Question 1

Clinical nursing decisions are best made using:

Accepted Answer

A)  Clinical pathways 
B)  Accurate assessment data 
C)  Previous nursing knowledge 
D)  Interdisciplinary collaboration 
A)  Clinical pathways 
B)  Accurate assessment data 
C)  Previous nursing knowledge 
D)  Interdisciplinary collaboration B

Question 2

Which of the following actions best reflects accountability for the client's care outcomes?

Accepted Answer

A)  Reassessing a client's BP when the reported value is higher than usual 
B)  Assisting a team member in providing a client with a complete bed bath 
C)  Reevaluating a client's pain 30 minutes after administering pain medication 
D)  Asking a client's daughter to bring her father's non-skid slippers to the hospital 
A)  Reassessing a client's BP when the reported value is higher than usual 
B)  Assisting a team member in providing a client with a complete bed bath 
C)  Reevaluating a client's pain 30 minutes after administering pain medication 
D)  Asking a client's daughter to bring her father's non-skid slippers to the hospital A

Question 3

A unit manager on a busy multi-service medical nursing unit decides to take responsibility for the direct client care of one of the many new admissions.Later the manager decides she is too busy to give adequate client care.Which of the following situational leadership styles does the nurse manager need to apply?

Accepted Answer

A)  Coaching 
B)  Supporting 
C)  Delegating 
D)  Directing 
A)  Coaching 
B)  Supporting 
C)  Delegating 
D)  Directing C

Question 4

The nurse on the unit is determining which activities may be delegated to assistive personnel.Assuming that the nurse assistant is competent,which one of the following activities may be safely delegated by the registered nurse?

Accepted Answer

A)  Vital signs on a stable client 
B)  An admission history on a new client 
C)  Initial transfer of a postoperative client 
D)  Administration of medications prepared by the nurse 
A)  Vital signs on a stable client 
B)  An admission history on a new client 
C)  Initial transfer of a postoperative client 
D)  Administration of medications prepared by the nurse

Question 5

Indicators in a quality improvement program that evaluates the manner in which care is delivered are:

Accepted Answer

A)  Structure indicators 
B)  Team indicators 
C)  Process indicators 
D)  Client indicators 
A)  Structure indicators 
B)  Team indicators 
C)  Process indicators 
D)  Client indicators

Question 6

Accountability is a critical aspect of nursing care.An example of a specific decision-making process of accountability is demonstrated by:

Accepted Answer

A)  Selecting the medication schedule for the client 
B)  Implementing discharge teaching plans that meet individual needs 
C)  Evaluating the client's outcomes following implementation of care 
D)  Promoting participation of all staff members in regular unit meetings 
A)  Selecting the medication schedule for the client 
B)  Implementing discharge teaching plans that meet individual needs 
C)  Evaluating the client's outcomes following implementation of care 
D)  Promoting participation of all staff members in regular unit meetings

Question 7

Which statement best reflects the major limitation of the team nursing model?

Accepted Answer

A)  "The team really needed an extra pair of hands today." 
B)  "It complicates things when you have a different team each day." 
C)  "Getting our two new admissions stabilized took up all of my time today." 
D)  "My nursing assistants need to be in-serviced on how to do a bladder scan." 
A)  "The team really needed an extra pair of hands today." 
B)  "It complicates things when you have a different team each day." 
C)  "Getting our two new admissions stabilized took up all of my time today." 
D)  "My nursing assistants need to be in-serviced on how to do a bladder scan."

Question 8

Which of the following clients would most benefit from the case manager model of nursing care?

Accepted Answer

A)  A client diagnosed with end-stage renal failure 
B)  A client who has a chronic wound on the left foot 
C)  A client newly diagnosed with type 2 diabetes mellitus 
D)  A postoperative client who had a cholecystectomy (gallbladder removal) 
A)  A client diagnosed with end-stage renal failure 
B)  A client who has a chronic wound on the left foot 
C)  A client newly diagnosed with type 2 diabetes mellitus 
D)  A postoperative client who had a cholecystectomy (gallbladder removal)

Question 9

One advantage of a decentralized management structure for nursing units over a centralized structure is that:

Accepted Answer

A)  Communication pathways are simplified 
B)  Staff are not responsible for defining their roles 
C)  Managers handle all of the difficult decision making 
D)  Each staff member is accountable for evaluating the plan of care 
A)  Communication pathways are simplified 
B)  Staff are not responsible for defining their roles 
C)  Managers handle all of the difficult decision making 
D)  Each staff member is accountable for evaluating the plan of care

