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Leadership Test 3 Quiz on Chapter 17, created by Esmeralda Espitia on 27/03/2020.

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Chapter 17

Chapter 17

Question 1 of 25

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1. You are a member of a team assigned to care for 15 general medical/surgical clients. You have all worked well together in the past in this same type of care. If you are assigned to oordinate this team’s work, your best strategy, based on the Hersey model, would be to:

Select one of the following:

  • a. have a list of tasks to be accomplished and tell each member of the team what he
    or she must do.

  • b. encourage people to discuss their frustrations in providing this care.

  • c. ignore them—they’ve done it before.

  • d. provide minimal direction and let them come to you with questions.

Explanation

Question 2 of 25

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2. The charge nurse is making patient assignments for the next shift on the unit. There is one critical patient on the unit, who is going to require more care than the other patients. Before delegating this patient in an assignment, what is the appropriate action by the charge nurse?

Select one of the following:

  • a. Delegate the admission assessment to the LPN.

  • b. Review the employee’s performance assessment for the most recent period.

  • c. Assess the amount of guidance and support needed for the nursing care of the patient.

  • d. Create a task analysis of critical behaviors for the individual.

Explanation

Question 3 of 25

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3. A key advantage that a charge nurse has in terms of delegating is that:

Select one of the following:

  • 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.

Explanation

Question 4 of 25

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4. The nurse on the 7-7 shift is assigning a specific component of care to an unlicensed nursing personnel (UNP) employee. The night nurse would remain:

Select one of the following:

  • A. Accountable

  • b. responsible.

  • c. authoritative and liable.

  • d. responsible and task-oriented.

Explanation

Question 5 of 25

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5. The night nurse understands that certain factors need to be considered before delegating tasks to others. These factors include the:

Select one of the following:

  • 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 task and the potential for harm.

Explanation

Question 6 of 25

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6. During a fire drill, the nurse manager becomes very assertive and directive in her communications with staff. This type of situational leadership depends on:

Select one of the following:

  • a. supportive behavior by the leader and immature followers.

  • b. the development level of the followers and the behavior based on the situation.

  • c. well-developed followers combined with a strong leader who acts quickly.

  • d. the leader’s ability to evaluate personnel and communicate that evaluation.

Explanation

Question 7 of 25

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7. The unit manager is working in a large metropolitan facility and is told that two UNPs are to be assigned to work with her. Delegation begins with:

Select one of the following:

  • a. acknowledging the arrival of the second UNP on the unit.

  • b. providing clear directions to both UNPs.

  • c. matching tasks with qualified persons.

  • d. receiving reports from the prior shift.

Explanation

Question 8 of 25

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8. 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:

Select one of the following:

  • a. the amount of paperwork required to complete care.

  • b. the complexity of care required by patients.

  • c. earlier discharge practices.

  • d. the numbers of other disciplines present on a given unit.

Explanation

Question 9 of 25

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9. The day shift nurse asks an LPN/LVN to complete a task for a patient. The day shift nurse is engaging in what function?

Select one of the following:

  • a. Delegating

  • b. Assigning

  • c. Sharing

  • d. Authorizing

Explanation

Question 10 of 25

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10. You are working in a home health service and have three unlicensed nursing personnel (UNPs) assigned to your team. You have worked with two of them for 2 years; the third is new. The two experienced UNPs have patients with complex illnesses for whom they provide basic care. The third member of the team has been assigned to patients with less complex illnesses. Your best approach to supervising their care is to:

Select one of the following:

  • a. remain in the office and ask each UNP to check in with you upon arrival at their
    first patient care site.

  • b. ask another RN to supervise the two experienced assistants so you can be with the
    new person full time.

  • c. meet the new staff member at the first patient care site and ask the others to call if
    anything is unusual.

  • d. meet the new staff member at the first patient care site and call the others with
    questions to determine whether anything is unusual.

Explanation

Question 11 of 25

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11. With delegation, responsibility and accountability remain with the:

Select one of the following:

  • a. physician.

  • b. professional who delegates.

  • c. individual who receives the delegation.

  • d. individual who previously performed the task.

Explanation

Question 12 of 25

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12. Which of the following exemplifies accountability? Karen, the nurse manager on 5E:

Select one of the following:

  • a. consistently submits her budgets on time.

  • b. gets along well with her staff and with other managers.

  • c. outlines her rationale for reduction of RN coverage on nights to the Nursing
    Practice Committee after serious patient injury.

  • d. actively solicits ideas regarding scheduling from her staff.

Explanation

Question 13 of 25

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13. Which of the following indicates safe delegation?

Select one of the following:

  • a. The nurse supervisor for a large urban acute care department asks the unit manager
    to accept two new acutely ill patients, which the manager doe

  • b. A unit manager agrees to release a staff from her unit to Unit B. The staff member
    she agrees to release is experienced on Unit B and is agreeable to the change. The
    unit manager’s unit is fully staffed and patients are stable.

  • c. The nurse supervisor asks the head nurse for Unit A to make do without a
    replacement for an ill staff member because Unit A was originally overstaffed
    anyway. Patient acuity levels are very high on Unit A and two staff are orientating.

  • d. The nurse supervisor asks the charge nurse on Unit B to cover Unit F, which is two
    floors up, because the charge nurse for Unit F is ill. The charge nurse for Unit B is an experienced manager but has no experience with the nursing care required on Unit F.

Explanation

Question 14 of 25

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14. Which of the following would be most in line with Hersey model and concepts?

Select one of the following:

  • a. The team of caregivers on day shift are familiar with their roles and with the patients. The nurse manager decides to work on the unit budget in her office.

