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Terms in this set (125)What must managers delegate to another RN in order to assure the completing of a task? Time and space Authority and responsibility Which principle should guide the nurse-manager's use of non-verbal communication? It is generally consistent across cultures, unlike verbal communication. It supersedes verbal communication when the two are incongruent. Non-verbal communication should be minimized because it confuses the receiver regarding the true intent of the message Non-verbal communication is a significant part of the communication exchange only when it is not congruent with the verbal exchange. It supersedes verbal communication when the two are incongruent. A manager needs to delegate some tasks. What considerations should the manager prioritize when identifying appropriate person to whom to delegate a specific task? Whose turn is to delegate a task The qualifications of the person regarding the task The fiscal cost of delegating the task. Whether the person has the experience with similar tasks. The qualifications of the person regarding the task Which nursing action demonstrates compliance with American Nurses Association (ANA) principles for social networking by nurses? Strictly avoiding the use of social networking in a professional setting. Participating in the development of institutional policies governing online conduct. Periodically during the day, the RN checks with the team members to determine whether they are having difficulty completing their assigned tasks. This describes which manager role? Skills evaluation Effective delegation Jessica is a nurse in the ER treating a patient with an ear infection. Before administering medication, Jessica reviews the patient's EHR and sees a recorded penicillin allergy. In this case, how does the meaningful use of an EHR facilitate healthcare quality improvement? A)EHRs provide new methods for providers to engage patients and family. D)EHRs improve safety. Meaningful use of EHRs allows healthcare providers to improve quality of care through coordination of data exchanges. T/F True Correct. Lawmakers realized that adopting an EHR will allow a critical mass of providers to increase quality of care.
Which of the following statements bests describes "meaningful use"? A. Meaningful use means that 80% of patients are able to access and use their EHRs to make informed decisions about their health care options. C. Meaningful use means meeting measurable objectives for using an EHR system set forth by the Centers for Medicare & Medicaid Services in order to qualify for incentive programs. Correct. Meaningful use is measured by specific objectives for using an EHR system that will evolve over three stages with the goal of improving health care, engaging patients, improving coordination, increasing efficiency, and maintaining the privacy of patient health information Each stage of meaningful use builds upon the objectives of the previous stage to create an expanding plan for using EHR systems. T/F True Which agency established meaningful use objectives and standards for certifying that systems are
compliant, functional, and secure? C. Centers for Medicaid and Medicare Services Meaningful use of EHRs supports quality improvement by streamlining workflow and preventing medical errors. True A nurse engages in verbal communication with a client. Which of the following is reflective of the nurse's word selection? personal values A nurse manager is discussing the topic of personal space as it relates to nonverbal behavior with a staff nurse. Which of the following statements by the staff nurse indicates a need for further teaching? Use of personal space will increase the client's self-esteem." A nurse is counseling a client who recently received a diagnosis of type 1 diabetes mellitus. Which of the following is a component of nonverbal communication the nurse may display? Select all that apply Vocal inflection The nurse team leader asks the nursing assistant to ambulate a patient after morning care. This is an example of which type of communication? Select one: c. Downward communication A physician is giving orders to a nurse regarding a newly admitted patient. The physician is gesturing, maintaining eye contact, and using a loud tone of voice. These factors illustrate primarily which type of communication? Select one: nonverbal The nurse manager is using the Principles of Collaborative Relationships: Effective Communication by the American Nurses Association (ANA) to improve communication on the nursing unit and knows that these principles require the staff nurses to use what communication practices? Select all that apply. 1. Speak to multiple persons about the issue. 2. Use active listening techniques. The nurse manager is aware that what communication is considered verbal? Select all that apply. 1. E-mail message The nurse manager is preparing to institute the use of SBAR for
