NSG 441 Exam 3 questions with answers
|\ |\ |\ |\ |\ |\
Which concept describes activities and strategies undertaken to
|\ |\ |\ |\ |\ |\ |\ |\
address the challenges faced by nurses in their practice settings?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. engagement
|\
B. empowerment
|\
C. workplace advocacy
|\ |\
D. shared governance
|\ |\
C. workplace advocacy
|\ |\
Rationale: workplace advocacy includes an array of activities and
|\ |\ |\ |\ |\ |\ |\ |\
strategies undertaken to address the challenges faced by nurses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in their practice settings. Engagement is defined as an
|\ |\ |\ |\ |\ |\ |\ |\ |\
employer's commitment to the organization's mission, vision, and
|\ |\ |\ |\ |\ |\ |\
values. Empowerment is defined as sharing power and control
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
through participation in decision making. Shared governance
|\ |\ |\ |\ |\ |\ |\
refers to organizational strategy supporting ownership,
|\ |\ |\ |\ |\ |\
autonomy, and input for nurses. |\ |\ |\ |\
The 2010 Institute of Medicine (IOM, now known as the National
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Academy of Medicine) report The Future of Nursing: Leading
|\ |\ |\ |\ |\ |\ |\ |\ |\
Change, Advancing Health advocated for having at least which
|\ |\ |\ |\ |\ |\ |\ |\ |\
percentage of the registered nurse population prepare at the
|\ |\ |\ |\ |\ |\ |\ |\ |\
baccalaureate level? |\
A. 65%
|\
B. 70%
|\
C. 80%
|\
D. 100%
|\
C. 80%
|\
Rationale: Because evidence supports lower morbidity and
|\ |\ |\ |\ |\ |\ |\
mortality rates with a better-educated nursing workforce.
|\ |\ |\ |\ |\ |\
,The healthcare industry has borrowed and applied models of
|\ |\ |\ |\ |\ |\ |\ |\ |\
continuous quality improvement from which industry? |\ |\ |\ |\ |\
A. aerospace
|\
B. finance
|\
C. business
|\
D. real estate
|\ |\
C. Business
|\
Which action would the nurse manager take to initiate the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
process of progressive discipline?
|\ |\ |\
A. verbal reprimand
|\ |\
B. written reprimand
|\ |\
C. counsel the employee
|\ |\ |\
D. referral to human resources
|\ |\ |\ |\
C. counsel the employee
|\ |\ |\
Upon completion of the interview, what should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
manager do? Select all that apply. |\ |\ |\ |\ |\
A. Send a formal note to the applicant
|\ |\ |\ |\ |\ |\ |\
B. Send an e-mail asking follow-up questions
|\ |\ |\ |\ |\ |\
C. Indicate when applicants will hear about their interview
|\ |\ |\ |\ |\ |\ |\ |\
D. Thank the applicant for his or her time and interest in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
position.
E. Inform the applicant who will contact them about the result of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the interview.
|\
C, D, E
|\ |\
Which reason would the manager recognize contributes to
|\ |\ |\ |\ |\ |\ |\ |\
nursing turnover? |\
A. poor job fit
|\ |\ |\
B. level of education
|\ |\ |\
C. acuity of the patients
|\ |\ |\ |\
D. length of nursing experience
|\ |\ |\ |\
A. poor job fit
|\ |\ |\
,The nurse manager is developing the budgets for the unit. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
budget requires justification by the nurse manager because of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
competition for the resources within the organization?
|\ |\ |\ |\ |\ |\
A. cash
|\
B. capital
|\
C. operating
|\
D. variance analysis
|\ |\
B. capital
|\
Rationale: capital budgets reflect expenditures for major capital
|\ |\ |\ |\ |\ |\ |\ |\
items, such as equipment. Organizations set aside a fixed
|\ |\ |\ |\ |\ |\ |\ |\ |\
amount for capital expenditures each year. Complete, well-
|\ |\ |\ |\ |\ |\ |\
documented justifications are needed, as competition for limited
|\ |\ |\ |\ |\ |\ |\ |\
resources is stiff. |\ |\
Which application of information technology focuses on secure
|\ |\ |\ |\ |\ |\ |\ |\
medication storage? |\
A. "smart" infusion pumps
|\ |\ |\
B. automated dispensing unit/cabinet
|\ |\ |\
C. pharmacy automation and robotics
|\ |\ |\ |\
D. bar coding and radiofrequency identification scanning.
|\ |\ |\ |\ |\ |\
B. automated dispensing unit/cabinet
|\ |\ |\
Which concept guides the knowledge content of work required for
|\ |\ |\ |\ |\ |\ |\ |\ |\
nursing practice?
|\ |\
A. nursing process
|\ |\
B. critical thinking
|\ |\
C. specified procedures
|\ |\
D. evidence-based practice
|\ |\
D. evidence-based practice
|\ |\
Which education recommendation was made by the Institute of
|\ |\ |\ |\ |\ |\ |\ |\ |\
Medicine (IOM, now known as the National Academy of Medicine)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in the 2010 report The Future of Nursing: Leading Change,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Advancing Health? |\
, A. doubling the number of nurses with doctorate by 2020.
|\ |\ |\ |\ |\ |\ |\ |\ |\
B. requiring a baccalaureate degree for all registered nurses by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2020.
