Question 1

A nurse plans to begin a career working as a nurse in the community.Which of the following skills would be most important for the nurse to possess?

Accepted Answer

Community-oriented nurses must be able to work comfortably with different types of people and cultures.This can be best accomplished by building coalitions and working with partnerships.Technical skills,the ability to lobby,and computer and word-processing skills are not as important as being able to effectively communicate within the community.

Question 2

A nurse is functioning in the role of a community-oriented nurse manager.Which of the following interventions would most likely be performed?

Accepted Answer

One of the goals of nursing management is to help personnel perform their responsibilities effectively and efficiently,so it is most likely the nurse manager who would perform this intervention.Working with others to ensure a healthy community,serving as an advocate for vulnerable and high-risk populations,and participating in establishing public and organizational policies are goals of nursing leadership.

Question 3

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

Accepted Answer

Systems theories and systems thinking emphasize the interdependence of multiple parties.Organizational theories explain issues at a broader community level.The structural contingency theory suggests that organizations have a backup plan in place to guide organizational change.Resource dependence theory studies how external resources affect the behavior within the organization.

Question 4

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.Which of the following best describes what has occurred?

Accepted Answer

Empowerment includes increasing nurses' authority by ensuring that they have the necessary knowledge,skills,and resources to effectively make the decisions for which they are held accountable.This means removing barriers to decision making and allowing staff nurses the authority to make client decisions in "real time," as needs demand,rather than requiring nurses to obtain numerous approvals.Decision making is a two-step process in which the nurse first must decide how much input to seek from others and second must generate alternatives for the decision and choose among the alternatives.Critical thinking includes analyzing and synthesizing data,using knowledge and values in making judgments,and using creative approaches in decision making and problem solving.Delegation is used when appropriate tasks are assigned to the first level in the hierarchy if this employee possesses the necessary skills and knowledge to complete the task.

Question 5

A seamless system of care is created where all client needs are met through the same system.Which of the following best describes what has happened?

Accepted Answer

Vertical integration means that the system owns all of the services that clients might need,such as clinics,hospitals,laboratories,and home health agencies.Horizontal integration is not a type of seamless care.Managed care is a system in which patients only visit certain providers and hospitals.Alliances are special relationships that exist between agencies.

Question 6

A nurse manager is evaluating the performance of an organization.Which of the following actions would most likely be taken?

Accepted Answer

To know whether an agency is performing as expected,nurses must be familiar with their professional standards of care,the standards held by accrediting bodies,and guidelines for practice.Examining best practices for organizational evaluation does not assist with actual evaluation of the organization.The core functions of public health are not used for evaluation of organizations.The standardized nursing language within the organization would not assist with evaluation of the organization's performance.

Question 7

A nurse leader is developing a plan to coordinate health care services in the community.Which of the following actions would be most appropriate for the nurse leader to take initially?

Accepted Answer

Organizing and monitoring occur later in the process.Although planning is a collaborative activity,the foundation of planning rests with creation of the shared vision,goals,and measurable outcomes,which is achieved through a team approach.

Question 8

A nurse is focusing on collaboration between the consultant and the consultee.Which of the following collaboration models is being applied?

Accepted Answer

The consultation model that emphasizes collaboration between the consultant and the consultee is the process model.The major goal of this model is to help the client assess both the problem and the kind of help needed to solve it.Content models emphasize the role of consultant as the expert who provides specific answers to problems or issues identified by the client.The doctor-patient model focuses on the collaborative relationship between a physician provider and the client.In the purchase of expertise model,the client defines the problem while the consultant implements the solution to the problem.

Question 9

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

Accepted Answer

Older adults often take high-risk medications and cannot read instructions for medications.This is also complicated by polypharmacy and not understanding how to take medications that have been prescribed for them.Many older adults are competent in taking their own medications,are motivated to take it correctly,and do not need additional assistance.

Question 10

A school has a policy in place that allows unlicensed assistive personnel to administer medications to students after having their competency evaluated by an RN.Which of the following types of delegation is being used?

