NURS 2320 Exam Leading & Managing in Nursing midterm
crap Questions With Complete Solutions
. Which of the following patients would be at greatest risk in a
healthcare visit (select all that apply)?
a. Clyde requires an anticoagulant. He tells the nurse about his
medications. He does not include an herbal supplement.
b. George is very shy and withdrawn. He asks the nurse to leave
him alone.
c. Sarah is a new parent who finds that nurses on the children's
unit are very helpful. She is eager to accept all suggestions,
including those that she does not yet understand.
d. Claude is booked for bowel surgery. His doctor explains
about the colostomy. Later, Claude tells his wife that he really
doesn't know what the doctor meant by colostomy. Correct
Answers a c d
. Which of the following would managers and staff review
annually in order to ensure compliance with the Joint
Commission (TJC) to improve patient safety?
a. Appropriateness of charting terms and abbreviations
b. Nursing hours per patient
c. Acuity of patient admissions
d. Wait times for care Correct Answers a
1. A new graduate is asked to serve on the hospital's quality
improvement (QI) committee. The nurse understands that the
first step in quality improvement is to:
a.
Collect data to determine whether standards are being met.
b.
,Implement a plan to correct the problem.
c.
Identify the standard.
d.
Determine whether the findings warrant correction. Correct
Answers c
1. A nurse manager introduces prompted voiding into nursing
practice on a unit, which is supported by clinical guidelines
based on evidence-based practice. The nurses on the unit resist
implementation, indicating that the bathroom facilities are too
far away for efficient implementation of the guidelines, and that
resources are too few to accomplish the initial voiding
observations. For the nurse manager in this situation, it is
important to have further discussion with the staff regarding
(select all that apply):
a.
Compatibility of this intervention with the values of staff on the
unit.
b.
Advantages of prompted voiding over incontinence products and
catheterizations.
c.
Usefulness of prompted voiding with the particular population
of patients on the unit.
d.
Feasibility of the program with respect to unit design. Correct
Answers a b c d
1. A nurse manager of a 20-bed medical unit finds that 80% of
the patients are older adults. She is asked to assess and adapt the
,unit to better meet the unique needs of the older adult patient.
Using complexity principles, what would be the best approach to
take in making this change?
a.
Leverage the hierarchical management position to get unit staff
involved in assessment and planning.
b.
Engage involved staff at all levels in the decision-making
process.
c.
Focus the assessment on the unit, and omit the hospital and
community environment.
d.
Hire a geriatric specialist to oversee and control the project.
Correct Answers b
1. According to Leininger, "cultural imposition" is a major
concern in nursing because nurses have a tendency to impose
their values, beliefs, and practices on patients of other cultures.
The discussion topic most likely to be without cultural
imposition would be:
a.
Abortion.
b.
Wound management.
c.
Blood transfusion.
d.
Advance directives. Correct Answers b
, 1. As a nurse manager in a for-profit hospital, you are interested
in promoting teaching programs for physicians, because
evidence suggests that hospitals with teaching programs tend to
promote better care for patients. Your administration indicates
that it cannot support your ideas or proposal because of (select
all that apply):
a.
Increased salary costs.
b.
Duplication of tests and procedures.
c.
Graduate medical education.
d.
Potential damage to reputation through learner error. Correct
Answers a b c
1. As a nurse manager, you have to be effective in managing a
culturally diverse staff. Which of the following nurse manager
attributes would assist you in addressing the cultural needs of
your staff (select all that apply)?
a.
Stereotyping of others
b.
Respecting others
c.
Understanding the importance of language
d.
Encouragement of potential in all staff
e.
Age bias
f.
crap Questions With Complete Solutions
. Which of the following patients would be at greatest risk in a
healthcare visit (select all that apply)?
a. Clyde requires an anticoagulant. He tells the nurse about his
medications. He does not include an herbal supplement.
b. George is very shy and withdrawn. He asks the nurse to leave
him alone.
c. Sarah is a new parent who finds that nurses on the children's
unit are very helpful. She is eager to accept all suggestions,
including those that she does not yet understand.
d. Claude is booked for bowel surgery. His doctor explains
about the colostomy. Later, Claude tells his wife that he really
doesn't know what the doctor meant by colostomy. Correct
Answers a c d
. Which of the following would managers and staff review
annually in order to ensure compliance with the Joint
Commission (TJC) to improve patient safety?
a. Appropriateness of charting terms and abbreviations
b. Nursing hours per patient
c. Acuity of patient admissions
d. Wait times for care Correct Answers a
1. A new graduate is asked to serve on the hospital's quality
improvement (QI) committee. The nurse understands that the
first step in quality improvement is to:
a.
Collect data to determine whether standards are being met.
b.
,Implement a plan to correct the problem.
c.
Identify the standard.
d.
Determine whether the findings warrant correction. Correct
Answers c
1. A nurse manager introduces prompted voiding into nursing
practice on a unit, which is supported by clinical guidelines
based on evidence-based practice. The nurses on the unit resist
implementation, indicating that the bathroom facilities are too
far away for efficient implementation of the guidelines, and that
resources are too few to accomplish the initial voiding
observations. For the nurse manager in this situation, it is
important to have further discussion with the staff regarding
(select all that apply):
a.
Compatibility of this intervention with the values of staff on the
unit.
b.
Advantages of prompted voiding over incontinence products and
catheterizations.
c.
Usefulness of prompted voiding with the particular population
of patients on the unit.
d.
Feasibility of the program with respect to unit design. Correct
Answers a b c d
1. A nurse manager of a 20-bed medical unit finds that 80% of
the patients are older adults. She is asked to assess and adapt the
,unit to better meet the unique needs of the older adult patient.
Using complexity principles, what would be the best approach to
take in making this change?
a.
Leverage the hierarchical management position to get unit staff
involved in assessment and planning.
b.
Engage involved staff at all levels in the decision-making
process.
c.
Focus the assessment on the unit, and omit the hospital and
community environment.
d.
Hire a geriatric specialist to oversee and control the project.
Correct Answers b
1. According to Leininger, "cultural imposition" is a major
concern in nursing because nurses have a tendency to impose
their values, beliefs, and practices on patients of other cultures.
The discussion topic most likely to be without cultural
imposition would be:
a.
Abortion.
b.
Wound management.
c.
Blood transfusion.
d.
Advance directives. Correct Answers b
, 1. As a nurse manager in a for-profit hospital, you are interested
in promoting teaching programs for physicians, because
evidence suggests that hospitals with teaching programs tend to
promote better care for patients. Your administration indicates
that it cannot support your ideas or proposal because of (select
all that apply):
a.
Increased salary costs.
b.
Duplication of tests and procedures.
c.
Graduate medical education.
d.
Potential damage to reputation through learner error. Correct
Answers a b c
1. As a nurse manager, you have to be effective in managing a
culturally diverse staff. Which of the following nurse manager
attributes would assist you in addressing the cultural needs of
your staff (select all that apply)?
a.
Stereotyping of others
b.
Respecting others
c.
Understanding the importance of language
d.
Encouragement of potential in all staff
e.
Age bias
f.
