Which action indicates a nurse leader is following the chaos theory?
Develops specific short and long term plans with evaluation outcomes
Works side by side with physician mentors
Uses intuition and is comfortable with uncertainty
Rethinks the past and mo
Uses intuition and is comfortable with uncertainty
Which most significant characteristic will assist nurses to grow in this chaotic healthcare environment?
Steadfastness
Flexibility
Rigidity
Efficiency
Flexibility
When someone questions a procedure, a commonly heard statement by many nurses is "We've always done it this way". Which description best illustrates this attitude
Providing commitment
Desiring group cohesiveness
Limiting change
Honoring the past
Limiting change
Which action will help a nurse provide strategic leadership?
Expect few nurses to be leaders
Avoid the edge of chaos
Focus on predictability
Work smarter
Work smarter
A nurse wants to make a change on the unit. Which principle should the nurse remember?
One's past experience with change does not affect participation
People should be informed to change
A change in one part of the system affects
other parts of the system
A change in one part of the system affects other parts of the system
A nurse has a conflict with a coworker and uses avoidance. Which outcome will most likely occur?
Cause tension while negatively influencing care
Will improve with time
Generate a win-win situation
Result in compromise with both parties
Cause tension while negatively influencing care
Which action by a nurse leader is paramount for making innovative changes in nursing?
Using diverse skill sets
Interconnecting solely with members of the nursing discipline
Seeing the healthcare team as the focus of care
Incorporating a single perspective
Using diverse skill sets
Compare Kotter's model of change to Lewin's framework for assistance in initiating a goal for nursing. Which steps of Kotter's model correlate to Lewin's stage 2? Select all that apply.
Offer incentives for success of the goal
Encourage risk-taking
Identi
Offer incentives for success of the goal
Encourage risk-taking
Evaluate implications of the change as it takes hold
A nurse leader is mentoring, providing personal attention, and role modeling.Which leadership element is the nurse demonstrating?
Developing/renewing followers
Formulating a vision
Facilitating change
Providing stewardship
Developing/renewing followers
Which important quality of a leader is often overlooked?
Being a risk taker
Being cautious
Being cost effective
Being careful not to "upset anyone in authority
Being a risk taker
Broome (2011) asserts that leaders who will shape the future need to:
Be aware of followers needs to have rests or vacations every 2-3 months
Develop strong business plans that keep the "bottom line" down
Push the organization's mission and goals no matte
Know when to lead and when to follow
A nurse manager uses an assessment tool to identify 8 practices, such as sensing & envisioning, & uses observations to identify personality characteristics to identify new nurses for leadership. Which 2 theories did the nurse manager blend?
complexity the
innovative leadership theory and trait theory
In Chinn's (2012) Peace and Power, you learned that peace is not the same as "keeping the peace". Which of the following are examples of destructive habits within a group? Select all that apply.
Self-empowerment
Fostering constructive solution to problems
Playing it safe in order to avoid confrontation
Doing whatever is required to keep on good terms
Withholding information to protect someone else
Chaleff asserts that followers do not orbit around a leader. Instead, followers and leaders both orbit around their:
Organization's mission
Mutual purpose
Personal needs
Shared history
Mutual purpose
How should followership be defined?
A role one chooses to accept
The least significant aspect of a leadership "event".
Something that cannot be taught or cultivated
A well-defined science
A role one chooses to accept
Which action indicates the nurse is an effective follower?
Participates actively, rather than passively
Needs clear direction to accomplish each task
Is more dependent that independent of the leader
Goes along with, rather than challenges the ideas of the
Participates actively, rather than passively
A follower thinks critically about the leader's suggestions but remains passive & perhaps somewhat hostile. What type of follower is this?
Contributor
"Yes" person
Sheep
Alienated follower
Alienated follower
A follower assumes an active role because the leader has credibility. According to Kouzes and Posner (2011), which characteristics make leaders have credibility?
Competence , aggressiveness, and holding a position of authority
Visionary, controlling, and
Honesty, ability to be inspiring, and forward-looking
How can nurse leaders and nurse followers facilitate collaboration?