interprofessional communication. The nurse manager has based this decision on what benefits to this tool? Select all that apply. 1. Assertive dialogue between professionals The nurse manager would suggest what communication tool to assist staff nurses in organizing and prioritizing information prior to communicating with the health-care provider? 3. SBAR The nurse is communicating to the health-care provider the patient's current medications, allergies, vital signs, and current laboratory values and is using which section of SBAR in giving this information? Background The nurse manager is aware that SBAR may be used in what nonclinical issues? 1. Staffing Levels Grapevine communication flows quickly and haphazardly at all levels of the organization and becomes more and more distorted as it moves along (negative communication) A nurse-manager has recently established a "best practice committee" at the clinic. Which behavior by the committee members suggests that it is in the "storming" stage? B Competition and posturing characterize the storming stage. Agreeing on goals occurs during norming, and these are accomplished during the performing stage. Initial instructions are given during the forming stage. The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease and who is experiencing a new onset of dyspnea. When contacting the client's care provider, the nurse should state the client's admitting diagnosis in what stage of the SBAR tool? Background Feedback from a nurse-manager's peers suggests that the manager's face-to-face communication is
often ineffective. The manager should consider what potential cause of this problem? C. Incongruence between the manager's verbal and nonverbal messages Which
nursing action demonstrates compliance with the American Nurses Association (ANA) principles for social networking by nurses? D. Participating in the development of institutional policies governing online conduct Which principle should guide the nurse-manager's use of nonverbal communication? A A nurse-manager has a reputation as being an assertive communicator. How does this manager most likely communicate? C A nurse-manager is having a difficult conversation with a subordinate whose performance has long been inadequate. The emotional component of the manager's message will be most clearly conveyed by: A Electronic health records (EHRs) have recently been introduced in a health-care organization, and the steering committee is ensuring that the system meets the criteria for meaningful use. This characteristic of the
EHR ensures that the system: D What is the best example of downward communication by a nurse-manager? C A nurse-manager is communicating with a subordinate. What component of this
communication would be considered as part of the external climate? C The nurse-manager is using the GRRRR model of listening when interacting with a colleague who exhibits challenging behaviors. What is the final action that the manager should implement when
using this model? B A manager is careful to address nonverbal aspects of communication when communicating with employees. What practices should the manager adopt? B C The nurse is
caring for a postoperative client whose pain is not being relieved by the current analgesia regimen. When using the SBAR model for communicating with the client's health-care provider, how should the nurse best address the "A" component of the model? D A hospital is downsizing, but the RNs have been assured that everyone on the unit will keep their jobs and that downsizing will occur through normal attrition. Today, the evening charge nurse reported to the manager that the staff was discussing rumors about mass layoffs. What is the best approach to take?
B A new nurse-manager has been warned by colleagues about the prevalence of "the grapevine in the organization's
communication." What is the manager's best initial response to this phenomenon? C A nurse-manager is orienting a new graduate nurse to the unit and has found this individual's charting regarding assessment to be inadequate. What is the most appropriate statement to initiate a discussion with the new RN? C A nurse-manager is drafting a memo that will be distributed within the organization. When using this form of communication, the manager should: A The nurse manager is concerned about a family member's complaint regarding the professional behavior of a nurse on the unit. Which is the most effective method to address this issue? 4. Discuss the complaint with the individual nurse face to face A nurse manager is aware that there is a strong "grapevine" communication system on the unit. The manager elects to use this grapevine to distribute information about an upcoming change in unit policy. In making this decision, the manager should consider which possibilities? (SELECT ALL THAT APPLY) 1. The information may be rapidly disseminated A nurse-manager has recently established a "best practice committee" at the clinic. Which behavior by the committee members suggests that it is in the "storming" stage? b Which of the below communication modes is most reliable? Nonverbal Communication is challenging in all settings. Which of the below non-verbal communication may be interpreted as unconcern or disinterest? Limited eye contact Which of the below tools can best be used when listening to another party? GRRRR Unit manager Jones provides job descriptions to all new nurses. This is an example of which of the below channels of communication? downward The nurse manager is concerned about a family members complaint regarding the professional behavior of a nurse on the unit. Which is the most
