Nursing Leadership Exam Questions and Strategies, Exams of Nursing

Download Nursing Leadership Exam Questions and Strategies and more Exams Nursing in PDF only on Docsity! NGR6801 Advanced Nursing Leadership LATEST EXAM 2024 1. You are the nurse manager of a busy surgical ward. You have noticed that some of the staff nurses are frequently calling in sick, leaving the ward understaffed and increasing the workload for the remaining nurses. You suspect that this is due to low morale and burnout among the staff. How would you address this issue as a nurse leader? What strategies would you use to improve staff retention and satisfaction? Answer: As a nurse leader, you would need to identify the root causes of low morale and burnout among the staff, such as excessive workload, lack of recognition, poor communication, conflict, or lack of autonomy. You would then need to implement appropriate interventions to address these issues, such as: - Providing regular feedback and praise to the staff for their work - Encouraging staff participation and input in decision-making and problem-solving - Providing opportunities for staff development and career advancement - Implementing flexible scheduling and adequate staffing levels - Creating a supportive and collaborative work environment - Providing resources and support for staff wellness and self-care Rationale: These strategies are based on the principles of transformational leadership, which is a style of leadership that inspires and motivates followers to achieve higher levels of performance and satisfaction. Transformational leaders foster a shared vision, empower followers, provide individualized consideration, and act as role models. 2. You are the nurse leader of a quality improvement team in your hospital. You have been assigned to lead a project to reduce the incidence of hospital-acquired infections (HAIs) in your facility. What steps would you take to plan, implement and evaluate this project? What challenges or barriers might you encounter and how would you overcome them? Answer: To plan, implement and evaluate a quality improvement project, you would need to follow the Plan-Do-Study-Act (PDSA) cycle, which is a systematic method for testing and implementing changes. The steps are: - Plan: Identify the problem, set a measurable aim, collect baseline data, identify potential solutions, and develop an action plan - Do: Implement the change on a small scale, collect data, and observe the results - Study: Analyze the data, compare the results with the aim, and identify what worked and what did not - Act: Based on the results, either adopt, adapt or abandon the change, and plan for the next cycle Some of the challenges or barriers that might arise in this project are: - Resistance or lack of buy-in from staff or stakeholders - Lack of resources or support from management - Lack of clear communication or coordination among team members - Unforeseen complications or adverse events To overcome these challenges or barriers, you would need to use effective leadership skills such as: - Building trust and rapport with staff and stakeholders - Communicating clearly and frequently about the project goals, progress and outcomes - Providing education and training on the evidence-based practices for preventing HAIs - Involving staff and stakeholders in the planning and implementation process - Recognizing and rewarding staff for their contributions and achievements - Monitoring and addressing any issues or concerns promptly Rationale: These steps are based on the principles of quality improvement, which is a systematic approach to improving processes and outcomes in health care. Quality improvement projects require strong leadership skills to engage staff and stakeholders, facilitate change, and ensure sustainability. 3. You are the nurse leader of a multidisciplinary team that provides palliative care to patients with terminal illnesses. You have noticed that some of the team members are experiencing compassion fatigue, which is a state of emotional exhaustion caused by prolonged exposure to suffering. How would you support your team members as a nurse leader? What strategies would you use to prevent or reduce compassion fatigue among your team? Answer: As a nurse leader, you would need to provide emotional support and guidance to your team members who are experiencing compassion fatigue. You would also need to implement strategies to prevent or reduce compassion fatigue among your team, such as: As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff(select all that apply)? a. Age bias b. Encouragement of potential in all staff c. Understanding the importance of language d. Respecting others e. Stereotyping of others f. Disrespect for others Question 6 Residents in a new long-term care facility attend a large dining hall for meals. In reviewing reports of aggression and violence, you note that behaviors such as hitting, or attempting, to hit staff are increasing. Further investigation suggests that this behavior occurs most often at mealtimes. A