Nursing Leadership and Management
Textbook Exam Questions
Course Introduction
This course explores the foundational principles and practices of leadership and management within the nursing profession. Emphasizing both theoretical frameworks and practical application, students will examine the roles and responsibilities of nurse leaders in various healthcare settings. Topics include decision-making, critical thinking, communication, conflict resolution, delegation, and team building, with a focus on strategies to foster effective interdisciplinary collaboration and high-quality patient care. The course also addresses issues such as health policy, resource management, budgeting, ethical leadership, and change management in response to evolving healthcare environments.
Recommended Textbook
Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition by Arnold
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26 Chapters
424 Verified Questions
424 Flashcards
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Chapter 1: Theory Based Perspectives and Contemporary Dynamics
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16 Flashcards
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Sample Questions
Q1) Which of the following statements about communication theory is true?
A) Primates are able to learn new languages to share ideas and feelings.
B) Concepts include only verbal communication.
C) Perceptions are clarified through feedback.
D) Past experience does not influence communication.
Answer: C
Q2) The nursing profession's first nurse researcher,who served as an early advocate for high-quality care and used statistical data to document the need for handwashing in preventing infection,was
A) Abraham Maslow.
B) Martha Rogers.
C) Hildegard Peplau.
D) Florence Nightingale.
Answer: D
Q3) In the circular transactional model of communication,
A) questions are framed in order to recognize the context of the message.
B) people take only complementary roles in the communication.
C) the context of the communication is unimportant.
D) the purpose of communication is to influence the receiver.
Answer: A
Page 3
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Chapter 2: Professional Guides for Nursing Communication
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18 Flashcards
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Sample Questions
Q1) When setting goals with a client,the nurse demonstrates which step of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Answer: B
Q2) The client has a living will in which he states he does not want to be kept alive by artificial means.The client's family wants to disregard the client's wishes and have him maintained on artificial life support.The most appropriate initial course of action for the nurse would be to
A) tell the family that they have no legal rights.
B) tell the family that they have the right to override the living will because the patient cannot speak.
C) report the situation to the hospital ethics committee.
D) allow the family to verbalize their feelings and concerns, while maintaining the role of client advocate.
Answer: D
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Chapter 3: Clinical Judgment and Ethical Decision Making
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Sample Questions
Q1) A client with schizophrenia has been stabilized on long-acting haloperidol,an antipsychotic medication that is administered by injection every 3 weeks.The physician switches the medication to Seroquel,a new antipsychotic oral medication that is administered twice a day.The client complains that he cannot afford the new medication and will not be able to remember to take it.The physician replies,"I can't help that; I have to treat you the way I think is best." The client's nurse may experience A) paternalism.
B) cognitive dissonance.
C) nonmaleficence.
D) moral distress.
Answer: D
Q2) The bioethical principle of autonomy refers to
A) the client's right to self-determination.
B) avoiding actions that bring harm to another person.
C) a decision resulting in the greatest good or least harm.
D) being fair or impartial.
Answer: A
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Chapter 4: Clarity and Safety in Communication
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Sample Questions
Q1) When using the acronym "I PASS the BATON," the nurse demonstrates understanding by beginning with an introduction; then stating the client's name,identifiers,age,sex,and location; then discussing the assessment of the client; and then talking about
A) safety concerns related to the client.
B) the situation, including current status.
C) a summary of the client's medications.
D) a synopsis of the client's psychosocial needs.
Q2) The nurse manager sets a goal to establish a new safety culture on a hospital unit.The nurse manager recognizes that basic components in establishing a new safety culture include
A) support of effective health care teamwork.
B) encouragement of individualism.
C) discouragement of new concepts.
D) promotion of a hierarchical system.
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Chapter 5: Developing Therapeutic Communication Skills
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Sample Questions
Q1) Which of the following is the best questioning sequence during a client interview in which the client is communicative and not in an emergency situation?
A) Begin with focused questions and proceed to open-ended questions.
B) Begin with open-ended questions and proceed to focused questions.
C) Begin with closed questions and proceed to open-ended questions.
D) Begin with open-ended questions and proceed to closed questions.
Q2) A client is admitted to the hospital for unsteady gait resulting in frequent falls.Which of the following is a circular question that the nurse could ask this client?
A) "Tell me more about your falls at home."
