Leadership E2

A charge nurse has discovered that a medication error was made on the previous shift. What is the nurse's best action?

Select one

Document in the client's chart that an incident report will be completed

Document the incident and follow it up as per hospital policy Correct

Share that information with the charge nurse on the previous shift

Write a memo to the nurse who made the error requesting an incident report be written

A nurse is facing a malpractice suit after an incident where a client received the wrong dose of medication. Which elements must be present to prove malpractice? Select all that apply.

Select one or more

Causal relationship between inadequate care and injury Correct

Breach of duty Correct

Ability to foresee harm Correct

Intent to cause harm

Presence of injury Correct

For which client are the provisions of the Patient Self-Determination Act (PSDA) most likely to be significant?

Select one

A client whose reduced ability to perform activities of daily living (ADLs) has required an admission to long-term care

A client whose neonate has just died of sudden infant death syndrome (SIDS)

A client who has just experienced an ischemic stroke and whose prognosis is poor Correct

A client who has recently been diagnosed with HIV

In which situations does the nurse-manager have a legal responsibility for reporting? Select all that apply.

Select one or more

A nursing assistant has reported a suspected incident of elder abuse. Correct

A pediatric client reports physical abuse in the home. Correct

There is a confirmed case of a reportable infectious disease. Correct

A nurse had to work 2 hours of overtime because another nurse failed to report for a shift.

A nurse is suspected of providing substandard medical care. Correct

Which action should the nurse prioritize when trying to prevent malpractice claims?

Select one

Always functioning with the scope of the nursing practice act Correct

Always carrying a personal liability insurance policy

Devoting time to establishing an effective nurse-client relationship

Asking for assistance when engaged in complicated procedures

A state Nurse Practice Act is an example of which source of law?

Select one

Administrative

Statutes Correct

Judicial

Constitution

A manager is trying to get in the habit of creating a daily list of tasks. The manager should

Select one:

include flexibility in the implementation of the list. Correct

keep the list highly structured, thus decreasing the possibility of procrastination.

avoid changing the list once initial planning is completed.

include all relevant short-term, intermediate, and long-term goals.

The nurse-manager of a hospital unit has categorized some tasks in the "do now" category. The tasks most likely reflect

Select one:

I. issues related to long-term goals.

II. problems that cannot be safely delegated.

III. the unit's day-to-day operational needs. Correct

IV. large, time-consuming tasks.

What is the best response for a nurse-manager to handle someone who has a pattern of lengthy chatter?

Select one

"I am sorry but I do not have anytime today to talk with you."

"We'll need to make it brief since my schedule is tight today."

"I can't speak with you now, but I'm going to have free time at 11 AM." Correct

"Stop by and we can talk during your lunch break."

What is the primary reason for documenting nursing interventions as soon as possible after an activity is completed?

Select one

Decreasing the risk of inaccurate documentation Correct

Demonstrating professional nursing behavior

Observing an established nursing principle

Implementing effective time management skills

Which activity is associated with a leadership role in time management?

Select one

Prioritizing day-to-day planning to meet short-term and long-term unit goals

Utilizing technology to facilitate timely communication and documentation

Assisting followers in working cooperatively to maximize time use Correct

Building time for time management planning into the work schedule

A health-care organization has laid off several RNs and hired numerous NAPs in their place. What effect is this change most likely to have on the remaining RNs?

Select one

Cultural variables will become a larger consideration.

The RNs' level of liability will increase. Correct

The RNs' scope of practice will become expanded.

There will be a risk of the RNs underdelegating.

A manager needs to delegate some tasks. What consideration should the manager prioritize when identifying the appropriate person to whom to delegate a specific task?

Select one

Whether the person has experience with similar tasks

The fiscal cost of delegating the task

Whose turn it is to delegate a task

The qualifications of the person regarding the task Correct

A member of the team has been delegated some tasks and reports, "I've been given too much to do and I'm not going to be able to complete the work on time." What is the RN's best initial action?

Select one

Have the team member perform only the most necessary tasks.

Assign the work to another team member.

Take on the responsibility of the tasks.

Examine the workload and assist the individual in reprioritizing. Correct

Question 15Correct1.00 points out of 1.00Not flaggedFlag question

A nurse delegated some tasks to a nurse several hours ago. The manager has now learned that the nurse did not complete any of the delegated tasks. What is the manager's best initial action?

Select one

Assertively state the expectation that delegated tasks will be completed on time.

Document the nurse's insubordination and arrange a private meeting.

Determine exactly why the nurse did not complete the delegated tasks. Correct

Take action to reestablish the authority power gap.

A registered nurse (RN) was working with a nursing assistive personnel (NAP) and delegated some tasks to the NAP. The NAP exceeded his scope of practice and caused injury to a client. Ultimate responsibility for this adverse event lies with whom?

Select one

The RN Correct

The unit's nursing manager

The facility's director of nursing

The NAP

A subordinate is reluctant to accept a task that the nurse-manager wants to delegate. The manager suspects that the subordinate's reluctance is due to a lack of self-confidence. What is the manager's best initial action?

Select one

Restate the importance of the task to the subordinate.

Offer a reward to the subordinate in order to motivate.

Teach the subordinate about the value of self-confidence.

Try to empower the subordinate. Correct

An RN is leading a care team on a busy hospital unit. What tasks is the RN justified in delegating to NAP? Select all that apply.

Select one or more

Repositioning an immobile client every 2 hours Correct

Assessing a client's surgical wound

Feeding a client who has unilateral weakness Correct

Weighing a client who has chronic heart failure Correct

Transporting a client to a diagnostic test Correct

An RN needs to confirm the specific delegation parameters for RNs. The RN should refer to guidelines from what organization?

Select one

The State Board of Nursing Correct

The Joint Commission

U.S. Department of Health and Human Services

National League for Nursing (NLN)

The nurse-manager is overseeing a culturally diverse group of staff. The manager should consider what variables when planning delegation? Select all that apply.

Select one or more

Intelligence

Concepts of time Correct

Biological variations Correct

Communication style Correct

Social organization Correct