possible intervention would be to: a . Feed residents earlier in the day. b . Restrain residents who are violent or aggressive during mealtimes. c . Seat residents with the highest potential for violence next to those with the lowest potential for aggression. d . Establish a smaller dining area that is away from the main area that is for residents who have potential for aggression/violence. Question 7 In caring for a patient from an East Indian culture, the staff expresses frustration that many people are in the room at any one time, which interferes with care. As the nurse manager, you provide leadership in understanding that this behavior of the family and friend network reflects: a. Lack of caring about the hospital environment by the friends and family. b. Lack of communication between family members. c. Lack of understanding of the seriousness of the patient’s illness. d. The social organization of friendships and family networks in East Indian culture. Question 8 The nurse manager for a unit’s culturally diverse staff creates a staff-development program so the professional nursing staff members can enhance their understanding of cultures on the basis of published literature. The literature reveals that the following characteristic is inherent in a culture. It: a. Changes easily. b. Develops over time. c. Develops quickly. d. Maintains a strong work ethic. Question 9 A new graduate RN joins your unit. After a few weeks, she complains about some of her peers on the unit and compares their practices negatively to what she learned in her nursing program. She also is vocal about how she has learned so much here that she did not learn in her program. She is best described as: a. Having cultural sensitivity. b. Experiencing cultural marginality. c. Experiencing cultural diversity. d. Experiencing acculturation. Question 10 A colleague asks you to give her your password access so that she can view her partner’s healthcare record. This request violates the patient’s right to: a. Privacy. b. Protection against slander. c. Confidentiality. d. Undue authorization of treatment. Question 11 Caroline asks family members to leave while she cares for the 16-year-old victim of a recent car accident. The father screams at her and tells her that she has no right to ask his family to leave, and that if she continues to do so, he will “throw her out of the room.” Caroline is shaken and tells her head nurse, who tells her that this kind of thing is just part of the job. The guidance of the head nurse: a. Is reasonable. No physical violence was involved. b. Acknowledges the concern of the nurse. c. Acknowledges the deep distress and fear of the family. d. Is related to why statistics on violence in health care are likely underreported. Question 12 As a manager, you are responsible for two separate units: a CCU and a cardiac step- down unit. The organization and relationships on these units are distinct and very different from one another. Your decision has been to support the uniqueness of these units because each is effective in different ways in providing patient care. This approach is consistent with which principle? a. Cross-culturalism b. Transculturalism c. Acculturation d. Multiculturalism d . Ensuring that physicians are properly licensed to provide care on patient care units. Question 19 As a nurse manager, you realize that your unit has become a toxic environment in which horizontal violence and incivility has become common. In addressing the problem, you decide to implement which of the following? a. Posting of the institutional policy on violence at the nursing station b. Training in conflict resolution and team-building c. Follow-up of all reports of violence d. Increased education in clinical skills Question 20 As a charge nurse, you counsel your RN staff member that he has satisfied his duty of care by notifying a child’s physician of his concerns about deterioration in the child’s status at 0330 hours. The physician does not come in. The child dies at 0630 hours. As the charge nurse, you could be held liable for: a. Avoidance. b. Professional negligence. c. Murder. d. Assault. Question 21 On your nursing unit, you employ LPNs, RNs, and advanced practice nurses. You will need to be familiar with at least: a. Two nursing practice acts. b. Two nursing practice acts in most states. c. One nursing practice act and a medical act. d. At least one nursing practice act. Question 22 One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won’t sign because he doesn’t understand the nature of the surgery. You advise that (select all that apply): a. The patient has a right to choose not to consent. b. The patient must sign the consent because the doctor wants him to sign. c. Witnessing a consent is related only to the voluntary nature of the signature. d. Consent must not be coerced. Question 23 In which of the following situations would you, as the head nurse, be concerned about potential safety issues? a . Sarah is very quiet and says almost nothing in team meetings. Lately, she has been much more