Delegation
You have a home health aide to assist you with your clients. You know she is visiting a client with several decubitus ulcers. Which of the following can be delegated to the aide?
A. changing the bandages
B. cleansing the stage 2-3 areas
C. reinforcing the bandages
D. reporting changes in the staging of the ulcers
c. reinforcing the bandages
Which statement best describes the purpose of a living will?
A. It appoints a healthcare proxy to make decisions.
B. It provides instructions for end-of-life care if the client is unable to communicate.
C. It allows the nurse to decide on the client’s care when the client is incapacitated.
D. It authorizes the physician to withhold all treatments if the client is terminal.
B. it provides instructions for end of life care if the client is unable to communicate
Which leadership style allows team members the most freedom to make decisions and work independently with minimal oversight?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
C. Laissez-faire
Which of the following actions by a nurse demonstrates a priority focus on patient safety?
A. Asking the nursing assistant to tidy the nurses’ breakroom
B. Immediately cleaning up a medication spill on the floor
C. Waiting until shift change to report a malfunctioning bed alarm
D. Reviewing the unit schedule for upcoming staff meetings
B. immediately cleaning up a medication spill on the floor
Which ethical principle is the nurse demonstrating by respecting a client’s right to refuse treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
B. autonomy
A registered nurse (RN) is caring for multiple clients on a medical-surgical unit. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?
A. Administering a subcutaneous insulin injection
B. Assessing a client's pain level after surgery
C. Assisting a stable client with a morning bath
D. Teaching a newly diagnosed diabetic how to use an insulin pen
C. assisting a stable client with a morning bath
A nurse is admitting an older adult client who has a signed living will. What should the nurse do first?
A. Place a copy of the living will in the medical record.
B. Notify the healthcare provider to review the living will.
C. Ask the client if they want to make any changes to the living will.
D. Tell the family that the living will overrides their input on care decisions.
A. place a copy of the living will in the medical record
A nurse manager encourages staff participation in decision-making, holds regular meetings for input, and values team suggestions. What leadership style is the manager using?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
B. democratic
A nurse manager is conducting safety rounds and identifies multiple cluttered hallways on the unit. Which leadership approach is most appropriate to address this safety concern?
A. Tell staff that leadership will handle it later
B. Delegate the task of clearing the hallways to available staff immediately
C. Ignore it because it is not part of the manager’s role
D. Wait for the safety committee meeting next month to bring it up
B. delegate the task of clearing the hallways to available staff immediately
A nurse leader ensures fair distribution of staff and resources across all units. Which ethical principle does this reflect?
A. Nonmaleficence
B. Fidelity
C. Justice
D. Veracity
C. justice
The RN is preparing to delegate tasks to the healthcare team. Which of the following principles should guide the RN’s delegation decision?
A. Delegate based on personal relationships rather than skill level
B. Always delegate sterile procedures to UAPs
C. Match the task with the competency of the individual
D. Only delegate tasks when the nurse feels overwhelmed
C. match the task with the competency of the individual
A client has a living will stating they do not want to be resuscitated. The family insists on “doing everything possible” if the client’s condition worsens. What is the nurse’s best action?
A. Follow the family’s wishes and prepare to initiate resuscitation.
B. Explain to the family that the client’s wishes, as documented, must be honored.
C. Call the hospital administrator to resolve the conflict.
D. Tell the family they can revoke the living will at any time.
B. explain to the family that the clients wishes, as documented, must be honored.
A new unit manager rarely provides direction, leaves staff to set their own goals, and offers little feedback or support. This is an example of which leadership style?
A. Transformational
B. Laissez-faire
C. Democratic
D. Bureaucratic
B. Laissez-faire
Which safety hazard is the nurse manager most responsible for addressing at the leadership level?
A. An individual nurse not washing hands after patient care
B. A broken wheelchair reported to maintenance
C. A pattern of medication administration errors across multiple shifts
D. A single nurse forgetting to sign off on a patient chart
C. a pattern of medication administration errors across multiple shifts
A nurse promises a client they will return with pain medication in 10 minutes. The nurse leader reminds the staff that keeping such promises reflects which ethical principle?
