Nursing Leadership and Policy Advocacy, Exams of Nursing

Download Nursing Leadership and Policy Advocacy and more Exams Nursing in PDF only on Docsity! NSG-436 Leadership, Ethics & Policy Comprehensive Exam Guide Q & A 2024 1. Multiple Choice: Which leadership theory emphasizes the role of emotional intelligence in nursing leadership? a) Transformational leadership b) Transactional leadership c) Situational leadership d) Servant leadership Correct Answer: a) Transformational leadership Rationale: Transformational leadership theory is known for its emphasis on emotional intelligence, inspiring positive change, and motivating staff through a shared vision. 2. True/False: Nurses have a minimal role in policy advocacy and development. Answer: False Rationale: Nurses play a crucial role in policy advocacy and development, leveraging their expertise and frontline experience to influence healthcare policies. 3. Fill-in-the-Blank: The ________ model is a framework for understanding the ethical dimensions of nursing. Correct Answer: ANA Code of Ethics Rationale: The ANA Code of Ethics provides a foundational model for ethical practice in nursing, outlining the duties and obligations of nurses to their patients, themselves, and the profession. 4. Multiple Choice: In the context of a complex health care delivery system, which of the following is a primary ethical concern for nurses? a) Cost-effectiveness b) Patient autonomy c) Technological advancements d) Interdisciplinary collaboration Correct Answer: b) Patient autonomy Rationale: While all options are significant, patient autonomy is and often includes advocacy at higher organizational levels. 13. Multiple Choice: The legal principle of 'duty to care' implies that nurses: a) Can refuse care based on personal beliefs b) Are obligated to provide care within the scope of their practice c) Must provide care beyond their competence d) Are responsible for all patient outcomes Correct Answer: b) Are obligated to provide care within the scope of their practice Rationale: 'Duty to care' means nurses have a legal obligation to provide competent care within the boundaries of their professional capabilities. Multiple Choice Questions: What is the primary focus of nursing leadership? A) Administrative tasks B) Clinical care C) Financial management D) Strategic planning Correct Answer: B) Clinical care Rationale: Nursing leadership primarily centers on overseeing and improving the quality of patient care within healthcare settings. When engaging in policy advocacy, nurses aim to: A) Increase healthcare costs B) Reduce patient access to care C) Influence healthcare legislation D) Avoid involvement in policy decisions Correct Answer: C) Influence healthcare legislation Rationale: Nurses advocate for policies that enhance patient outcomes and promote equitable healthcare access. Which ethical principle emphasizes the importance of confidentiality in nursing practice? A) Autonomy B) Beneficence C) Nonmaleficence D) Fidelity Correct Answer: D) Fidelity Rationale: Fidelity underscores the duty of nurses to maintain patient privacy and uphold trust in the nurse-patient relationship. Fill-in-the-Blank Questions: Nursing leaders play a crucial role in promoting _ and fostering a positive work environment for healthcare staff. Correct Answer: teamwork Rationale: Collaboration and teamwork are essential in achieving optimal patient outcomes and enhancing staff morale. Policy advocacy involves raising awareness about healthcare issues to influence _ decisions that impact patient care. Correct Answer: legislative Rationale: Nurses engage in advocacy efforts to shape policies that address healthcare disparities and improve quality of care. The principle of _ guides nurses to prioritize the well-being and interests of patients in their care decisions. Correct Answer: beneficence Rationale: Beneficence requires nurses to act in the best interests of patients and promote their welfare. True/False Questions: True or False: Nursing leaders are solely responsible for administrative tasks and do not engage in direct patient care. Correct Answer: False Rationale: Nursing leaders have a multifaceted role that includes both managerial responsibilities and ensuring quality patient care. True or False: Ethical principles in nursing practice are static and do not evolve with changes in healthcare delivery. Correct Answer: False Rationale: Ethical principles in nursing are dynamic and adapt to the evolving landscape of healthcare to address new challenges. True or False: Policy advocacy in nursing is limited to promoting individual patient rights and does not extend to broader healthcare issues. Correct Answer: False Rationale: Nurses advocate for policies that address systemic healthcare challenges and promote equitable access to care for all patients. 1. Multiple Choice: What is the primary role of a nurse leader in a healthcare organization? a. Providing direct patient care b. Managing finances and budgeting c. Setting strategic goals and objectives d. Ensuring compliance with regulatory standards Correct answer: c. Setting strategic goals and objectives Rationale: Nurse leaders are responsible for setting the direction and vision for the healthcare organization, developing strategic goals, and leading the implementation of initiatives to achieve those goals. professional standards of practice in all aspects of patient care, including respect for patient autonomy, confidentiality, and informed consent. 10. Multiple Choice: Which ethical principle guides nurses in maintaining confidentiality and protecting patient privacy? a. Autonomy b. Nonmaleficence c. Veracity d. Confidentiality Correct answer: d. Confidentiality Rationale: Confidentiality is the ethical principle that requires nurses to protect patient privacy, maintain confidentiality of patient information, and only disclose information with the patient's consent or in compliance with legal requirements. 11. Fill-in-the-blank: Nurses have a duty to provide care that is _______ and respects the dignity and rights of every individual. Correct answer: compassionate Rationale: Nurses have a duty to provide care that is compassionate, respectful, and culturally competent, and to advocate for the needs and rights of every individual under their care. 12. True/False: Nurses are required to report any instances of suspected abuse or neglect of patients to appropriate authorities. Correct answer: True Rationale: Nurses are mandated reporters and are legally required to report any instances of suspected abuse or neglect of patients, including children, elderly individuals, and vulnerable populations, to appropriate authorities for investigation and intervention. 