Accepted Answer

Indirect delegation results when an agency has policies and procedures in place that allow tasks to be performed by someone other than the person who is accountable.Direct delegation involves speaking to an individual personally and transferring responsibility for a task to that person.Supervision is not a type of delegation-supervision means decision making and implementation of activities in an ongoing relationship.Guided is not a type of delegation.

Question 11

A nurse leader is using critical thinking skills to address the problem of limited access to health care by low-income families in a community.Which of the following actions would most likely be taken by the nurse?

Accepted Answer

Critical thinking includes analyzing and synthesizing data,using knowledge and values in making judgments,and using creative approaches in decision making and problem solving.Critical thinking may be fostered through the use of guided group discussions and through activities that stimulate creativity,such as brainstorming.The use of assertiveness,reading an evidence-based practice article,or promoting diversity does not require the use of critical thinking skills.

Question 12

A nurse is implementing a secondary prevention intervention.Which of the following is most likely being completed?

Accepted Answer

Screening is performed at the secondary level of prevention.Developing policies and procedures for referral programs is at the primary level of prevention.Serving as a chair to organize a smallpox vaccination program and monitoring implementation of performance-improvement activities are at the tertiary level of prevention.

Question 13

A nurse is implementing the consultation process.Which of the following actions would the nurse take first?

Accepted Answer

The first step is the initial contact with the client.This is made when the client or someone in a family,group,agency,or community communicates with the nurse about a potential problem that requires intervention.After this has happened,a contract will be agreed upon that includes negotiating for fees as needed,collecting the data,and finally applying the interventions.

Question 14

A nurse is working with a clinical microsystem.Which of the following best describes what the nurse is working with?

Accepted Answer

Clinical microsystems are the systems,people,information,and behaviors that take place at the point of client care.Managed care organizations are systems in which patients only visit certain providers and hospitals.Electronic health records are where all of the care that is provided is documented.Registries are examples of clinical databases dedicated to certain population groups.

Question 15

A nurse leader would like to create a motivating workplace.Which of the following interventions would most likely be implemented?

Accepted Answer

Creating a motivating workplace involves providing regular feedback to employees.This feedback allows individuals to develop plans for improving their personal capacities for achieving goals.Motivation is internal,so it is important to develop employees so that they have internal motivation to contribute to the workplace.

Question 16

A nurse is facilitating the building of community partnerships.Which of the following abilities must the nurse possess?

Accepted Answer

The building of community partnerships includes increasing involvement of the public to address their needs and concerns.The nurse can best facilitate this by listening and collaborating with lay community members who may have goals and ideas different from that of health care professionals.Lobbying with legislators does not influence partnerships in the community.Creating seamless systems of care is not related to building community partnerships.Coordinating care across agencies does not necessarily mean that there will be partnerships among the agencies.

Question 17

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

Accepted Answer

Although responsibility may be shared with the person to whom one is delegating,accountability of the nurse is never transferred.Nurses have the authority to delegate tasks to unlicensed assistive personnel,are accountable for all tasks (even those that have been indirectly delegated),and it is the responsibility of the nurse to assure that the delegated task is performed correctly.

Question 18

A nurse would like to implement a strategy to effectively manage time.Which of the following actions will the nurse implement?

Accepted Answer

Delegation is an important element of time management.Using this strategy will allow the nurse more time to complete the tasks that cannot be delegated.Arriving early and being available are not effective time management strategies for the nurse leader.

Question 19

A nurse is providing nursing leadership.Which of the following interventions would most likely be completed?

Accepted Answer

Nursing leadership refers to the influence that nurses exert on improving client health,whether clients are individuals,families,groups,or entire communities.Monitoring the budget for an immunization program,coordinating an interdisciplinary team,and using resources when providing clinical services are responsibilities of the nurse manager.

Question 20

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.Which of the following is being implemented?

Accepted Answer

A collaborative is a group of similar organizations that agree to use common processes for providing clinical care and share certain types of data so all may learn.Registries are examples of clinical databases dedicated to certain population groups.Partnerships are relationships among community members and community organizations.A contract involves identifying expectations and responsibilities of both parties.

Quiz 40: The Nurse Leader in the Community