Leadership
A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?
Autocratic
Which nursing care task is acceptable for a registered nurse to delegate to an assistive personnel (AP)?
a. Assisting a client with ambulation
b. Evaluation of nursing care delivered to a client
c. Initial and ongoing assessments
d. Development of a client teaching plan
a. Assisting a client with ambulation
Which of these statements regarding a nurse manager role is accurate?
a. The nurse manager’s main role in the nursing unit is to manage the unit budget.
b. To effectively manage the nursing unit, the nurse manager should also be a leader.
c. A healthy work environment is not within the scope of the nurse manager’s role.
d. The nurse manager will decide on the financial targets for the nursing unit.
b. To effectively manage the nursing unit, the nurse manager should also be a leader.
A client scheduled to have hip replacement surgery states, "I am so scared of the surgery and of the anesthetic." What is the best response by the nurse?
a. “Your wife will be in the surgery waiting room the entire time.”
b. “What will happen if you don't have surgery?”
c. “What questions do you have about the surgery?”
d. “You really don't have anything to worry about.”
c. “What questions do you have about the surgery?”
A nurse tells a client, "Are you going to get out of bed, or are you just going to sleep all day and night?" This is an example of which barrier to communication?
a. Using comments that give advice
b. Using judgmental or belittling language
c. Using leading questions
d. Using probing questions
b. Using judgmental or belittling language
A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance?
a. Tell the staff that if they don't like it, they can quit.
b. Implement change rapidly and all at once.
c. Encourage open communication and feedback.
d. Let the staff know that the change is mandated.
C. Encourage open communication and feedback.
The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person (UAP). Which task is appropriate for the UAP to complete?
a. Bathing a combative client
b. Inserting an indwelling urinary catheter
c. Taking an order over the telephone from a physician
d. Assessing a client's wound
a. Bathing a combative client
The nurse is completing an admission assessment with a client. The client looked down and became tearful when asked about feeling safe at home. How would the nurse respond to the nonverbal communication displayed by the client?
a. “I am glad that you feel safe at home; everyone should feel safe at home.”
b. “Is someone abusing you at home? I need to report this to the police.”
c. “You seem upset. You are safe here and can talk to me confidentially.”
d. “Do you want me to call the police for you? You seem scared to be at home.”
c. “You seem upset. You are safe here and can talk to me confidentially.”
During an annual performance review with an employee, the nurse managerdoes not maintain eye contact and seems concerned about the time and thenext appointment. What type of communication is the manager exhibiting?
a. Consistent
b. Verbal
c. Nonverbal
d. Clarifying
c. Nonverbal
A client is being prepared for cardiac catheterization. The nurse performs an initial assessment and records the vital signs. Which data collected can be classified as subjective data?
a. Blood pressure
b. Nausea
c. Heart rate
d. Respiratory rate
b. Nausea
How might one define leadership?
a. Leadership is the process of planning, organizing, directing, and controlling activities.
b. Leadership is the process of guiding, educating, motivating, and directing others.
c. Leadership is the process by which the leader shares power with others.
d. Leadership is the process of interviewing, hiring, and firing personnel.
b. Leadership is the process of guiding, educating, motivating, and directing others.
The registered nurse (RN) wants to delegate measuring a client’s urinary outputto an unlicensed assistive personnel (UAP). Which factors should the nurseconsider before delegating the task?
a. The complexity of the activity, age of the UAP, and predictability of the outcome
b. Predictability of the UAP, the amount of time required for the task, and RN’s skill level
c.The stability of the patient’s condition, potential for harm, and complexity of the activity
d.The context of the other patient needs, the desired outcome, and autonomy of the patient
c.The stability of the patient’s condition, potential for harm, and complexity of the activity
A nurse is discharging a client and thus terminating the nurse–clientrelationship. Which action should the nurse perform in this phase?