13. Multiple Choice: Which legal principle guides nurses in ensuring patient safety and minimizing risks of harm? a. Veracity b. Beneficence c. Fidelity d. Nonmaleficence Correct answer: d. Nonmaleficence Rationale: Nonmaleficence is the legal principle that obligates nurses to do no harm, ensure patient safety, and minimize risks of harm in providing care. 14. Fill-in-the-blank: Nurses are accountable for their actions and decisions in providing _______ care to patients. Correct answer: quality Rationale: Nurses are accountable for their actions and decisions in providing quality care to patients, including assessment, planning, implementation, and evaluation of patient care outcomes. 15. True/False: Nurses have a duty to advocate for safe staffing levels and workload demands that do not compromise patient safety and quality of care. Correct answer: True Rationale: Nurses have a duty to advocate for safe staffing levels, workload demands, and resources that support safe and effective patient care, protect patient safety, and ensure quality outcomes. 16. Multiple Choice: What is the primary role of a nurse in policy development and advocacy? a. Implementing policies and procedures b. Evaluating the effectiveness of policies c. Analyzing healthcare trends and issues d. Influencing policy decisions and promoting change Correct answer: d. Influencing policy decisions and promoting change Rationale: Nurses play a crucial role in influencing policy decisions, advocating for policies that support patient care, promoting change that addresses health disparities and social determinants of health, and ensuring nursing perspectives are considered in policy development. 17. Fill-in-the-blank: Nurses are agents of _______ for patients and communities, advocating for their needs and promoting health equity. Correct answer: change Rationale: Nurses are agents of change, working to advocate for patients and communities, address health disparities, and promote health equity through policy advocacy, community engagement, and education. 18. True/False: Nurses have a duty to participate in professional development activities to enhance their knowledge and skills in nursing practice, leadership, and advocacy. Correct answer: True Rationale: Nurses have a duty to engage in lifelong learning, participate in professional development activities, and stay informed about advances in nursing practice, leadership, and advocacy to provide high-quality care and promote patient safety and well-being. 19. Multiple Choice: Which ethical principle guides nurses in promoting fairness and equality in patient care? a. Fidelity b. Autonomy c. Justice d. Nonmaleficence with patients, families, and colleagues, providing accurate information, disclosing risks and benefits, and maintaining trust and transparency in relationships. 26. Fill-in-the-blank: Nurses have a duty to advocate for _______ healthcare policies that prioritize patient safety, quality outcomes, and health equity. Correct answer: evidence-based Rationale: Nurses have a duty to advocate for evidence-based healthcare policies that prioritize patient safety, quality outcomes, and health equity, promoting research-informed interventions, best practices, and standards of care that support positive patient outcomes and well-being. 27. True/False: Nurses have a duty to participate in interdisciplinary collaborations, teamwork, and communication to promote effective care coordination, patient safety, and quality outcomes. Correct answer: True Rationale: Nurses have a duty to participate in interdisciplinary collaborations, teamwork, and communication to promote effective care coordination, patient safety, and quality outcomes, working with healthcare team members to provide holistic, patient-centered care and support positive patient outcomes. 28. Multiple Choice: What is the primary role of a nurse leader in promoting ethical nursing practice? a. Ensuring compliance with regulatory standards b. Fostering a culture of ethical decision-making c. Implementing quality improvement initiatives d. Managing financial resources and budgeting Correct answer: b. Fostering a culture of ethical decision-making Rationale: Nurse leaders play a key role in fostering a culture of ethical decision-making, promoting ethical conduct, integrity, and professionalism among nursing staff, and providing guidance and support in addressing ethical dilemmas and conflicts in patient care. 29. Fill-in-the-blank: Nurses have a duty to promote a culture of _______ safety, quality improvement, and accountability in healthcare organizations. Correct answer: patient Rationale: Nurses have a duty to promote a culture of patient safety, quality improvement, and accountability in healthcare organizations, identifying risks, errors, and opportunities for improvement in patient care, and advocating for policies, practices, and resources that support safe, high-quality care and positive patient outcomes. 30. True/False: Nurses have a duty to advocate for policies that address healthcare disparities, promote health equity, and support vulnerable populations. Correct answer: True Rationale: Nurses have a duty to advocate for policies that address healthcare disparities, promote health equity, and support vulnerable populations, such as racial and ethnic minorities, LGBTQ+ individuals, immigrants, and individuals with disabilities, to ensure equal access to care, services, and resources that promote health and well-being. 31. Multiple Choice: What is the primary responsibility of nurses in ensuring patient safety and quality care? a. Documenting patient care accurately and timely b. Monitoring vital signs and response to treatment c. Collaborating with healthcare team members d. Adhering to best practices and evidence-based guidelines Correct answer: d. Adhering to best practices and evidence-based guidelines Rationale: Nurses are responsible for adhering to best practices, evidence-based guidelines, and standards of care in providing patient care, ensuring safe practices, quality outcomes, and positive patient experiences. 32. Fill-in-the-blank: Nurses are advocates for _______ care, promoting patient rights, preferences, and interests in decision- making and care delivery. Correct answer: patient-centered Rationale: Nurses are advocates for patient-centered care, promoting patient rights, preferences, and interests in decision- making and care delivery, ensuring that care is tailored to individual needs, values, and beliefs, and supporting patients in achieving their health goals and outcomes. 33. True/False: Nurses have a duty to advocate for policies that address environmental factors that impact health, such as air and water quality, housing conditions, and access to green spaces. Correct answer: True Rationale: Nurses have a duty to advocate for policies that address environmental factors that impact health, such as air and water quality, housing conditions, and access to green spaces, to promote health equity, prevent disease, and improve public health outcomes. 34. Multiple Choice: Which ethical principle guides nurses in respecting the rights and dignity of patients and colleagues? a. Fidelity b. Autonomy c. Respect d. Justice