BSN 335 Sherpaths Questions With Complete Solutions
Leadership Styles:
Question 1 of 6
A long-term care facility is looking for a nurse leader. The staff
is described as self-motivated and effective, but would benefit
from a leader who will lead when needed, such as during times
when productivity declines. The facility should choose the
leader with which personality trait?
Charisma
Composure
Opinionated
Cooperative Correct Answer Charisma
A charismatic leader can motivate the staff in times of need. The
staff is otherwise self-motivated and effective, so a charismatic
leader can provide leadership during times of decreased
motivation.
Question 1 of 6
The nurse is assigned to care for a patient who requires a blood
transfusion of packed red blood cells (PRBCs). How often
would the nurse assess the patient during the transfusion?
Every shift
Every 2 hours
Every 4 hours
Every 15-30 minutes Correct Answer Every 15-30 minutes
The nurse would assess a patient who is undergoing a blood
transfusion more often, usually every 15-30 minutes. The
frequency of assessment is based on the patient's condition,
acuity level, and high risk of the procedure.
,Question 1 of 6
Which action describes a staff member using constructive
problem-solving during an argument with a team member?
Clearly distinguishing the responsible party
Discussing disagreements as soon as they occur
Carefully considering the argument before speaking with the
team member
Including all staff members in any arguments that affect the
team as a whole Correct Answer Carefully considering the
argument before speaking with the team member
This action represents staff practicing constructive problem-
solving because team members should carefully consider the
argument before discussing. This will allow both parties to cool
down and can provide some clarity to both sides.
Question 1 of 6
Which actions toward accomplishing unit goals can the nurse
manager delegate to the nurse followers?
Select all that apply.
Assess new patients for fall risk
Document patients' fall risk factors
Meet to discuss ideas, such as using "low" beds
Identify nurses who are not screening patients for fall risk
Place a 1:1 sitter in the room of patients at high risk for falling
Correct Answer Assess new patients for fall risk
By definition, followers perform work related to achieving
goals. By assessing new patients for fall risk, the nurse can
contribute to a group goal of zero patient falls for the month.
Correct
Document patients' fall risk factors
,By definition, followers perform work related to achieving
goals. By documenting patients' risk for falls, the nurse would
contribute to a group goal of zero patient falls for the month.
Correct
Meet to discuss ideas, such as using "low" beds
By definition, followers brainstorm ideas related to achieving
goals. By meeting to discuss ideas related to goal, such as using
"low" beds, the nurse would contribute to a group goal of zero
patient falls for the month.
Question 1 of 7
A nurse leader asks for a volunteer to track statistics in the unit.
One staff nurse says, "I can do it, as long as I don't have to take
any work home with me." Which type of follower is this staff
nurse?
Activist
Isolated
Diehard
Participant Correct Answer Participant
The staff nurse who is willing to do volunteer work but sets
limits by not taking work home is a participant who is engaged
to a certain extent but will not go overboard.
Question 1 of 7
The RN is working in a busy Emergency department (ED). The
ambulance brings in a 76-year-old patient who reports tightness
in the chest. The patient's pulse is 82. The cardiac monitor
shows a regular rhythm, BP is 98/66, respirations are 12,
oxygenation saturation is 95% on room air, and pain is reported
as a 2 on a scale of 1-10. Which prescribed action should the RN
initiate first?
, 12-lead ECG
Insert large bore IV
Oxygen 2 L/nasal cannula
IV fluid of normal saline 1,000 mL at 100 mL/hr Correct
Answer Insert large bore IV
This is necessary for the IV fluid. The patient is hypotensive
with a BP of 98/66, so a bolus of NS is urgent and important in
order to raise the BP and maintain adequate perfusion.
Additionally, this fits the 'C' for circulation priority need
according to Rosalinda Alfaro-Lefevre.
Question 1 of 9
A nurse manager is setting goals for the unit, which includes
working towards interdependency and power-sharing. The nurse
knows that these are characteristics of which type of
environment?
Teamwork
Cooperation
Competency
Collaboration Correct Answer Collaboration
Collaboration is a complex process that builds on
communication, mutual respect and trust. The characteristics of
true collaboration include interdependency, complementary
roles among providers, mutual respect and power-sharing.
Question 1 of 9
The health care team decides to withhold a terminal diagnosis
from a patient until the consulting psychiatrist develops a
treatment plan. This is an example of which ethical principle?
