Prof. Concepts II Exam 1 Practice Questions

a. Providing standardized content

**the characteristics of a profession are -standardized education, knowledge, commitment to service, code of ethics, autonomy, responsibility, accountability, and professional organization

Two nurses are discussing nursing school programs. Which of the following is a characteristics of a profession that is accomplished by schools of nursing?

a. Providing standardized content

b. Providing NCLEX-RN preparation courses

c. Offering multiple programs to become a nurse

d. Allowing the students to pick their clinical sites

c. "Nursing as a profession has a social contract between nursing and society"

A group of new nurses are discussing nursing as a profession. Which of the following is an appropriate statement to make?

a. "Nursing as a profession is the art and science of healing"

b. "Nursing as a profession is accountable for the use of effective medications"

c. "Nursing as a profession has a social contract between nursing and society"

d. "Nursing as a profession requires a 4-year degree"

c. Rechecking the vital signs taken by the assistive personnel

Which of the following actions displays professional autonomy?

a. Communicating with the assistive personnel about charting

b. Delegating to the assistive personnel to obtain vital signs on the client

c. Rechecking the vital signs taken by the assistive personnel

d. Listening to the day-shift nurses give report on the clients

b. Staying for the in-service after work

**shows thats the nurse is being accountable by maintaining competence to deliver high-quality, safe care

Which of the following actions displays professional accountability?

a. Delegating care to the next shift

b. Staying for the in-service after work

c. Communicating job stressors to the charge nurse

d. Picking up a patient's leftover food try when they're finished with the meal

b. Code of Ethics for Nurses

Which of the following resources provides guidance on the legal responsibilities of nurses to clients and society?

a. Nursing's Social Policy Statement

b. Code of Ethics for Nurses

c. Scope and Standards of Practice

d. NAPNES

A nurse who displays a selfless concern for others is exhibiting which of the following core professional nursing values?

a. Accountability

b. Altruism

c. Responsibility

d. Human justice

a. Technical competence

c. Concern for others

d. Interpersonal skills

Which of the following are characteristics exhibited by a professional? (Select all that apply)

a. Technical competence

b. Self-centeredness

c. Concern for others

d. Interpersonal skills

e. Ethnocentrism

a. American Nurses Association

Which of the following professional associations advances the nursing profession by creating high standards for nursing practice?

a. American Nurses Association

b. National League for Nursing

c. American Association of Colleges of Nursing

d. National Student Nurses' Association

b. Through classroom and clinical experiences in nursing school

Where are the formal expectations of the nursing profession first learned?

a. Working as a new nurse in a healthcare facility

b. Through classroom and clinical experiences in nursing school

c. During a relationship with an informal mentor

d. Hearing from other nurses about their professional experience

a. State Board of Nursing

Which of the following is responsible for authorizing the practice of nursing?

a. State Board of Nursing

b. NCLEX

c. American Nurses Association

d. Federal Government

c. Professional values

Which of the following is one of the foundations of the nursing profession?

a. Personal morals

b. Professional identity

c. Professional values

d. Personal traditions

b. Preparing for a committee meeting by reviewing the agenda and supplemental materials, so that you can be an active participant in the meeting

**A follower would prepare for a meeting so that he or she can be an active participant rather than arriving at the meeting unprepared to contribute to the group activities

Which best demonstrates the concept of followership?

a. Completing the tasks associated with your patient assignment without deviation with the intent of receiving praise from your manager

b. Preparing for a committee meeting by reviewing the agenda and supplemental materials, so that you can be an active participant in the meeting

c. Assessing a clinical situation and following a set of guidelines in order to delegate tasks to unlicensed personnel

d. Administering medications to patients in conjunction with other nursing actions in order to make effective use of your time

c. Share with their team members what they know about the aims of providing health care

A new graduate nurse is employed in a small community hospital. The nurse notices practices which seem to be very physician driven and that patients have little input into their care. Families are seen as a nuisance rather than as partners in potential care provision. What is the best approach for the new nurse to use for improving care in this setting?

