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    Exam Review

    1. The leaders of a health-care organization ascribe to human capital theory and are planning the budget for the next year. What activity should the team prioritize in the budget to promote the goals of this theory?
      A)
      Incentives for staff members who provide exemplary care and who make no errors
      B)
      Signing bonuses for nurses who are hired from outside the region
      C)
      Reimbursement of tuition to nurses who are upgrading their education
      D)
      Community outreach activities that will increase engagement between staff and residents
    2. In which situations does the nurse-manager have a legal responsibility for reporting? Select all that apply.
      (SATA)
      A)
      A nurse had to work 2 hours of overtime because another nurse failed to report for a shift.
      B)
      A nurse is suspected of providing substandard medical care.
      C)
      There is a confirmed case of a reportable infectious disease.
      D)
      A nursing assistant has reported a suspected incident of elder abuse.
      E)
      A pediatric client reports physical abuse in the home.
    3. Which action is considered a leadership role associated with delegation?
      A)
      Demonstrating sensitivity to how cultural phenomena affect transcultural delegation
      B)
      Reprimanding employees who demonstrate overt resistance to the tasks they are delegated
      C)
      Creating job descriptions for all personnel
      D)
      Providing formal recognition or reward for completion of delegated tasks
    4. How can subordinates be discouraged from taking up a nursing manager's time unproductively? Select all that apply.
      (SATA)
      A)
      Instituting an open-door policy
      B)
      Having limited office seating available
      C)
      Having the manager be accessible in the nursing station
      D)
      Work in a public area
    Page 1 of 19

    Exam Review

    1. A nurse has been hired to oversee a day surgery clinic. What action will best ensure good outcomes for this nurse, the clients, and the employees of the clinic?
      A)
      Integrate nursing management and nursing leadership roles and practices.
      B)
      Implement the principles of authoritative leadership.
      C)
      Consciously develop the ability to be charismatic.
      D)
      Teach all employees about the financial considerations at the clinic.
    2. A change in the patient care delivery system has been mandated on a hospital unit. The manager can best ensure the successful introduction of a new delivery system by:
      A)
      carefully studying the best method for implementing the planned change.
      B)
      explaining the implications of the proposed change to patients and families.
      C)
      assigning a senior registered nurse to lead the implementation.
      D)
      hiring nurses who have experience in providing the new delivery system.
    3. A state Nurse Practice Act is an example of which source of law?
      A)
      Constitution
      B)
      Statutes
      C)
      Judicial
      D)
      Administrative
    4. A nurse is involved in a challenging clinical situation which requires the nurse to consider many people's interests. How can the nurse best implement Standard VII of the American Nurses Association (ANA) Scope and Standards of Practice?
      A)
      Advocate for the organization's interests above those of individuals.
      B)
      Allow the client to read the documentation about the situation.
      C)
      Carefully consider the ethical aspects of the situation.
      D)
      Seek legal advice promptly.
    Page 2 of 19

    Exam Review

    1. The nurse manager oversees the care of several nurses. With which nurse should the manager review the provisions of the Health Insurance Portability and Accountability Act (HIPAA)?
      A)
      A nurse who initiated contact on social media to discuss a client’s discharge planning.
      B)
      A nurse who discussed a client’s status with the physician over the phone.
      C)
      A nurse who confirmed a new client’s identity using two identifiers before providing care.
      D)
      A nurse who completed a client’s documentation in the electronic health record.
    2. A subordinate has accused a manager of favoritism after the manager created the work assignment for the day. How should the manager best apply the principles of emotional intelligence?
      A)
      Involve a colleague in the situation who has no emotional investment in the situation.
      B)
      Identify and reflect on the feelings that she experiences after being accused.
      C)
      Choose a response that will diffuse the subordinate's emotions.
      D)
      Recognize that the subordinate's statement was likely based on emotion rather than evidence.
    3. Which statement is correct regarding the distinction between legal and ethical obligations in decision making?
      A)
      Ethical controls are much clearer and individualized.
      B)
      Legal controls are much less clear and individualized.
      C)
      Ethical controls are clearer and philosophically impartial.
      D)
      Legal controls are clearer and philosophically impartial.
    4. Which nurse could face discipline for committing an intentional tort? Select all that apply.
      A)
      A nurse who applied restraints to a client as a punitive measure
      B)
      A nurse who slapped a client when the client became verbally abusive
      C)
      A nurse who neglected to supervise a client, leading to a fall
      D)
      A nurse who threatened an elderly client when the client did not participate in care
      E)
      A nurse who increased a client's analgesia dosage without a prescription
    Page 3 of 19

