GAITH Leadership Flashcards
(53 cards)
1
Q
- On orientation day, a nurse educator said to a new nurse” our hospital provides the highest level of
specialized healthcare in an integrated educational and research setting” which of the following aspects of the
hospital’s strategic plan is indicated by this statement?
A. Vision
B. Policy
C. Values
D. Mission
A
D
2
Q
- A head nurse of an intensive care unit wrote a report about the needs of her department and gave it to the
nursing supervisor. Which of the following types of communication is this?
A. Upward
B. Horizontal
C. Diagonal
D. Downward
A
A
3
Q
- A 45 year old patient has a colostomy bag attached as a result of benign mass removal, while conducting the
discharge teaching session, the nurse assessed the patient’s wife understanding of the teaching. Which of the
following steps of nursing process is exercised here?
A. Implementation
B. Planning
C. Assessment
D. Evaluation
A
D. Evaluation
4
Q
- Which of the following is correct nursing process order?
A. Diagnosis, assess, plan, evaluate, implement
B. Assess, diagnosis, plan, implement, evaluate
C. Evaluate, assess, plan, implement, diagnosis.
D. Plan, assess, diagnosis, evaluate, implement
A
B
5
Q
- A nurse calls a physician regarding a change in a patient’s condition. A physician gives orders over the
telephone for stat arterial blood gases. Which of the following is the best intervention to be implemented?
A. Give order stat to health unit coordinator to input in computer
B. Write down order and read it back to physician
C. Write down order for ABGs immediately
D. Call respiratory therapist stat to draw the ABGs
A
B
6
Q
- During Cardiopulmonary Resuscitation (CPR) for a 75-year-old man in the Emergency Department, the
doctor introduced himself as a leader for the CPR. What is the most appropriate leadership style for this
situation?
A. Autocratic
B. Democratic
C. Bureaucratic
D. Laissez-faire
A
A
7
Q
- A nurse manager is open minded, listens to the team, understands others, makes changes to improve unit
operations and procedures. What type of leadership style is this?
A. Situational
B. Democratic
C. Compassionate
D. Transformational
A
D
8
Q
- Leadership using theories which type of leadership?
A. Autocratic
B. Democratic
C. Transnormal
A
A
9
Q
- Nurse supervising on assistant nurse and delegate assignment to him and say”diving up patient’s assignment”
what type of leadership
A. Autocratic
B. Laissez-faire
C. situational
D. transformational
A
A
10
Q
- A nurse manager includes staff in decision-making process what unit structure is used?
A. Divisional
B. Centralized
C. Functional
D. Decentralized
A
D
11
Q
- What is the main limitation of democratic style of leadership?
A. it ignores the incompetent personnel
B. cannot be used in emergency situations
C. decreases collaboration among the team
D. may end up in inappropriate decision making
A
B
12
Q
- A nurse manger is preparing and writing a plan for dealing disasters (code red). Which procedure is the top
priority for the nurse manager the plan?
A. Infection control
B. Staff orientation
C. Patient education
D. Patient relocation
A
B
13
Q
- nurse manager was not happy about low results of patient’s survey. Which of the following is the first step
for nurse manager?
A. Schedule meeting with staff
B. Start changes to improve
C. Review evaluation details
D. Report to director
A
C
14
Q
- post-operative patient who underwent an abdominal procedure requests a pain medication from the nurse
and rates the pain at a level nine. There a standing order for narcotic administration. When the nurse opera the
narcotic box and performs a count, the number of pills remaining in the box is different than the number of pills
recorded on the sheet. What is the most appropriate initial nursing action?
A. Notify the nursing supervisor
B. Write the finding on the narcotic sheet
C. Administer the patient’s requested medication
D. Identify the last nurse who used the narcotic box
A
A
15
Q
- An 81-year-old bed ridden patient in the Geriatric Ward was pyretic through his nasogastric tube. After an
hour, the patient deep sleep, his breathing pattern changed and he did not rep calling his name. Which of the
following should be the immediate nursing intervention?
A. Call the physician to examine the patient
B. Check for the correct dosage given
C. Check vitals and inform physician
D. Try to wake up the patient
A
C
16
Q
- The nurses in the Male Medical Unit took a signature on the from a patient who needs an abdominal CT
with contrast. What is the best nursing practice?
