Question 1

Which information is included in an action plan? (Select all that apply.)

Accepted Answer

A)   Time frame for completing the activities
B)   Identification of team members who created the plan
C)   Program goals and objectives
D)   Evidence-based practice literature
E)   Client goals A, C

Question 2

Which statement about responsibility, accountability, and authority by the registered nurse (RN) when delegating tasks is correct?

Accepted Answer

A)   The nurse has the responsibility to delegate selected tasks to unlicensed assistive personnel.
B)   RNs are not accountable for tasks that have been indirectly delegated.
C)   If a task has been delegated, it is the responsibility of the unlicensed assistive personnel to perform the task correctly.
D)   Accountability for performing the task correctly is assumed by the RN. D

Question 3

A nurse plans to begin a career working as a nurse in the community. Which of the following skills would be most important for the nurse to possess?

Accepted Answer

A)   Technical skills with acute care nursing as a background
B)   Ability to lobby and collaborate with legislators
C)   Computer and word-processing skills
D)   Ability to build coalitions and work with partnerships D

Question 4

A nurse is functioning in the role of a community-oriented nurse manager. Which of the following interventions would most likely be performed?

Accepted Answer

A)   Help personnel perform their responsibilities effectively and efficiently.
B)   Work with others to ensure a healthy community.
C)   Serve as an advocate for vulnerable and high-risk populations.
D)   Participate in establishing public and organizational policies.

Question 5

A nurse is working with a clinical microsystem. Which of the following best describes what the nurse is working with?

Accepted Answer

A)   Evidence-based practices
B)   Managed care organizations
C)   Electronic health records
D)   Registries

Question 6

A community health center engages in a partnership with similar organizations agreeing to use common practices and share data when providing care for diabetic clients. What type of group is being described?

Accepted Answer

A)   Collaborative
B)   Registry
C)   Partnership
D)   Contract

Question 7

A nurse leader is using critical thinking skills to address the problem of limited access to health care by low-income families in a community. Which of the following actions would most likely be taken by the nurse?

Accepted Answer

A)   Using assertiveness when working with community leaders
B)   Reading an evidence-based practice article about the problem
C)   Forming a coalition to brainstorm effective methods to address the problem
D)   Promoting diversity in the workplace by hiring minorities

Question 8

A school has a policy in place that allows unlicensed assistive personnel to administer medications to students after having their competency evaluated by a registered nurse (RN). Which of the following types of delegation is being used?

Accepted Answer

A)   Direct
B)   Indirect
C)   Supervised
D)   Guided

Question 9

A nurse leader seeks input from staff nurses on a regular basis and allows for changes in practice to improve client outcomes with minimal barriers. Which of the following best describes what has occurred?

Accepted Answer

A)   Decision making
B)   Critical thinking
C)   Empowerment
D)   Delegation

Question 10

A nurse considers interdependence among organizations when planning health interventions for the community. Which of the following categories of theories is being applied?

Accepted Answer

A)   Structural contingency
B)   Organizational
C)   Resource dependence
D)   Systems

Question 11

Why are older adults in the community at high risk for medication errors?

Accepted Answer

A)   They are not competent to take their own medications and need supervision.
B)   They are often taking high-risk medications.
C)   They are not motivated to take medications correctly.
D)   They are in need of the assistance of community health nurses.

Question 12

A nurse leader would like to create a motivating workplace. Which of the following interventions would most likely be implemented?

Accepted Answer

A)   Discuss with employees their personal life and home commitments.
B)   Provide regular feedback to employees.
C)   Allow employees to take off work whenever necessary.
D)   Complete spot checks of employee's work without notice.

Question 13

A nurse is implementing a secondary prevention intervention. Which of the following is most likely being completed?

Accepted Answer

A)   Developing policies and procedures for referral programs
B)   Designing protocols for lead screening
C)   Serving as a chair to organize a smallpox vaccination program
D)   Monitoring implementation of performance-improvement activities

Question 14

Which are goals of community-oriented nursing leadership? (Select all that apply.)

Accepted Answer

A)   Working with others to ensure a healthy community
B)   Serving as an advocate for vulnerable and high-risk populations
C)   Working with interprofessional teams to design ways to coordinate care
D)   Making policies for the public good
E)   Meeting the needs of the middle-class families

Question 15

A nurse manager is evaluating the performance of an organization. Which of the following actions would most likely be taken?

Accepted Answer

A)   Examining best practices for organizational evaluation
B)   Analyzing how the core functions of public health have been implemented
C)   Developing a standardized nursing language to be used within the organization
D)   Reviewing the standards held by accrediting bodies and the guidelines for practice

Question 16

A nurse is providing nursing leadership. Which of the following interventions would most likely be completed?

Accepted Answer

A)   Monitoring the budget for an immunization program
B)   Influencing the improvement of the health of clients
C)   Coordinating an interdisciplinary team
D)   Using resources when providing clinical services

Question 17

A nurse leader is developing a plan to coordinate health care services in the community. Which of the following actions would be most appropriate for the nurse leader to take initially?

Accepted Answer

A)   Applying a team approach to assure all points of view are represented
B)   Monitoring that the plan is correctly implemented
C)   Organizing the plan in a sequential manner
D)   Creating a shared vision, goals, and measurable objectives

Question 18

A nurse is developing a written contract. Which areas would most likely be included in this document? (Select all that apply.)

Accepted Answer

A)   Number of students involved in the project
B)   Client and consultant goals
C)   Time commitments
D)   Intervention strategies suggested
E)   Educational preparation of those involved

Question 19

A seamless system of care is created where all client needs are met through the same system. Which of the following best describes what has happened?

Accepted Answer

A)   Horizontal integration
B)   Vertical integration
C)   Managed care
D)   Alliances

Question 20

Which skills will be demonstrated by a nurse who has effective communication? (Select all that apply.)

Accepted Answer

A)   Active listening.
B)   Restate the main points.
C)   Use simple, direct words.
D)   Maintain eye contact.
E)   Speak slowly.

Exam 40: The Nurse Leader in the Community