Nursing

While making rounds, a night supervisor finds a unit with a low census

QUESTION While making rounds, a night supervisor finds a unit with a low census and too many staff members. The night supervisor is performing as a statutory supervisor when he or she: a. Assigns nurses to care for specific clients. b. Develops a protocol for unlicensed personnel. c. Recommends transferring a nurse to another service. […]

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Date: September 3rd, 2020

The nurse manager was upset with the staff nurse and said, “You did no

QUESTION The nurse manager was upset with the staff nurse and said, “You did not understand what I said.” Which element in the communication process was she referring to? a. Feedback between receiver and sender b. A message channel c. A receiver who decodes the message d. A set of barriers that may occur between […]

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Date: September 3rd, 2020

You are charged with developing a new nursing curriculum and are commi

QUESTION You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace. To address deficits that may already be present in nursing curricula related to the workplace, you include more content and skills development related to: a. Therapeutic communication […]

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Date: September 3rd, 2020

After staff meetings lately, Sharon, the head nurse, observes her staf

QUESTION After staff meetings lately, Sharon, the head nurse, observes her staff in small groups, having animated discussions that end abruptly when she approaches. Sharon reflects on this observation and realizes that: a. Two very outspoken members tend to dominate discussions in meetings. b. This behavior is indicative of a high level of communication among […]

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Date: September 3rd, 2020

In the cardiac intensive care unit, there has been simmering disconten

QUESTION In the cardiac intensive care unit, there has been simmering discontent about the new nurse manager, who avoids any discussion about her scheduling and practice decisions. The staff have begun to sort into “different camps” depending on how they feel about the manager or the decisions. Which of the following statements MOST accurately describes […]

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Date: September 3rd, 2020

The SBAR system of communications is one of the most used communicatio

QUESTION The SBAR system of communications is one of the most used communication systems in health care because: a. It deals with all aspects of communications in patient care except communication with the physician. b. The nurse is on the same communication level as administration. c. It honors a familiar, structured transfer of information among […]

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Date: September 3rd, 2020

“I really wish that my supervisor would realize and acknowledge all th

QUESTION “I really wish that my supervisor would realize and acknowledge all the things I do well.” In nursing, this has been identified as a problem. Which statement is part of the solution? Focus on: a. New staff. b. Care assignments with which the individual is not familiar. c. Making corrections. d. The strengths of […]

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Date: September 3rd, 2020

Elizabeth, an RN with approximately 15 years of service on your unit,

QUESTION Elizabeth, an RN with approximately 15 years of service on your unit, walks away from one of the learning sessions on IV care and you overhear her telling a colleague that she thought the session was a waste of time because “the unit has been using heparin for years and there has never been […]

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Date: September 3rd, 2020

Based on Elizabeth’s insights and suggestions, you involve pharmacy, o

QUESTION Based on Elizabeth’s insights and suggestions, you involve pharmacy, only to discover that the change in practice involves practice committees, a medical practice committee, and concerns from administration about potential costs and safety of the proposed change to the IV protocols. The change process at this point is: a. Linear. b. Nonlinear. c. Sabotaged. […]

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Date: September 3rd, 2020

Which of the following represents an effective goal statement? a. Inv

QUESTION Which of the following represents an effective goal statement? a. Involve patients and families in planning health care. b. To revise clinical guidelines for incontinence care from evidence within 6 months c. Patients and families are partners first in care planning. d. To acquire $4 million in additional funding within 12 months to support […]

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Date: September 3rd, 2020