effective method to address this issue? 4 A client continually waits more than an hour before being seen at the mental health clinic. The client approaches the nurse and states, "When I have to wait for more than an hour to be seen, I feel like my time is not important." The nurse recognizes this as what type of behavior? Assertive During an assertiveness training group, a client admits to aggressive behaviors. The client asks for suggestions for how to become more assertive and less aggressive. Which is the most appropriate nursing reply? "There are several techniques, including 'I statements,' role playing, and thought stopping, that can help promote assertive behaviors and decrease aggressive behaviors." Which best describes a nurse's use of assertive behavior? When a nurse is open and direct when asked by the nurse manager to complete assignments
Which of the following stages will some members of the team attempt to avoid? 1 The stage in which groups share ideas and form goals is called: 1 How can the "grapevine" best be
controlled? a The nurse interprets assertive behavior as c
The nurse is using assertive communication skills to express self rights, when stating: d Which statement made the by the nurse indicates understanding of how to control the grapevine? c A nurse manager is delegating a task to another nurse. Which of the following action(s) would help the manager effectively communication with the nurse? (Select all that apply.) a, b, d A nurse notices that a coworker has been taking longer lunch breaks. The nurse is frustrated by this and wants to use assertive communicate techniques to effectively handle the situation. Which statement(s) would be the most beneficial? (Select all that apply.) a, c, d The
mediator suggested to the unit staff that a group agreement needed to be made so meetings could become productive. For example, the group agreement, "We will speak supportively," prevents: b 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 communicationwith the physician. c coaching Nurture the growth and development of the employee to do a better job through learning Which reason qualifies as organizational justification for a career development program? c, d Which
statement is true regarding career planning? C Which principle is key in resumes' construction? D Which activity is a personal responsibility for career management? d Which statement is true regarding long-term coaching
for career development? d What is the purpose of a cover letter? A) 1, 2, 3 c How can a nursing professional demonstrate advanced achievement of competencies? B
he manager should have a well-developed, planned system for career development for all employees. What should be included in this program? 1. Policies communicated to administrators A) 1, 2, 3 d What is a management function associated with career
development? d The promise phase of career development typically reflects how many years of initial nursing employment? d What is the name of the stage of a career where nurses are experienced clinicians with expert knowledge, skills, abilities, credentials, and education base? B How can a nursing professional best demonstrate advanced achievement of competencies? acheiving a new specialty certification A recent graduate's mentor is explaining the importance of career planning. What should the mentor teach the recent graduate about career planning? It requires development and implementation of a long-term plan A nurse is constructing a resume before beginning to search for a new job. When creating a resume, the nurse should: ensure the document is concise and easy to read Which activity is a personal responsibility for career management? Developing career ladders Developing a career plan Which
statement is true regarding long-term coaching for career development? It occurs over the entire employment tenure of an employee How can a nursing professional demonstrate advanced
achievement of competencies? Professional specialty certification The manager should have a well-developed, planned system for career development for all employees. What should be included in this program? 1. Policies communicated to administrators 2, 3, 4 Which activity represents a commitment to career planning? Select all that apply. all A nurse is found guilty of performing procedures outside her scope of practice. Identify which elements are true related to nursing scope of practice. a A new graduate has been working as an RN for 6 months and is no longer working with a preceptor. However, she still frequently checks with an experienced nurse to validate that she is following the rules and the policies she is still learning. The new graduate in this scenario exhibits the actions of what theoretical level of skill? d An RN has been practicing for 12 years in pediatrics. Peers often seek out this nurse to help them with complex problems. This experienced nurse is assigned the patients with the highest acuity, and the nurse accepts these assignments with confidence. This nurse is likely practicing at which skill level? d The nurse is working on a
