Nclex-Rn Practice Questions-Safe And Effectıve Care Envıronment -Management Of Care Part 3
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Question 1 |
Attracting nursing staff to a facility, hiring, and orienting new nursing staff is a costly process. Implementing programs that result in retention of nursing staff is cost-effective for health care facilities. Programs that result in nursing job satisfaction and nursing staff retention are examples of what client care management principle?
A | Case management. |
B | Delegation. |
C | Collaboration with the multidisciplinary health care team. |
D | Resource management. |
Question 2 |
A physician is preparing to perform a chest tube placement on a client with a pneumothorax. The client’s nurse informs a recently hired nurse on the unit that the chest tube placement is about to begin and gives the new hire nurse the opportunity to observe and assist with the procedure. The client’s nurse has just engaged in which form of staff education?
A | Informal staff education and development. |
B | Formal staff education and development. |
C | Delegation of client care. |
D | Quality improvement. |
Question 3 |
A group of nurses is discussing the benefits of specialized certifications in specific areas of nursing. One of the nurses states, “I believe that the additional knowledge that I acquired by studying for my specialty certification was worth the time and money that I spent. It enhances my client care and benefits my clients every day.” Several nurses in the group decide to study for their certifications based on the certified nurse’s positive experience. This is an example of which type of staff education and development?
A | Formal staff education and development. |
B | Mandatory staff education. |
C | Informal staff education and development. |
D | Compliance training. |
Question 4 |
A nurse states to a nurse coworker, “The education coordinator and the charge nurse keep asking me for my new CPR and ACLS cards. I suppose that they will let me know when those certifications are about to expire.” What is the appropriate response by the nurse coworker regarding the nurse’s responsibility for continuing education?
A | They have a list of when your certifications expire and they continue to remind you until you recertify and bring them the new cards as proof of recertification. |
B | You will not be allowed to work if those certifications expire. |
C | Yes, they remind all of the nurses about certifications that are due to be renewed. You would think that they had more important things to accomplish. |
D | Renewal of certifications required for employment and your nursing license are your responsibility as a nurse. You are fortunate that they care and that they reminded you that your certifications were due for renewal. |
Question 5 |
Supervision of delegated client care responsibilities, tasks, and activities is essential to the delivery of quality, cost-effective, multidisciplinary client care. What is the correct definition of supervision?
A | Supervision is the process of transferring the responsibility for the performance of selected tasks or jobs from one person to another. |
B | Supervision involves direct oversight of the work or work product of others. |
C | Supervision is the coordination of care between members of the multidisciplinary health care team. |
D | Supervision is an informal role based on professional knowledge and influence. |
Question 6 |
A heath care facility uses the self-scheduling method for nursing schedules and individual unit staffing. Each nurse pencils in the preferred schedule by order of seniority, then all nurses are responsible to adjust scheduled days to cover that unit’s target number of licensed nurses per schedule. The assistant nurse manager approves each finalized schedule and makes minor adjustments if necessary. What concepts of staff management does the assistant nurse manager employ to achieve completion of the nursing schedule?
A | Delegation and supervision. |
B | Supervision and leadership. |
C | Management and leadership. |
D | Delegation and leadership. |
Question 7 |
Supervision is an essential component of the appropriate delegation of client care. Which example demonstrates inappropriate supervision?
A | The unit charge nurse evaluates each client’s acuity level and then makes client care assignments based on the nurses’ individual skill and competency levels. |
B | A nurse has enrolled in a post-open heart surgery patient recovery course. The nurse is precepted by an experienced nurse on care and recovery of five post-open heart surgery clients for completion of the clinical portion of the course. |
C | A registered nurse is newly assigned to a telemetry unit. The registered nurse is precepted for the first shift and oriented to the unit including policies, procedures, and safety equipment. |
D | A student nurse in the final semester of nursing school is allowed to give intravenous medications unsupervised by either the nursing instructor or the nurse responsible for the client assignment. |
Question 8 |
Nurse with less than one year of experience complains to an experienced nurse,“The charge nurses are always checking up on me and evaluating my client care. I feel as if the charge nurses do not trust me to give good care to my clients.”Which response by the experienced nurse demonstrates an understanding of appropriate staff supervision?
A | The charge nurses are accountable for supervising client care and client safety after delegating the client care assignments. The management staff may believe that they are being supportive by being available to you for help or advice. |
B | The charge nurses do that to everyone. It can be annoying sometimes, but I believe that they mean well. |
C | Why don’t you speak to the charge nurses about your perception of not being trusted to care for your clients? This is probably not their intention. |
D | You are a new nurse, and the charge nurses know that you do not have the experience and knowledge base yet to handle some of your assignments. |
Question 9 |
A friend contacts a nurse at work and states, “Our friend, _______, has just been in a car accident and is in your emergency room. I am so worried. Can you check your hospital computer system and tell me the extent of the injuries?” What is the most appropriate response by the nurse to the concerned friend?
A | I did not know about the accident, but I can’t look that information up for you. Every client’s health information is confidential and is protected by law. Unless I am caring for that person, I have no right to access their health information. I recommend that you contact the family for information. |
B | I will look the information up, but do not tell anyone that I did. Health information is confidential and is protected by law. |
C | OK, let me see here—the CAT scan looks terrible! You had better come to the emergency department as fast as you can! |
D | I can’t look that up for you. I will get into trouble. Call the emergency department and see if they will give you any information. |
Question 10 |
Health care facilities store a large portion of their clients’ health information on the facility’s health information system. Each health care team member with a need to access health information is given a password or log in code. How closely is access to a facility’s health information system monitored?
A | Access is not monitored. After receiving a log in code and password, each employee accesses health information on the honor system. |
B | Access is monitored intermittently. |
C | Access of the health information system is monitored closely and constantly for inappropriate use of the system and health information stored on the system. There is a record of every log in, date, time and the information accessed. |
D | Access is monitored only during business office hours when the system usage is the highest. |
Question 11 |
How should computer monitors that display accessed client health information be positioned to ensure that no visitors to a health care facility or unauthorized persons will be able to view information stored on the facility’s health information system?
A | Monitors should be positioned facing the client rooms so that health care personnel can access the information easily. |
B | Monitors should face away from any visitor area or client care area where information displayed could possibly be viewed by unauthorized persons. |
C | Monitors should be turned off unless in use. |
D | Monitors should be positioned for quick access. Visitors and unauthorized personnel are responsible not to view information not intended for their knowledge. |
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