Hesi Leadership - Exam 3-(2020) scored A

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Hesi Leadership - Exam 3-med-surg nur1211 1. An Rn witness worker in a paralyzed and unconscious pediatric patient’s room inappropriately touching the patient’s genital area. What step of the disc... iplinary process is most likely to be taken by the organization against this worker 2. Which organization is actively engaged in clarifying to the delegation parameters for RNs? 3. Which one of the following statements about conflict resolutions strategies is correct? 4. A member of the team reports that they have been given too much to do and are not going to be able to complete the work on time. What action will the RN take to effectively manage this situation? 5. A quiet, passive nurse who hates conflict is not likely to use which one of the following conflict resolution strategies. 6. A registered nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment for the certified nursing assistant? 7. A UAP and a Unit Secretary have helped the nurse manager plan the holiday party for the past two years. They learn that other staff members are not happy with the party themes, locations, and activities they planned for the last two holiday parties. As it is not that important for them to do, the two decide to let other interested staff members take over doing the holiday party planning this year. This UAP and Unit Secretary are using which of the following conflict resolution strategies? 8. Which task cannot be delegated to an unlicensed assistive personnel (UAP). 9. The hospital has been experiencing low census and staff are concerned about being laid off, even though everyone has been told they will be able to keep their jobs. The evening change nurse reported to the nursing director, however, that his staff was discussing various rumors about mass layoffs. What is the best approach for nursing director to take? 10. Instances for which a staff member needs to report an occurrence directly to a manager include which of the following: (SATA) 11. A nurse manager calls dietary services to request a late tray for a patient and speaks with dietary technician. This is an example of what kind of communication 12. Which statement about conflict is not true? 13. A registered nurse (RN) is planning the assignments for the day and is leading a team composed of a licensed practitioner nurse (LPN) and a nurse assistant (NA). The RN should assign which client to the LPN? 14. A RN is caring for a 17-year-old client who is experiencing a relapse of leukemia and is very vocal in refusing treatment. The client’s mother insists that her daughter receive IV chemotherapy as ordered. Which nursing action is most appropriate at this time? 15. When delegating tasks to staff, which action by the charge nurse best demonstrates appropriate delegation principles? 16. Which of the following is an example of a sentinel event? (SATA) 17. Periodically during the day the RN checks with his/her team members to determine whether they are having difficulty completing their assigned tasks 18. Two RNs on the unit are complaining that their patient assignments is too heavy. Each feels the other RN has a lighter workload. Each complains to the RN charge nurse. The charge nurse asks them to please calm down and focus on their current patients’ needs right now so that everyone can get through the difficult shift. Which of the following conflict resolution strategies is the charge nurse demonstrating? 19. An unlicensed assistive personnel (UAP) “suffers in silence” instead of speaking up about an unfair assignment to the charge RN. This is an example of which of the following communication styles? 20. A nursing staff member comes into the nurse manager’s office and complains about another staff member who does not complete his/her work. The nurse manager should tell the staff member to first: 21. Which behavior is a priority to minimize an RN’s risk for a malpractice claim? 22. Which intervention for a patient with a sudden pulmonary embolism could be delegated to the LPN/LVN on your patient care? 23. A RN in the telemetry unit is caring for a client who has a tracheostomy and is receiving frequent endotracheal suctioning. The client also has an indwelling catheter to gravity drainage and a central venous catheter, and is on anticoagulant therapy for thrombophlebitis of the left leg. Which one of the following specimen’s collections can the RN delegate to an unlicensed assistive personnel (UAP) to collect? 24. An RN on a medical-surgical unit is making assignments at the beginning of the pm shift. Which of the following tasks would be appropriate for the RN to delegate to the LPN/LVN? In the ED staff share a staff break room area. One of the male emergency technicians posts a calendar with suggestive female pictures on it. A female RN is offended by the pictures on the calendar. What is the best course of action for the offended RN to take first? 25. Progressive discipline is a strategy used by mangers to deal with problem employees. Which of the following is the usual order of steps in a progressive discipline process? 26. An RN asks a float unlicensed assistive personnel (UAP) to weigh the client with the bed scale. Which action should the RN take first? 27. A RN smells alcohol on the breath of a float LVN who is working with patients on the team. There have been no staff or patient complaint about this person’s behavior or appearance. Which action should the RN take first? 28. A RN is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and a certified nursing assistant (CNA). Which of the following is the most appropriate assignment to the LPN? 29. What is the first step the manager takes when a subordinate is having difficulty carrying out a delegated task? 30. Which one of the following statements about conflict is true? 31. Which of the following organizations mandates the use of selected core measures to monitor patient outcome data for accreditation? 32. Which method best provides a structure orderly approach to communicating accurate, relevant information in emergent patient situations as well as routine? 33. A nurse assigns a nursing assistant (NA) to provide care for a client who is at risk for falls. After delegating the most important aspects of the client’s care, what question should the nurse ask the nursing assistant to ensure the client’s safety? 34. Which statement below about the quality improvement process below is correct? 35. Which assignment should not be given to a licensed practical nurse? 36. The RN team leader, near the end of her shift, notices that a newly hired UAP has not calculated the intake and output for several clients. Which of the following actions should the RN take first? 37. A nurse manager would like nursing staff members on the unit to become more involved in using the evidence-based practice (EBP) in the care of patients. The nurse manager invites several nurses from a nearby Magnet Hospital to the next staff meeting to share how they are using EBP to decrease patient injuries related to falls. According to Lewin’s Change Theory, the nurse manager is trying to stimulate what phase of the planned change process: 38. A new graduate RN approaches a more experienced RN and says, “I am having difficulty speaking up to some of physicians.” Which one of the following initial responses by the experienced RN is best? 39. Which of the following states that employees should not be discriminated based on physical or mental status? 40. Your nurse manager has assigned you and several other unit RN’s to meet and recommend to you a process for evaluating a new piece of equipment. Your group members have met several times already, but are getting nowhere on the assignment because people have different opinions and won’t listen to each other. Based on current behaviors of group members, what phase of the team communications process is your team going through right now? 41. During the change of shift, the oncoming charge RN notes a discrepancy in the number of morphine vials listed and the number present in the narcotic drawer. What should the charge RN do first? 42. A nurse manager is preparing to talk to her staff about quality improvement at a staff meeting. Which statement below is a correct statement to share with her staff about quality improvement? 43. A staff RN is asked to participate with a team of other nurses on a continuous quality improvement (CQ) project to reduce the number of medication association errors on her unit. Which step below should the CQ project team initiate first? 44. A nursing supervisor is responsible for conducting performance appraisals on all of the unit’s night shift employees. Which of the following would not be an appropriate action for the nursing supervisor when preparing and giving a performance appraisal to an employee? 45. Which of the following is true of a formal employee grievance process? 46. Which one of the following statements about assertive communication is correct? 47. A new graduate RN is speaking to the nurse manager about a schedule request request. The nurse manager puts his arm around the new grad RN and whispers in her ear, “Let’s talk about this over dinner at my place tonight, ok?” Which of the following is the appropriate response by the nurse? 48The nursing leadership team within a medical center plans to initiate a chnge in their approach to improving patient satisfaction. Nurse Leaders recognize that communication about the new change will have a higher likelihood of being accurately interpreted if they use which one of the following strategies: 49. A nurse manager who consistently uses assertive communication knows that this communication style: [Show More]

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