Role & Scope Exam 1 100% Latest Update 2023 QUESTIONS AND ANSWERS GRADED A

Role & Scope Exam 1 100% Latest Update 2023 QUESTIONS AND ANSWERS GRADED A 1) Which is most true about autocratic leaders? 1. They postpone decision making 2. They encourage creative ideas from the team 3. They share leadership among members of the group 4. They give orders and make all decisions 2) A coworker asks you to give her your password access so that she can view her partner’s healthcare record. Which client right would this violate? 1. Right to fair treatment 2. Right to protection against slander 3. Right to privacy 4. Right to competent care 3) A graduating nurse is applying for a multistate, or compact, license. Which of the following rules apply to the nurse license compact? 1. Nurses who live in one state cannot legally practice in another state. 2. With nurse practice acts currently in all states, a constant potential for lawsuits exists. 3. The Nurse Practice Act that regulates the practice of the RN is the state in which the client resides. 4. Nurses who practice with a multistate license are answerable to only their residential state's Nurse Practice Act. 4) Which of the following is not a rule of leadership? 1. Listen to people 2. Maintain a positive attitude 3. Be likeable 4. Maintain balance 5) Which ethical principle is primarily involved in informed consent? 1. Nonmaleficence 2. Beneficence 3. Veracity 4. Autonomy 6) Which can be most accurately said about followers? 1. Followers are unpaid and therefore are not as accountable as leaders or managers. 2. Effective followers provide feedback to the leader in order to identify problems and find solutions. 3. A follower with emotional intelligence is more apt to lead than follow at any given time. 4. Followers can also be referred to control the group's individual work and energies. 7) One of the staff nurses asks for the charge nurse’s advice because a client refuses to sign a consent for surgery. The client says that he won’t sign because he doesn’t understand the nature of the surgery. What is the charge nurse’s advice? (Select all that apply) 1. Witnessing the consent is related only to the voluntary nature of the signature. 2. The client must sign the consent or the physician will be angry if he does not do it. 3. Offer the client the chance to have his questions about the surgery clarified. 4. The client has autonomy and may refuse to sign. 5. Consent must not be forced. 8) The client weighs 75 kg, and the order is to infuse 250 mg dobutamine in 500 mL NS at 10 mcg/kg/min. How many milligrams of dobutamine will infuse per hour? (Record answer as a whole number. Do not use a trailing zero.) 45 mg/hr 9) What central clearinghouse for nursing licensure makes certain that individual states are recording and enforcing nursing licensing laws? 1. National Council of State Boards of Nursing (NCSBN) 2. National League for Nursing (NLN) 3. Quality and Safety Education for Nurses (QSEN) 4. Institute of Medicine (IOM) Future of Nursing 10) A new nurse observes another, more experienced nurse divert a medication by slipping one tablet into the pocket of her uniform. What is the new nurse's best action? 1. Escort the experienced nurse to Security. 2. Report the experienced nurse to the charge nurse. 3. File a complaint with the Agency for Health Care Administration. 4. Do nothing because it is not really important. 11) A client refuses a simple procedure that the nurse believes is in the client’s best interest. Which are the two ethical principles that are directly in conflict in such a situation? 1. Paternalism and respect for others 2. Veracity and fidelity 3. Fidelity and justice 4. Autonomy and beneficence 12) The provider orders amoxicillin 200 mg PO every 8 hours. Available is amoxicillin 250mg/5mL. How many mL will be given per dose? (Record answer as a whole number. Do not use a trailing zero.) _______mL 4 13) A medication order states, lactated Ringers 1000 mL IV to infuse over the next 5 hours. What is the infusion rate in mL/hr? (Record answer as a whole number. Do not use a trailing zero.) 200 14) The new Dean of a nursing program invites the faculty to share ideas and innovations in teaching and curriculum design. Many of these ideas are then successfully implemented, and the staff members are keen to try on other ideas. What type of leadership is the new Dean employing? 1. Trait-based 2. Situational 3. Contingency-based 4. Transformational 15) Which situation violates the principle of veracity? (Select all that apply.) 1. A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room. 2. The nurse refuses to give any information to a family member, citing rules of confidentiality. 3. A nurse refuses to give information to a physician who is not responsible for the client's care. 4. A nurse does not treat all of the clients equally, regardless of illness severity. 5. A nurse tells a client who wants to call the physician that the telephone is broken. 