a. Do nothing, as they are too new to the organization to make change

b. Share with the physician the recommendations from various IOM reports

c. Share with their team members what they know about the aims of providing health care

d. Report the team members to the chief nursing officer who is unlikely to know the lack of details on this unit

d. An informal leader

**An informal leader is one who does not hold title but rather leads from an informal way by actions and behaviors

A new nurse works on a busy medical-surgical unit. While the charge nurse keeps the unit organized and running smoothly, the nurse notices that another experienced nurse is the nurse to whom most of the other nurses ask questions and seek information. How does the new nurse view this experienced nurse?

a. A formal leader

b. A positional leader

c. An official leader

d. An informal leader

c. Increased job satisfaction

Which of the following represents outcomes of transformational leadership?

a. Deadlines are met

b. Work is completed according to the rules

c. Increased job satisfaction

d. Pay tends to be higher

d. Maintain likeability

**Although likeability may derive from effective leadership, it may not always be the case when leaders strive hard to do the right thing

Which of the following is not a rule of leadership?

a. Maintain a positive attitude

b. Listen to people

c. Maintain balance

d. Maintain likeability

a. standardized education

b. commitment to service

c. code of ethics

d. professional organizations

Which of the following demonstrate how nursing is a profession? (Select all that apply)

a. standardized education

b. commitment to service

c. code of ethics

d. professional organizations

e. nursing workforce unions

c. ANA Code of Ethics

d. ANA Scope and Standards of Practice

e. ANA Principles for Nursing Practice

Where can nurses nd guidance on the Standards of Practice? (Select all that apply)

a. Nebraska State Nurse Practice Act

b. State Nurse Practice Acts

c. ANA Code of Ethics

d. ANA Scope and Standards of Practice

e. ANA Principles for Nursing Practice

c. increased job satisfaction

Which of the following represents outcomes of transformational leadership?

a. meeting deadlines

b. completing work according to the rules

c. increased job satisfaction

d. higher pay

b. preparing for a committee meeting by reviewing the agenda and supplemental materials in order to be an active participant in the meeting

Which of the following best represents followership?

a. completing the tasks associated with a patient assignment without deviation with the intent of receiving praise from the manager

b. preparing for a committee meeting by reviewing the agenda and supplemental materials in order to be an active participant in the meeting

c. assessing a clinical situation and following a set of guidelines in order to delegate tasks to unlicensed personnel

d. administering medications to patients in conjunction with other nursing actions in order to make effective use of time

b. False

True or False: A group is a number of individuals collaborating on specific work with a specific outcome.

a. True

b. False

a. True

True or False: In an effective team, the objective is understood and supported by all team members

a. True

b. False

a. forming

Group members get to know each other, and the appointed leader goes over project rules identifies tasks which need to be completed, and guides the group in next steps. What stage of team formation is this group demonstrating?

a. forming

b. storming

c. norming

d. performing

a. nurses

b. CNAs

d. dieticians

The nursing unit holds 28 patients. There is a problem with the delivery of diet trays to thepatients. Who should you want on your interprofessional team? (Select all that apply)

a. nurses

b. CNAs

c. pharmacists

d. dieticians

a. model evidence-based practice

b. share best practices within the organization

c. work in interdisciplinary teams

d. evaluate the quality of care being provided

Which of the following roles should a leader take in building quality and safety in the clinical environment? (Select all that apply)

a. model evidence-based practice

b. share best practices within the organization

c. work in interdisciplinary teams

d. evaluate the quality of care being provided

e. do what has always been done due to personal preference

Which of the following roles/responsibilities should a manager take in building quality and safety in the clinical environment? (Select all that apply)

a. monitor quality metrics on his or her unit/department

b. use EBP to help the team make changes to improve quality

c. have knowledge of state, federal, and accreditation quality metrics

d. communicate quality goals with his or her department/unit

e. delay unit adoption of evidence based quality initiatives

d. reducing the fall rate to zero falls on the med-surg unit in October

Quality improvement consists of assessing structure, process, and outcomes. Which of thefollowing is an example of a patient-centered quality outcome?