Function more independently, rather than interdependently
Empower one another
Follow the medical orders without question
Assume a subordinate role in the health care system
Empower one another
A follower is an active participant but is dependent on others & doesn't engage in critical thinking. What type of follower is this nurse?
"Yes" person
Star follower
Alienated follower
Sheep
Yes" person
Which description best portrays an effective nurse follower?
Is reflective, spontaneous, and focused on working as autonomously as possible
Is self-directing, looks at the "bigger picture" and speaks truthfully
Is visionary, dedicated to accomplishing the
Is self-directing, looks at the "bigger picture" and speaks truthfully
Several nurses on a unit consistently criticize new practice areas that are generated & are rude to new orientees & students. How should nurse leaders on this unit best help those nurses to become better followers?
Ask them to propose solutions to the pra
Ask them to propose solutions to the practices they are criticizing
Parse (2009) reflects on the importance of power in her human becoming leading-following model. Parse acknowledges that power lies in one's position but also emphasizes which other concept?
Power that lies within the person is most effective
Expert power
Power that lies within the person is most effective
A nurse manager uses transformational leadership and maximizes unit participation in unit decisions. What is the vision of the nurse manager for staff members?
To enroll in a continuing education or graduate program to meet goals
To empower nurses to purs
To work cohesively and collaboratively for meeting goals
Which principle will a transformational leader follow?
Leaders and followers raise one another to higher levels of motivation and morality
Management skills will empower employees more than leadership skills
The focus of the job is strictly to prevent emp
Leaders and followers raise one another to higher levels of motivation and morality
Which outcome is priority for a transformational leader?
Increased morale
High patient satisfaction
100% completion of isolated task
Mutual involvement
Mutual involvement
Which practice should a transformational nurse leader include according to Maslow?
Perform favors for selected individuals
Do not challenge the status quo
Celebrate followers' accomplishments
Be ready to react
Celebrate followers' accomplishments
Core attributes of professional governance include (Select all that apply)
Unit -based committees
Peer recognition
Decision-making
Accountability
Professional obligation
Collateral relationships
Decision-making
Accountability
Professional obligation
Collateral relationships
A study by Wilson, Speroni, Jones, & Daniel (2014) suggested that 4 primary factors influenced participation in shared governance activities (Select all that apply)
Unit-based committees
Optimal patient care
Compensation
Support
Teamwork
Self-scheduling
Optimal patient care
Compensation
Support
Teamwork
Match the following organizational antecedents of Work Life and Work Engagement/Burnout:
Workload
Values
Community
Control
Rewards
- relationship between the work demands placed on an employee a specified amount of time and resources
- the employee's deci
Workload- relationship between the work demands placed on an employee a specified amount of time and resources
Control- The employee's decision-making and autonomy in the job
Community- The quality of social interactions in the workplace
Rewards- Recognit
Match the following characteristics of emotional intelligence (matching)
Social skills
Self-regulation
Motivation
Self-awareness
Empathy
? the ability to understand where...
? the ability to take a mental...
? continuous striving to improve...
? the abili
Self-awareness ? the ability to understand where...
Self-regulation ? the ability to take a mental...
Motivation ? continuous striving to improve...
Empathy ? the ability to identify and understand...
Social skills ? managing conflict resolution
Match the following stages of conflict (matching)
Aftermath
Latent stage
Felt stage
Perceived stage
Manifest stage
Can be described as "a conflict brewing"
Outcome of a conflict, resolution, or dissolution
Observing the conflict
Stress & anxiety related t
Can be described as "a conflict brewing" ? Latent stage
Outcome of a conflict, resolution, or dissolution ? Aftermath
Observing the conflict ? Manifest stage
Stress & anxiety related to the conflict are experienced by one or more of the individuals ? Felt
What are essential elements of improving your emotional intelligence? (SATA)
Developing emotional awareness
Continuing education
Accepting feedback from others
Fostering stereotypes
Avoiding unpleasant work situations
Understanding inappropriate behaviors
Developing emotional awareness
Continuing education
Accepting feedback from others
Understanding inappropriate behaviors
How would you summarize the concept of emotional intelligence?