Justice
Fidelity
Leadership Styles:
Question 1 of 6
A long-term care facility is looking for a nurse leader. The staff
is described as self-motivated and effective, but would benefit
from a leader who will lead when needed, such as during times
when productivity declines. The facility should choose the
leader with which personality trait?
Charisma
Composure
Opinionated
Cooperative Correct Answer Charisma
A charismatic leader can motivate the staff in times of need. The
staff is otherwise self-motivated and effective, so a charismatic
leader can provide leadership during times of decreased
motivation.
Question 1 of 6
The nurse is assigned to care for a patient who requires a blood
transfusion of packed red blood cells (PRBCs). How often
would the nurse assess the patient during the transfusion?
Every shift
Every 2 hours
Every 4 hours
Every 15-30 minutes Correct Answer Every 15-30 minutes
The nurse would assess a patient who is undergoing a blood
transfusion more often, usually every 15-30 minutes. The
frequency of assessment is based on the patient's condition,
acuity level, and high risk of the procedure.
,Question 1 of 6
Which action describes a staff member using constructive
problem-solving during an argument with a team member?
Clearly distinguishing the responsible party
Discussing disagreements as soon as they occur
Carefully considering the argument before speaking with the
team member
Including all staff members in any arguments that affect the
team as a whole Correct Answer Carefully considering the
argument before speaking with the team member
This action represents staff practicing constructive problem-
solving because team members should carefully consider the
argument before discussing. This will allow both parties to cool
down and can provide some clarity to both sides.
Question 1 of 6
Which actions toward accomplishing unit goals can the nurse
manager delegate to the nurse followers?
Select all that apply.
Assess new patients for fall risk
Document patients' fall risk factors
Meet to discuss ideas, such as using "low" beds
Identify nurses who are not screening patients for fall risk
Place a 1:1 sitter in the room of patients at high risk for falling
Correct Answer Assess new patients for fall risk
By definition, followers perform work related to achieving
goals. By assessing new patients for fall risk, the nurse can
contribute to a group goal of zero patient falls for the month.
Correct
Document patients' fall risk factors
,By definition, followers perform work related to achieving
goals. By documenting patients' risk for falls, the nurse would
contribute to a group goal of zero patient falls for the month.
Correct
Meet to discuss ideas, such as using "low" beds
By definition, followers brainstorm ideas related to achieving
goals. By meeting to discuss ideas related to goal, such as using
"low" beds, the nurse would contribute to a group goal of zero
patient falls for the month.
Question 1 of 7
A nurse leader asks for a volunteer to track statistics in the unit.
One staff nurse says, "I can do it, as long as I don't have to take
any work home with me." Which type of follower is this staff
nurse?
Activist
Isolated
Diehard
Participant Correct Answer Participant
The staff nurse who is willing to do volunteer work but sets
limits by not taking work home is a participant who is engaged
to a certain extent but will not go overboard.
Question 1 of 7
The RN is working in a busy Emergency department (ED). The
ambulance brings in a 76-year-old patient who reports tightness
in the chest. The patient's pulse is 82. The cardiac monitor
shows a regular rhythm, BP is 98/66, respirations are 12,
oxygenation saturation is 95% on room air, and pain is reported
as a 2 on a scale of 1-10. Which prescribed action should the RN
initiate first?
, 12-lead ECG
Insert large bore IV
Oxygen 2 L/nasal cannula
IV fluid of normal saline 1,000 mL at 100 mL/hr Correct
Answer Insert large bore IV
This is necessary for the IV fluid. The patient is hypotensive
with a BP of 98/66, so a bolus of NS is urgent and important in
order to raise the BP and maintain adequate perfusion.
Additionally, this fits the 'C' for circulation priority need
according to Rosalinda Alfaro-Lefevre.
Question 1 of 9
A nurse manager is setting goals for the unit, which includes
working towards interdependency and power-sharing. The nurse
knows that these are characteristics of which type of
environment?
Teamwork
Cooperation
Competency
Collaboration Correct Answer Collaboration
Collaboration is a complex process that builds on
communication, mutual respect and trust. The characteristics of
true collaboration include interdependency, complementary
roles among providers, mutual respect and power-sharing.
Question 1 of 9
The health care team decides to withhold a terminal diagnosis
from a patient until the consulting psychiatrist develops a
treatment plan. This is an example of which ethical principle?
Justice
Fidelity