Question 1

The nurse executive of a for-profit hospital continually works to provide an environment that is better for the nursing staff. Why is this effort so important?

Accepted Answer

A)  It is the most cost-effective way to manage a hospital. 
B)  An environment that is better for nurses is associated with lower mortality rates. 
C)  Nurses are more satisfied working in an environment that is better for nursing. 
D)  When the environment is better for nursing, it is also better for other disciplines. 
E)  Most of the strategies that improve the environment for nursing do not cost anything. 
A)  It is the most cost-effective way to manage a hospital. 
B)  An environment that is better for nurses is associated with lower mortality rates. 
C)  Nurses are more satisfied working in an environment that is better for nursing. 
D)  When the environment is better for nursing, it is also better for other disciplines. 
E)  Most of the strategies that improve the environment for nursing do not cost anything.

Question 2

A long-term-care facility is considering implementing total patient care. Prior to implementing this system, what must be available?

Accepted Answer

A)  Enough RN staff to provide all the care to the residents 
B)  A group of licensed assistants who are good at taking direction 
C)  A strong nurse manager 
D)  RNs willing to assume 24-hour accountability for the care provided to residents 
A)  Enough RN staff to provide all the care to the residents 
B)  A group of licensed assistants who are good at taking direction 
C)  A strong nurse manager 
D)  RNs willing to assume 24-hour accountability for the care provided to residents

Question 3

The nurse executive is reviewing client satisfaction surveys. Which trend would the nurse evaluate as indicating the nursing care delivery system in use is not effective?

Accepted Answer

A)  Sixty percent of respondents replied with the name of an unlicensed assistant when asked the name of the RN who cared for them. 
B)  Seventy percent of respondents accurately listed their discharge medication. 
C)  Eighty-eight percent of respondents reported that invasive interventions were performed by an RN. 
D)  Thirty percent of respondents reported that their nurse sometimes seemed rushed. 
A)  Sixty percent of respondents replied with the name of an unlicensed assistant when asked the name of the RN who cared for them. 
B)  Seventy percent of respondents accurately listed their discharge medication. 
C)  Eighty-eight percent of respondents reported that invasive interventions were performed by an RN. 
D)  Thirty percent of respondents reported that their nurse sometimes seemed rushed.

Question 4

At a strategic planning meeting the nurse executive recommends instituting patient-centered care as a model of care delivery in the hospital. Which statement by the hospital CEO indicates understanding of this concept?

Accepted Answer

A)  "We have always had the patient at the center of everything we do." 
B)  "We can't afford to hire more RNs." 
C)  "I'm concerned about the increased time and leadership our nurse managers will have to provide." 
D)  "I like the idea of centralizing all our care." 
A)  "We have always had the patient at the center of everything we do." 
B)  "We can't afford to hire more RNs." 
C)  "I'm concerned about the increased time and leadership our nurse managers will have to provide." 
D)  "I like the idea of centralizing all our care."

Question 5

A nursing team consists of an RN, two LPNs, and two UAPs. Which work would be completed by the RN?

Accepted Answer

A)  Reviewing the client's plan of care with the UAPs 
B)  Discussing the client's increasing shortness of breath with the LPN 
C)  Updating the care plan of a client who will undergo surgery tomorrow 
D)  Administering oral medications to clients 
E)  Calling the physician to discuss the client's response to a new treatment 
A)  Reviewing the client's plan of care with the UAPs 
B)  Discussing the client's increasing shortness of breath with the LPN 
C)  Updating the care plan of a client who will undergo surgery tomorrow 
D)  Administering oral medications to clients 
E)  Calling the physician to discuss the client's response to a new treatment

Question 6

The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect?

Accepted Answer

A)  One nurse has responsibility for all the medications on the unit. 
B)  One nurse has responsibility for all the needs of three clients. 
C)  One charge nurse and one respiratory therapist have responsibility for all clients. 
D)  One nurse and one nursing assistant have responsibility for ten clients. 
A)  One nurse has responsibility for all the medications on the unit. 
B)  One nurse has responsibility for all the needs of three clients. 
C)  One charge nurse and one respiratory therapist have responsibility for all clients. 
D)  One nurse and one nursing assistant have responsibility for ten clients.

Question 7

A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system?

Accepted Answer

A)  Primary nursing 
B)  Total nursing care 
C)  Functional nursing 
D)  Practice partnerships 
A)  Primary nursing 
B)  Total nursing care 
C)  Functional nursing 
D)  Practice partnerships

Question 8

What should the nurse executive consider when planning the nursing care delivery system of a new hospital?

