Research
Which are some roles of nurses in research?
a) Identify a topic of interest to research from clinical practice
b) Gather evidence from a literature review
c) Use research findings to guide practice
d) Share findings with co-workers and other healthcare providers
e) All of the above
e) All of the above
Change in health care must occur at the micro, meso, and macro policy levels. Which of the following addresses the meso level of change?
a) Emergency room
b) Clinic
c) College of Nurses
d) Ministry of Health
c) College of Nurses
Emergency room and Clinic is at the micro level. Ministry of health is at the macro level and College of Nurses is at the meso level as a professional organization.
What are the 4 components of the PDSA change management framework?
Plan
Do
Study
Act
Which type of violence is described as "psychological harassment evidenced by verbal abuse, intimidation, exclusion, unfair assignments, denial of access to opportunities and withholding of information"?
a) lateral violence
b) horizontal violence
c) horizontal violence
d) interdisciplinary violence
a) lateral violence
A drawback to using technology in the delivery of nursing care is:
a) work arounds
b) cultural competence
c) error reduction
d) provides warnings
a) work arounds
Which type of evidence best supports decision-making?
a) Randomized control trials
b) Case studies
c) Cohort studies
d) Systematic reviews
d) Systematic reviews
Two areas nurses must take leadership in developing knowledge and skills in consideration for the future is?
a) Research and technology
b) Health informatics and social media
c) Social media and research
d) Publications and social media
b) Health informatics and social media
Nursing informatics competencies is one method to support nurses globally in addressing new health care challenges globally into the future. Appropriate use of social media is part of health informatics.
The relational emancipatory framework consists of which of the following?
a) Critical thinking
b) Constructive criticism
c) Critical dialogue
d) All of the options
d) All of the options
Which amendment to the Ontario Health and Safety Act "requires employers to have policies and programs in place to deal with workplace violence, workplace harassment and domestic violence that may occur in the workplace"?
a) Bill 142
b) Bill 168
c) Bill 148
d) Bill 161
b) Bill 168
Which is the main organization that works with Canadian governments, healthcare organizations, clinicians and patients to make health care more digital to facilitate faster and more seamless information sharing?
a) Canadian Accredited Schools of Nursing
b) Canada Infoway
c) Health Canada
d) Canadian Nurses Association
b) Canada Infoway
Which of the following terms is described as "applying knowledge to improve peoples' health, provide more effective health services and strengthen the health care system"?
a) Critical thinking
b) Change management
c) Knowledge translation
d) Research
Knowledge translation
Which of the following is a relational leadership approach?
a) Transactional
b) Instrumental
c) Laissez-faire
d) Transformational
d) Transformational
As a new manager, you are shocked to learn that your unit is still using heparin in heparin locks. You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit. You are in which stage of Lewin’s (1951) stages of change?
a) Unfreezing.
b) Integrating the change.
c) Refreezing.
d) Experiencing the change.
a) Unfreezing.
Which population are most likely to be perpetrators of workplace violence in healthcare?
a) Colleagues
b) Managers
c) Visitors
d) Patients
d) Patients
Which of the following is described as a "computerized record of care that
clinicians maintain on all clients
within a specific setting that
contains pertinent patient
information"?
a) Electronic Medical Record (EMR)
b) Electronic Health Record (EHR)
c) Electronic Medical Database (EMD)
d) Electronic Chart (EC)
a) Electronic Medical Record (EMR)
Strauss et al. (2009) created a Knowledge-to-action model that is used by the Canadian Institute for Health Research (CIHR). What is the benefit of using this model in clinical practice?
1) it promotes the application of knowledge and process of knowledge translation
2) it mandates nurses to use evidence based practice
3) it is a straightforward, linear model to apply in practice
4) it is values applying knowledge to practice over decision making
1) it promotes the application of knowledge and process of knowledge translation
A nurse manager is conducting yearly assessments of staff nurses. One nurse who stands out as being well-liked and receives positive feedback from patients, staff, and families, possesses a high degree of emotional intelligence. Which of the following characteristics indicates emotional intelligence? (Select all that apply).
a) Increases staff retention.
b) Has confidence dealing with difficult situations.
c) Develops trust among staff.
d) Promotes interprofessional teamwork.
All of the above are correct.
The manager of a surgical area envisions a future that requires the addition of registered nurse (RN) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have always practiced in a primary nursing-delivery system and are very resistant to this idea.
The best initial strategy in this situation would include:
a) Hiring the assistants and allowing the RNs to see what good additions they are.
b) Dropping the idea and trying for the change in another year or so.
c) Exploring the values of the RNs in relation to this change.
d) Leaving the RNs alone for a time so they can think about the change before they are approached again.
c) Exploring the values of the RNs in relation to this change.
A nurse working on a surgical unit is receiving comments from colleagues that make them so uncomfortable that it is impacting their ability to focus on their patient care. What strategies can the nurse use to manage this situation? Select all that apply.
a) Report the colleagues to the supervisor
b) Tell the colleagues that they are feeling uncomfortable with their comments
c) Seek out support from other nurses on the unit
d) Refer to policies and procedures on the unit about workplace violence
a) Report the colleagues to the supervisor
c) Seek out support from other nurses on the unit
d) Refer to policies and procedures on the unit about workplace violence
How does an electronic medical record (EHR) support clinical decision making?
a) Reminds clinicians to perform actions when they are due
b) Includes clinical practice guidelines to provide evidence based treatments
c) Displays patient information in the context of the current situation
d) Alerts clinicians to critical clinical events such as drug interactions
e) All of the above
e) All of the above
Name the components of a PICOT question in conducting research.
Patient population
Intervention
Comparison
Outcome
Time
A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past month. He tells the manager that he very much wants to come to work when scheduled, but must often care for his wife, who is undergoing treatment for breast cancer. In the practice of a strengths-based nursing leader, what would be the best approach to satisfying the needs of this nurse, other staff, and patients?
a) Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse may be calling in frequently in the future.
b) Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife’s treatments.
c) Line up agency nurses who can be called in to work on short notice.
d) Place the nurse on unpaid leave for the remainder of his wife’s treatment.
b) Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife’s treatments.
True or False:
The PDSA cycle is a standalone method that can be applied to implement change in healthcare.
False. PDSA is a cycle that should be used as part of the Quality Improvement process.
A mental health unit is experiencing low staffing for the day shift. Many patients are gathered in the activity room to receive their medications. The security guard outside the unit checking visitors in. The RN enters the activity room and situates themself at the back of the room to allow more patients to enter. Identify 5 risks for workplace violence in this situation.
1) setting is a mental health unit
2) low staffing
3) crowded room
4) decreased security presence
5) solo work in isolated area away from other staff
How can a nurse best incorporate technology into their patient care? Select all that apply.
a) Focus on the patient, not the technology
b) Explain to the patient why you are using the technology
c) Position the technology so the patient cannot see it and be alarmed by the information on it
d) Always begin an interaction by using the technology first to get it out of the way
e) All of the above
a) Focus on the patient, not the technology
b) Explain to the patient why you are using the technology