  • b. After a year of working on the unit, Shari, an LPN, is still hesitant about many policies and procedures. The charge nurse decides to challenge Shari with more difficult patients.

  • c. The nursing supervisor asks one of her charge nurses to lead a technology integration project. The supervisor continuously demands involvement in decisions that the charge nurse is making in the project.

  • d. Team members complain that Alysha, an RN, is unmotivated, and that she refuses assignments that are complex or difficult. The charge nurse suggests that Alysha is relatively new and that she needs time to adjust.

Explanation

Question 15 of 25

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15. In delegating to a UNP in a home health setting, which of the following represents the most appropriate delegation communication?

Select one of the following:

  • a. “You will be taking care of Mrs. S., who needs assistance with her bath.”

  • b. “You will need to help Mrs. S. get into and out of her shower. Ensure that you
    check the condition of her feet, and let me know if you have any concerns when
    you check in.

  • c. “I am not sure that you know how to do this, but I am giving you Mrs. S. She is
    quite obese and needs skin care.”

  • d. “Mrs. S. needs help to get into and out of her bathtub. Her bath will need to be
    completed by 10:00. When you are helping her to dry, please check between her toes and toenails, and phone me by 10:30 if you notice nail discoloration or redness.”

Explanation

Question 16 of 25

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16. An RN colleague, who is a long-standing and collaborative member of your team, is performing a complex dressing with new orders written for the first time for the assigned patient. Which of the following would be the most appropriate communication with her?

Select one of the following:

  • a. “How do you usually do this kind of dressing?”

  • b. “The dressing needs to be done today and tomorrow with the supplies on this cart.”

  • c. “Here is what you need for the dressing, and I will show you what needs to be
    done.”

  • d. “I know you know what you are doing. Let me know if you have any problems.”

Explanation

Question 17 of 25

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17. Sally is an experienced nurse on the unit and is very experienced with ICP monitoring. She is assigned David, a patient who has been admitted with a severe head injury. In communicating with Sally, what does is an appropriate action by the charge nurse?

Select one of the following:

  • a. Provide a detailed explanation of what she needs to do with ICP monitoring.

  • b. Tell her when she needs to provide an update about David’s status.

  • c. Ask her to tell you what she knows about ICP monitoring and share expectations
    about reporting.

  • d. Advise her that you are available if she needs you.

Explanation

Question 18 of 25

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18. You ask Evelyn, a new UNP, to check what is left in Mrs. N.’s inhaler when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication. Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe respiratory distress. When she is admitted, she tells the physician that she has not been using the inhaler for 4 weeks. This incident is an example of:

Select one of the following:

  • a. incompetence of the UNP.

  • b. failure to follow-through.

  • c. skills but no motivation.

  • d. lack of accountability.

Explanation

Question 19 of 25

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9. You ask Evelyn, a new UNP, to check what is left in Mrs. N.’s inhaler when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication. Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe respiratory distress. When she is admitted, she tells the physician that she has not been using the inhaler for 4 weeks. Before assigning Evelyn to Mrs. N.’s care, the most appropriate action of the care coordinator would have been to:

Select one of the following:

  • a. determine Evelyn’s educational background and preparation for this role.

  • b. ask Evelyn if she has worked with inhalers before and to describe what she knows
    about them.

  • c. advise that if Evelyn has any questions about what to do with the inhaler, she
    should come to the coordinator.

  • d. advise Evelyn that working the inhaler is not really complicated and that she
    should ask the patient how to check medication levels in the inhaler.

Explanation

Question 20 of 25

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20. You ask Evelyn, a new UNP, to check what is left in Mrs. N.’s inhaler when Evelyn makes
visits to Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication. Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe respiratory distress. When she is admitted, she tells the physician that she has not been using the inhaler for 4 weeks. Determination of Evelyn’s educational preparation and certification is related to the concept of:

Select one of the following:

  • a. accountability.

  • b. authority.

  • c. role performance.

  • d. assignment.

Explanation

Question 21 of 25

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21. County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and backgrounds of each of the individuals on her team, and then assigns and delegates the appropriate care provider to each patient and task. Sarah’s activity in the example described is termed:

Select one of the following:

  • a. passive delegation.

  • b. passive accountability.

  • c. active delegation.

  • d. active responsibility.

Explanation

Question 22 of 25

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22. Functions such as “delegates tasks to assistive personnel” that are outlined in a position description for an RN Team Leader would be considered:

Select one of the following:

  • a. active delegation.

  • b. passive delegation.

  • c. passive accountability.

  • d. active responsibility.

Explanation

Question 23 of 25

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23. County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a
team leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills
and backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague
with details regarding the patients to whom Colleen has been assigned on the day shift. This is an example of:

Select one of the following:

  • a. accountability.

  • b. responsibility.

  • c. assignment.

  • d. delegation.

Explanation

Question 24 of 25

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24. Leslie, a UNP, transfers a patient while using improper technique. The patient is injured, and as a result, a suit is launched in which both Sarah (the delegator) and Leslie (the delegatee) are named. Sarah is named in the suit because she:

Select one of the following:

  • a. retains accountability for the care of the patient.

  • b. worked the same shift as Leslie.

  • c. has passive accountability for delegation.

  • d. retains accountability for the outcomes of care for the patient.

Explanation

Question 25 of 25

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1. An example of a nursing care activity that would not be delegated by an RN to a UNP is: (Select all that apply.)

Select one or more of the following:

  • a. teaching self-catheterization to a patient with paraplegia who has limited English.

  • b. basic care for a patient with a head injury who is rapidly deteriorating.

  • c. one-to-one observation with a suicidal patient.

  • d. assessment of patients being admitted through the Emergency Department.

  • e. basic hygienic care for a patient who is post MI and stable.

Explanation

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