Finally Flashcards
(70 cards)
There is a best practice committee at clinic. Which behavior suggests storming stage?
A. Members attempt to impress each other with credentials
B. The short and long term goals for the group are agreed upon
C. Group members achieve their stated goals
D. The members receive their instructions and mandate from the manager
A. Members attempt to impress each other with credentials
There is a grapevine form of communication. What is managers best response?
A. Seek to understand the patterns and contributors of this pattern
B. Inform about harmful effects and that it will not be tolerated
C. Instruct to use formal patterns rather than informal patterns
D. Use the grapevine to disseminate messages that are accurate and respectful
A. Seek to understand the patterns and contributors of this pattern
A memo form of communication should:
A. Send to everyone to ensure equal access
B. Begin with at least one page of background info
C. Avoid using headings
D. Include only essential info
D. Include only essential info
A nurse manager is sitting on a practice committee and is the gatekeeper. What action does this nurse perform?
A. Acknowledge and praise each members contributions
B. Mediate, harmonize and resolve conflict when it arises
C. Facilitate and promote participation by all group members
D. Record the groups process and give feedback
C. Facilitate and promote participation by all group members
What statement about maintenance of confidentiality is true?
A. It is the right of every client
B. It is made easier with technology
C. It is the primary duty of medical records staff
D. It can be violated when there is a legitimate professional need
D. It can be violated when there is a legitimate professional need
What principle should guide the managers understanding of gender differences in communication
A. Research has disproven gender differences in communication
B. Gender is the variable that has the greatest effect on communication
C. People of different genders communicate and use language differently
D. Women have been shown to be more competitive communicators
C. People of different genders communicate and use language differently
What stage of SBAR is when a COPD patient is experiencing new onset of dyspnea?
A. S
B. B
C. A
D. R
B. B
What is example of downward communication by manager?
A. Reports a nurses error to chief officer
B. Seeks advice from colleague
C. Contacts a clients physician to confirm scheduled transfer
D. Reviews results of nurses performance with nurse
D. Reviews results of nurses performance with nurse
A 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 hsould implement?
A. Confirm an action plan
B. Request any necessary info from colleague
C. Thank the colleague for the collaborative conversation
D. Reflect privately on the quality of the interaction
C. Thank the colleague for the collaborative conversation
A nurse sits at foot of pts bed during admission interview. This positioing supports the proxemics concepts of which psychological comfort zone?
A. Intimate relationships
B. Personal interactions
C. Social exchange
D. Public distance
C. Social exchange
EHRs have been recently introduced in healthcare settings. The steering committee is ensuring that the system meets the criteria for meangingful use, What criteria ensures
A. Is readily accessbile in any care setting
B. Uses language that is accessible to and understandable by clients
C. Contains data that has the potential to improve client outcomes
D. Means the same thing to every user
C. Contains data that has the potential to improve client outcomes
A large healthcare organization has struggled to meet mandated EHR standards. What actions address the likely challenge that this organization is facing? SATA
A. Improving communication between managers
B. Increasing organizations budget for technology
C. Investing more in employee training
D. Engaging clients adn families with the process
E. Increasing the use of evidence-based pracitce
B. Increasing organizations budget for technology
C. Investing more in employee training
A manager is careful to address nonverbal aspects of communication when communicating with employees. What practices should they adopt?
SATA
A. Communication in public places
B. Stand 12-18inches from employee when having important conversation
C. Be thoughtful about aspects of appearnace that can be controlled by manager
D. Avoid crossing arms across chest
E. Limit eye contact with employees to avoid being perceived as aggressive
C. Be thoughtful about aspects of appearnace that can be controlled by manager
D. Avoid crossing arms across chest
A new manager is evaluating recent tasks that had been delegated to other staff. What is an inappropriate reason for delegation?
A. To empower subordinates
B. To allow the manager to address more complex needs
C. To free manager from task that is not intellectually challenging
D. To give the task to someone who is better qualified
C. To free manager from task that is not intellectually challenging
Manager delegates many tasks in the day. What practice should the manager discontinue?
A. Grants temp authority to support completion of delegated task
B. Confirms that the person to whom a task is delegated is adequately qualified
C. Manager provides employees with exact instruction for each step of completeing the task
D. The manager asks for regular updates from the employees when tasks take a long time
C. Manager provides employees with exact instruction for each step of completeing the task
Which action is considered leadership role associated with delegation?
A. Creating job descriptions for all personnel
B. Providing formal recognition or reward for completion of delegated tasks
C. Demonstrating sensitivity to how cultural phenomena affects transcultral delegation
D. Reprimanding employees who demonstrate overt resistance to the taks they are delegated
C. Demonstrating sensitivity to how cultural phenomena affects transcultral delegation
What statement is true regarding the general delegation loability of a RN?
A. It is minimal because of subordinates alone are held accountable for practiving within accepted scopt
B. it is high bc the RN is automatically held liable
C. It is reduced when the RN delegates appropriately and supervises the completion of tasks
D. It is avoided entire.y as long as the nurse delegates only other licensed personnel
C. It is reduced when the RN delegates appropriately and supervises the completion of tasks
What must managers delegate to another RN to assure completion of a task?
A. Time and space
B. Leadership and creativity
C. Authority and responsibiltiy
D. Personnel and knowledge
C. Authority and responsibiltiy
The omnibus budget reconciliation act of 1987 established regulations for the education and training of which category of health care worker?
A. CNA
B. RN
C. LPN
D. Ward clerk
A. CNA
The manager is overseeing a culturally diverse group of staff. The manager should consider what when planning delegation? SATA
A. Communication style
B. Concepts of time
C. Intelligence
D. Biologic variations
E. Social organization
A. Communication style
B. Concepts of time
D. Biologic variations
E. Social organization
An experienced RN has seen a significant increase in the need for delegation skills over the past several years. This change is most likely attributable to
A. Increased numbers of uninsured clients
B. Increased lengths of stay
C. Inceases in the use of nAP
D. Decreases in nurse-client ratios
C. Inceases in the use of nAP
What role has the Joint Commission assumed in ensuring quality at the organizational level?
A. Establishing clinical practice guidelines
B. Reducing diagnosis-related group reimbursement levels
C. Standardizing clinical outcome data collection
D. Assessing monetary fines for organizations that fail to meet standards
C. Standardizing clinical outcome data collection
Which of the following would be considered sentinel events that should be reported to the Joint commission? SATA
A. A client with ischemic heart disease dies of MI
B. A client with dementia falls and suffers a hip fracture while trying to walk to the bathroom
C. A client files a formal complaint about the inattention of staff while he was in the hospital
D. A client expierences nephrotoxicity and requires dialysis because of a medication error
E. A client expieriences a transfusion reaction after receiving the wrong type of packed RBC
B. A client with dementia falls and suffers a hip fracture while trying to walk to the bathroom
D. A client expierences nephrotoxicity and requires dialysis because of a medication error
E. A client expieriences a transfusion reaction after receiving the wrong type of packed RBC
What is the greatest limitation of the health plan employer Data and information set?
A. Joint commission has not updated the HEDIS since 2009
B. Managed care organizations are not required to collect HEDIS data
C. Performance indicators are exclusively process focused rather than outcome focused
D. HEDIS performance measures focus on medical interventions and do not address nursing actions
B. Managed care organizations are not required to collect HEDIS data