a. Make formal introductions
b. Create a contract regarding the relationship
c. Provide assistance to achieve goals
d. Examine goals of the relationship to determine whether they were achieved
d. Examine goals of the relationship to determine whether they were achieved
A nurse is caring for a client with a diagnosis of metastatic lung cancer. The nurse finds the client sitting in a chair while staring out the window. What statement by the nurse communicates concern and caring about the client?
a. "Don’t worry. There are all kinds of cancer treatments available. You will be just fine.”
b. “I think you should talk to your friends and family, getting their help and support will make you feel better.”
c. “You are going to be okay. Your doctor is one of the best cancer specialists and knows the best way to treat your cancer.”
d. "I can imagine you have many concerns about your health. Tell me what is on your mind."
d. "I can imagine you have many concerns about your health. Tell me what is on your mind."
The nurse is performing an assessment on a newly admitted client. The client states, "I feel really nervous." This is an example of which type of data?
a. Subjective
b. Objective
c. Intuition
d. Hunch
a. Subjective
What type of leader shares decisions and activities with group participants?
a. Democratic
b. Autocratic
c. Laissez-faire
d. Situational
a. Democratic
Which type of health problem requires both physician- and nurse-prescribed actions to address?
a. Independent health problem
b. Collaborative health problem
c. Physician-developed problem
d. Interdisciplinary health problem
b. Collaborative health problem
Which is recommended when conducting a client-nurse interview?
a. Focus on notes so as not to make the client uncomfortable.
b. Focus on the computer so as not to make a mistake.
c. Focus full attention on the client.
d. Focus on interventions being planned for this client.
c. Focus full attention on the client.
The nurse must use appropriate interviewing techniques to elicit accurate and complete health information. Which statement is an example of an open-ended question or comment?
a. “What brought you to the hospital this morning?”
b. “Are you having pain right now?”
c. “You seem upset today. Are you?”
d. “I’ll be back in 30 minutes to check on your pain relief.”
a. “What brought you to the hospital this morning?”
A nurse has just taken vital signs on a newly admitted client. Vital signs would be entered on the client record as which type of data?
a. Subjective
b. Objective
c. Intuitive
d. Hunches
b. Objective
A client who has to undergo a parathyroidectomy is worried about possibly having to wear a scarf around the neck after surgery. What nursing diagnosis should the nurse document in the care plan?
a. Risk for Impaired Physical Mobility due to surgery
b. Ineffective Denial related to poor coping mechanisms
c. Disturbed Body Image related to the incision scar
d. Risk of Injury related to surgical outcomes
c. Disturbed Body Image related to the incision scar
Which nursing diagnosis has priority?
a. Ineffective Airway Clearance related to retention of secretions
b. Disturbed Sleep Pattern related to abdominal incisional pain
c. Self-care Deficit: Bathing related to joint inflammation
d. Constipation related to decreased fluid intake and decreased mobility
a. Ineffective Airway Clearance related to retention of secretions
A nurse assesses a client, obtaining the information from a primary source. The nurse has gathered the information from which source?
a. The client's spouse
b. The client
c. The client's health care records
d. A primary care physician
b. the client
A nurse is caring for a client who sustained a spinal cord injury and has paraplegia. The client is frustrated, crying, and tells the nurse, "I just want to die.” What is the nurse’s best response to the client?
a. The nurse leaves the room quietly and silently.
b. The nurse says, "I can only imagine how hard this is on you. How can I help you?"
c. The nurse places a warm blanket over the client's legs.
d. The nurse says, "I am so sorry this happened to you."
b. The nurse says, "I can only imagine how hard this is on you. How can I help you?"
Which is an example of objective data?
a. A client receiving chemotherapy reports nausea.
b. A client reports feeling very anxious about tests the client is undergoing.
c. A client with inner ear infections reports dizziness.
d. The skin of a client who has liver failure has a yellowish tint.
d. The skin of a client who has liver failure has a yellowish tint.