NUR 221: Leadership for Exam #1 Questions and Answers 100% Accurate
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NUR 221: Leadership
Institution
NUR 221: Leadership
NUR 221: Leadership for Exam #1 Questions and Answers 100% AccurateNUR 221: Leadership for Exam #1 Questions and Answers 100% AccurateNUR 221: Leadership for Exam #1 Questions and Answers 100% AccurateNUR 221: Leadership for Exam #1 Questions and Answers 100% Accurate
A nurse manager calls a meeti...
NUR 221: Leadership for Exam #1
Questions and Answers 100% Accurate
A nurse manager calls a meeting of the unit's staff members to discuss cost-
containment issues. The nurse manager has asked for staff input regarding strategies
that might help reduce costs. Which of the following types of leadership is the nurse
manager using?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Moral - ANSWER-b. Democratic
This is an example of democratic leadership. A democratic leader guides staff toward
reaching an objective and shares responsibility with the staff. This is the ideal type of
leadership in this situation because a great amount of creativity can occur and many
strategies can be developed.
A nurse in the emergency department is preparing to obtain informed consent for
surgery from a client who received meperidine hydrochloride IV during transport from a
rural hospital. which of the following actions should the nurse take to obtain content for
the sx? - ANSWER-Obtain consent from a relative of the client
A client who has received meperidine cannot give consent, because the medication can
alter the client's ability to understand the consent process. The nurse should obtain
consent from a relative of the client. If a relative is unavailable and the surgery is
determined to be critical, the surgery can proceed without client consent.
Consent for transfer to another facility for evaluation by a specialist does not assume
consent for any further procedures, surgery, or care.
Makes decisions independently and then notifies staff of the decisions made. Maintains
a high degree of control over the staff and allows little freedom of staff members -
ANSWER-Autocratic
Guides staff toward reaching an objective and shares responsibility with the staff. This is
an ideal type of leadership because a great amount of creativity can occur and many
strategies can be developed - ANSWER-Democratic
A home health nurse is caring for a client who asks what is included in a living will.
Which of the following statements should the nurse include in the teaching?
a. It establishes who will make health care decisions if the client is not able
b. It allows the client to express personal wishes regarding health care decisions
, c. It serves as an informed consent for procedures - ANSWER-b. It allows the client to
express personal wishes regarding health care decisions
The purpose of a living will is to allow the client an opportunity to specify what aspects
of care and treatment are to be accepted or refused in the event that the client can no
longer communicate those decisions.
Using quality monitoring tools, a facility committee identifies that clients who have
congestive heart failure have an average length of stay that is 5 days instead of the
established standard of 3 days. Which of the following steps should the nurse
implement next in the quality improvement process?
a. educate staff members on shortening the length of stay for these patients
b. collect data regarding length of stay for these patients
c. determine which actions can be instituted to address this problem - ANSWER-c.
determine which actions can be instituted to address this problem
Further analysis of data will identify factors that contribute to the longer lengths of stay.
Identifying actions to shorten the clients' lengths of stay is the next step in the process.
A nurse is working with an AP in a long term care facility. According to the five rights of
delegation, which of the following determinations should the nurse make prior to
assignment of tasks?
a. whether the AP has consented to the performance of delegated tasks
b. the client's willingness to consent to the care of the AP
c. whether the task can be more efficiently completed by the nurse
d. the degree of supervision that the AP will require to complete the task - ANSWER-d.
the degree of supervision that the AP will require to complete the task
Successful delegation involves assigning the right task to the right person under the
right circumstance. The person that is to perform the task must be given adequate
direction and specification regarding the amount of supervision that will be provided.
The right communication of expectations and the right feedback on performance must
also be supplied.
A charge nurse in an ER is making assignment for an AP for a shift with unexpected
staff absences. Which of the following assignments should the charge assign to a float
AP from the med surg unit?
a. escort clients from the ER to other areas of the facility for tests
b. sit at the reception desk answering and directing clients - ANSWER-a. escort clients
from the ER to other areas of the facility for tests
Clients in the emergency department often require transport to other departments.
Typically, transporting stable clients will be a task that may be delegated to AP.
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