B) "How will this hospitalization affect your family?"
C) "Have you experienced dizziness and imbalance before?"
D) "Can you tell me what brought you here?"
Q3) A client tells the nurse,"I am having a tough time and I am scared about the future." Which of the following responses by the nurse is the best feedback?
A) "I know what you mean."
B) "You should do something about it."
C) "I really don't think you are having a tough time."
D) "You are having a tough time and you are scared."
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Chapter 6: Variation in Communication Styles
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Sample Questions
Q1) The majority of person-to-person communication is
A) verbal.
B) process.
C) nonverbal.
D) content.
Q2) When communicating with a client,which of the following best demonstrates the use of nonverbal communication?
A) Ignoring nonverbal cues
B) Holding the client's hand
C) Conversing with the client
D) Using incongruent nonverbal behaviors
Q3) Communication is a combination of
A) verbal and nonverbal behaviors.
B) pitch, tone, and paralanguage.
C) proxemics, touch, and kinesics.
D) eye contact, facial expressions, and nonverbal messages.
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8
Chapter 7: Intercultural Communication
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Sample Questions
Q1) When performing a newborn bath demonstration for the mother of a Native American infant,the nurse should
A) maintain constant eye contact with the mother.
B) anticipate answering many of the mother's questions.
C) ask the mother to stand next to the nurse.
D) deliver verbal instructions in a story-telling format.
Q2) Which of the following is a true statement in relation to the concept of poverty?
A) Poverty affects only a small segment of the population.
B) Poor people expect others to work with them in making things better.
C) Communication strategies that empower the poor to take small steps toward dependence are most effective.
D) Lack of essential resources is associated with political and personal powerlessness.
Q3) When practicing cultural awareness,the nurse recognizes that cultural patterns
A) are socially transmitted through ethnic groups.
B) are nonessential parts of personal identity.
C) are minor determinants of health-related attitudes.
D) are important determinants of health-related beliefs.
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Chapter 8: Therapeutic Communication in Groups
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Sample Questions
Q1) During a support group meeting,a group member makes several sexually provocative remarks toward the group leader.The best response by the group leader is,
A) "What do you think your fellow group member is trying to tell us?"
B) "I want to discuss your sexually provocative remarks privately after this meeting."
C) "Our group work is of the highest priority; please align your remarks with the group purpose."
D) "I don't appreciate what you are saying, you are excused from the group."
Q2) A breast cancer support group is an example of a
A) closed group.
B) private group.
C) homogeneous group.
D) heterogeneous group.
Q3) The nurse recognizes an effective group includes which of the following characteristics?
A) Power resides in the leader and is not shared.
B) Communication is guarded and feelings are not always given attention.
C) Goals are vague or imposed on the group without discussion.
D) Goals are clearly identified and collaboratively developed.
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Chapter 9: Self Concept in Professional Interpersonal
Relationships
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Sample Questions
Q1) A client states,"I am an obese,compulsive person." The nurse demonstrates how to conduct a perceptual check when stating which of the following?
A) "Can you tell me more about this?"
B) "Is it difficult for you to be this way?"
C) "I wouldn't worry about being very neat."
D) "It is okay to be this way; you are not hurting anyone."
Q2) An older adult client is admitted to the hospital with terminal cancer.The client expresses acceptance of impending death and states,"I am very satisfied with the life I had." The nurse recognizes the client is in Erikson's stage of psychosocial development known as which of the following?
A) Integrity vs. Despair
B) Autonomy vs. Shame and Doubt
C) Intimacy vs. Isolation
D) Identity vs. Identity Diffusion
Q3) When directing the behavior of clients,it is important for the nurse to A) understand the dimensions of self-concept.
B) become personally involved with each client.
C) learn to control one's feelings.
D) offer limited guidance and support.
Page 11
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Chapter 10: Developing Therapeutic Relationships
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following is a nontherapeutic statement during the orientation phase of a relationship?
A) "I am the nurse who will be caring for you today."
B) "My job is to make you better."
C) "I will be talking with you while I provide care."
D) "You will be receiving care from an assistant and myself."
Q2) An appreciative client offers the nurse a box of chocolates.The nurse should
A) accept all gifts offered by the client.
B) refuse to accept the chocolates in a gentle, tactful manner.
C) accept or refuse based on the uniqueness of the relationship.
