Deck 40: The Nurse Leader in the Community

Question 1

Which action would a nurse leader most likely take when using critical thinking skills to address the problem of limited access to health care by low-income families in a community?

A) Use assertiveness when working with community leaders.
B) Read an evidence-based practice article about the problem.
C) Form a coalition to brainstorm effective methods to address the problem.
D) Promote diversity in the workplace by hiring minorities.

Answer 1

Form a coalition to brainstorm effective methods to address the problem.

Question 2

A nurse considers interdependence among organizations when planning health interventions for the community.Which category of theories is being applied?

A) Structural contingency
B) Organizational
C) Resource dependence
D) Systems

Answer 2

Systems

Question 3

Why are older adults in the community at high risk for medication errors?

A) They are not competent to take their own medications and need supervision.
B) They are often taking high-risk medications.
C) They are not motivated to take medications correctly.
D) They are in need of the assistance of community health nurses.

Answer 3

They are often taking high-risk medications.

Question 4

Which action will a nurse take first when implementing the consultation process?

A) Making initial contact with the client
B) Negotiating for higher fees
C) Applying interventions
D) Collecting data

Question 5

A community health center engages in a partnership with similar organizations agreeing to use common practices and share data when providing care for diabetic clients.This is an example of implementing a:

A) Collaborative
B) Registry
C) Partnership
D) Contract

Question 6

Which intervention would a nurse perform when functioning in the role of a community-oriented nurse manager?

A) Help personnel perform their responsibilities effectively and efficiently.
B) Work with others to ensure a healthy community.
C) Serve as an advocate for vulnerable and high-risk populations.
D) Participate in establishing public and organizational policies.

Question 7

A school has a policy in place which allows unlicensed assistive personnel to administer medications to students after having their competency evaluated by a registered nurse.Which type of delegation is being used?

A) Direct
B) Indirect
C) Supervised
D) Guided

Question 8

Which intervention is an example of secondary prevention?

A) Developing policies and procedures for referral programs
B) Designing protocols for lead screening
C) Serving as a chair to organize a smallpox vaccination program
D) Monitoring implementation of performance-improvement activities

Question 9

Which statement about responsibility,accountability,and authority by the registered nurse when delegating tasks is correct?

A) The nurse has the responsibility to delegate selected tasks to unlicensed assistive personnel.
B) Registered nurses are not accountable for tasks that have been indirectly delegated.
C) If a task has been delegated, it is the responsibility of the unlicensed assistive personnel to perform the task correctly.
D) Accountability for performing the task correctly is assumed by the registered nurse.

Question 10

Which action is the nurse most likely to take to effectively manage time?

A) Prioritize goals.
B) Arrive at the site early in the morning.
C) Be available to others.
D) Complete all tasks.

Question 11

Which is an example of a clinical microsystem?

A) Evidence-based practices
B) Managed care organizations
C) Electronic health records
D) Registries

Question 12

Which skills are most important for a nurse to have when working in the community?

A) Technical skills with acute care nursing as a background
B) Ability to lobby and collaborate with legislators
C) Computer and word-processing skills
D) Ability to build coalitions and work with partnerships

Question 13

Which action would a nurse manager most likely take when evaluating the performance of an organization?

A) Examine best practices for organizational evaluation.
B) Analyze how the core functions of public health have been implemented.
C) Develop a standardized nursing language to be used within the organization.
D) Review the standards held by accrediting bodies and the guidelines for practice.

Question 14

Which intervention would a nurse implement when providing nursing leadership?

A) Monitoring the budget for an immunization program
B) Influencing the improvement of the health of clients
C) Coordinating an interdisciplinary team
D) Using resources when providing clinical services

Question 15

A nurse leader seeks input from staff nurses on a regular basis and allows for changes in practice to improve client outcomes with minimal barriers.This is an example of:

A) Decision making
B) Critical thinking
C) Empowerment
D) Delegation

Question 16

When a seamless system of care is created where all client needs are met through the same system,it is an example of:

A) Horizontal integration
B) Vertical integration
C) Managed care
D) Alliances

Question 17

To facilitate the building of community partnerships,nurses must have the ability to:

A) Create seamless systems of care.
B) Lobby with legislators.
C) Listen and collaborate with lay community members.
D) Coordinate care across agencies.

Question 18

When developing a plan to coordinate health care services in the community,which action would be most appropriate for the nurse leader to take?

A) Apply a team approach to assure all points of view are represented.
B) Monitor that the plan is correctly implemented.
C) Organize the plan in a sequential manner.
D) Create a shared vision, goals, and measurable objectives.

Question 19

Which intervention would a nurse leader implement to create a motivating workplace?

A) Discuss with employees their personal life and home commitments.
B) Provide regular feedback to employees.
C) Allow employees to take off work whenever necessary.
D) Complete spot checks of employee's work without notice.

Question 20

When a nurse focuses on collaboration between the consultant and the consultee,which collaboration model is being applied?

A) Content model
B) Doctor-patient model
C) Process model
D) Purchase of expertise model

Question 21

Which are goals of community-oriented nursing leadership? Select all that apply.

A) To work with others to ensure a healthy community
B) To serve as an advocate for vulnerable and high-risk populations
C) To work with inter-professional teams to design ways to coordinate care
D) To make policies for the public good

Question 22

Which information is included in an action plan? Select all that apply.

A) Timeframe for completing the activities
B) Identification of team members who created the plan
C) Program goals and objectives
D) Evidence-based practice literature

Question 23

Which skills will be demonstrated by a nurse who has effective communication? Select all that apply.

A) Active listening
B) Restatement of the main points
C) Use simple, direct words
D) Maintain eye contact

Question 24

A nurse is developing a written contract.Which areas would most likely be included in this document? Select all that apply.

A) Number of students involved in the project
B) Client and consultant goals
C) Time commitments
D) Intervention strategies suggested