a. having an effective Electronic Medical Record (EMR)

b. documenting in a timely manner

c. following "best practices"; using "bundles" or "critical pathways"

d. reducing the fall rate to zero falls on the med-surg unit in October

a. True

True or False: Risk management is designed to look at a system and prevent errors before they occur.

a. True

b. False

a. systems theory

Which of the following systems is comprised of four element - structure, technology, people, and the environment?

a. systems theory

b. chaos theory

c. complex adaptive systems theory

d. theory of reasoned action

a. True

True or False: Nurses must be alert to internal and external forces which affect changes in their environment and participate in the changes.

a. True

b. False

b. Leader enforces and relies on discipline

Which of the following is NOT a characteristic of the democratic leadership style?

a. Leaders ask before doing anything

b. Leader enforces and relies on discipline

c. Leader works together with the members as a group

d. Leader considers followers' opinions and ideas

a. Transactional

Bill Gates was known for visiting all his sites and questioning his people repeatedly until he knew they were on track, on target, and could accomplish the task. Bill would have intense 1:1 discussions, he is task-oriented, he provided corrections when needed, and rewarded those who helped others succeed. He drove everyone as hard as he has driven himself. Which of the following leadership styles best describes Bill?

a. Transactional

b. Laissez-faire

c. Servant

d. Autocratic

b. Recognize the knowledge and skills of each member of the team

d. Encourage the client and family to participate in the team meeting

e. Support team member requests for referral

A nurse who has just assumed the role of unit manager is examining the skills necessary for interprofessional collaboration. Which of the following actions support the nurse's interprofessional collaboration? (Select all that apply)

a. Use aggressive communication when addressing the team

b. Recognize the knowledge and skills of each member of the team

c. Ensure that a nurse is assigned to serve as the group facilitator for all interprofessional meetings

d. Encourage the client and family to participate in the team meeting

e. Support team member requests for referral

a. Obtain vital signs for a client who is 2 hr postop following a cardiac catheterization

**within the scope of practice for the LPN to monitor a client who is 2hr post op for a catheterization because the client is considered stable

An RN on a medical surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN?

a. Obtain vital signs for a client who is 2 hr postop following a cardiac catheterization

b. Administer a unit of packed red blood cells to a client who has cancer

c. Instruct a client who is scheduled for discharge in the performance of wound care

d. Develop a plan of care for a newly admitted client who has pneumonia

c. Ask the UAP if they need assistance

An LPN ending their shift reports to the RN that a newly hired UAP has not calculated the intake and output for several clients. Which of the following actions should the RN take?

a. Complete an incident report

b. Delegate this task to the LPN

c. Ask the UAP if they need assistance

d. Notify the nurse manager

d. Right supervision

A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?

a. Right circumstances

b. Right communication

c. Right person

d. Right supervision

a. A client who is postoperative following a lobectomy and has a chest tube

A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?

a. A client who is postoperative following a lobectomy and has a chest tube

b. A client who is being discharged to a long-term care facility

c. A client who needs teaching about insulin self-administration

d. A client who needs teaching prior to initiating cardiac rehab activities

b. The UAP has the knowledge and skill to perform the task

When planning delegation of tasks to a UAP, a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

a. The UAP's ability to prioritize

b. The UAP has the knowledge and skill to perform the task

c. The UAP's rapport with clients

d. The UAP's ability to complete the task without assistance

d. The physiologic status of the clients on the unit

A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?

a. The most experienced nurse receives the more complex clients

b. Personal comfort level in making the assignments

c. Social relationships between nurses working on the oncoming shift

d. The physiologic status of the clients on the unit

b. An older adult client who has a history of HF and is ready for discharge

c. A young adult client who is 24 hr postoperative following an appendectomy

d. An older adult client who is 36 hr postoperative from a traditional cholecystectomy