busy cardiac floor. While preparing medications, the nurse is interrupted by a co-worker, who has a question about another patient. After administering the medication, the nurse realizes that she gave the medication to the wrong patient. Which action by the nurse would indicate accountability? d An RN realizes that she inadvertently gave a patient who was NPO for surgery his otherwise normally scheduled PO medications. Which action would she take if she were exhibiting professional accountability? a A staff nurse in the area that you manage has excelled in the delivery of patient education. You are considering implementing a new job description that would broaden her opportunity to teach patients and orient new staff members to the value of patient education. The ethical principle that you are most directly reinforcing is: a. Justice. c A patient refuses a simple procedure that you believe is in the patient's best interest. The two ethical principles that are directly in conflict in such a
situation are: c Three gravely ill patients are candidates for the only available bed in the ICU. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles? a. Beneficence a The principle that requires nurses to uphold a professional code of ethics, to practice within the code of ethics, and to remain competent is which of the following? c A staff nurse in the area that you manage has
excelled in the delivery of patient education. You are considering implementing a new job description that would broaden her opportunity to teach patients and orient new staff members to the value of patient education. The ethical principle that you are most directly reinforcing is: c A staff nurse in the area that you manage has
excelled in the delivery of patient education. You are considering implementing a new job description that would broaden her opportunity to teach patients and orient new staff members to the value of patient education. The ethical principle that you are most directly reinforcing is: c A staff nurse is facing a dilemma between meeting clinical ethical standards and meeting organizational goals. The nurse manager understands that the best way to assist staff members in resolving ethical dilemmas effectively is to focus on: a. doing the right thing and taking the right action. a One mechanism that ensures autonomy in the nursing profession is the: C On admission, the patient was found to have a blood glucose level of 218. The RN knows that except in emergency situations, it is hospital policy to obtain physician's orders before administering any medication. Because the on-call physician did not return the page, the nurse administered insulin according to the common sliding scale. Four hours later, the patient was found nonresponsive in her bed and later died. According to the autopsy, the patient died from heart failure. Her postmortem blood glucose level was 22. The nurse's actions are an example of: a. breach of contract. b On admission, the patient was found to have a blood glucose level of 218. The RN knows that except in emergency situations, it is hospital policy to obtain physician's orders before administering any medication. Because the on-call physician did not return the page, the nurse administered insulin according to the common sliding scale. Four hours later, the patient was found nonresponsive
in her bed and later died. According to the autopsy, the patient died from heart failure. Her postmortem blood glucose level was 22. Because of the nurse's actions, the admitting hospital may be found to be: d On admission, the patient was found to have a blood glucose level of 218. The RN knows that except in emergency situations, it is hospital policy to obtain physician's orders before administering any medication. Because the on-call physician did not return the page, the nurse administered insulin according to the common sliding scale. Four hours later, the patient was found nonresponsive in her bed and later died. According to the autopsy, the patient died from heart failure. Her postmortem blood glucose level was 22. Being aware of the hospital policy for medication administration, the patient's blood glucose level presented the nurse with a(n): a. assessment option. C What element in health care is most responsible for the ethical dilemma of whether health care is a privilege or a right? cost A nurse manager is teaching the purpose of the nurse's Code of Ethics to a group of high school students. Which statement by one of the students indicates that the teaching has been effective? The purpose of the nurse's Code of Ethics is "to guide the behavior of the professional nurse." Which statement best describes the Code of Ethics of the American Nurses Association? A legal document describing the responsibilities of the nurse A nurse is educating themself on the ANA Code of Ethics. Which action by the nurse would be unethical, according to the ANA Code of Ethics? Refusing to care for a patient who is diagnosed as HIV positive The American Nurses Association Code of Ethics is legally binding. T or F? FALSE According to the ANA Code of Ethics for Nurses, what is the nurse's primary commitment? a. assuring that all health care providers address the care of patients in an ethical manner D When the care required of a patient comes into conflict with the nurse's personal beliefs, what situation exists? D A nurse and a patient are discussing the patient's wishes regarding resuscitation. The patient decides that resuscitated is not wanted under any circumstances. What action can the nurse take to identify the ethical issues of the situation? Encourage the patient to discuss his wishes with his family. A young woman has come to the hospital requesting medication to induce an abortion. The nurse assigned finds it too hard to provide care to this patient because it violates the nurse's ethical principles. Which action would be the best for the nurse to take? Find another nurse to provide care for the patient. Which of the following does not accurately reflect the opinions of Jordan's article "Accountability for nursing practice"? B Why is teaching professional