D) accept the gift but also remind the client of intangible gifts.
Q3) When your are administering medications to a client with human immunodeficiency virus (HIV),the client states,"I should just stop taking them and get it over with." A therapeutic response by the nurse would be
A) "You have to take these! If you stop you will get very sick."
B) "You're just feeling depressed right now. You'll feel better later."
C) " Tell me more about what you're feeling."
D) "You have the right to refuse treatment."
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Chapter 11: Bridges and Barriers in Therapeutic Relationships
16
16 Flashcards
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Sample Questions
Q1) Which of the following describes caring?
A) It is difficult to demonstrate professionally.
B) It is an ethical responsibility.
C) It is an intuitive process.
D) It is not influenced by past experience.
Q2) Which of the following is a barrier to communication?
A) Intrusion into personal space
B) Unconditional acceptance
C) Self-awareness
D) Gender differences
Q3) The nurse knocks on the client's door and waits for the client to answer before entering the room.The nurse is demonstrating
A) nonverbal communication skills.
B) respect for the client's personal space.
C) respect for the client's confidentiality.
D) respect for the client's gender difference.
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13
Chapter 12: Communicating With Families
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Sample Questions
Q1) When performing an assessment that focuses on a set of standardized connections to graphically record basic information about family members and their relationships over three generations,the nurse uses
A) an ecomap.
B) a gendergram.
C) family time lines.
D) a genogram.
Q2) When focusing on family interrelationships and the impact a serious health alteration has on individual family members and the equilibrium of the family system,the nurse should use
A) equifinality.
B) diffuse boundaries.
C) circular questions.
D) morphostasis.
Q3) Which of the following is a true statement when comparing biological and blended families?
A) In biological families, rules are varied and complicated.
B) A blended family is born of loss.
C) In biological families, there are multiple sets of rules.
D) In blended families, traditions are shared.
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Chapter 13: Resolving Conflicts Between Nurse and Client
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Sample Questions
Q1) When a physician writes an order for the nurse to withhold life-saving treatment from a terminally ill client,the nurse is faced with two different choices,each supported by a different ethical principle.This type of conflict is known as
A) covert conflict.
B) overt conflict.
C) interpersonal conflict.
D) intrapersonal conflict.
Q2) When working in situations that involve conflict,the nurse recognizes that which of the following is true in relation to conflict?
A) Conflict always leads to impaired relationships.
B) Conflict arises from compatible goals and needs.
C) Most people experience conflict as a lack of discomfort.
D) Conflict serves as a warning that something in the relationship needs closer attention.
Q3) Which of the following best describes the goal of assertiveness?
A) Offering responses that contain "you" statements
B) Indirect communication
C) Standing up for one's personal rights
D) Ignoring the rights of others
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15
Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of
Disease
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Sample Questions
Q1) A client who is recovering from her second myocardial infarction refuses to give up smoking.She states,"I've smoked so long now there's no point quitting as the damage is done." This statement is best understood in the context of which of the following?
A) Social learning theory
B) Pender's health promotion model
C) The transtheoretical model of change
D) Healthy People 2010
Q2) A 3-year-old child is having surgery tomorrow.A preoperative teaching strategy the nurse should use is to
A) encourage self-directed learning.
B) involve parents in teaching.
C) allow child to touch and play with all equipment.
D) incorporate previous life experience.
Q3) Which of the following strategies in health education does the U.S.Preventive Services Task Force recommend?
A) Using a standardized teaching format
B) Eliminating established behaviors
C) Offering limited information regarding the purpose of interventions
D) Suggesting small changes rather than large ones
Page 16
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Chapter 15: Health Teaching and Coaching
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Sample Questions
Q1) When assessing teaching and learning needs at discharge,the nurse should focus on which of the following?
A) What potential problems are likely to prevent a safe discharge
B) The client's ability to pay for his or her hospitalization
C) What potential problems are likely to cause complications or readmission
D) What prior knowledge or experience the client and family has with the current problem
E) What skills and equipment are needed to manage the problem at home
F) Who or what agency will assume responsibility for continuing care
Q2) The nurse is caring for a client who has a history of alcohol abuse.When formulating a goal that "the client will be able to identify three physical effects of alcohol abuse," the nurse recognizes this goal as referring primarily to health teaching in which domain?