C. increasing the percentage of nurses enrolled in advanced
|\ |\ |\ |\ |\ |\ |\ |\ |\
practice programs by 30% in 2030.
|\ |\ |\ |\ |\
D. changing the entry-level requirement for initial preparation of
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse's to a master's degree by 2050.
|\ |\ |\ |\ |\ |\
A. doubling the number of nurses with a doctorate by 2020.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which action would the nurse manager take when terminating an
|\ |\ |\ |\ |\ |\ |\ |\ |\
employee who has refused to seek treatment for substance
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abuse?
A. notify law enforcement
|\ |\ |\
B. notify the risk management department
|\ |\ |\ |\ |\
C. report the incident to the board of nursing
|\ |\ |\ |\ |\ |\ |\ |\
D. Encourage the employee to attend rehabilitation.
|\ |\ |\ |\ |\ |\
C. report the incident to the board of nursing`
|\ |\ |\ |\ |\ |\ |\ |\
Which information would the nurse manager communicate to an
|\ |\ |\ |\ |\ |\ |\ |\ |\
employee who is going to be suspended?
|\ |\ |\ |\ |\ |\
A. The employee's benefits will be held
|\ |\ |\ |\ |\ |\
B. The employee will be suspended without pay
|\ |\ |\ |\ |\ |\ |\
C. The manager will determine the length of the suspension
|\ |\ |\ |\ |\ |\ |\ |\ |\
D. The manager will make decisions about continued
|\ |\ |\ |\ |\ |\ |\ |\
employment during the suspension period. |\ |\ |\ |\
B. The employee will be suspended without pay.
|\ |\ |\ |\ |\ |\ |\
According to Rogers' Diffusion of Innovation theory, which term
|\ |\ |\ |\ |\ |\ |\ |\ |\
describes individuals who thrive on change?
|\ |\ |\ |\ |\
A. Rejectors
|\
B. Innovators
|\
C. Laggards
|\
D. Early adopters
|\ |\
B. Innovators
|\
|\ |\ |\ |\ |\ |\
Which concept describes activities and strategies undertaken to
|\ |\ |\ |\ |\ |\ |\ |\
address the challenges faced by nurses in their practice settings?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. engagement
|\
B. empowerment
|\
C. workplace advocacy
|\ |\
D. shared governance
|\ |\
C. workplace advocacy
|\ |\
Rationale: workplace advocacy includes an array of activities and
|\ |\ |\ |\ |\ |\ |\ |\
strategies undertaken to address the challenges faced by nurses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in their practice settings. Engagement is defined as an
|\ |\ |\ |\ |\ |\ |\ |\ |\
employer's commitment to the organization's mission, vision, and
|\ |\ |\ |\ |\ |\ |\
values. Empowerment is defined as sharing power and control
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
through participation in decision making. Shared governance
|\ |\ |\ |\ |\ |\ |\
refers to organizational strategy supporting ownership,
|\ |\ |\ |\ |\ |\
autonomy, and input for nurses. |\ |\ |\ |\
The 2010 Institute of Medicine (IOM, now known as the National
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Academy of Medicine) report The Future of Nursing: Leading
|\ |\ |\ |\ |\ |\ |\ |\ |\
Change, Advancing Health advocated for having at least which
|\ |\ |\ |\ |\ |\ |\ |\ |\
percentage of the registered nurse population prepare at the
|\ |\ |\ |\ |\ |\ |\ |\ |\
baccalaureate level? |\
A. 65%
|\
B. 70%
|\
C. 80%
|\
D. 100%
|\
C. 80%
|\
Rationale: Because evidence supports lower morbidity and
|\ |\ |\ |\ |\ |\ |\
mortality rates with a better-educated nursing workforce.
|\ |\ |\ |\ |\ |\
,The healthcare industry has borrowed and applied models of
|\ |\ |\ |\ |\ |\ |\ |\ |\
continuous quality improvement from which industry? |\ |\ |\ |\ |\
A. aerospace
|\
B. finance
|\
C. business
|\
D. real estate
|\ |\
C. Business
|\
Which action would the nurse manager take to initiate the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
process of progressive discipline?
|\ |\ |\
A. verbal reprimand
|\ |\
B. written reprimand
|\ |\
C. counsel the employee
|\ |\ |\
D. referral to human resources
|\ |\ |\ |\
C. counsel the employee
|\ |\ |\
Upon completion of the interview, what should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
manager do? Select all that apply. |\ |\ |\ |\ |\
A. Send a formal note to the applicant
|\ |\ |\ |\ |\ |\ |\
B. Send an e-mail asking follow-up questions
|\ |\ |\ |\ |\ |\
C. Indicate when applicants will hear about their interview
|\ |\ |\ |\ |\ |\ |\ |\
D. Thank the applicant for his or her time and interest in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
position.