It is similar to therapeutic communication
It is the ability to respond to others and manage one's own feelings
The ability to sympathize with patients and families
It is similar to one's IQ (
It is the ability to respond to others and manage one's own feelings
What subject demonstrates a nurse is working on strengthening emotional intelligence?
Humor
Self-management
Cognitive abilities
Research projects
Self-management
The nurse leader sponsors staff recognition days, celebrates staff of the month days, & publishes accomplishments of staff members. Which primary component is the nurse leader trying to foster in staff members?
Self-evaluation
Emotional competence
Empathy
Emotional competence
Which skills are necessary for a nurse to be a good leader and manager? (SATA)
Troubleshooting
Inward focus
Risk management
Networking
Self-building
Troubleshooting
Risk management
Networking
You are speaking with your team about self-esteem. Select which concepts that you as a nurse leader should include. (SATA)
Independence
Free from harm
Freedom to act
Belonging to a group
Mastery
Independence
Freedom to Act
Mastery
Stage of conflict that can be observed in many situations; i.e. phone calls, messages, emails, or face-to-face interactions
Latent
Perceived
Manifest
Felt
Manifest
Name 3 characteristics of the "Baby Boomer" generation
Have a strong work ethic
Work has been a defining part of their self worth and evaluation of others
This generation has a desire for meaningful work
Name 3 characteristics of the "Gen X" generation.
Raised in primarily single parent households
Value self reliance and work life balance
Technology is an important part of their lives.
Name 3 characteristics of the "Millennials" generation.
Drawn to their family for safety and security.
This is a global generation and are very receptive to multiculturalism.
Instant communication is their way of life.
What are 2 sources of potential multigenerational conflict in the workplace?
Work ethic
Technology
Uniforms
Pay scale
Work ethic
Technology
What are 3 characteristics of nurse leaders important to Gen X and Millennial nurses.
Value honesty and the ability to motivate others from a leader.
A positive outlook is another characteristic cited as important.
Prefer leaders with good communication skills and an approachable demeanor.
Name 3 negative communication styles discussed by Chinn (2013) that need to be overcome for successful conflict transformation.
Anger
Gossip
Divisiveness
Continuity of care can be defined as ensuring consistency of care as patients move through health care system. Examples of ensuring continuity of care include:
Transiting from level of care to another
From one facility to another
From the recovery room to
All of the above
When you use process of conflict transformation, you learn to discuss an issue in a way that's free of own interpretation & that clearly conveys your thoughts on the manner.
True
False
True
Mode of communication used when professional nurses care enough about themselves & their pts to confront disrespectful behavior face-to-face.
Demystifying
Centering
Carefronting
Competing
Carefronting
Match the characteristic to the generation
Baby boomer
Millennials
Generation X
Veterans
Work-life balance
Comfortable with technology
Value Individualism
Supportive of hierarchy
Baby boomer- Value Individualism
Millennials- Comfortable with technology
Generation X- Work-life balance
Veterans- Supportive of hierarchy
Which health care reimbursement program pays for person age 65 and older and some disabled persons?
Blue Cross
Aetna
Medicaid
Medicare
Medicare
Factors that influence nurse staffing from shift to shift include: (select all that apply)
Mix of licenses/unlicensed staff available
Changing patient acuity
Changes in patient census
Requests for time off from nurses scheduled to work the shift
Regulator
Mix of licenses/unlicensed staff available
Changing patient acuity
Changes in patient census
Regulatory requirements
Peer review feedback is anonymous.
True
False
False
Peer review is conducted by a nurse of the same rank/level of practice.
True
False
True
Peer review focuses on maintaining standards of nursing practice and addresses the following key focus areas: (select all that apply)
Practice advancement
Nursing research
Role actualization
Quality and safety
Medication errors
Hiring criteria
Practice advancement
Role actualization
Quality and safety
In delegation, responsibility is transferred; accountability remains with the RN.
False
True
True
A nurse & nursing assistant are providing care for 4 clients who were admitted to med-surg unit on the previous shift. The nurse should delegate meal assistance for which of the following clients?
A client who has amyotrophic lateral sclerosis (ALS)
The c
The client who has a lumbosacral tumor
A nurse is planning care for 4 clients & is assigning tasks to an LPN & an AP. Which of the following should the nurse assign to the LPN?
