Quiz 1 Flashcards
(35 cards)
Which type of leadership style is characterized by a “hands-off” approach?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: B. Laissez-faire
Rationale: Laissez-faire leaders provide minimal supervision and allow team members to make decisions independently.
A nurse leader values collaboration and encourages input from all staff members. This describes which leadership style?
A. Autocratic
B. Bureaucratic
C. Democratic
D. Transformational
Answer: C. Democratic
Rationale: Democratic leaders promote teamwork and collective decision-making.
Which leadership style is known for strict rule enforcement and compliance?
A. Bureaucratic
B. Autocratic
C. Transformational
D. Laissez-faire
Answer: A. Bureaucratic
Rationale: Bureaucratic leaders follow policies and procedures rigidly to ensure compliance.
An autocratic leader is best described as:
A. Allowing complete autonomy
B. Making decisions without staff input
C. Encouraging teamwork
D. Rewarding good performance
Answer: B. Making decisions without staff input
Rationale: Autocratic leaders have full control and expect orders to be followed.
Which leadership style is most effective for inspiring and motivating nurses?
A. Autocratic
B. Laissez-faire
C. Transformational
D. Bureaucratic
Answer: C. Transformational
Rationale: Transformational leaders inspire and engage staff through vision and motivation.
A nurse can delegate which task to an LPN?
A. Teaching a newly diagnosed diabetic patient
B. Performing an initial assessment
C. Reinforcing previously taught education
D. Developing a plan of care
Answer: C. Reinforcing previously taught education
Rationale: LPNs can reinforce education but cannot provide initial teaching or assessment.
What is the most important factor when delegating tasks?
A. The nurse’s workload
B. The staff’s experience level
C. The staff’s availability
D. The patient’s preference
Answer: B. The staff’s experience level
Rationale: Delegation must align with the staff’s knowledge and competency.
Which principle of delegation ensures patient safety?
A. Delegating all patient care to LPNs
B. Assigning tasks based on staff preferences
C. Matching tasks with personnel skill level
D. Allowing unlicensed staff to work independently
Answer: C. Matching tasks with personnel skill level
Rationale: Delegating within the scope of practice prevents errors.
Which is NOT one of the five rights of delegation?
A. Right task
B. Right supervision
C. Right setting
D. Right circumstances
Answer: C. Right setting
Rationale: The five rights are task, person, circumstances, direction, and supervision.
Which patient should the nurse assess first?
A. A post-op patient requesting pain medication
B. A diabetic patient due for a blood sugar check
C. A patient with a heart rate of 45 bpm
D. A patient needing discharge education
Answer: C. A patient with a heart rate of 45 bpm
Rationale: A bradycardic patient is at immediate risk for hemodynamic instability.
A centralized hospital structure means:
A. Decisions are made at lower levels
B. Nurses have full autonomy
C. The hierarchy follows a top-down approach
D. The structure focuses on collaboration
Answer: C. The hierarchy follows a top-down approach
Rationale: Centralized systems concentrate decision-making at upper levels.
A decentralized hospital structure allows:
A. Decisions to be made closer to the point of service
B. Leaders to maintain strict control
C. Nurses to follow a rigid hierarchy
D. Physicians to make all decisions
Answer: A. Decisions to be made closer to the point of service
Rationale: Decentralization empowers staff by distributing decision-making.
What is the main function of the Joint Commission?
A. Provide hospital funding
B. Ensure hospital accreditation
C. Offer malpractice protection
D. Regulate nursing licensure
Answer: B. Ensure hospital accreditation
Rationale: The Joint Commission accredits healthcare organizations for quality and safety.
Which care delivery model involves one nurse providing total patient care for a shift?
A. Functional nursing
B. Team nursing
C. Primary nursing
D. Total patient care
Answer: D. Total patient care
Rationale: In total patient care, one nurse is responsible for all aspects of care during a shift.
Team nursing is best described as:
A. A single nurse managing all care
B. Assigning patients to specific nurses
C. A team led by an RN delegating tasks
D. Unlicensed personnel providing care independently
Answer: C. A team led by an RN delegating tasks
Rationale: Team nursing involves collaboration under the supervision of an RN.
Which drainage type is bright red and consists mostly of blood?
A. Serous
B. Sanguineous
C. Serosanguineous
D. Purulent
Answer: B. Sanguineous
Rationale: Sanguineous drainage indicates fresh bleeding.
Which type of wound drainage is pinkish and watery?
A. Purulent
B. Serous
C. Serosanguineous
D. Sanguineous
Answer: C. Serosanguineous
Rationale: Serosanguineous fluid is a mix of blood and serous fluid, common in healing wounds.
A patient with tuberculosis should be placed in:
A. Standard precautions
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
Answer: D. Airborne precautions
Rationale: TB is airborne and requires an N95 mask and negative-pressure room.
Which vital sign change requires immediate RN assessment?
A. BP 120/80 mmHg
B. HR 60 bpm
C. Respiratory rate 32 bpm
D. Temp 99.1°F
Answer: C. Respiratory rate 32 bpm
Rationale: A rapid respiratory rate may indicate distress or hypoxia.
What is the first step when prioritizing patient care?
A. Review all scheduled medications
B. Assess patients and identify urgent needs
C. Complete all documentation
D. Delegate all tasks
Answer: B. Assess patients and identify urgent needs
Rationale: Prioritization starts with assessing which patients need immediate intervention.
A decentralized hospital structure means:
A. Decisions are made by upper-level administrators only
B. Decision-making is moved closer to the point of care
C. Nurses have no input in decision-making
D. Policies and procedures are strictly enforced without flexibility
Answer: B. Decision-making is moved closer to the point of care
Rationale: In a decentralized system, authority is distributed to managers or frontline staff, allowing quicker and more patient-centered decisions.
Which best describes a functional organizational structure in healthcare?
A. Nurses and staff are organized by their specialized roles
B. Each nurse is responsible for all aspects of a patient’s care
C. Care is provided in a team-based format
D. Decision-making follows a rigid top-down approach
Answer: A. Nurses and staff are organized by their specialized roles
Rationale: Functional organizations group professionals based on specialty areas (e.g., medical-surgical, ICU, administration) to streamline operations.
Which of the following is an example of an upper-level leader in nursing?
A. Charge Nurse
B. Unit Manager
C. Chief Nursing Officer (CNO)
D. Nurse Practitioner
Answer: C. Chief Nursing Officer (CNO)
Rationale: Upper-level leaders like CNOs oversee nursing operations at an organizational level, making strategic and policy-based decisions.
In which care delivery model does one nurse assume full responsibility for all aspects of patient care during their shift?
A. Functional nursing
B. Total patient care
C. Team nursing
D. Primary nursing
Answer: B. Total patient care
Rationale: Total patient care means the assigned nurse is responsible for all nursing tasks for their patients during the shift.