A nurse is planning care for a group of clients. The nurse should delegate obtaining vital signs to a UAP for which of the following clients? (Select all that apply)

a. A middle adult client who has status asthmaticus

b. An older adult client who has a history of HF and is ready for discharge

c. A young adult client who is 24 hr postoperative following an appendectomy

d. An older adult client who is 36 hr postoperative from a traditional cholecystectomy

e. A young adult client receiving continuous IV infusion of regular insulin for DKA

b. Scheduling a diagnostic study for a client

A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the LPN?

a. Admission assessment of a new client

b. Scheduling a diagnostic study for a client

c. Evaluating changes to a client's pressure ulcer

d. Teaching a client insulin injection techniques

a. The State Nurse Practice Act

An RN is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following is important for the nurse to understand when delegating tasks to the LPN?

a. The State Nurse Practice Act

b. The National Association for Practical Nurse Education and Services Standards

c. The National Council of State Boards of Nursing Decision Tree

d. The Omnibus Budget Reconciliation Act of 1987

c. The client who is actively dying and requires IV pain medication

An RN is making nursing staff assignments for his team consisting of himself, two LPNs, and a UAP. Which of the following clients should he assume responsibility for?

a. The client who requires frequent ambulation

b. The client who is in protective isolation

c. The client who is actively dying and requires IV pain medication

d. The client who is 3 days postoperative and requires a dressing change

a. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum

**does not require nursing judgement

A nurse on the postpartum unit is caring for a group of clients with a UAP. Which of the following tasks should the nurse plan to delegate to the UAP?

a. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum

b. Observe an area of redness on the breast of a client who is 1 day postpartum

c. Monitor vital signs during admission of a client who has gestational hypertension

d. Change the perineal pad of a client who just transferred from labor and delivery

c. "The nurse should consider the UAP's level of experience when making delegation decisions"

A nurse manager is providing an inservice program about delegation to AP with staff nurses on the unit. Which of the following statements by a staff nurse indicates understanding of the teaching?

a. "The nurse relinquishes accountability for client outcomes when care is delegated to a UAP"

b. "The UAP can provide client education about how to perform basic self-care to the client"

c. "The nurse should consider the UAP's level of experience when making delegation decisions"

d. "The UAP can re-delegate a task to another UAP who has similar work experience"

b. Secondary

When caring for a patient who had a hip replacement that morning, a nurse is providing what level of care?

a. Primary

b. Secondary

c. Tertiary

d. Essential

c. Accountable care organizations

To maximize the coordination of care, provide seamless transitions, and improve quality of care, organizations are increasingly turning to which organizational structure?

a. Academic medical centers

b. Public health institutions

c. Accountable care organizations

d. Proprietary, investor-owned organizations

a. Position management and administrative levels to coordinate and facilitate the work of the practicing nurses

What is the most effective strategy for an organization to take in order to maximize authority and accountability for all aspects of nursing practice in the nurses responsible for the delivery of care?

a. Position management and administrative levels to coordinate and facilitate the work of the practicing nurses

b. Define in specific detail the daily activities of frontline nurses

c. Have nurses report directly to physicians

d. Develop multidisciplinary teams of care providers

b. Circumstances

The charge nurse is question in if the staffing ratios demand the use of high-level delegation strategies. What "delegation right" is she assessing in this thought process?

a. Task

b. Circumstances

c. Person

d. Communication or direction

d. Legal authority

What is the appropriate term for the ability to transfer selected nursing activities in a given situation to a competent individual?

a. Supervision

b. Accountability

c. Responsibility

d. Legal authority

b. Decrease the registered nurse's accountability

Delegation, a multifaceted decision-making process, what is NOT a reason to implement delegation?

a. Improve the work performance of staff

b. Decrease the registered nurse's accountability

c. Achieve nursing goals

d. Improve patient care outcomes