A) Cognitive
B) Affective
C) Psychomotor
D) Promoting acceptance
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Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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Sample Questions
Q1) A client who has been diagnosed with cancer asks the nurse,"If I take the chemotherapy,will I be cured,or am I going to die anyway?" The nurse's best response is
A) "Tell me what prompted your question."
B) "I don't think you should have chemotherapy; it will harm you more than help you."
C) "Let's not talk about dying; I'm sure you will be cured."
D) "I really don't think you should worry about such things; it isn't something you can control."
Q2) A nurse consistently works extra shifts in the hope of earning a promotion.The nurse is becoming increasingly fatigued and frustrated because the promotion has not occurred.The nurse is experiencing
A) distress.
B) burnout.
C) eustress.
D) primary appraisal.
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18
Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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Sample Questions
Q1) The nurse is caring for an older adult client who has recently withdrawn from relationships,appears depressed,and appears reluctant to seek information from the nurse.The nurse suspects the client is experiencing hearing loss.The nurse recognizes that
A) the client will readily acknowledge that this is the problem if asked.
B) the client may try to hide deficits and withdraw from relationships.
C) decreased hearing ability is not related to conversational style.
D) older adults, as a group, have better consonant discrimination.
Q2) When attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be
A) speak distinctly while exaggerating words.
B) attempt to use sign language.
C) use pictographs.
D) explain what is happening in complex terms.
Q3) When caring for a hearing-impaired client,the nurse should A) face the interpreter when speaking to the client.
B) use gestures that reinforce verbal content.
C) speak distinctly while exaggerating words.
D) communicate in a dimly-lit room.
Page 19
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Chapter 18: Communicating With Children
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Sample Questions
Q1) A pediatric nurse is educating parents about how children cope with hospitalization.Which of the following statements by the nurse is correct?
A) "The quiet, compliant child who never complains is comfortable on the nursing unit."
B) "The child who screams and cries is much more frightened of hospitalization than the quiet child."
C) "The 2-year-old child who asks for a bedtime bottle is showing signs of regression."
D) "The child who screams and cries may be less frightened than the quiet, overly compliant child who never complains."
Q2) When caring for a preschooler,the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification,leading to a misunderstanding of messages.The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development?
A) Concrete operations
B) Formal operations
C) Preoperational
D) Sensorimotor
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Chapter 19: Communicating With Older Adults
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Sample Questions
Q1) An older adult client tells the nurse,"My life has been a waste." The nurse recognizes this statement as demonstrating which aspect of psychosocial development?
A) Ego integrity
B) Ego despair
C) Lack of generativity
D) Isolation
Q2) The nurse is caring for an older adult client.The nurse recognizes that the factor most closely associated with the older adult's inability to live independently is
A) chronological age.
B) functional status.
C) relationship needs.
D) social functioning.
Q3) When assessing an older adult client,the nurse recognizes the client has a significant hearing loss.The most appropriate intervention by the nurse is to
A) introduce herself first.
B) shout into the client's good ear.
C) repeat words the client doesn't understand.
D) check the hearing aid batteries.
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21
Chapter 20: Communicating With Clients in Crisis
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Q1) When collecting assessment data,the nurse recognizes that a client might be more prone to violent behavior when having a history of which of the following?
A) Psychosis
B) Childhood abuse
C) Lack of impulsivity
D) Mental retardation
E) Delirium
Q2) The nurse is caring for an older adult client who has recently lost his job,is experiencing a major physical illness,and lives alone.The client states,"I sometimes wish I wasn't here." When working with this client,the nurse recognizes that
A) an increase in the client's energy level indicates the client is coping better.
B) older adult clients have a lower rate of suicide.
C) the client should be assessed for imminent danger of doing harm to self.
D) when the client begins giving away possessions, it is a positive sign.
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22
Chapter 21: Communicating With Clients and Families at the End of Life
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Sample Questions
Q1) When evaluating care of dying clients,the nurse recognizes that interventions have been unsuccessful if the
A) client does not get past the stage of denial.
B) client dies in peace surrounded by loved ones.
C) client dies while experiencing pain.
D) nurse refuses to allow the client to be sad.
Q2) Which of the following best describes anticipatory grief?
A) It occurs after the actual death.
B) It occurs when death was sudden and unexpected.
