Nursing Leadership and Management Murray Practice Exam #1 Questions with Correct Answers

Nursing Leadership and Management Murray Practice Exam #1 Questions with Correct Answers Rationale: Tertiary care involves restoration and rehabilitation, so a tertiary care unit would specialize in the rehabilitation of persons who have had knee and hip replacements or those who have had strokes. Secondary care involves the care of patients who need emergency or acute care. An individual giving birth, one being treated for pneumonia, and one seeking treatment for a knee strain are all seen in secondary care facilities. Which aspects are included in how nurses develop nursing judgment? Select all that apply. 1. Academic experience 2. Use of experience to help form an opinion 3. Analysis of information to help arrive at a decision 4. Leadership style 5. Level of administrative experience as opposed to being a staff nurse - Answer-Answer: 1,2,3 Rationale: Nursing judgment represents a clinical decision process based on analysis of information supported by education and experience that are used to form an opinion. One's leadership style and/or the level of administrative experience is not uniquely attached to the formation of nursing judgment, as nursing judgment rests with the individual nurse rather than being ascribed to the roles that are performed. Nurses exhibit nursing judgment independent of their leadership style or the level of their administrative experience. Which self-care area is included in helping nurses to limit fatigue in the clinical setting? 1. Educational 2. Spiritual 3. Flexible 4. Individual - Answer-Answer: 2 Rationale: Identified self-care areas that would help the nurse to limit fatigue in the clinical setting are spiritual, physical, mental, emotional, relationship, and choice. The nurse leader is to talk to a staff nurse who is suspected of consuming alcohol during the lunch break. The nurse leader confronts the nurse privately and asks about the smell of alcohol on the nurse's breath. The nurse responds that it is just mouthwash that was used after eating onions at lunch. What is the best action for the nurse leader at this time? 1. Send the nurse home. 2. Terminate the nurse's employment. 3. Send the nurse for a drug screening. 4. Stay with the nurse until the end of the shift. - Answer-Answer: 3 Rationale: Obtaining a drug screen will give objective evidence that can be used to determine if the employee used alcohol on a lunch break. If the nurse has been drinking, the nurse leader cannot allow the employee to drive. The nurse leader cannot terminate the nurse's employment without substantial proof. Staying with the nurse until the end of the shift is not a workable solution and will not give the nurse leader any objective evidence. Which statement best reflects the concept of accountability with regard to delegation of tasks? 1. Nursing state practice acts do not require nurses to be held accountable for their actions. 2. Accountability exists at both nursing and organizational levels. 3. An organization's obligation to accountability is based on its ability to offer quality care regardless of nurse staffing. 4. The competency of the nurse is not considered as being relevant to accountability. - Answer-Answer: 2