Question 10

The primary reason the nurse asks for help when changing a client's complicated dressing is to:

Accepted Answer

A)  Foster efficient client-oriented interventions 
B)  Facilitate a comfortable,safe dressing change 
C)  Minimize the amount of time spent on a specific task 
D)  Engage in collaborative learning with other health care professionals 
A)  Foster efficient client-oriented interventions 
B)  Facilitate a comfortable,safe dressing change 
C)  Minimize the amount of time spent on a specific task 
D)  Engage in collaborative learning with other health care professionals

Question 11

A threshold of 90% is identified for an outcome indicator in the quality improvement program.Which of the following situations indicates a need for further review of the quality improvement plan?

Accepted Answer

A)  The waiting time for clinic appointments has decreased 96%. 
B)  Clients with renal dialysis expressed a 95% satisfaction with their care. 
C)  In 93% of clients,subjective expressions of postoperative pain have decreased. 
D)  Wound infections are evident in 92% of clients after care of their IV access ports. 
A)  The waiting time for clinic appointments has decreased 96%. 
B)  Clients with renal dialysis expressed a 95% satisfaction with their care. 
C)  In 93% of clients,subjective expressions of postoperative pain have decreased. 
D)  Wound infections are evident in 92% of clients after care of their IV access ports.

Question 12

Which of the following statements made by a nurse related to the organization of client care requires follow-up by the mentor?

Accepted Answer

A)  "I had my LPN bring the Foley catheterization supplies into the room so they'd be there when I got there." 
B)  "I delegated all the stable vital signs to my nursing assistant and the treatments to the LPN." 
C)  "I was taking vitals on one client,dangling a second client while I had the third expelling an enema." 
D)  "Organization was never a strength of mine,but I believe I'm getting better at completing all my client's care." 
A)  "I had my LPN bring the Foley catheterization supplies into the room so they'd be there when I got there." 
B)  "I delegated all the stable vital signs to my nursing assistant and the treatments to the LPN." 
C)  "I was taking vitals on one client,dangling a second client while I had the third expelling an enema." 
D)  "Organization was never a strength of mine,but I believe I'm getting better at completing all my client's care."

Question 13

In anticipation of a nursing shortage,the nursing management in a facility is investigating a nursing care delivery model that involves the division of tasks,with one nurse assuming the responsibility for particular tasks.This model is called:

Accepted Answer

A)  Total patient care 
B)  Functional nursing 
C)  Team nursing 
D)  Primary nursing 
A)  Total patient care 
B)  Functional nursing 
C)  Team nursing 
D)  Primary nursing

Question 14

Which of the following statements best reflects the autocratic style of leadership?

Accepted Answer

A)  "Let's discuss this case study thoroughly and decide on a plan of action as a group." 
B)  "I'll try to pair you in comparable work teams,and let's evaluate the success of this approach in 2 weeks." 
C)  "Everyone knows their work assignment,so let's not meet together unless we have an unexpected crisis." 
D)  "I'll consider each of your requests,and then I'll give you the guidelines for establishing new acuity ratings for our clients." 
A)  "Let's discuss this case study thoroughly and decide on a plan of action as a group." 
B)  "I'll try to pair you in comparable work teams,and let's evaluate the success of this approach in 2 weeks." 
C)  "Everyone knows their work assignment,so let's not meet together unless we have an unexpected crisis." 
D)  "I'll consider each of your requests,and then I'll give you the guidelines for establishing new acuity ratings for our clients."

Question 15

The student nurse is seeking to learn skills associated with priority setting.In discussing different priorities of care,an example of a second-order priority is:

Accepted Answer

A)  The need to urinate 
B)  An obstructed airway 
C)  The side effects of a medication 
D)  Activities of daily living in the home environment 
A)  The need to urinate 
B)  An obstructed airway 
C)  The side effects of a medication 
D)  Activities of daily living in the home environment

Question 16

Which of the following statements best reflects the nurse's understanding of team nursing?

Accepted Answer

A)  "The team provides the client care and I provide the leadership and decision making." 
B)  "I will manage the complex care and delegate the remaining care to my LPN and ancillary assistants." 
C)  "Everyone on the team has responsibilities and is accountable to me regarding the effective execution of that care." 
D)  "I delegate the care of the clients to the appropriate team members and I am responsible for coordinating and directing that care." 
A)  "The team provides the client care and I provide the leadership and decision making." 
B)  "I will manage the complex care and delegate the remaining care to my LPN and ancillary assistants." 
C)  "Everyone on the team has responsibilities and is accountable to me regarding the effective execution of that care." 
D)  "I delegate the care of the clients to the appropriate team members and I am responsible for coordinating and directing that care."