    Exam Review

    1. In which situation would the nurse be justified in overriding a client's right to confidentiality?
      A)
      A client does not want her husband to know that she is a client on the unit.
      B)
      A client states that he does not want to know the results of his recent diagnostic test.
      C)
      An older adult client discloses to the nurse that her son occasionally hits her.
      D)
      A teenage client asks the nurse not to tell her parents that she is pregnant.
    2. A nurse failed to supervise a confused client, and the client fell while transferring to the bathroom. The client was unharmed, but the client's family has launched a malpractice suit, citing the nurse's breach of duty. What is the most likely outcome of this case?
      A)
      It will likely be unsuccessful because the client was not injured.
      B)
      The outcome will depend on the extent to which the client was responsible for the incident.
      C)
      It will likely be successful, provided the family can prove the event was reasonably foreseeable.
      D)
      The outcome will depend on how the nurse's actions compare to the established standard of care.
    3. The nurse is reviewing the provisions of legislation that relates to nursing practice in the jurisdiction where the nurse provides care. The nurse should identify what primary purpose of this legislation?
      A)
      Organizing the overall structure of the health-care system
      B)
      Ensuring nurses provide care that is ethical and moral
      C)
      Promoting a unique role for nursing in promoting wellness
      D)
      Protecting clients' rights and safety
    4. A nurse is deeply concerned about a proposed piece of legislation. Which action will best influence a local legislator who will be voting on the legislation?
      A)
      Writing a succinct, personalized letter to the legislator
      B)
      Forwarding the legislator online articles that related to the legislation
      C)
      Signing an online petition
      D)
      Phoning the legislator's office repeatedly
    Page 4 of 19

    Exam Review

    1. A nurse has begun working in a new health-care facility and is beginning to understand the organizational culture. When seeking to understand the organizational culture, the nurse should:
      A)
      try to perceive the dominant values, traditions, and beliefs in the organization.
      B)
      carefully examine the demographic characteristics of the workforce.
      C)
      ask coworkers at various levels to interpret the organizational chart.
      D)
      ask the middle-and upper level managers about the potential for advancement
    2. Which ethical principle is demonstrated when an adult child is legally given the right to make medical decisions for a cognitively impaired parent?
      A)
      Justice
      B)
      Beneficence
      C)
      Paternalism
      D)
      Fidelity
    3. The emergency room nurse is assessing a patient who has presented with an exacerbation of recently diagnosed irritable bowel syndrome. The patient states that he is "overwhelmed" and "bewildered" by the mix of diagnostic tests, appointments, and consultations since he was diagnosed. What is the nurse's best action?
      A)
      Acknowledge the difficulty of the patient's circumstances and arrange for a nurse navigator.
      B)
      Validate the patient's concerns and liaise with the clinical nurse-leader (CNL).
      C)
      Offer to accompany the patient to any upcoming appointments.
      D)
      Offer to mediate between the patient and the case manager.
    4. Which strategy best demonstrates an understanding of the managers role as an advocate for his or her subordinates?
      A)
      Establishing friendships with as many of the nurses as possible
      B)
      Posting a copy of the code of ethics in the staff room
      C)
      Working with primary care providers to expand standing nursing orders
      D)
      Addressing an employee's high rate of absenteeism
    Page 5 of 19

    Exam Review

    1. A nurse is preparing for a television interview to address an aspect of health care. What actions should the nurse perform? Select all that apply.
      A)
      Using technical vocabulary to ensure precise communication
      B)
      Introducing statistics that support the key points
      C)
      Being focused on key points
      D)
      Repeating key points several times during the interview
      E)
      Providing background material related to the key points
    2. A nurse is following a multidisciplinary action plan (MAP) when caring for a new patient. The nurse should identify what components within the MAP? Select all that apply.
      A)
      Indication of times when nursing interventions occur
      B)
      Cost analysis of major interventions
      C)
      Critical path
      D)
      Identity of the nurse navigator
      E)
      Nursing care plan
    3. Which statement about time management is true?
      A)
      Most people have an accurate perception of the time they spend on a particular task or the total amount of time they are productive during the day.
      B)
      Writing goals down is not usually necessary if the goals are limited to fewer than five in number.
      C)
      Keeping a time inventory for a day will allow the manager to identify a time management pattern.
      D)
      Nurses with clearly identified personal goals and priorities have greater control over how they spend their time.
    4. A nurse is practicing in a case management context and a patient has been following a multidisciplinary action plan (MAP). In the last 24 hours, it has become clear that the patient's health status is not improving as quickly as expected and the patient is deviating from the MAP. What is the nurse's best action?
      A)
      Cancel the current MAP and adopt customized, rather than standardized care.
      B)
      Document the presence of a variance in the MAP.
      C)
      Collaborate with the care team to arrange a transfer to a new setting.
      D)
      Cancel the patient's current MAP and call a meeting to select a new one.
    Page 6 of 19