E. Inform the applicant who will contact them about the result of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the interview.
|\
C, D, E
|\ |\
Which reason would the manager recognize contributes to
|\ |\ |\ |\ |\ |\ |\ |\
nursing turnover? |\
A. poor job fit
|\ |\ |\
B. level of education
|\ |\ |\
C. acuity of the patients
|\ |\ |\ |\
D. length of nursing experience
|\ |\ |\ |\
A. poor job fit
|\ |\ |\
,The nurse manager is developing the budgets for the unit. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
budget requires justification by the nurse manager because of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
competition for the resources within the organization?
|\ |\ |\ |\ |\ |\
A. cash
|\
B. capital
|\
C. operating
|\
D. variance analysis
|\ |\
B. capital
|\
Rationale: capital budgets reflect expenditures for major capital
|\ |\ |\ |\ |\ |\ |\ |\
items, such as equipment. Organizations set aside a fixed
|\ |\ |\ |\ |\ |\ |\ |\ |\
amount for capital expenditures each year. Complete, well-
|\ |\ |\ |\ |\ |\ |\
documented justifications are needed, as competition for limited
|\ |\ |\ |\ |\ |\ |\ |\
resources is stiff. |\ |\
Which application of information technology focuses on secure
|\ |\ |\ |\ |\ |\ |\ |\
medication storage? |\
A. "smart" infusion pumps
|\ |\ |\
B. automated dispensing unit/cabinet
|\ |\ |\
C. pharmacy automation and robotics
|\ |\ |\ |\
D. bar coding and radiofrequency identification scanning.
|\ |\ |\ |\ |\ |\
B. automated dispensing unit/cabinet
|\ |\ |\
Which concept guides the knowledge content of work required for
|\ |\ |\ |\ |\ |\ |\ |\ |\
nursing practice?
|\ |\
A. nursing process
|\ |\
B. critical thinking
|\ |\
C. specified procedures
|\ |\
D. evidence-based practice
|\ |\
D. evidence-based practice
|\ |\
Which education recommendation was made by the Institute of
|\ |\ |\ |\ |\ |\ |\ |\ |\
Medicine (IOM, now known as the National Academy of Medicine)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in the 2010 report The Future of Nursing: Leading Change,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Advancing Health? |\
, A. doubling the number of nurses with doctorate by 2020.
|\ |\ |\ |\ |\ |\ |\ |\ |\
B. requiring a baccalaureate degree for all registered nurses by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2020.
C. increasing the percentage of nurses enrolled in advanced
|\ |\ |\ |\ |\ |\ |\ |\ |\
practice programs by 30% in 2030.
|\ |\ |\ |\ |\
D. changing the entry-level requirement for initial preparation of
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse's to a master's degree by 2050.
|\ |\ |\ |\ |\ |\
A. doubling the number of nurses with a doctorate by 2020.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which action would the nurse manager take when terminating an
|\ |\ |\ |\ |\ |\ |\ |\ |\
employee who has refused to seek treatment for substance
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abuse?
A. notify law enforcement
|\ |\ |\
B. notify the risk management department
|\ |\ |\ |\ |\
C. report the incident to the board of nursing
|\ |\ |\ |\ |\ |\ |\ |\
D. Encourage the employee to attend rehabilitation.
|\ |\ |\ |\ |\ |\
C. report the incident to the board of nursing`
|\ |\ |\ |\ |\ |\ |\ |\
Which information would the nurse manager communicate to an
|\ |\ |\ |\ |\ |\ |\ |\ |\
employee who is going to be suspended?
|\ |\ |\ |\ |\ |\
A. The employee's benefits will be held
|\ |\ |\ |\ |\ |\
B. The employee will be suspended without pay
|\ |\ |\ |\ |\ |\ |\
C. The manager will determine the length of the suspension
|\ |\ |\ |\ |\ |\ |\ |\ |\
D. The manager will make decisions about continued
|\ |\ |\ |\ |\ |\ |\ |\
employment during the suspension period. |\ |\ |\ |\
B. The employee will be suspended without pay.
|\ |\ |\ |\ |\ |\ |\
According to Rogers' Diffusion of Innovation theory, which term
|\ |\ |\ |\ |\ |\ |\ |\ |\
describes individuals who thrive on change?
|\ |\ |\ |\ |\
A. Rejectors
|\
B. Innovators
|\
C. Laggards
|\
D. Early adopters
|\ |\
B. Innovators
|\