Question 17

Which of the following actions is the best example of a nurse exercising nursing authority?

Accepted Answer

A)  Assigning team responsibilities to individual team members 
B)  Evaluating a team member's ability to perform a bladder scan 
C)  Readjusting a client's turning schedule to provide hourly repositioning 
D)  Determining that a client will not be ambulated based on assessment findings 
A)  Assigning team responsibilities to individual team members 
B)  Evaluating a team member's ability to perform a bladder scan 
C)  Readjusting a client's turning schedule to provide hourly repositioning 
D)  Determining that a client will not be ambulated based on assessment findings

Question 18

To meet the needs of assigned clients and the responsibilities associated with the position,nurses need to be aware of time management techniques.The time management skills for the nurse include:

Accepted Answer

A)  Meeting all of the client's needs in the early morning hours 
B)  Anticipating possible interruptions by therapists and visitors 
C)  Leaving each day unplanned to allow for adaptations in treatments 
D)  Completing client assessments and treatments individually at separate times 
A)  Meeting all of the client's needs in the early morning hours 
B)  Anticipating possible interruptions by therapists and visitors 
C)  Leaving each day unplanned to allow for adaptations in treatments 
D)  Completing client assessments and treatments individually at separate times

Question 19

The primary benefit of achieving Magnet status is the nursing staff is empowered to make innovative changes that:

Accepted Answer

A)  Promote nursing autonomy 
B)  Positively affect client care outcomes 
C)  Enhance the perception of the nursing profession 
D)  Strengthen the collaborative RN/MD relationship 
A)  Promote nursing autonomy 
B)  Positively affect client care outcomes 
C)  Enhance the perception of the nursing profession 
D)  Strengthen the collaborative RN/MD relationship

Question 20

The most important responsibility of a nurse manager is to:

Accepted Answer

A)  Foster an environment that enables staff to provide quality nursing care 
B)  Provide leadership and role modeling for nursing and ancillary staff 
C)  Evaluate the delivery of nursing care in regard to its effect on client outcomes 
D)  Create a unit attitude of cooperative engagement directed toward positive client outcomes 
A)  Foster an environment that enables staff to provide quality nursing care 
B)  Provide leadership and role modeling for nursing and ancillary staff 
C)  Evaluate the delivery of nursing care in regard to its effect on client outcomes 
D)  Create a unit attitude of cooperative engagement directed toward positive client outcomes

Exam 21: Managing Client Care

Clinical nursing decisions are best made using:

Which of the following actions best reflects accountability for the client's care outcomes?

The nurse on the unit is determining which activities may be delegated to assistive personnel.Assuming that the nurse assistant is competent,which one of the following activities may be safely delegated by the registered nurse?

Indicators in a quality improvement program that evaluates the manner in which care is delivered are:

Accountability is a critical aspect of nursing care.An example of a specific decision-making process of accountability is demonstrated by:

Which statement best reflects the major limitation of the team nursing model?

Which of the following clients would most benefit from the case manager model of nursing care?

One advantage of a decentralized management structure for nursing units over a centralized structure is that:

The primary reason the nurse asks for help when changing a client's complicated dressing is to:

A threshold of 90% is identified for an outcome indicator in the quality improvement program.Which of the following situations indicates a need for further review of the quality improvement plan?

Which of the following statements made by a nurse related to the organization of client care requires follow-up by the mentor?

In anticipation of a nursing shortage,the nursing management in a facility is investigating a nursing care delivery model that involves the division of tasks,with one nurse assuming the responsibility for particular tasks.This model is called:

Which of the following statements best reflects the autocratic style of leadership?

The student nurse is seeking to learn skills associated with priority setting.In discussing different priorities of care,an example of a second-order priority is:

Which of the following statements best reflects the nurse's understanding of team nursing?

Which of the following actions is the best example of a nurse exercising nursing authority?

To meet the needs of assigned clients and the responsibilities associated with the position,nurses need to be aware of time management techniques.The time management skills for the nurse include:

The primary benefit of achieving Magnet status is the nursing staff is empowered to make innovative changes that:

The most important responsibility of a nurse manager is to:

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