A. Fidelity
B. Nonmaleficence
C. Autonomy
D. Beneficence
A. Fidelity
Which of the following tasks is most appropriate for a licensed practical nurse (LPN) to perform under the supervision of an RN?
A. Initiating a blood transfusion
B. Administering IV push medications
C. Teaching a client about a new diagnosis of heart failure
D. Monitoring a client with a stable chronic condition
D. monitoring a client with a stable chronic condition
A nurse leader is reviewing documentation practices on the unit. Which situation requires corrective action?
A. A nurse documents that a client with an advanced directive has a DNR order.
B. A nurse places a copy of the client’s living will at the front of the chart.
C. A nurse asks the client about their advanced directives upon admission.
D. A nurse allows the healthcare provider to document advanced directives in the progress notes only.
D. a nurse allows the healthcare provider to document advanced directives in the progress notes only
A transformational nurse leader is best described as someone who:
A. Focuses on punishment and rewards to motivate staff.
B. Maintains strict adherence to hospital policies and procedures.
C. Inspires staff to achieve a shared vision and fosters professional growth.
D. Makes quick decisions independently and directs staff to follow orders.
C. inspires staff to achieve a shared vision and fosters professional growth
A nurse leader wants to improve staff compliance with safety protocols, such as proper use of PPE and safe medication administration. Which strategy best reflects a transformational leadership approach?
A. Conduct surprise inspections and issue written warnings for noncompliance
B. Reward compliant staff with bonuses while penalizing noncompliant staff
C. Engage staff in developing creative solutions and inspire them to take ownership of safety
D. Direct staff to follow written protocols strictly without room for discussion
C. engage staff in developing creative solutions and inspire them to take ownership of safety
A nurse manager notices that a staff nurse withheld information about a client’s terminal prognosis because the nurse didn’t want to upset the client. The manager should remind the nurse that truth-telling is an ethical obligation under which principle?
A. Beneficence
B. Veracity
C. Justice
D. Autonomy
B. Veracity
A charge nurse observes an RN assigning a UAP to obtain vital signs on a newly admitted patient with chest pain. What is the appropriate action by the charge nurse?
A. Support the delegation as vital signs are within the UAP’s role
B. Reassign the task to the RN and explain why assessment is needed
C. Ask the UAP to prioritize other tasks instead
D. Do nothing since the task was already delegated
B. reassign the task to the RN and explain why assessment is needed
A nurse manager is educating staff about honoring advanced directives. Which example requires additional teaching?
A. The nurse updates the plan of care to reflect the client’s DNR status.
B. The nurse confirms the client’s advanced directives when a healthcare surrogate is present.
C. The nurse withholds pain medication because the client has a do-not-treat order.
D. The nurse advocates for honoring the client’s living will, even when family members disagree.
C. the nurse withholds pain medication because the client has a do-not-treat order.
A nurse manager leads a unit under significant organizational change. To successfully guide the team, which leadership style should the nurse apply to best promote innovation, staff engagement, and long-term success?
A. Autocratic, to ensure compliance and efficiency during change
B. Bureaucratic, to strictly follow policies and limit resistance
C. Transformational, to motivate staff through a shared vision and trust
D. Transactional, to reward staff for meeting immediate change-related goals
C. transformational, to motivate staff through a shared vision and trust
During a unit safety review, a nurse manager identifies that incident reports are not being submitted consistently. Which leadership action best addresses both accountability and a culture of safety?
A. Emphasize to staff that failure to report incidents will result in disciplinary action
B. Collaborate with staff to identify barriers to reporting and create a nonpunitive reporting process
C. Assign one nurse per shift to be solely responsible for completing all incident reports
D. Allow staff to decide independently whether reporting incidents is necessary
B. collaborate with staff to identify barriers to reporting and create a nonpunitive reporting process
A nurse leader is reviewing an ethical dilemma where providing aggressive treatment may prolong life but will likely cause significant suffering without meaningful recovery. Which two ethical principles are most in conflict in this situation?
A. Justice and veracity
B. Beneficence and nonmaleficence
C. Autonomy and fidelity
D. Veracity and nonmaleficence
B. Beneficence and nonmaleficence