accountability important for nursing? A, B, C Why is it important to have one specific definition of professional nursing accountability? to intentionally integrate accountability education within nursing curricula What is the purpose of nurses understanding ethical codes in health care? Nurses have become increasingly involved in ethical decision making and the use of ethical instruments In regards to responsibility and accountability, please select ALL that apply. A, B, D Nurses must do all the following to consider accountability, EXCEPT? c Role accountability in nursing includes which of the following: (select all that apply) a, c, d, e, f The categories of standards pertain to standards of care and standards of professional performance. Standards of care deal with: A The Scope and Standards of Practice are: D The nurse manager needs to delegate specific tasks to the charge nurse of the unit. Which action is an appropriate use of delegation? Having the charge nurse lead a nursing quality assurance task force What action is necessary by a delegate accepting delegation? Clarify the time line and expectations. Which statements would be important for the charge nurse to make when delegating a responsibility? Select all that apply. 1. "I think
it would be important to our organization if you represent the unit on the policy and procedure committee." A nurse asks an unlicensed assistant to help with discharging clients since so many are going home at one time. The nurse states, "Can you help get these clients ready to go home by helping them pack?" Which option best describes the statement with regard to effective delegation? Delegation would have been more effective had the nurse been more specific about which clients and when it should be completed. Which statement regarding the responsibility of a manager in advocacy is accurate? C How is the action of advocacy described? A Even after a lengthy discussion concerning the ramifications, a patient wants to leavethe hospital against medical advice (AMA). What would the nurse do in the role ofpatient advocate? D Which leadership role is associated with advocacy? A How can nurses act as advocates? Select all that apply. A, C, D Which standard of the American Nurses Association (ANA) Scope and Standards forNurse Administrators suggests that nurse administrators should advocate forsubordinates as well as patients?A) II D Other sets by this creator470 Exam 229 terms karissakoons1 470: Exam 152 terms karissakoons1 CC exam 2173 terms karissakoons1 Review Questions Exam 262 terms karissakoons1 Recommended textbook solutionsTechnical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Edge Reading, Writing and Language: Level CDavid W. Moore, Deborah Short, Michael W. Smith 304 solutions Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Other Quizlet setsEcon Test22 terms Caroline__G 06 | Chromosomes & Cell Division119 terms GraceTheFace16PLUS Module 7 exam40 terms lovieh777PLUS AP2 LAB - LAB 3 - The Anatomy of the Heart24 terms victorialynnhunt Which statement best describes the American Nurses Association ANA code of ethics?Which statement best describes the American Nurses Association (ANA) Code of Ethics for professional nurses? "It provides standards for professional nursing practice."
What is the nursing code of ethics quizlet?Establishes the ethical standard for the profession and provides a guide for nurses to use in ethical analysis and decision-making. 1. It is a statement of the ethical values, obligations, duties, and professional ideals of nurses individually and collectively. 2.
What is the ANA code of ethics quizlet?To be accountable, nurses follow a code of ethical conduct that includes moral principles such as fidelity, loyalty, veracity, beneficence and respect for the dignity, worth, and self determination of patients, as well as adhering to the scope and standards of nursing practice.
Which principle is utilized when a nurse respects a patient's individual decision about their care?Respect for Autonomy
Autonomy means that the patients are able to make independent decisions. This means that nurses should be sure patients have all of the needed information that is required to make a decision about their medical care and are educated. The nurses do not influence the patient's choice.
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Which statement best describes the code of ethics of the American Nurses Association quizlet?
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