Complete an admission assessment for a client who has COPD
Measure I&O for a client who has an indwelling urinary cat
Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty
Nurse is planning care for the assigned pt group. The nurse should delegate obtaining vital signs to an AP for which of the clients? (SATA)
A middle adult client who has status asthmaticus
A young adult client receiving a continuous IV insulin infusion of
A young adult client who is 24 hours post op following an appendectomy
An older adult who has a history of heart failure and is ready for discharge
A young adult client who is 36 hours post op from a traditional cholecystectomy
Nurse is planning to assign tasks for group of pts. Which of the tasks should the nurse plan to assign to an assistive personnel? (SATA)
Provide discharge instructions for a client who has a new skin graft
Perform an admission assessment on a client
Weigh
Weigh a client who has heart failure
Ambulate an older client who has hypertension
A charge nurse is making client care assignments. Which of the following should the nurse delegate to the AP? (SATA)
Feed a client who had a stroke 3 months ago
Explain oral hygiene to a client receiving chemotherapy
Assist a client to ambulate using a ga
Feed a client who had a stroke 3 months ago
Assist a client to ambulate using a gait belt
Bathe a client who had an amputation 2 days ago
A nurse on a med-surg unit is assigning tasks to an AP. Which of the tasks should the nurse delegate to the AP? (SATA)
Record urinary output
Demonstrate the technique to instill eye drops
Irrigate a wound
Transfer a client to a stretcher
Ambulate a client
Record urinary output
Transfer a client to a stretcher
Ambulate a client who has a cane
A nurse & an experienced LPN are caring for a group of clients. Which of the tasks should the nurse delegate to the LPN? (SATA)
Initiate a plan of care for a client who is postoperative from an appendectomy
Obtain vital signs from a client who is 6 hours
Obtain vital signs from a client who is 6 hours postoperative
Catheterize a client who has not voided in 8 hours
Administer a tap water enema to a client who is preoperative
A nurse is prioritizing patient care after receiving change of shift report. Which of the following clients should the nurse prioritize?
A client who told an AP that he is short of breath
A client who is scheduled for an abdominal x-ray and is awaiting tr
A client who told an AP that he is short of breath
A nurse is preparing to administer medications to 4 clients. The nurse should administer medication to which client first?
A client who is post-CABG, has a total cholesterol of 318 mg/dL, and... [cut off]
A client who has anemia, a hemoglobin of 11 g/dL,
A client who has renal failure, a serum potassium of 5.8 mEq/L, and is prescribed sodium polystyrene sulfonate
The nurse utilizes the following frameworks to aid in prioritizing patient care (SATA)
Acute vs. chronic
Age of the patient
Physician notes
Maslow's hierarchy
Admitting diagnosis of the patient
Stable vs. unstable
Urgent vs. non-urgent
Acute vs. chronic
Maslow's hierarchy
Stable vs. unstable
Urgent vs. non-urgent
A nurse on a med-surg unit receives her assignment from charge nurse. Upon receiving shift report from the off-going RN at 7:00am, the nurse reviews orders & tx for the assigned pts & plans the tasks that he/she must do, & which to delegate to his/her tea
...
Protects the public's health & welfare by assuring that safe & competent nursing care is provided by licensed nurses. Achieve this mission by outlining the standards for safe nursing care and issuing licenses to practice nursing.
AACN - American Associati
SBN - State Boards of Nursing
Nurse Practice Acts legislate the following (SATA)
Establishes scope and standards of practice
Evaluates the success of a nursing program in achieving its mission
Provides accreditation for nursing programs
Educational requirements for nursing programs
Au
Establishes scope and standards of practice
Educational requirements for nursing programs
Authority, power, and composition of board of nursing
Types and titles of licenses
Grounds for disciplinary action
The practice of professional nursing in the state of Florida includes: (select all that apply)
Assessment
Planning
Intervention and evaluation of care
Supervision of other personnel as prescribed in the statute
Medical diagnosis
Prescriptions
Anesthesia
H
Assessment
Planning
Intervention and evaluation of care
Supervision of other personnel as prescribed in the statute
Health teaching and counseling
The College of Nursing Statement of Philosophy includes the following: (SATA)
The art and science of nursing
Specific nursing theories
Multiple patterns of knowing
Nursing collaboration and interprofessional research and practice
Caring in nursing is an i
The art and science of nursing
Multiple patterns of knowing
Nursing collaboration and interprofessional research and practice
Caring in nursing is an intentional mutual human process
Nursing occurs in nursing situations
Complexity leadership assumes that all organizations are complex adaptive systems.
