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* NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH TOP RANK REVIEW ACADEMY, INC. Page 1 | 6 WORKBOOK PROFESSIONAL ADJUSTMENT, LEADERSHIP AND MANAGEMENT, AND RESEARCH INTENSIVE PHASE 1. The nurse manager will implement a new way of scheduling staff vacations. Senior staff members are against the change while newer staff members are more accepting. What strategy is effective to solve their differences? A. Explain that the change will occur as designed, regardless of the staff’s preference. B. Provide extensive and detailed rationale for the proposed change, then implement. C. Withdraw the proposal to prevent a decrease in staff morale. D. Encourage interaction between the opposing sides to attempt resolution. 2. A nurse-manager of a 40-bed surgical unit arrives at work during a strong typhoon. Surprised, she finds out only a licensed practical nurse (LPN) and two nursing assistants (NA) have been able to make the journey to work. Each reporting staff member has skills that can be used to provide care for the clients on the unit. Which nursing care delivery system would be most effective in an event like this? A. Functional nursing B. Case management C. Primary nursing D. Team nursing 3. The nurse leader informs the staff of an emergency and instructs them to stay at the hospital to prepare for major casualties. The staff displays high levels of anxiety and disorganization. Which is the most appropriate leadership style at this time? A. Democratic B. Laissez-faire C. Bureaucratic D. Authoritarian 4. An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. In which condition would it be inappropriate to delegate this unsupervised task to the UAP? A. The UAP has just returned from an extended leave of absence. B. The unit had a new wheelchair. C. This was an elderly client. D. It was the client’s first time out of bed after surgery. 5. A leader is most likely to be effective when acting which way? Select all that apply. a. Modifies his or her own behaviors based on the needs of individual members of the group. b. Adopts the leadership style of the leader who had the position before him or her. c. Gives equal consideration to group members who are in favor of and opposed to a desired change. d. Plans and organizes group activities. e. Asks members for opinion of the leader’s effectiveness. A. c,d,e B. e,a,b C. c,b,e D. all of the above 6.Which is more commonly a characteristic of a manager rather than a leader? A. Visionary B. Primary effectiveness is through influencing others. C. Often takes risks and explores new solutions to problems. D. Has been given legitimate power by the organization. 7. During the rounds, one patient tells the nurse manager that he has not had his medications all shift. Being a nurse manager, what will be his first action? A. Enhance employee performance: Provide the client’s nurse with a mentor to review proper medication procedures. B. Manage resources: Assign another nurse to administer the client’s medications. C. Communicate: Discuss the client’s statement with the assigned nurse.
* NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH TOP RANK REVIEW ACADEMY, INC. Page 2 | 6 D. Manage conflict: Call the nurse into the client’s room and mediate a discussion between them. 8.Which example reflects a nurse manager with accountability but not authority? A. The manager is to recommend a new staffing procedure to the institution’s nurse manager group. B. To reduce costs, administrators instruct the manager to inform the staff to reduce overtime. C. The manager evaluates the unit staff but cannot promote or terminate staff. D. The manager prepares a monthly budget variance report that includes plans to correct overspending. 9. A staff nurse influences the behaviors of her colleagues by guiding and encouraging them. She’s an excellent role model but has no formal authority over her peers. This nurse is demonstrating characteristics of which role? A. Leader B. Autocrat C. Manager D. Authority 10. A nurse-manager is concerned because she received many time-off requests from her staff for the upcoming long weekend. She has come up with several possible solutions to the staffing dilemma and has scheduled a staff meeting to present ideas to the staff. Which management style is this manager demonstrating? A. Democratic B. Participative C. Autocratic D. Laissez-faire 11. A preoperative nurse notices that a client is scheduled for a partial mastectomy and axillary lymph node removal the following week. The nurse should make sure that the client is well educated about her surgery by: A. making sure that the post-anesthesia care unit nurses know what to teach the client before discharge. B. providing all of the preoperative teaching before surgery. C. talking with the nursing staff at the physician’s office to find out what the client has been taught and her level of understanding. D. having the post-operative nurses teach the client because she’ll be too anxious before surgery. 