Leader v. Manager
What role is "inspiring, respectful, and always motivatingthe team to provide the best care"?
Leader
What is STEEEP
Safety
Timely
Efficient
Effective
Equitable
Patient-Centered
What are the 5 rights of delegation?
Right person
Right task
Right circumstance
Right direction
Right supervision
A nurse stops a treatment that is no longer effective and may harm the patient. What ethic principle is this?
Nonmaleficence
Which patient should the nurse assess first?
a. a patient with COPD reporting chronic cough
b. a patient with a leg fracture awaiting surgery
c. a patient with chest pain and diaphoresis
d. a patient with a cast asking for pain medication
c. a patient with chest pain and diaphoresis
A unit is experiencing rapid changes in technology and patient care needs. Which leadership style is most effective for helping staff adapt?
Democratic - builds trust and helps staff adapt during change
A nurse conducts chart audits after patient discharge to review if standards of care were met. This is example of
a. quality improvement
b. quality assurance
c. benchmarking
d. Root cause analysis
b. Quality Assurance
In TeamSTEPPS, a brief is conducted:
a. before the start of shift or procedure
b. after an event to review outcomes
c. during patient deterioration
d. only when conflict occurs
a. before the start of shift or procedure
A nurse tells a patient's family the truth about a sentinel event that occured. This reflects with ethic principle?
Veracity
During progressive discipline, which step follows a verbal warning if behavior does not improve. List the 4 steps.
Written warning.
1. Verbal
2. Written
3. Suspension
4. Termination
A leader believes that followers should be given autonomy if they demonstrate maturity, responsibility, and competence. What Theory?
Hersey-Blanchard Situation Theory- emphasizes adjusting leadership style based on follower maturity status
What is a "never event"? Which of these is an example?
a. post-op infection
b. pressure ulcer in a high risk patient
c. wrong-site surgery
d. patient falls
never events are preventable, serious errors such as wrong-site surgeries (time-out)
A nurse says "Im concerned about this medication dose." The nurse repeats this concern twice. What TeamSTEPPS is being usED?
Two-challenge Rule
A nurse refrains from informing a patient of their high blood pressure to avoid causing anxiety, What ethical principle is this?
Paternalism
A nurse is deciding between two patient assignments. Which tool best provides step-by-step decision making ?
a. decision tree
b. nominal group technique
c. delphi method
d. GANNT chart
a. decision tree
A new graduate RN avoids responsbility, needs constant direction and resists additional tasks, According to McGregor's Theory, this nurse is best catergorized as
a. Theory Y
b. Transformational employee
c. Theory X
d. Servant Employee
Theory X "lazy"
What is a sentinel event?
an incident causing death or permanent harm
What is a DESC script?
Describe situation
Express feelings
Suggest alternatives
Consequences
A nurse knows the correct moral action in a situation but is prevented from acting on hospital policy. What is this?
Moral distress
A nurse smells alcohol on a coworkers breath before their shift. What is the priority action?
Remove the nurse from patient care
a nurse executive motivates employees with salary increases, promotions, and recognition of achievement. What motivational theory is this
Herzbergs two-factor theory (hygiene vs. motivator)
What is the first step in Quality Improvement process?
Establish a benchmark. What is a benchmark?
A nurse oberves a UAP teaching a patient how to use an incentive spirometer. What should the nurse do?
Immediately correct the UAP and take over.
Which step comes FIRST in the ethnical decision-making process.
Identify whether a issue is an ethical dilemma
( State dilemma, Analyze options, select best option, justify, apply & evaluate)
A nurse leader wants to compare several new infusion pumps by rating them on cost, safety, and usability. Which tool should be used?
a. PERT chart
b. GANTT chart
c. Decision-making grid
d. Delphi Method
c. decision-making grid - side-by-side comparison of options using ratings