True
False
True
Complexity science focuses on patterns and relationships.
True
False
True
Complexity leadership is all about "doing with" rather than "doing to" or "imposing on".
True
False
True
Complex cognitive work of nursing includes continuously organizing, re-prioritizing, & decision-making for management of workflow & care delivery.
True
False
True
Stacking is defined as the invisible decision-making work of RN's regarding the what, how, & when of delivering nursing care to an assigned group of patients.
True
False
True
RN stacking is influenced by the following theoretical premises: (SATA)
Complexity science
Predictable world-view - people/systems are relatively predictable
Non-predictable world-view - people/systems are influenced by many changing factors
Relativity sc
Complexity science
Non-predictable world-view - people/systems are influenced by many changing factors
RN stacking is a dynamic, cognitive, decision-making process that depends on ability of nurses to be mindful of & aware of even subtle changes in their patients.
True
False
True
Holistic leadership is based on the synthesis of which leadership frameworks: (select all that apply)
Laissez-faire leadership
Democratic leadership
Servant leadership
Influential leadership
Transformational leadership
Transactional leadership
Servant leadership
Influential leadership
Transformational leadership
Emotional intelligence is:
A measure of the strength of your feelings
The ability to perceive and manage one's own emotions and those of others
A guide to influence the opinions of others
A gauge of your cognitive ability
The ability to perceive and manage one's own emotions and those of others
Holistic leadership assumes that every nurse is a leader
True
False
True
Which of the following is an example of a holistic leader selecting innovative strategies for clinical evidence?
Bedside shift report
Maintaining honest and open dialogue
Nurse-only rounds
Membership in professional organizations
Bedside Shift Report
Which of following general leadership frameworks posits that leaders must first learn about themselves to be role models and mentors?
BirchTree Center Model
Quality Caring Model
Transformational leadership
Influential leadership
Influential leadership
When nurse & patient engage in shared decision making to build consensus within groups, which of the Ten Principles of Servant Leadership is used?
Growth
Stewardship
Awareness
Persuasion
Persuasion
Which of the following professional practice models posits that caring relationships influence attainment of positive health outcomes?
Influential leadership
Transformational leadership
Quality-Caring Model
BirchTree Center Model
Quality-Caring Model
According to the Caring in Nursing Administration Model, leadership actions are:
Focused on relationships that the care provider has with the patient/family
Modeled with holistic ethics
Validated within a framework of evidence-based practice
Rooted in a f
Rooted in a foundation of caring philosophy and caring theory
A nurse is preparing to transfer an older adult client who is 72 hr postoperative to a long-term care facility. Which of the following should the nurse include in the transfer report? (Select all that apply).
Advance directive status
Type of anesthesia us
Advance directive status
Potential safety risks
Medical diagnosis
Vital signs pre and post op
Need for special equipment
A nurse is participating in an interprofessional conference for a client who has a recent C6 spinal cord injury. The client worked as a construction worker prior to his injury. Which of the following members of the interprofessional team should participat
Occupational therapist
Vocational counselor
Psychologist
Physical therapist
A nurse who has just assumed the role of unit manager is examining her skills in interprofessional collaboration. Which of the following actions support the nurse's interprofessional collaboration? (Select all that apply.)
Ensure that a nurse is assigned
Support team member requests for referral
Recognize the knowledge and skills of each member of the team
Encourage the client and family to participate in the team meeting
At times, you will encounter a patient who makes the decision to leave AMA (against medical advice). A client who was admitted 2 hr ago with chest pain becomes angry and tells the nurse that there is nothing wrong with him and that he is going home immedi
Explain to the client the risks involved if he chooses to leave.
Ask the client to sign a form relinquishing responsibility of the facility.
Document that the client is leaving the facility AMA.
