Nursing

The nurse manager is setting up the room assignments for the unit. She

QUESTION The nurse manager is setting up the room assignments for the unit. She has one critical patient on the unit, who is going to require more care than the others. Before delegating a task, a nurse manager should: a. Delegate the admission assessment to the LPN. b. Review the employee’s performance assessment for the […]

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Date: September 3rd, 2020

Incivility is a disruptive behavior or communication that creates a ne

QUESTION Incivility is a disruptive behavior or communication that creates a negative environment and interferes with quality patient care and safety. The manager can implement steps that help to alleviate uncivil behavior on a unit. Which of the following would not be an appropriate first step? a. Suspending the staff member from work b. Providing […]

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Date: September 3rd, 2020

A key advantage that a nurse manager has in terms of delegating is tha

QUESTION A key advantage that a nurse manager has in terms of delegating is that: a. Clients receive less attention because too many staff make it difficult to coordinate care. b. Nurses report less pressure to perform necessary tasks themselves. c. Administration can predict overtime more accurately. d. Team skills can be used more effectively. […]

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Date: September 3rd, 2020

When progressive discipline is used, the steps are followed progressiv

QUESTION When progressive discipline is used, the steps are followed progressively only for repeated infractions of the same rule. On some occasions, rules that are broken are so serious that the employee is: a. Transferred to another unit. b. Suspended indefinitely. c. Asked to attend a union grievance meeting. d. Terminated after the first infraction. […]

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Date: September 3rd, 2020

During staff development programs, staff nurses verbalize their frustr

QUESTION During staff development programs, staff nurses verbalize their frustration about their workloads and having to delegate so many tasks to others. One of the main reasons that delegation has emerged as an issue is because of: a. The amount of paperwork required to complete care. b. The complexity of client care. c. Earlier discharge […]

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Date: September 3rd, 2020

During unit staff meetings, you observe that Marg rolls her eyes and s

QUESTION During unit staff meetings, you observe that Marg rolls her eyes and snorts whenever Julia makes a comment. Your first response as a unit manager is to: a. Discuss what you have observed with Marg. b. File immediate documentation in Marg’s personnel file. c. Ask Julie to monitor Marg’s behavior during meetings. d. Ignore […]

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Date: September 3rd, 2020

The day shift nurse asks an LPN/LVN to complete a component of care fo

QUESTION The day shift nurse asks an LPN/LVN to complete a component of care for a client. The day shift nurse is engaging in what function? a. Delegating b. Assigning c. Sharing d. Authorizing   ANSWER: ANS: B Delegation refers to transfer of responsibility for work; the day shift nurse retains accountability for the outcomes […]

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Date: September 3rd, 2020

Susan, a new graduate, is upset that so many staff have been absent la

QUESTION Susan, a new graduate, is upset that so many staff have been absent lately from the unit. She declares to you that all absenteeism could be eliminated with proper management. Your response is based on understanding that: a. Not all absenteeism is voluntary. b. High personal control contributes to absenteeism. c. Direct discussions with […]

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Date: September 3rd, 2020

The night nurse understands that certain factors need to be considered

QUESTION The night nurse understands that certain factors need to be considered before delegating tasks to others. These factors include the: a. Complexity of the task and the age of the delegatee. b. Potential for benefit and the complexity of the task. c. Potential for benefit and the number of staff. d. Complexity of the […]

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Date: September 3rd, 2020

The nursing director calls a meeting with one of the new unit managers

QUESTION The nursing director calls a meeting with one of the new unit managers. She is very concerned about a report of substance abuse on the manager’s unit, and she reviews the procedures involved in dealing with chemically dependent staff. Which of the following statements would NOT be included in the discussion? “As a manager, […]

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Date: September 3rd, 2020