A. Consent should be taken after the procedure
B. Verbal consent is acceptable for this procedure
C. Consent should be taken from the patient’s relatives
D. Consent should be taken according to the organization’s
A
D
17
Q
- In the hospital digital dashboard, what types of data displayed?
A. Staffing
B. Financial
C. Performance
D. Knowledge-based
A
C
18
Q
- A newly nursing director assigned to a hospital. That is the first should he do?
A. Evaluates the staff
B. Change the head nurses
C. Change the roles
D. Nothing to do
A
A
19
Q
- surgeon instructs a nurse to serve as a witness to an elderly patient’s informed consent for surgery. During
the explanations to the patient, it becomes clear that the patient is confused and does not understand the
procedure, but reluctantly sign the consent form. The nurse should:
A. Sign the form as a witness, making a nation that the patient did not appear to understand
B. Not sign the form as a witness and notify the nurse supervisor
C. Not sign the form and answer the patient’s questions after the surgeon leaves he room
A
B
20
Q
- A community nurse assigned to work in a Makkah, one of the most multicultural cities in Saudi Arab has to
interact with multicultural population every day What is the most important step the nurse should do before
with the clients?
A. Asking the client about his/her cultural background
B. Conducting an appropriate culturological assessment
C. Ensuring that the client has his/her a privacy
D. Looking at the client’s file to take history
A
B
21
Q
- The head nurse meets with staff nurses to discuss ways to improve communication among shifts Which of
the following statement best exemplifies the final stage of conflict management?
A. “We need to clearly define the nature of the conflict”
B. “ I will evaluate the outcomes of the strategies used monthly
C. “ Let us create a time line for the implementation of our strate
A
B
22
Q
- The nursing director wants to evaluate the quality of nursing care at the in-patient areas. The management
team will evaluate on quarterly basis the documentation and the relationship between the patient’s length of
stay and the quality of care which of the following is the most important data source to identify the quality of
care?
A. Patient’s complaints and time taken to resolve them
B. Patient’s satisfaction level at the time of discharge
C. Details of nursing notes for patient’s progress
A
B
23
Q
- The nurse manager received complaints from some nursing to improper work distribution and
discrimination How should the nurse manager handle the situation?
A. Investigate the complaints
B. Individual counselling
C. Identify list of problems
D. Continue to observe
A
A
24
Q
- which of the following is the most appropriate action for a head nurse starting at a new hospital?
A. Make immediate change at the unit
B. Plan and coordinate new strategies
C. Assess unit activities for at least three months
D. Ask about the previous head nurse managerial style
A
B
25
193. After teaching the deep breathing and coughing who is undergoing a surgery, the nurse asked
Demonstration and then helped him in correcting what part of therapeutic communication is used
A. Evaluation
B. Intervention
C. Identification
D. Demonstration
A
26
194. the intensive care unit nurse manager plans to delegates a nurse. What is indicated for a successful
delegation?
A. Nurse Manager supervises nurse.
B. Nurse has authority to change task.
C. Nurse Manager checks task sometimes.
D. Nurse Manager asks another nurse to check task.
A
26
195. nurse accidently dropped a medication ampoule, informed the charge nurse, and completed an incident
report form. The charge nurse arranges medication replacement.
Which of the following is the immediate nursing action required?
A. Revise protocol for medication related incidences
B. Allocate senior nurses to medication assignments
C. Provide missed medication dosage to patient first
D. Incident reporting must be given the priority
C
27
196. Nurse manager first days in new hospital will..?
A. introduce plan and strategy to top manager in hospital
B. introduce himself to staff
C. observation for 3 month before begin work
B
28
197. After accessing patients' medical records, which behavior nurse shows that patients confidentiality has been
breached?
A. Reviews patients medical record
B. Read patients care plan
C. Disclosing patients information
C
28
198. During the assessment phase of a preoperative interview, the patient reports feeling nervous. The patient
conveys to the nurse that a parent died in surgery due to malignant hyperthermia .to whom would this
information be most important ?
A. PACU NURSE
B. SCRUB NURSE
C. ANAESTHESIA TEAM
D. CHARGE NURSE
C
28
200. nurse responsible for narcotic medication loses on ampule morphine. She reports the problem to nurse
manager. Which of the following is the first thing she should say according to the SBAR approach?
A. I have lost one ampule of morphine
B. We should ask the nurse about the morphine
C. I think I left the lid of narcotics box open
D. We should open an investigation into problem
A
29
202. A nurse enters the room of a patient named Ahmed Saeed to administered medication but the patient not
wear his identification bracelet. Which of the following is the most appropriate nursing action?
