Nursing Leadership & Management NCLEX Quiz 2 (10 Questions)

1. Which of the following is the best guarantee that the patient's priority needs are met?

Checking with the relative of the patient

Preparing a nursing care plan in collaboration with the patient

Consulting with the physician

Coordinating with other members of the team

The best source of information about the priority needs of the patient is the patient himself. Hence using a nursing care plan based on his expressed priority needs would ensure meeting his needs effectively.

Explanation

The best source of information about the priority needs of the patient is the patient himself. Hence using a nursing care plan based on his expressed priority needs would ensure meeting his needs effectively.

2. He knows that external forces influence changes in his unit. Which of the following is NOT an external force?

Memo from the CEO to cut down on electrical consumption

Demands of the labor sector to increase wages

Low morale of staff in his unit

Exacting regulatory and accreditation standards

Low staff morale is an internal factor that affects only the unit. All the rest of the options emanate from the top executive or outside the institution.

Explanation

Low staff morale is an internal factor that affects only the unit. All the rest of the options emanate from the top executive or outside the institution.

3. When Henry uses team nursing as a care delivery system, he and his team need to assess the priority of care for a group of patients. Which of the following should be a priority?

Each patient is listed on the worksheet.

Patients who need the most minor care

Medications and treatments required for all patients

Patients who need the most care

In setting priorities for a group of patients those who need the most care should be the number one priority to ensure that their critical needs are met adequately. The needs of other patients who need less care can be attended to later or even delegated to assistive personnel according to the rules on delegation.

Explanation

In setting priorities for a group of patients those who need the most care should be the number one priority to ensure that their critical needs are met adequately. The needs of other patients who need less care can be attended to later or even delegated to assistive personnel according to the rules on delegation.

4. Henry is a Unit Manager in the Medical Unit. He is not satisfied with the way things are going in his unit. The patient satisfaction rate has been 60% for two consecutive months, and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Henry?

Call for a staff meeting and take this up in the agenda.

Seek help from her manager.

Develop a strategic action on how to deal with these concerns.

Ignore the issues since these will be resolved naturally.

This will allow for the participation of every staff in the unit. If they contribute to the solutions to the problem, they will own the solutions; hence, the chance for compliance would be more significant.

Explanation

This will allow for the participation of every staff in the unit. If they contribute to the solutions to the problem, they will own the solutions; hence, the chance for compliance would be more significant.

5. One staff member suggested that they review the pattern of nursing care that they were using. Which is described as a:

Job description

System used to deliver care

Manual of procedure

Rules to be followed

A system used to deliver care. In the 70s, it was called methods of patient assignment; in the early 80s, it was called modalities of patient care, then patterns of nursing care in the 90s until recently authors called it nursing care systems.

Explanation

A system used to deliver care. In the 70s, it was called methods of patient assignment; in the early 80s, it was called modalities of patient care, then patterns of nursing care in the 90s until recently authors called it nursing care systems.

6. He raised the issue of prioritizing patient needs. Which of the following offers the best way to determine priority?

Assessing nursing needs and problems

Giving instructions on how nursing care needs are to be met

Controlling and evaluating the delivery of nursing care

Assigning safe nurse-to-patient ratio

This option follows the framework of the nursing process and, at the same time, applies the management process of planning, organizing, directing, and controlling.

Explanation

This option follows the framework of the nursing process and, at the same time, applies the management process of planning, organizing, directing, and controlling.

7. After discussing the possible effects of the low patient satisfaction rate. The staff listed possible strategies to solve the problems. Should they decide to vote on the best change strategy? Which of the following methods does this refer to?

Collaboration

Majority rule

Dominance

Compromise

Majority rule involves dividing the house and the highest vote wins. 1/2 + 1 is a majority.

Explanation

Majority rule involves dividing the house and the highest vote wins. 1/2 + 1 is a majority.

8. Functional nursing has some advantages. Which one is an EXCEPTION?

Psychological and sociological needs are emphasized.

Great control of work activities.

It is the most economical way of delivering nursing services.

Workers feel secure in a dependent role.

When the functional method is used. the psychological and sociological needs of the patients are neglected; the patients are regarded as ‘tasks to be done .‘

Explanation

When the functional method is used. the psychological and sociological needs of the patients are neglected; the patients are regarded as ‘tasks to be done .‘

9. He hopes his unit will make a significant turnaround in the succeeding months. Which of Henry's following actions demonstrates that he has reached the third stage of change?

Wonders why things are not what it used to be

Finds solutions to the problems

Integrate the solutions to his day-to-day activities

Selects the best change strategy

Integrating the solutions into his day-to-day activities is expected to happen during the third stage of change when the change agent incorporates the selected solutions into his system and begins to create a change.

Explanation

Integrating the solutions into his day-to-day activities is expected to happen during the third stage of change when the change agent incorporates the selected solutions into his system and begins to create a change.