Exam 16: Leading, Delegating, and Collaborating

Which question or statement by the nurse is most helpful in ensuring that a nursing assistant new to the unit understands what is expected of the assistant?

A nurse manager must confront an employee about excessive absenteeism. During the confrontation with this employee, which introductory statement is most appropriate?

The nurse is a very busy charge nurse with responsibilities for a unit with 24 acute care patients. An experienced nursing assistant is assigned to the unit. The nursing assistant notes that the IV pump is beeping because the tubing appears kinked. The assistant unkinks the tubing, and this resets the pump. The assistant reports the action to the nurse. It is most important that the nurse:

The best way for a nurse to determine that a newly hired certified nursing assistant (CNA) is competent to transfer a patient safely from the bed to the commode would be to:

Nurse A is in conflict with Nurse B regarding holiday scheduling. Because Nurse A really wants to avoid being in this conflict, and because Nurse A just wants to fill the holiday schedule, Nurse A agrees to give up one favored holiday. This is an example of which type of conflict resolution?

In a patient care conference one of the nurses makes a controversial statement about the patient's behavior. The other health care providers raise their eyebrows, and silence follows the original comment. A democratic leader would:

A newly admitted patient has several orders the physician has written. As manager of care, a graduate RN knows that three of the following tasks can be routinely delegated to a nursing assistant, but one of them must be reserved for the RN to complete. Which task must the RN complete?

All of these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the RN to delegate to a nursing assistant?

While talking with the nursing supervisor, a graduate RN expresses frustration that a Mexican American client always has several family members at the bedside. The most appropriate action by the nursing supervisor to help the graduate RN become a patient advocate is to:

Which statement by the RN best represents the "right communication" when delegating a task to an unlicensed individual?

Which of these tasks is appropriate for the RN to delegate to a LPN/LVN?

Which of these nursing interventions for the patient who has had right-sided breast-conservation surgery and axillary lymph node dissection is appropriate to assign to an LPN/LVN?

Which patient described below most needs an advocate?

A charge nurse and staff nurse are in disagreement over the team assignment for the shift that is about to begin. What is the charge nurse's best first step to resolving the conflict collaboratively?

A nurse is assigned to care for a patient who has been admitted with an opiate overdose and tells the nursing supervisor, "This is a waste of my time. The patient will be back on the needle right after being discharged." The most appropriate response by the nursing supervisor is:

According to the ANA, which elements of nursing cannot be delegated? (Select all that apply.)

Holiday scheduling is always a sensitive issue on the nursing unit, and the manager is trying something different this year. The manager says that whoever works the most extra shifts when asked to do so will get first pick for the holiday schedule. Which type of conflict resolution does this represent?

Which patient should be assigned to an experienced LPN/LVN?

Which statement best reflects that the nurse manager has taken the first action in the decision-making process?

A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the patient has traditional beliefs about health and illness. Being a patient advocate, the best action by the nurse is to: