when discontinuing an iv 27.a nurse is supervising a PN who is providing care who is post op. whic of the following client statment by the client requires the nurse to follow up with the PN? a. "I have not recieved any medications today" b. "I do not know how to make the remote control to work" c. " do you know when I will be going home" d. " my dressing was change this mourning" 28. A nurse is obtaining informed consent from a client who is pre op, which of the following actions should the nurse take (select all the apply) -validate the signiture is authantic -confirm the consent is voluntary -verify the client undertsand the surgical procedure - establish if the client is able to pay for the procedure -explain procedure to client 29. A nurse ins the ER is caring for a client who has a compression fracture of a spinal vertebra, during transport to the facility the client was given medicated with morphine. on arrival surgeon determine urgent surgical intervention is indicated for the fracture. Nurses are unable to get ahold of clients family. What should nurse anticipate the provider will do? a. delay surgery b. prescribe naloxone to reverse the morph. c. ask the client to sign form d. invoking imply consent 30. charge nurse is reviewing a list of task delegated to the AP by the staff nurse, which of the following task reassign to a licensed nurse? a. transport a client who experience a stroke 72 hours going to radioology department b. removing and cleaning a cannula of a client who has a new tract c. perform oral hygiene to a client who is one day post op following an amputation d. providing a back rub to a client who has right side paralysis 31.a nurse check with AP on the unit throughout the shift if they are completing the task . the nurse is demonstraing which of the follwoing rights of delagation? a. right supervison b. right person. c. right circumstance. d. right communication 32. A healthcare prescribes a central IV inserted for a new client. the assigned nurse has not assisted with this before and ask the charge nurse for assistance . which one indicates that the charge nurse is using transformational style of leadership and managerment? a. " you have never assisted with a central line before?" b. " I will assist the healthcare provider wit the procedure , so that you can have time to care for the rest of your clients. c. " lets go get the supplies that you need, I want you to assist the provider , I will be there to walk you through." d. "I do not have time to go over the procedure with you right now, look it up in the policy." 33. A nurse is caring for a client who falls in his room, after the nurse assess the client notifies the provider and completes an incident report. which of the following actions should the nurse take. a. submit report to nurse manager b. make a copy of the report for the provider c. document in the chart the incident report has been filed d. place incident report in chart Time client was to recieve the med client vital signs the date of the incidence 34.A nurse find that a client did not receive a schdule dose of furosemide. Which of the following should the nurse include in the incident report. (select all) - - - - name of the provider who prescribe medication - The potential adverse effects that could happen 35. A nurse manage observes an unknown man in a lab coat making copies of client medical records. What actions should the nurse take? a. report the obervation to the nurse caring for client b. report to nurse supervisor c. approach man ask why hes making copies d. report to hospital security 36. A nurse is caring for a client who is schedule surgery , the nurses role in regarded to inform consent to is which of the following. a. ensure the charge nurse is avaliable to witness the client signuture b. determine the clients level of understanding about the procedure c. explain the risk involved with the procedure d. discussing alternate treatment of options 37. A nurse is teaching a class on TORTS the nurse should include which of the following situations is an example of Neglagience? a. client who is competent and refuses an antihypertensive medication. nurse crushes medication and inserts in food without client knowing about it b. a nurse identifies the absence of a peripheal pulse on an extremity in the early mourning and reports it to the provider in the early afternoon c. cLient who is alert and oriented makes informed decisions to leave the hospital against medical practice then client put restrain on them d. CLient who is on a low sodium diet and friends bring a bag of chips and nurse ban friend from visiting 38. A nurse is caring for a client crying in pain during sickle cell crises. which ethical principal does the nurse follow by administer pain med? a. fidelity ity c. benefience ce 39. a nurse assisting a newly licensed nurse about delegating task to an AP on the unit. Which is the following the purpose of delegation? a. delegation decreases healthcare cost b. delegation permits a disigned individul to meetgoal on her behalf c. promotes discharge teaching activites for client d. provide appropriate resources for client 40. A nurse hears a healthcare provider say to the charge nurse " I dont want same nurse caring for my clients because that nurse is stupid and wont follow my prescriptions." The provider also writes in clients medical records that the same nurse by name is not to care for any of his clients because the nurse is incompetent. What componenet of defamation (?) has the provider commited ? (select all) -assult -slander -libel -battery - invasion of privacy 41. A nursing director at a long term care hospital plans to initiate staffing changes. nursing director wants to use KURT LEWIN theory . what are the 3 phases? -unfreezing -movement -refreezing 42. A nurse is caring for a client who is participating in a research study on a chemotherapy medication, after 3 treatments the experiments medications was discontinue due to evidence of rapidly advancing kidney failure. nurse should understanding discontinue the medication demonstrates which of the following principals ? a. Autonomy b. veracity llity d.Non malefience 43. a nurse is asses a client after a dose of losartan. A client has hoarse voice, swollen tongue and lips. Which actions should the nurse take ,( put in order ). Don't copy this order>> not sure -asses airway 1. -call emergency response team 2. -initiate iv 3. -start iv epi 4 -start Iv antihistamine 5 44. a nurse is caring for a 17 year old client with relaspe of leukemia and is refusing treatment. client mother insist the client should receive treatment. which action should the nurse take? a. initate IV per parents request b. administer sedated to calm client c. provided client instructions on how to become emancipated d. notify the provider of the situation 45. A nurse is planning to assign care activites to an AP on her team. Which activities can the RN assign to the AP? (select all) a. set limits with client who has mania b. assign client who has hypomania for exhaustion c. check position of client who has soft wrist restraints d. sit with client who has alcohol use disorder and hasnt drank for 5 days e. accompany a client who has depression to ocupational therapy 46. a nurse accidentally administer a wrong medication to a client, which results in severe allergic reaction and prolongs clients hospitalization. the client could rightfully sue the nurse for which of the following? a. malpractice b. 47. a charge nurse is making assignment for NP who will be caring for clients for an oncoming shift. which one of the following factors should the charge reconsider ? a. personal comfort level on making the assignments b. social relationship between the nurses working c. the most experience nurses receive the more complex d. clients physiolocial statues on the unit 48. A nurse is caring for an older adult client who is disordiented and and has a history of falls , which is the following action should the nurse take?( select all) -apply ambulation alarm to clients leg - raise all side rails of clients bed -obtain prescription to restrain client PRN - check on client hourly -instruct client to use call light 49. A new grad nurse on the hospital unit ask the unit manager how critical thinking is utilized during an implementation phase of the nurses process. What would be the best nursing response by the manager? a. critcal thinking is in the phase to determine if the plan of care was affected or needs to be changed b. critical thinking is used during the implemation phase to plan care using evidence based practice c. critical thinking only takes place during the diagnosis phase and does not use when implemating ^^^^^^ this question I don't think I got the answers correct. So look up critical thinking don't look at my answers options 50. A charge nurse is designing a inservice for new nurses and would like to incorporate problem solving nursing strategies, which teaching learning strategies provides the learner with the most realistic risk free learning environment? a. case studies ation c. ground rounds d. problem based learning