Nokea
People-related supervisory tasks include all of the following except:
- A. coaching.
- B. encouraging.
- C. target setting.
- D. rewarding.
Correct Answer: D
Rationale: Target-setting is the projection of goals or objectives to be accomplished and is considered to be a task-centered, supervisory responsibility. Coaching, encouraging, rewarding, evaluating, and facilitating are supervisory activities that are people related as they involve direct interaction with those doing the work.
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The nurse has a client who is being transferred to another floor right around change of shift. Which of the following actions is least appropriate?
- A. Inform the staff on the other floor of any unresolved issues with the client.
- B. Ask the charge nurse if overtime would be permitted to complete the client's transfer to the other floor.
- C. Ask the new nurse to take care of the transfer since the client's medical record has all of the information and a report should not be needed.
- D. Complete the transfer paperwork before the client is transferred.
Correct Answer: C
Rationale: The nurse should ensure a safe handoff of care during the transfer. The nurse on the next shift should not be asked to complete the transfer for the client without a full handoff of care.
During an emergency procedure, is the surgical timeout a requirement?
- A. As long as the surgical timeout would not cause a delay leading to injury or death, the time-out should be performed by the surgical team.
- B. No, in an emergency procedure, the timeout does not need to be performed.
- C. No, the surgical timeout is optional depending on the surgeon's preferences.
- D. Yes, the surgical timeout should be performed in all cases.
Correct Answer: A
Rationale: The surgical timeout should be performed as long as the delay in performing the timeout would not have negative consequences.
The nurse is working the same shift two days in a row. On the first of these days, while caring for one assigned client, the client says, 'Will you promise me you will be my nurse tomorrow?' Which response is most appropriate.
- A. Yes, I promise you I will be your nurse during my shift tomorrow.'
- B. You will need to speak to my supervisor about this request.'
- C. While I cannot promise that I will be your nurse tomorrow, I can talk to the charge nurse about this request.'
- D. Because of confidentiality, I cannot discuss tomorrow's assignments with you.'
Correct Answer: C
Rationale: While the nurse should not make any promises to the client, they can attempt to accommodate this request by speaking with their supervisor.
Which of the following behaviors is least appropriate when dealing with fellow staff members?
- A. Provide positive feedback and constructive criticism.
- B. Serve as a resource.
- C. Only report conflicts that interfere with client care.
- D. Provide input for performance evaluations.
Correct Answer: C
Rationale: When conflicts are recognized, they should be reported. Conflicts can involve all components of healthcare practice including client care, nursing staff interaction, interactions with other hospital staff, and resource use/availability.
Which of the following is true of advanced directives?
- A. They should be appropriately documented in the client's chart.
- B. They are only applicable if the client has a terminal illness.
- C. They are required if the client is unconscious.
- D. They are non-legal requests.
Correct Answer: A
Rationale: Advanced directives are legal requests regarding a client's health care regardless of the severity of their illness or level of consciousness. They should be verified on admission and documented in the client's chart.