Online Practice Test 28

Your Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 28 > NCLEX® Review Date/Time Submitted: July 16, 2012 at 3:47 PM (UTC/GMT)

Summary of Results 56% Correct of 9 Scored items: 5 Correct:  56% 4 Incorrect:  44% 1 question not scored. 9 scored questions. More information about scoring

1.		When considering delegation of responsibility, the registered nurse should first consider which "right" of delegation? Your Answer: Right task
		Objective: List the five rights of delegation. Rationale: The five rights of delegation include the right task, the right circumstances, the right person, the right direction/communication, and the right supervision/evaluation. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		Which of the following describes the primary difference between a nurse leader and a nurse manager? Your Answer: The manager plans and organizes work. Correct Answer: The manager initiates change.
		Objective: Compare and contrast leadership and management. Rationale: The nurse manager initiates and implements change. Both the nurse leader and nurse manager need to be organized, have good communication skills, be able to motivate, and be confident, among other qualities. The nurse leader uses interpersonal skills to lead. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		What leadership style does the nurse who leads a discussion, then asks the participants to vote on a topic for the next meeting, represent? Your Answer: Democratic
		Objective: Compare and contrast different leadership styles. Rationale: The democratic leader encourages group discussion and decision making. The autocratic leader makes the decisions for the group. The bureaucratic leader doesn't trust himself or others with decisions, and relies on rules. The laissez-faire leader has a "hands-off" approach. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which type of leader would be best suited for a group of individuals who will follow the leader's directions in spite of any hardships they entail because they have faith in the leader? Your Answer: Charismatic
		Objective: Compare and contrast different leadership styles. Rationale: The charismatic leader has a following that has complete faith in the direction the leader gives them. The transactional leader uses incentives to promote loyalty and performance. The transformational leader empowers the group to share the organization's vision. The situational leader adapts her style to the situation. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		Which person would be best suited for a leadership position? Your Answer: A person who has been a positive role model in clinical practice Correct Answer: A person who has shown an ability to gain cooperation from others
		Objective: Identify the skills and competencies needed by a nurse manager. Rationale: An effective leader's attributes include vision, influence, and power, and he can also be humanistic. The person who has shown an ability to gain cooperation would be best suited. Gaining cooperation is important; learning how to do this in a leadership position can be learned. Coercive tactics are not the sign of a good leader. Someone who is a positive role model may not possess leadership characteristics. Vision for the future without a proven ability to lead does not make for a good leader. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		Which job would be the responsibility of a first-level manager? Your Answer: A head nurse Correct Answer: A nurse case manager
		Objective: Discuss the roles and functions of nurse managers. Rationale: The first-level manager (case manager) is responsible for nonmanagerial personnel and the day-to-day activities of a specific work group. The middle-level manager (head nurse) would serve as liaison between first-level and upper-level managers, and would supervise entire departments. The upper-level manager (Director of Nursing, Nursing Supervisor) is responsible for organizations. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		What management function is represented when a nurse manager sets goals and develops a budget for the nursing unit? Your Answer: Planning
		Objective: Discuss the roles and functions of nurse managers. Rationale: Planning involves setting goals and budgets. Organizing would involve identifying work and arranging it into smaller units. Directing is getting the work accomplished. Coordinating ensures the plans are carried out. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		Which characteristic of a manager could undermine the manager's authority? Your Answer: Is unsure of the authority given
		Objective: Identify the skills and competencies needed by a nurse manager. Rationale: The manager must feel worthy of the authority granted, and can undermine this authority with self-doubt. Self-doubt is shown by being unsure. The other answers are positive characteristics of a good manager. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
9.		The term __________is used to describe relationships in which the experienced nurse assists the “new” nurse in improving clinical nursing skill and judgment. Your Answer: supervision Correct Answer: preceptor
		Objective: Identify the roles and functions of nurse managers. Rationale: A preceptor is an experienced nurse who assists someone new in learning his job. Asking others to keep an eye on the new nurse does not assure learning. Pointing out weaknesses at a staff meeting is degrading. Learning without interference does not assure correctly learning the unit’s expectations. Nursing Process: Implementation Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge of leadership.
10.		Define change.  Your Answer: Change is a process.
		Answer: Change is the process of making something different from what it was. Objective: Describe the role of the leader/manager in planning for and implementing change. Rationale: Implementation takes place in the refreezing stage. There are three stages of change: unfreezing, moving, and refreezing. Covert is a type of change, not a stage of change. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the impact of change on the profession.