16) Three seriously ill clients are candidates for the only available bed in the ICU. The nursing supervisor assigns the bed to the client with the best chance of recovery. This decision reflects which of the following ethical principles? 1. Autonomy 2. Veracity 3. Nonmaleficence 4. Beneficence 17) A clinical nursing instructor is explaining to nursing students what emotional intelligence is. Which of these statements is not correct? 1. An emotionally intelligent leader understands the perspective of others. 2. An emotionally intelligent leader is unable to focus while multi-tasking. 3. An emotionally intelligent leader encourages constructive criticism and welcomes new ideas. 4. An emotionally intelligent leader refrains from judgment in controversial situations until facts are gathered. 18) Nurses on the medical floor are unhappy and frustrated with their new nurse manager. They complain that "nothing is ever good enough for him." These statements suggest that the nurse manager's goals may be which of the following? 1. Unrealistic 2. Impossible to measure 3. Too low 4. Measurable 19) If the nurse manager wants to increase enthusiasm by providing motivating factors, which action would be selected? 1. Provide a hierarchical (or top-down) organizational structure. 2. Institute a model of shared governance. 3. Promote the development of a flexible benefits package. 4. Collaborate with the human resources department to provide on-site daycare. 20) The Code of Ethics for Nurses is composed and published by which organization? 1. The National League for Nursing (NLN) 2. The National Council for State Boards of Nursing (NCSBN) 3. The American Nursing Association (ANA) 4. The National Institutes for Health (Nursing Division) 21) How should the nurse act to develop emotional intelligence? (Select all that apply.) 1. Manage emotions in self and others to become more credible as nurse leaders 2. Act on impulses to give instant gratification to one's own needs 3. Avoid passive-aggressive responses to situations that cause anger or frustration 4. Ignore differences in opinion and show no sensitivity to the experiences of others 5. Admit to feelings such as anger and sadness and act on those feelings in a healthy manner 6. Exhibit socially appropriate behavior, and use social skills to help others manage emotions 22) The nurse knows that which of the following is the best example of justice? 1. Staffing is fairly distributed based on the beliefs and value systems in the dominant culture. 2. Staffing is fairly distributed based on the years worked of each nurse. 3. Staffing is distributed based on a first-come-first-serve basis, and staff can choose their clients. 4. Staffing is fairly distributed throughout the hospital, based on the need for physical and psychosocial care acuity of the clients. 23) Many diverse persons can make up an ethical committee. Who cannot be part of an ethics committee? 1. Attorney 2. Client's mother 3. Physician 4. Hospital clergy 24) Which generation is often challenged with relying on others to complete a job, which makes it more difficult for them to share leadership? 1. Generation X 2. Generation Z 3. Generation Y 4. Baby boomers 25) Which of the following are desired leadership traits and competencies? (Select all that apply.) 1. The leader explores and seizes opportunities as they arise. 2. The leader is an authoritarian when it comes to achieving goals. 3. The leader is ethical and follows the mission of the organization. 4. The leader uses conflict to create unity on the nursing unit. 5. The leader forms and develops productive relationships. 26) A nurse and a firefighter are discussing legal issues related to the practice of their professions. The firefighter asks what the functions are of the Nursing Practice Act (NPA) in that state. Which statements would the nurse include in the response? (Select all that apply.) 1. It enforces unethical practices 2. It protects the public from unsafe nurses 3. It defines the categories of nurses: LPN, RN, and APRNs 4. It helps determine the insurance rates 5. It defines the scope of practice of a nurse 27) An 80-year-old client is unresponsive, with a Glasgow Coma Scale of 8. The client is on intravenous (IV) treatments. The physician has told the family that the prognosis is poor and that a percutaneous endoscopic gastrostomy (PEG) tube is necessary if the family wishes to continue treatment. The family asks the nurse what she would do if it were her parent. What is the nurse's best response? 1. "You should be spending more time with your parent now because time is precious." 2. "The physician has spoken to you about the treatment options so you need to make a decision." 3. "The physician would have told you if anything else could be done." 4. "How do you, as a family, feel about the option of continuing treatment?" 28) Which of these is not a trait characteristic of an effective change agent? 