A. Ask the patient are you Ahmed Saeed?
B. Ask the patient what is your name
C. Ask the patient hat mediation do you take
B
29
199. a charge nurse in the nurse was noted poor staffing schedule in one of the shift. The schedule caused
problems among staff members in the unit. The women the charge nurse should bring the problem to?
A. Supervisor
B. Chief nurse
C. Follow charge nurse
D. Grievance committee
A
29
201. A nurse intervention a patient recently admitted to long term care facility to obtain information on the patient
health perception. The nurse encourage the patient to elaborate this change. Which of the following type of
question would be the most effective in this situation?
A. Analytical
B. Focused
C. Closed
D. Open ended
D
30
205. .What is a characteristic of democratic leadership style?
A. More changes
B. Structured work
C. Staff participation
D. No leader decisions
C
30
203. Research data to be collected from children on nursing unit. What type of consent is the most appropriate ?
A. Informed written consent
B. Consent signed by parents
C. Consent from physician
D. Hospital administration consent
B
31
204. Nurse manager prepares unit clinical operational plan What is top priority in the plan?
A. Infection control
B. Staff orientation
C. Quality projects
D. Safe patient care
D
31
206. Which of the following vaccines in highly recommended to be taken by pilgrims before Haji season?
A. Meningococcal meningitis
B. Tuberculosis
C. Hepatitis A
D. Polio myelitis
A
32
207. Which of the following is the main reason the makes nurses concerned about adolescents health status?
A. Take risky behaviors
B. Consider themselves as adult
C. Have more health issues
D. Transitional period to adulthood
A
32
208. A patient fell in the bathroom and his left leg was fractured, in order to communicate information about the
patient to the next shift. Which of the following documentation should be used by the nurse at the nurse at the
end of the shift?
A. Kardex record
B. Assignment record
C. Shift report
D. Incident report
A
33
209. A nurse is showing stress and anxiety due to long duty hours. Which of the following should the nurse
manager do ?
A. give day off
B. give light tasks
C. offer vacation
D. talk about coping
D
34
210. The nursing assistant with 20 years of experience approaches a recently graduated nurse who recently passed
the licensing examination. The nursing assistant states “the only difference between you and me is the size of
our pay checks”. Which of the following is the most appropriate
response for the newly graduated nurse?
A. assert a hierarchical position
B. emphasize the additional education received
C. explain the legal difference in the scope of practice
D. focus on the need to work together for quality client care
D
35
211. A 14- nurse manager assigns tasks according to clinical competencies of the nurses. Which of the following is
the management function?
A. Delegating
B. Evaluating
C. Planning
D. Controlling
A
36
212. The head nurse of a Coronary Care Unit delegated the staff a senior nurse in that unit What initial step must
the head nurse implement before?
A. Check the hospital policies for delegating tasks
B. Explain the task to the senior nurse
C. Negotiate with the senior nurse
D. Take the signature of the senior nurse
A
37
213. What must be known on legal points of delegation when process to a new nurse?
A. Evaluation of performance of delegate by clients
B. Actual time it takes to complete the task by delegat
C. Institution definition of the job description
D. Number of times that the delegate has previously task
C
38
214. Which of the following patient is the most appropriate to delegate to a new nurse?
A. Patient on a strict bed rest
B. Patient for discharge teaching
C. Patient scheduled for an operation
D. Patient who is hooked to mechanical ventilation
A
39
215. A head nurse of a coronary care unit delegated staff scheduling to a senior nurse in that unit. Which of the
following steps must the head nurse implement before delegating tasks?
A. Negotiate with the senior
B. Take signature of senior
C. Explain task to senior
D. Make sure hospital policies for delegating tasks
D
40
216. Which of the following is most appropriate to delegate assistance
A. Insertion of an oral airway
B. Changing postoperative dressing
C. Initial interview on a newly admitted patient
D. Repositioning a patient to side-lying position
D
41
217. Which of the following patients the nurse should see first?
A. Patient complaining of muscle aches and fever
B. Patient scheduled for electrocardiography
C. Patient newly diagnosed with hypertension
D. Patient with complaint of chest pain
D
42
218. A patient with carpal tunel syndrome ( CTS) is being prepare surgery . which of the following appropriate to
delegate to a assistant?
