The nurse observes an unlicensed assistive personnel (UAP) who fails to perform hand ygiene after placing a patient on a bedpan.
LPN Progression Transition
Module 7 Quiz
Role Transition Quiz
Question 1The nurse observes an unlicensed assistive personnel (UAP) who fails to perform hand ygiene after placing a patient on a bedpan. When providing negative feedback to the UAP, the nurse should:
Document the UAP’s actions for discussion during an upcoming annual review.
Ask the unit manager to be present to document responses of both parties.
Address the issue of hand hygiene to all UAPs as a group.
Conduct the conversation in a private setting.
Negative feedback should be given in private.
Question 2The staff nurse provides care to a stable patient who is newly diagnosed with diabetes. The patient has been authorized for discharge from the hospital. To promote efficiency, the staff nurse delegates care to an unlicensed assistive personnel (UAP). Which task must be completed by the staff nurse?
Teaching the patient about symptoms of hypoglycemia
Health teaching must be completed by the nurse. Interventions that require professional nursing knowledge, decisions, or skills may not be delegated.
Measuring the patient’s blood pressure
Assisting the patient with ambulation to the bathroom
Obtaining the patient’s pulse rate
Question 3The staff nurse sits at a large table in the cafeteria with other nurses who are complaining about the hospital’s new policy regarding holiday scheduling. Which statement by the staff nurse demonstrates leadership qualities?
“You guys are just a bunch of complainers. You knew nursing required working holidays.”
“Why don’t you people stop criticizing our bosses and come up with a few solutions?”
“It’s easy for management to make these rules because they’ll be off for the holidays.”
“The new policy is not ideal. What ideas do you have for a better approach?”
Question 4The nurse manager notices nurse retention has steadily declined since she assumed the unit management position. Which action is most appropriate for the nurse manager to implement?
Consult the facility’s chief nursing officer for guidance.
Assess the staff’s perception of the manager’s leadership style.
Because the problem began when the nurse took the management position, it is important to assess the staff’s perception of the manager’s leadership approach to help identify the problem.
Throw monthly pizza parties for the unit.
Give each nurse on the unit a 5% raise in pay.
Question 5The nurse manager evaluates a staff nurse who has a history of frequent absences from work. Which strategy does the nurse manager implement to improve the staff nurse’s work attendance?
Share public feedback
Praise desirable behaviors
Provide negative feedback
Reinforce constructive behaviors
Question 6The nurse manager leads a staff meeting to inform team members about an upcoming unit reorganization. Which staff nurse’s behavior demonstrates passive resistance to the change?
Standing up during the meeting and stating, “This is stupid and won’t work!”
Listening quietly and making suggestions for implementation
Being silent at the meeting but frequently calling in sick during implementation
Threatening to quit if the reorganization is put into action
Question 7The nurse provides care to an older adult client who is diagnosed with Alzheimer’s disease. The nurse delegates the client’s bathing and hygiene care to an experienced certified nursing assistant. While shaving the client, the certified nursing assistant accidentally cuts the client’s chin. Who is legally liable for this injury?
Both the nurse and the certified nursing assistant
The certified nursing assistant
The nurse who delegated the activity
Both the nurse and the nurse’s supervisor
Question 8Safe, effective delegation of tasks must include implementation of which nursing actions? Select all that apply.
Determining the skill mix of unit personnel
Deciding which tasks to assign to a team member
Consulting with the charge nurse
Assessing the needs of the clients who are involved
Supervising the patient care delivery
Question 9The novice nurse is assigned a nurse mentor. As a mentee, what are the responsibilities of the novice nurse? Select all that apply.
Displaying flexibility and the ability to change
Demonstrating an ability to move toward independence
Using feedback to modify behaviors
Exhibiting an eagerness to learn
Encouraging excellence in others
Question 10The unit manager evaluates the graduate nurse’s followership. Which statements by the graduate nurse reflect effective followership? Select all that apply.
“I would be happy to join the education committee to develop a handbook for newly hired nurses.”
“I understand what you are saying, but I don’t think you are seeing my perspective about the situation.”