12. A nurse-manager is interviewing another nurse for the team leader position. The nurse appears to be qualified and has excellent references. She said that she is certified in critical care nursing but she misplaced her verification card. What would be the best action the nurse manager would take next? A. hire the nurse, but tell her that she must provide proof of certification before completing orientation. B. avoid hiring the nurse because she can’t provide proof of certification. C. contact the credentialing center and confirm the nurse’s certification. D. trust that the nurse is telling the truth because she has excellent references. 13. The nurse is giving a bed bath to an assigned client when an unlicensed assistive personnel (UAP) enters the client’s room and tells the nurse that another assigned client is in pain and needs pain medication. Which is the most appropriate nursing action? A. Finish the bed bath and then administer the pain medication to the other client. B. Cover the client, raise the side rails, tell the client that you will return shortly, and administer the pain medication to the other client. C. Ask the UAP to find out when the last pain medication was given to the client. D. Ask the UAP to tell the client in pain that medication will be administered as soon as the bed bath is complete. 14. A nurse-manager of an outpatient surgery department helps groom her staff for career advancement. Which task can she safely delegate to a staff registered nurse? A. Tell the most experienced staff nurse to select a new nursing care delivery system for use in the department.
* NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH TOP RANK REVIEW ACADEMY, INC. Page 3 | 6 B. Ask one of her staff nurses to terminate a client care assistant. C. Assign 24-hour responsibility to her assistant manager for a period of 2 months. D. Ask two of her staff nurses to schedule staff for the next 2 weeks. 15. A new nurse-manager is trying to determine the best way to implement client teaching in her surgical unit by gathering data from other surgical centers and comparing their teaching methods with her unit’s methods. Which quality improvement process is she using? A. Risk management B. Performance improvement C. Benchmarking D. Quality management 16. A new unit nurse manager is holding her first staff meeting. The manager greets the staff and comments that she has been employed to bring about quality improvement. The manager provides a plan that she developed and a list of tasks and activities for which each staff member must volunteer to perform. In addition, she instructs staff members to report any problems directly to her. What type of leader and manager approach do the new manager’s characteristics suggest?(33) A. Autocratic B. Situationa C. Democratic D. Laissez-faire 17. A nurse-manager of a busy pediatric unit wants to purchase additional computers for client data collection and for online continuing education programs. The total cost is about Php 100,000. She should include this expense in what portion of her budget? A. Operating B. Capital C. Personnel D. Managerial 18. The registered nurse is planning the client assignments for the day. Which is the most appropriate assignment for an unlicensed assistive personnel (UAP)? A. A client receiving continuous tube feedings B. A client requiring a colostomy irrigation C. A client with difficulty swallowing food and fluids D. A client who requires urine specimen collections 19. Which of the following strategies focus on improving nurse-physician collaborative practice? (Select all that apply.) I. Inviting the physician to attend the practice council meeting II. Participating in physician morning rounds III. Placing physician photos and names in unit newsletter IV. Contacting physician promptly to discuss patient problems V. Providing a list of physician contact numbers to all staff nurses A. I, III, IV B. I, V C. I, II, IV D. I, IV 20. While administering medications, the nurse realizes that she has given the wrong dose of medication to a patient. She acts by completing an incident report and notifying the patient’s health care provider. The nurse is exercising: A. Authority. B. Responsibility. C. Accountability. D. Decision making. 21. Your nursing manager distributes biweekly newsletters of ongoing unit or health care agency activities and posts minutes of committee meetings on a bulletin board in the staff break room. This is an example of: A. Interdisciplinary collaboration. B. Staff communication. C. Nurse-physician collaborative practice. D. Problem-solving committees. 22. The nurse asks an unlicensed assistant (UAP) to weigh a client. The UAP carefully assists the client out of bed to stand on the scale, weighs the client, and safely returns the client to bed. Later, when the UAP reports the weight to the nurse, it is discovered that the client had been placed on bedrest and should

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