A. Assess wrist and hand of patient for discoloration
B. Assist patient with self care activities such as bathing
C. Check digits of the hand for painful tingling sensation
D. Initiate application of a splint for immobilization during the
B
43
219. Nurse manger float RN nurse from surgical ward to CCU which patient should be assigned to this nurse?
A. Patient just transferred after coronary angiography
B. Patient postoperative after open heart surgery
C. Patient on I. V lasix have congestive heart failure
D. Patient has ventricular tachycardia and connected to cardiac monitor
C
The nurse floated from the surgical ward to the CCU should be assigned to A. Patient just transferred after coronary angiography.
Rationale:
• A. Patient just transferred after coronary angiography: This patient requires monitoring for post-procedure complications (e.g., bleeding, hematoma, or arrhythmias), which is within the scope of a surgical ward nurse’s experience with post-procedure care and observation.
• B. Patient postoperative after open heart surgery: This patient is highly complex, requiring specialized CCU skills for managing post-surgical complications, such as hemodynamic instability or chest tube management, which may exceed the surgical nurse’s expertise.
• C. Patient on IV Lasix with congestive heart failure: This patient requires close monitoring and titration of medications for heart failure, which demands CCU-specific knowledge and experience.
• D. Patient with ventricular tachycardia connected to a cardiac monitor: This patient is critically unstable and requires immediate, advanced arrhythmia management, which is best handled by CCU-trained staff.
Assigning the floated surgical nurse to the post-coronary angiography patient leverages their experience with post-procedure care while reserving CCU-trained staff for more critical and specialized cases.
44
220. You are the RN charge nurse on the medical surgical unit, and you are in charge of delegating assignments for
the shift. Which of the following would be the most appropriate to delegate to the LPN/LVN?
A. A 25 year old patient who requires IV antibiotic therapy, and needs a PICC line dressing change
before administering the antibiotic.
B. A 72 year old patient who requires Lasix 20mg IV push
C. A 50 year old patient who is 3 days post op and requires a simple dressing change
D. A 45 year old patient who is a newly diagnosed diabetic and requires discharge teaching
C
The most appropriate task to delegate to the LPN/LVN is C. A 50-year-old patient who is 3 days post-op and requires a simple dressing change.
Rationale:
• A. A 25-year-old patient requiring IV antibiotic therapy and a PICC line dressing change: PICC line dressing changes involve sterile technique and specific training, and administering IV antibiotics may be outside the LPN/LVN scope in some regions, depending on state regulations.
• B. A 72-year-old patient requiring Lasix 20mg IV push: Administering IV push medications is typically restricted to RNs due to the need for advanced assessment and monitoring for adverse effects.
• C. A 50-year-old patient who is 3 days post-op and requires a simple dressing change: This task is within the LPN/LVN scope of practice, as it involves basic wound care and does not require complex assessment or decision-making.
• D. A 45-year-old patient who is a newly diagnosed diabetic and requires discharge teaching: Discharge teaching, especially for a new diagnosis like diabetes, requires patient education and evaluation, which is typically an RN responsibility.
Assigning the simple dressing change to the LPN/LVN aligns with their scope of practice and allows the RN to focus on tasks requiring advanced skills.
45
221. Nurse manger pullout nurse from medical ward to CCU which PT should be assigned to this nurse
A. patient just transferred from cardiac catheterization
B. Patient just received with unstable angina on heparin infusion
C. Patient need discharge education about coronary stenting
D. Patient on lasix iv have acute left ventricular failure
A
The nurse pulled from the medical ward to the CCU should be assigned to C. Patient needing discharge education about coronary stenting.
Rationale:
• A. Patient just transferred from cardiac catheterization: This patient requires close monitoring for complications like bleeding or arrhythmias, which demands CCU-specific expertise.
• B. Patient with unstable angina on heparin infusion: This patient is critically unstable and needs specialized titration and monitoring, best handled by CCU-trained staff.
• C. Patient needing discharge education about coronary stenting: This is a stable patient requiring education, which is within the scope of a medical ward nurse’s skills and less demanding than acute CCU cases.
• D. Patient on Lasix IV with acute left ventricular failure: This patient requires intensive monitoring and management of heart failure, which is complex and CCU-specific.
Assigning the medical ward nurse to the discharge education case leverages their general nursing skills while reserving CCU-trained staff for more critical patients.