animated since becoming friendly with a couple of other RNs on the unit. b . Henry, a long-standing RN on the unit, has begun to miss work regularly. He calls in but is vague about his reasons for the absences. c . Jordan comes to your office to complain about inadequate staffing on the unit. He says that he is concerned because he attributes a recent incident to the staffing levels. d . Carla, RN, has just ended an abusive relationship with Jake, RN, and he will not leave her alone. You are meeting with Jake today because colleagues on nights have reported that Jake seems to have been intoxicated last night and the previous night. Question 24 In designing programs through your institution to address the health needs of Hispanics in your community, you most likely would develop programs related to: a. Cardiovascular disease. b. Asthma. c. Cancer. d. Diabetes. Question 25 As a nurse manager, you notice that Maria, a Hispanic nurse aide, is visibly upset. When you ask her if something is wrong, she becomes tearful and says, “Why is it that when John and I work together in giving patients care, he jokes about my being “a little fat Mexican”? The nurse manager’s best response is, “Do you think he: a. Wants to learn more about you?” b. Is stereotyping you without thinking?” c. Is sensitive to your culture?” d. Has been hurt and wants to hurt others?” Question 26 A patient refuses a simple procedure that you believe is in the patient’s best interest. The two ethical principles that are directly in conflict in such a situation are: a. Paternalism and respect for others. b. Fidelity and justice. c. Autonomy and beneficence. d. Veracity and fidelity. Question 27 Cultural diversity is the term used to describe a vast range of cultural differences. Events have symbolic meanings for the nurse manager and the staff. The event that would be most likely to provide symbolic meaning to a nurse manager and staff is a: a . Task force formed to commemorate a New Year’s celebration in the Western tradition. b . Task force to develop a poster for the unit depicting religions of the world. c. Celebration of National Nurses Week with the focus on cultural care. d . Project to provide Christmas gifts to the children in a daycare program. Question 28 Because an increasing number of Hispanic patients are being admitted, a nurse manager designs a staff-development program to help her staff understand the Hispanic culture. A nurse should understand that culture is determined by which of the following? a. Behavior b. Genetic predisposition d. Political action. 1 points Question 35 Joe and Carol, two of the RNs on Unit 22, are discussing recent incidents on the unit that have involved patients and visitors uttering threats or making demeaning remarks to staff during evening hours. Joe observes that unless someone shoots at him, he is not concerned because “words can’t hurt you.” Joe’s remarks: a. Are partially correct because verbal remarks do not cause injury. b. Reveal possible issues that Joe relates to violence in his personal life. c. Illustrate common misperceptions about the nature of violence. d. Accurately depict the difference between violence and aggression. 1 points Question 36 Three gravely ill patients are candidates for the only available bed in the ICU. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles? a. Autonomy b. Veracity c. Beneficence d. Nonmaleficence Question 37 As a senior manager, you notice that there have been several resignations on a unit where a new charge nurse has been hired. You suspect that the new charge nurse may be demonstrating bullying behaviors, but staff say little about their relationship with the charge nurse. Your decisions about intervention would be based on which assumptions? a . Bullying is primarily related to feelings of marginalization and jealousy among peers. b . Initiating confidential exit interviews will assist in determining if leader violence or bullying is occurring. c . It would be unusual for leaders to engage in violence and bullying behavior. d . The staff nurses would tell you if the charge nurse was engaging in relational violence. Question 38 Which ethical principle is primarily involved in informed consent? a. Nonmaleficence b. Autonomy c. Beneficence d. Veracity Question 39 Sarah is involved in intervening when a patient attempts to harm herself on the unit. During the interaction, the patient slaps Sarah across the face. As a head nurse, it is important that you: a. Provide access to a lawyer. b. Encourage Sarah to see the incident as a normal part of care. c. Offer Sarah immediate education and training in self-defense. d. Assist with follow-up documentation and offer access to counseling. Question 40 According to Leininger, “cultural imposition” is a major concern in nursing because nurses have a tendency to impose their values, beliefs, and practices on patients of other cultures. The discussion topic most likely to be without cultural imposition would be: a. Advance directives. b. Abortion. c. Wound management. d. Blood transfusion.