Nurses are responsible for facilitating continuity of care & coordinating care through documentation, reporting, & interprofessional collaboration.
True
False
True
Continuity of care can be defined as ensuring consistency of care as patients move through health care system. Examples of ensuring continuity of care include:
Transiting from level of care to another
From one facility to another
From the recovery room to
All of the above
You are caring for a postopt patient who suddenly develops acute respiratory distress requiring emergent intubation & transfer to ICU. Your detailed report to the ICU RN is an example of:
SBAR
Maintaining continuity of care
Shift report
Incident report
Maintaining continuity of care
Restraints are for physical protection of the client, or protection of other clients/staff. A nurse on an acute care unit is caring for a client following a total hip arthroplasty. The client is confused, is moving his leg into positions that could disloc
Regularly assess the need for restraints
Obtain an order for restraints from the provider specifying the reason for the restraint, type of restraint, and length of time for the restraint (per facility policy)
Assess circulation, sensation, and mobility ev
QSEN safety measures include the safe use of biomedical equipment by RNs. All are true except the following:
RN must demonstrate competency in use of all biomedical equipment used in your area of practice
Checking equipment is accurately set & functioning
Leaving a malfunctioning infusion pump in the
patient's room
Seizure precautions include all of the following (select all that apply)
Keeping tongue depressor at bedside in case of seizure
Applying vest restraint to keep patient from falling
Ensure that rescue equipment, including oxygen, an oral airway, and suctio
Ensure that rescue equipment, including oxygen, an oral airway, and suction equipment is at the bedside
Placement of seizure protective pads in bed to prevent injury (per facility policy)
According to the Florida Nurse Practice Act (2016), which elements of the nursing process can be delegated?
Assessment
Planning
Evaluation
None of the above
None of the above
What can be delegated to an LPN? (SATA)
Care of a physiologically stable patient with a predictable condition
Assist with implementation of defined plan of care
Evaluate the effectiveness of an intervention
Update the patient's plan of care
Care of a physiologically stable patient with a predictable condition
Assist with implementation of defined plan of care
What can be delegated to an unlicensed assistive personnel? (SATA)
Vital signs on a patient now being admitted from the recovery room
Feeding a patient
Surgical dressing change
Record intake and output
Feeding a patient
Record intake and output
Two hospital complications reported on the Medicare.gov hospital compare site are: (SATA)
Noisy rooms
Surgical site infections
Hospital acquired infections
30-day readmissions
Surgical site infections
Hospital acquired infections
Medicare pays financial rewards to hospitals that perform well & penalizes those that perform poorly. What 4 performance domains are included in the latest Medicare Hospital Value-Based Purchasing Program? (SATA)
Hospital acquired conditions
90 day readmi
Clinical care
Patient and caregiver-centered experience of care/care coordination
Safety
Efficiency and cost reduction
Nursing greatly influences scores on several measures of the HCAHPS survey, including the following (SATA)
Cleanliness of the facility
Communication with doctors
Responses to call lights
Pain management
Medication teaching
Discharge teaching
Responses to call lights
Pain management
Medication teaching
Discharge teaching
Patient Protection and Affordable Care Act of 2010 includes HCAHPS among the measures to be used to calculate value-based incentive payments in the Hospital Value-Based Purchasing program, beginning with discharges in October 2012.
False
True
True
Agency for Healthcare Research and Quality (AHRQ) developed a composite of safety measures that are included in Affordable Care Act's (2010) value-based purchasing reimbursement program called PSI-90 (Patient Safety and Adverse Events Composite). Examples
Pressure ulcer rates
In-hospital fall with hip fracture
Postoperative sepsis rate
Post-operative wound dehiscence rate
Nurse is planning client care for herself & an assistive personnel working with her. Which of following tasks should nurse plan to perform?
Administration of an enema
Application of antiembolic stockings
Assessing a client's sacrum for edema
Assisting a c
Assessing a client's sacrum for edema
A nurse is planning to delegate a task to an assistive personnel. Which of the following actions should the nurse plan to take?
Assess the AP's ability to follow the client's teaching plan
Determine the social skills of the AP
Evaluate the ability of the
Provide a clear description of the task to the AP