Administration of different health care units, legal responsibilities, leadership styles.
Time: 15:00
A nurse manager who gathers input from the team before making a decision about the holiday work schedule is demonstrating which leadership style?
[a] Autocratic.
[b] Democratic.
[c] Laissez-faire.
[d] Transactional.
The legal doctrine of "respondeat superior" holds that:
[a] Every nurse is solely responsible for their own actions.
[b] A patient has the right to refuse any medical treatment.
[c] An employer (the hospital) can be held liable for the negligent acts of its employees.
[d] "If it wasn't documented, it wasn't done."
Which action is a primary administrative responsibility of a charge nurse on a nursing unit?
[a] Developing the hospital's annual budget.
[b] Hiring and firing nursing staff.
[c] Making patient care assignments and managing unit workflow for the shift.
[d] Performing complex clinical procedures on all patients.
A nurse fails to raise the side rails on the bed of a confused elderly patient, who then falls and fractures a hip. This is an example of which legal tort?
[a] Assault.
[b] Battery.
[c] Negligence (Malpractice).
[d] False imprisonment.
A nurse leader who inspires the team with a shared vision for excellent patient care and motivates them to go beyond expectations is exhibiting which style of leadership?
[a] Autocratic.
[b] Democratic.
[c] Laissez-faire.
[d] Transformational.
Before delegating the task of taking vital signs to an Unlicensed Assistive Personnel (UAP), the RN's primary legal responsibility is to:
[a] Ask the UAP if they want to perform the task.
[b] Ensure the patient is stable and the task is within the UAP's scope of practice.
[c] Document that the UAP is now fully responsible for the patient.
[d] Inform the patient's family about the delegation.
The administrative structure of a hospital's intensive care unit (ICU) would be best described as a:
[a] Primary care unit.
[b] Ambulatory care unit.
[c] Specialty inpatient unit.
[d] Diagnostic services unit.
An autocratic leadership style would be most appropriate in which clinical situation?
[a] During a unit staff meeting to discuss vacation policies.
[b] During a cardiac arrest (Code Blue) emergency.
[c] When mentoring a new graduate nurse.
[d] When working with a highly experienced and self-motivated team.
The nurse's role in the informed consent process is primarily to:
[a] Explain the risks and benefits of the procedure.
[b] Decide if the patient is competent to provide consent.
[c] Witness the patient's signature and verify that consent was given voluntarily.
[d] Choose the best treatment option for the patient.
The overall direction and management of all nursing services within a hospital falls under the responsibility of the:
[a] Charge Nurse.
[b] Nurse Manager.
[c] House Supervisor.
[d] Chief Nursing Officer (CNO) or Director of Nursing.
A nurse manager who provides minimal direction and allows the highly experienced staff to make their own decisions is using a __________ leadership style.
[a] Democratic.
[b] Autocratic.
[c] Laissez-faire.
[d] Transformational.
The legal requirement for a nurse to protect the privacy of a patient's health information is mandated by:
[a] The Good Samaritan Act.
[b] The State Board of Nursing.
[c] The Health Insurance Portability and Accountability Act (HIPAA).
[d] The Patient Self-Determination Act.
A key administrative function of the Outpatient Department (OPD) or ambulatory care unit is:
[a] Providing long-term inpatient care.
[b] Scheduling appointments and managing patient flow for non-hospitalized patients.
[c] Performing emergency surgical procedures.
[d] Managing critical care for unstable patients.
A nurse administers an incorrect dose of medication. To comply with legal and ethical responsibilities, the nurse's first action should be to:
[a] Document that the correct dose was given.
[b] Ask a colleague for advice on what to do.
[c] Assess the patient for any adverse effects and notify the provider.
[d] Fill out an incident report before checking on the patient.
Which leadership style focuses on a system of rewards and punishments to achieve optimal job performance?
[a] Democratic.
[b] Laissez-faire.
[c] Transactional.
[d] Transformational.
The legal document that defines the scope of nursing practice in a specific state is the:
[a] Hospital Policy Manual.
[b] ANA Code of Ethics.
[c] Nurse Practice Act.
[d] Patient's Bill of Rights.
The Emergency Department (ED) is a unique healthcare unit because its primary administrative focus is on:
[a] Long-term rehabilitation.
[b] Scheduled, elective procedures.
[c] Triage, stabilization, and treatment of acute, unscheduled conditions.
[d] Providing primary care check-ups.
A nurse who threatens to give a patient an injection if they do not take their oral medication could be liable for:
[a] Battery.
[b] Assault.
[c] Negligence.
[d] Libel.
Effective leaders are distinguished from managers in that leaders primarily:
[a] Focus on the budget and staffing schedules.
[b] Have a formal position of authority.
[c] Influence and inspire others toward a goal.
[d] Perform employee performance reviews.
The "chain of command" is an administrative principle that requires a staff nurse to first report a clinical concern to the:
[a] Chief Nursing Officer.
[b] Hospital CEO.
[c] Charge Nurse or Nurse Manager.
[d] Chief of Medical Staff.
The legal principle that allows a competent adult to refuse life-saving treatment is based on the right to:
[a] Justice.
[b] Autonomy.
[c] Beneficence.
[d] Fidelity.
A key administrative task in the operating room (OR) that a circulating nurse performs is:
[a] Administering anesthesia to the patient.
[b] Performing the surgical procedure.
[c] Ensuring patient safety, managing the environment, and documenting the procedure.
[d] Cleaning and sterilizing surgical instruments after the case.
Which action is an example of a staff nurse demonstrating leadership qualities on a unit?
[a] Coming to work on time for their shift.
[b] Documenting patient care accurately.
[c] Mentoring a new graduate nurse and promoting evidence-based practice.
[d] Following the physician's orders correctly.
A nurse's legal responsibility to act as a reasonably prudent nurse would in a similar situation is known as the:
[a] Scope of Practice.
[b] Standard of Care.
[c] Patient's Bill of Rights.
[d] Chain of Command.
The administration of a Post-Anesthesia Care Unit (PACU) prioritizes:
[a] Long-term patient education.
[b] Preparing patients for elective surgery.
[c] Close monitoring of patients recovering from anesthesia, especially airway and vital signs.
[d] Providing rehabilitative therapies.
Legislation in nursing, profession and related organisations.
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