Accepted Answer

A)  How to optimize use of nursing knowledge 
B)  The system used by competing hospitals 
C)  How to ensure that clients receive optimal care 
D)  Skill sets likely to be present in the nurses who will be employed at the hospital 
E)  What groups of nurses are available for employment 
A)  How to optimize use of nursing knowledge 
B)  The system used by competing hospitals 
C)  How to ensure that clients receive optimal care 
D)  Skill sets likely to be present in the nurses who will be employed at the hospital 
E)  What groups of nurses are available for employment

Question 9

A nursing unit has just completed a 6-month trial of using team nursing to provide care. The overwhelming opinion of the staff is that the experiment was a disaster. What are the most common reasons team nursing is not successful?

Accepted Answer

A)  There are problems with delegation. 
B)  There are problems with the skill set of the UAPs on the teams. 
C)  The LPNs on the team do not accept their position of being "in the middle." 
D)  Communication on the team or with the nurse manager is flawed. 
E)  RNs and LPNs struggle with who is in control and has the power on the team. 
A)  There are problems with delegation. 
B)  There are problems with the skill set of the UAPs on the teams. 
C)  The LPNs on the team do not accept their position of being "in the middle." 
D)  Communication on the team or with the nurse manager is flawed. 
E)  RNs and LPNs struggle with who is in control and has the power on the team.

Question 10

Which is the most important consideration in choosing a structure for nursing care?

Accepted Answer

A)  Client need 
B)  Efficiency 
C)  Cost 
D)  Timeliness 
A)  Client need 
B)  Efficiency 
C)  Cost 
D)  Timeliness

The nurse executive of a for-profit hospital continually works to provide an environment that is better for the nursing staff. Why is this effort so important?

A long-term-care facility is considering implementing total patient care. Prior to implementing this system, what must be available?

The nurse executive is reviewing client satisfaction surveys. Which trend would the nurse evaluate as indicating the nursing care delivery system in use is not effective?

At a strategic planning meeting the nurse executive recommends instituting patient-centered care as a model of care delivery in the hospital. Which statement by the hospital CEO indicates understanding of this concept?

A nursing team consists of an RN, two LPNs, and two UAPs. Which work would be completed by the RN?

The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect?

A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system?

What should the nurse executive consider when planning the nursing care delivery system of a new hospital?

A nursing unit has just completed a 6-month trial of using team nursing to provide care. The overwhelming opinion of the staff is that the experiment was a disaster. What are the most common reasons team nursing is not successful?

Which is the most important consideration in choosing a structure for nursing care?

Introducing Nursing Management

Designing Organizations

Leading, Managing, Following

Initiating and Managing Change

Managing and Improving Quality

Understanding Power and Politics

Thinking Critically, Making Decisions, Solving Problems

Communicating Effectively

Delegating Successfully

Building and Managing Teams

Handling Conflict

Managing Time

Budgeting and Managing Fiscal Resources

Recruiting and Selecting Staff

Staffing and Scheduling

Motivating and Developing Staff

Evaluating Staff Performance

Coaching, Disciplining, and Terminating Staff

Managing Absenteeism, Reducing Turnover, Retaining Staff

Dealing With Staff Problems

Preparing for Emergencies

Preventing Workplace Violence

Handling Collective Bargaining Issues

Managing Stress

Advancing Your Career

Filters

Exam 3: Delivering Nursing Care

The nurse executive of a for-profit hospital continually works to provide an environment that is better for the nursing staff. Why is this effort so important?

A long-term-care facility is considering implementing total patient care. Prior to implementing this system, what must be available?

The nurse executive is reviewing client satisfaction surveys. Which trend would the nurse evaluate as indicating the nursing care delivery system in use is not effective?

At a strategic planning meeting the nurse executive recommends instituting patient-centered care as a model of care delivery in the hospital. Which statement by the hospital CEO indicates understanding of this concept?

A nursing team consists of an RN, two LPNs, and two UAPs. Which work would be completed by the RN?

The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect?

A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system?

What should the nurse executive consider when planning the nursing care delivery system of a new hospital?

A nursing unit has just completed a 6-month trial of using team nursing to provide care. The overwhelming opinion of the staff is that the experiment was a disaster. What are the most common reasons team nursing is not successful?

Which is the most important consideration in choosing a structure for nursing care?

Introducing Nursing Management

Designing Organizations

Leading, Managing, Following

Initiating and Managing Change

Managing and Improving Quality

Understanding Power and Politics

Thinking Critically, Making Decisions, Solving Problems

Communicating Effectively

Delegating Successfully

Building and Managing Teams

Handling Conflict

Managing Time

Budgeting and Managing Fiscal Resources

Recruiting and Selecting Staff

Staffing and Scheduling

Motivating and Developing Staff

Evaluating Staff Performance

Coaching, Disciplining, and Terminating Staff

Managing Absenteeism, Reducing Turnover, Retaining Staff

Dealing With Staff Problems

Preparing for Emergencies

Preventing Workplace Violence

Handling Collective Bargaining Issues

Managing Stress

Advancing Your Career

Filters