1. Motivating 2. Optimistic attitude 3. Ignores feedback 4. Well organized 29) Provision 5 of the American Nurses Association Code of Ethics states that the nurse owes the same duties to self as to others. Which of the following are suggested in that provision? (Select all that apply.) 1. Abstain from all bad habits 2. Return to school to obtain a master's degree 3. Act with integrity and safety 4. Maintain competence 5. Continue personal and professional growth 30) A nurse is on trial for failure to monitor a client's neurological status and blood sugar after administering regular insulin. With what has the nurse likely been charged? 1. Malpractice: Duty owed to the client 2. Malpractice: Damages owed to the client 3. Malpractice: Injury owed to the client 4. Malpractice: Omission owed to the client 31) The new nurse manager on a twenty-four-bed medical-surgical floor is organizing groups, asks for input, and seems to value cooperation. A staff nurse knows this leader is what type of leader? 1. Laissez-faire 2. Democratic 3. Transactional 4. Authoritative 32) What is an ethical dilemma? 1. A situation that cannot have any good outcome 2. A situation that requires password protection for its results 3. A situation that creates no particular effect on the client, nurse, or family 4. A situation that involves a conflict between two moral imperatives 33) A nurse witnessed another nurse administering an extra dose of sedation to an agitated client. The nurse that witnessed the incident does nothing due to a fear of retaliation. Which of the following is the ethical interpretation of the witnessing nurse's lack of action? 1. The witnessing nurse is released from any ethical responsibility. 2. Doing nothing is advised when potential adverse consequences are foreseen. 3. Taking no action is acceptable, because the witnessing nurse is only a floor nurse. 4. Doing nothing is still considered an unethical action by the witnessing nurse. 34) Which governing body or law requires the nurse to provide safe, effective care for the client? 1. National Council for Licensure 2. State Board of Nursing 3. Nurse Practice Act 4. American Nurses Association 35) A client is being turned away from the outpatient clinic for inability to pay. The nurse knows that this violates which ethical principle? 1. Fidelity 2. Veracity 3. Justice 4. Beneficence 36) To satisfy duty of care to a client, a nurse manager is legally responsible for the many client needs. Which of the following is not a responsibility of the nurse manager? 1. Scheduling and staffing to ensure adequate coverage and safe care. 2. Delegating in accordance with the Nurse Practice Acts. 3. Supervising the practice of the attending physician. 4. Notifying staff of changes to policies related to medication administration. 37) A nurse manager is supervising a newly hired nurse. Which of the following actions by the nurse would require the manager to intervene? (Select all that apply.) 1. Reviewing the health history of a client assigned to another nurse 2. Discussing a client’s condition on the phone with the spouse who has the client’s individual code 3. Making a copy of the client’s laboratory results for a family member 4. Providing information about a client’s medical condition to hospital clergy 5. Participating in walking rounds that involve the exchange of client information in a semiprivate room 38) Which style of leadership is most likely to make followers feel oppressed and fearful to make suggestions for change? 1. Democratic 2. Laissez-faire 3. Transformational 4. Authoritarian 39) A client with terminal breast cancer is alert and oriented. The client's physician has knowledge of a new treatment option available to the client and decides to try this new treatment without informing the client. The nurse reports this to the charge nurse. Which ethical principle has the physician violated? 1. Justice 2. Autonomy 3. Utilitarianism 4. Morality 40) Which of the following traits are criteria for calling an occupation a Profession? (Select all that apply.) 1. Demonstration of competency through licensure 2. Code of ethics that guides the practice 3. Strong professional identity and dedication to the profession 4. Decreased levels of accountability 5. Specialized body of knowledge 41) Which ethical principle encompasses the nurse’s obligation to be competent? 1. Nonmaleficence 2. Benediction 3. Paternalism 4. Autonomy 42) A preceptor is helping a new graduate nurse understand the "standard of care" for a procedure. Which of the following statements by the new nurse requires correction? 1. "Hospitalists and other providers are responsible for determining standards of nursing care." 2. "Many states have standards of care which are adopted by the hospitals who practice within them." 3. "The American Nurses Association often publishes standards for nursing practice." 4. "Joint Commission helps to establish standards of care for hospitals and their nurses." 43) A unit manager has noticed a conflict between the physical therapy team and the staff nurses about the timing of therapy. Which of the following actions should the nurse take first to resolve