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Nurse 400 Midterm Exam Questions with 100% Verified Correct Answers

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  • NURS 400
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  • NURS 400

Nurse 400 Midterm Exam Questions with 100% Verified Correct Answers Transformation leadership most fundamentally involves (Select all that apply): 1. Developing charismatic and highly influential leaders 2. Envisioning new systems of care to get work done 3. Developing relationships and involvi...

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  • August 18, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 400
  • NURS 400
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Nurse 400 Midterm Exam Questions with 100%
Verified Correct Answers
Transformation leadership most fundamentally involves (Select all that apply):

1. Developing charismatic and highly influential leaders

2. Envisioning new systems of care to get work done

3. Developing relationships and involving others in change

4. Introducing research and innovation - Correct Answer 2. Envisioning new systems of care to get
work done

3. Developing relationships and involving others in change

4. Introducing research and innovation



Collaborative practice models most fundamentally aim to

1. Improve delegation between staff

2. Improve communication between staff

3. Place the patient at the centre of care delivery

4. Ensure that health care providers can cover for one another - Correct Answer 3. Place the patient
at the centre of care delivery



Delegation by nurses involves the following (Select all that apply):

1. Communication of the plan of care to the LPN

2. Transferring accountability to another care provider

3. Ensuring that the delegate has the skills and knowledge to perform the function

4. Understanding team members' scopes of practice - Correct Answer 3. Ensuring that the delegate
has the skills and knowledge to perform the function

4. Understanding team members' scopes of practice



The type of management structure that has a potential for greater collaborative effort, increased
competency of staff, and ultimately a greater sense of professional accomplishment and satisfaction
is

1. Empowerment

2. Primary nursing

3. Total patient care

4. Decentralized - Correct Answer 4. Decentralized

,While administering medications, the nurse realizes she has given the wrong dose of medication to a
patient. The nurse acts by completing an incident report and notifying the patient's physician. The
nurse is exercising

1. Authority

2. Responsibility

3. Accountability

4. Decision making - Correct Answer 3. Accountability



A manager who wishes to promote patient safety in the health care organization should focus on
(Select all that apply):

1. Viewing mistakes as opportunities for learning

2. Staffing models and ratios

3. Systems for detecting mistakes

4. Ensuring shared vision and values of quality and safety in care - Correct Answer 1. Viewing
mistakes as opportunities for learning

2. Staffing models and ratios

4. Ensuring shared vision and values of quality and safety in care



A home care nurse is working with three UCPs who were recently hired and are new to their roles.
For the first 2 weeks of their employment, the UCPs have been providing care for patients at home
with complex wounds and caring for families in palliative care situations. The nurse believes in the
principles of collaborative practice and wishes to support the UCPs in their development. An
important first step would be to

1. Provide an opportunity for the UCPs to talk about their experiences, questions, and roles

2. Provide an educational session on palliative care

3. Set up a mentoring system among the UCPs

4. Discuss the role of the RN in home care - Correct Answer 1. Provide an opportunity for the UCPs to
talk about their experiences, questions, and roles



Leadership for the promotion of primary health care involves (Select all that apply):

1. Political action and advocacy

2. Understanding how communities access care

3. Implementing collaborative practice models

, 4. Promoting the goal of health equity - Correct Answer 1. Political action and advocacy

2. Understanding how communities access care

3. Implementing collaborative practice models

4. Promoting the goal of health equity



The nurse checks on a patient who was admitted to the hospital with pneumonia. He has been
coughing profusely and has required nasotracheal suctioning. He has an intravenous infusion of
antibiotics. He is febrile. The patient asks the nurse whether he can have a bath because he has been
perspiring profusely. The nurse may delegate to the UCP working with her today the task of

1. Assessing vital signs

2. Changing intravenous dressing

3. Nasotracheal suctioning

4. Administering a bed bath - Correct Answer 4. Administering a bed bath



An example of a nurse-sensitive outcome based on Best Practice Guidelines is (Select all that apply):

1. Rates of wound infection

2. Percentage of time it takes to count narcotics by nursing staff every shift

3. Number of falls among residents in a long-term care setting

4. Time it takes for a patient to be transported from the emergency department to an inpatient
nursing unit - Correct Answer 1. Rates of wound infection

3. Number of falls among residents in a long-term care setting



A nurse manager is encountering poor staff morale on her unit. While participating in a
baccalaureate course the nurse manager learned that one of the reasons nurses lack power today is
probably because of the past. In the early decades of the profession, nurses lacked power because: -
Correct Answer b. Women were not socialized to exert power.



Nurses' lack of involvement in politics is sometimes associated with their discomfort with
acknowledging and using power. Nursing has been a predominantly female profession, and women
traditionally were not socialized to exert power.



Nurses who engage in infighting seek physician support against nursing colleagues, and avoid
membership in nursing organizations: - Correct Answer b. Do not understand how their failure to
exercise power can limit the power of the whole profession.

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