“I was reading a nursing journal yesterday and found new evidence I’d like to share with you.”
Sharing new evidence provides the opportunity to improve patient care, which is an important part of followership.
“I have an idea to solve the weekend staffing problem. What if we started by finding nurses who prefer working weekends?”
Creativity and innovation, as demonstrated in “… I have an idea to solve …” is an important part of followership.
Question 11The inhabitants of Yulupa, California, form which of the following?
Population
Vulnerable Population
Community
Aggregate
Question 12A community health nurse is evaluating the current health programs in the community. Which of these outcomes would indicate a healthy community?
Ninety percent of members report adequate access to primary care services.
Mortality rates have been stable over the past 5 years.
Immunization services are available at hospitals and clinics.
Affordable housing in the community is under construction.
Question 13Which type of nursing has a focus on the community as a whole and the health status of individuals as an aggregate?
Community Health Nursing
Public Health nursing
Community-oriented nursing
School Nursing
Question 14The nurse has been assigned to a caseload of home health clients. Before making home visits, which two planning activities must she perform first?
Develop a schedule for the day so that all visits can be made.
Order supplies for the home care services.
Contact the clients to arrange for the visits.
Review the cases to determine the reasons for the visits.
Plan for caregiver respite care.
Question 15A home health nurse has called the patient to arrange an initial home visit and has driven to the home. Which is the nurse’s objective in the first few minutes of the visit?
Assess the patient’s most important health needs.
Gather demographic data and complete the referral form.
Develop rapport and trust with the patient and family.
Determine the patient’s needs for ongoing care.
Question 16At a home visit, the nurse asks the patient, “Have you taken your blood pressure medicine today?” The patient replies, “I don’t remember. Maybe.” On the table are several bottles of medication, some open, some not. They have all been prescribed for the patient. The patient cannot say how often to take each one, when asked. A compartmentalized medication organizer is on the table, with a few capsules in it, and some compartments left open. Which action would the nurse take?
Fill the organizer for each day of the week; explain how to use it; and return in a day or two to evaluate.
Arrange for a home health aide to come each day to show the patient which pills to take.
Administer today’s medications and arrange for the pharmacy to put medications in easy-to-open containers in the future.
Show the patient how to put the medications in the organizer for the next 2 days; observe while he fills the rest of the organizer.
Question 17A 56-year-old patient is hospitalized because of poorly controlled diabetes and a leg ulcer that developed as a complication of diabetes. The patient is awake, alert, and oriented but fatigued and in need of wound care. In the hospital, insulin and a variety of oral medications were prescribed. The patient is learning how to check their blood sugar and administer insulin. The patient has never given himself insulin and does not understand how to interpret blood sugar readings. The physician has prescribed discharge from the hospital with home health follow-up. Is this an appropriate referral?
No; the patient is relatively young and oriented and would be able to provide their own care.
Yes; the patient has been unable to control the diabetes, is noncompliant, and needs to be monitored.
Yes; the patient is in need of skilled services and, therefore, eligible for home care services.
No; the patient would remain hospitalized; there are too many needs for home care services.
Question 18Which interventions would the nurse implement in the home of an elderly patient to promote safety? Select all that apply.
Encourage dim lighting throughout the home.
Ensure rugs in the home are loose.
Fix loose railings up the stairs.
Check that all medications are tightly sealed and out of the patient’s reach.
Change batteries in all smoke detectors.
Question 19Which of the following groups represents a vulnerable population? Select all that apply.
Homeless persons with no known illnesses
An elderly individual with heart failure
Women who have experienced domestic violence
Ninth grade students at the local high school
Persons with type 1 diabetes mellitus
Question 20The nurse is visiting a patient who lives alone in a two-room house. The patient requires wound care and medication management, but their health is not expected to improve much, even with care. There is no running water in the house, and the bathroom is in disrepair and filthy. At the first home visit, which of the following would the nurse assess? Select all that apply.
Ability to perform care independently
Patient concerns
End-of-life planning
Review of medications
Wound status
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