Leadership M4

Front

To implement change in the work environment, which action is most important for the nurse-manager to take?

Back

Solicit input from coworkers at the beginning of the process.

Answer explanation

The most important component for successful change is soliciting input from coworkers which gives all team members ownership in the change. Although a successful change process involves cognitive exposure to the change idea and working to generate alternative solutions, soliciting input best ensures cooperation and the success of the change.

Front

Which task should the nurse delegate to the experienced unlicensed assistive personnel (UAP)? Options: Evaluate the ability of a client to swallow ice one hour after a gastroscopy. Assist a client with initial ambulation after a hip replacement using a walker. Obtain a sterile urine specimen from an indwelling catheter with a closed drainage system. Change the disposable tracheostomy inner cannula when secretions become tenacious.

Back

Obtain a sterile urine specimen from an indwelling catheter with a closed drainage system.

Answer explanation

Functions of assessment, evaluation, and nursing judgment are performed by the registered nurse (RN). The collection of sterile urine specimens falls within the role of the UAP.

Front

A client reports feeling overwhelmed and lacking the ability to manage the prescribed treatment while at home. Which personnel should the nurse contact?

Back

Case manager.

Answer explanation

The nurse should contact the case manager for clients who report feeling overwhelmed about prescribed treatments to be done at home. The case manager is the healthcare team member who coordinates client care in the hospital and the services for continuity of healthcare after hospital discharge to best manage optimal, cost-effective, health outcomes.

Front

A new staff nurse discovers two CNA's in the utility room speaking loudly and pointing at each other. What is the most appropriate action by the nurse?

Back

Get the nurse manager involved immediately

Answer explanation

Effective communication requires staying calm, focused and centered. Being in "reaction" with people does not solve the problem. The leader needs more information to help solve the issue.

Front

What type of performance appraisal is based on the employee and manager jointly setting goals?

Back

Management by objective

Answer explanation

No other option has the employee and manager jointly setting goals

Front

The charge nurse observes a specific employee has a significant increase in errors and may have some emotional problems from personal issues at home. What is the appropriate response by the charge nurse?

Back

Ask the employee some questions, but ultimately suggest employee assistance programs

Answer explanation

The leader is not a psychotherapist and should not attempt to address the employers problems. Most organizations have employee assistance programs, this should be offered.

Front

Healthcare prices are set using the same economic equilibrium found in all major industries. True or false? Use T or F for your answer

Back

F

Front

What is included in a cost-based system?

Back

The cost of providing a service plus a mark-up for profit

Answer explanation

A cost-based system consists of the cost of providing a service plus a markup for profit or excess income. Third-party payers often limit what they will pay by establishing usual and customary charges by surveying all providers in a specific area. Usual and customary charges rise over time as providers continually increase their prices