C) Only the family of the dying client experiences it.
D) It can be colored by ambivalent feelings.
Q3) Stoicism and denial of grief are examples of how a family coping with death is affected by
A) Kübler-Ross.
B) culture.
C) developmental level.
D) prior experience.
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Page 23
Chapter 22: Role Relationships and Interprofessional Communication
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Sample Questions
Q1) The nurse is conducting an interview with the family of a client who has just been diagnosed with Alzheimer disease.The nurse wants to assess family role relationships.What would be an appropriate question?
A) "What are your likes and dislikes?"
B) "Who assumes responsibility for decision making?"
C) "How would you describe your job?"
D) "How do you like to be treated?"
Q2) The economics of health care and diminishing numbers of health care providers led to legislative passage of the Patient Protection and Affordable Care Act (PPAC).This legislation is designed to
A) provide high-quality health care to a smaller number of people.
B) make health care accessibility a reality for all.
C) provide high-quality health care at a slightly increased cost.
D) make health care accessibility a reality for individuals with the means to pay.
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Chapter 23: Communicating With Other Health Professionals
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Q1) The nurse recruiter recognizes that collegial relationships are an important determinant of success as professionals enter nursing practice.When interviewing candidates for nursing careers,the nurse recruiter focuses on communication qualities that are important in developing a support system.Which of the following attributes best demonstrate desirable communication qualities?
A) Integrity
B) Internalizing
C) Respect for others
D) Dependence
E) A good sense of humor
Q2) The charge nurse is working on a unit where a nurse is frequently late for work.The charge nurse addresses the behavior by telling the nurse,"It is necessary for you to be here on time from now on." This is an example of what type of constructive criticism?
A) Expressing sympathy
B) Describing the behavior
C) Stating expectations
D) Listing consequences
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Chapter 24: Communicating for Continuity of Care
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Q1) A staff nurse educates a nursing student about collaborative health care teams.The staff nurse recognizes that additional teaching is warranted when the nursing student lists which of the following as a characteristic of a collaborative health care team?
A) They are composed of a single health care discipline in order to maintain cost effectiveness.
B) They are broadly classified as multidisciplinary, interdisciplinary, and transdisciplinary teams.
C) Two or more skilled clinical practitioners will combine efforts in providing care.
D) There is an expectation that care will be provided collaboratively.
Q2) The nurse manager conducts an in-service for staff nurses about the importance of client-centered care.When educating staff nurses about characteristics of client-centered care,the nurse manager lists which of the following characteristics?
A) It promotes dependence within clients.
B) It supports allowing the client time for questions.
C) It considers whom information should be provided to.
D) It respects the amount of information desired by clients.
E) It encourages providing clients with sufficient information.
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Chapter 25: Documentation in an Electronic Era
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Q1) When documenting client care,the nurse recognizes that which of the following is true about documentation of care?
A) Every nurse should anticipate having clients' records subpoenaed at some time during his or her nursing career.
B) There is a need for quicker documentation that does not reflect the nursing process.
C) The legal assumption is that care was given even if it is not documented.
D) Any method of documentation that provides comprehensive, factual information is legally unacceptable.
Q2) The nurse is caring for a client who is recovering from an appendectomy.Which of the following coding systems should the nurse use for documenting changing of the client's postoperative abdominal dressing?
A) Nursing outcomes classification (NOC)
B) Diagnostic-related groups
C) Nursing intervention classification
D) North American Nursing Diagnosis (NANDA)
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Chapter 26: Communicating at the Point of Care:
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Q1) The nurse uses an electronic information technology-based system that is designed to improve clinical decision making to enhance client care and safety.This system is referred to as a
A) personal digital assistant.
B) handheld wireless device.
C) point of care information and documentation system.
D) computerized clinical decision support system.
Q2) Major transformations occurring in use of Health Information Technology (HIT)that will greatly change traditional patterns of nursing communication include which of the following?
A) Electronic health record (EHR)
B) Centralized access to client information
C) Handheld wireless devices to provide continual information
D) Point of care information
E) Continual real time exchange of information
Q3) Which of the following best describes a laptop computer?
A) It is less powerful than a tablet.
B) It should not be taken into a client's home.
C) It is used to chart and transmit a client's care.
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D) It does not allow for information to be transmitted in a wireless fashion.
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