Leadership 245 exam 2 practice
Leadership Exam 2 Practice Quiz
Prepare yourself for the Leadership 245 exam with our comprehensive practice quiz, designed to test your knowledge across various critical nursing topics. This quiz consists of 100 carefully crafted questions covering leadership principles, ethical considerations, cultural competence, and more.
- Multiple choice questions with detailed explanations.
- Designed for nursing students and professionals.
- Enhance your understanding of key concepts in leadership and healthcare.
Which level of care is frequently provided in hospitals and in other acute care settings?
Primary care
Secondary care
Tertiary care
Which level of care concentrates on health promotion and health prevention?
Primary care
Secondary care
Tertiary care
Which type of center focuses on allowing clients to have the greatest amount of independence in a supervised living environment?
Rehabilitation centers
Assisted living centers
Hospice care
Which type of nurse works as a case manager by providing their skills and expertise as a nurse while being intimately familiar with their community and the cultural climate of their clientele?
Home health care nurses
Long-term care nurses
Parish nurses
Hospice nurses
Establishing which of the following is key to any successful client-to-nurse relationship,
Respect
Loyalty
Trust
Which ethical principle is one of the most important considerations in working with a patient in the denial stage?
Accountability
Fidelity
Autonomy
Which stage of grief would you anticipate your patient to exhibit behaviors such as long pauses before answering questions and/or speaking in a low tone voice?
Anger stage
Bargaining stage
Depression stage
Identify the correct procedure that a graduate who fails the NCLEX-RN CAT must follow.
Wait 45 days before retaking the exam
Wait 40 days before retaking the exam
Wait 50 days before retaking the exam
No required to wait any amount of days
In the grief depression stage, what part of a patient can become suppressed leading to the risk of hospital-acquired infections to occur.
Nervous system
Digestive system
Immune system
Respiratory system
A key element in reversing incivility in the workplace is to have which type of leader has the capacity to see themselves and the workplace inequalities that need to be changed.
Democratic leadership
Transactional leadership
Transformational leadership
Which type of bullying occurs when one is receiving negative criticism, gossip, and verbally abusive sarcasm from a coworker?
Overt lateral violence
Covert lateral violence
Overt vertical violence
Oppression theory notes that which of the following is a key contributing factor?
Intimidation
Humiliation
Marginalization
The ritual "nurses eat our young" is considered which type of bullying?
Covert lateral violence
Vertical violence
Overt lateral violence
Which characteristic is key in recognizing how others may want to be treated and what they may perceive as unpleasant actions by another?
Sympathy
Competency
Empathy
nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following manifestations as a possible indication of child neglect? (Select all that apply)
Underweight
Poor hygiene
Not buying them their favorite toy
Not letting them watch TV for 2 hrs
This type of philosophy believes that the experiences of persons should be explored through the gathering of a conscious experience rather than the objective data
Theology
Phenomenology
Deontology
Defined as the driving force that pervades all aspects of life and gives meaning to life.
Mortality
Spirituality
Holism
Defined as an institutionally based organized system of beliefs that represents only one specific means of spiritual expression
Religion
Holism
Spirituality
The spiritual developmental stage is based on rationally, materialism, and humaneness
The Chaotic Stage
The Skeptical Stage
The Mystical Stage
Individuals who migrate to the USA from other countries and maintain their traditional practices and languages while learning the American culture is called:
Assimilation
Culture Shock
Multiculturalism
Which of the following at-risk groups are becoming the fastest-growing segment of the homeless population?
Families with dogs
Families with no children
Families with children
Families with a certain amount of food due to a budget
Which of the following is regarded as the provision of effective care for patients who belong to diverse cultures and is based on the nurse's knowledge and understanding of the values, customs, beliefs, and practices of other cultures?
Ethnocentrism
Multiculturalism
Cultural competence
Nurses caring for transgender individuals must also consider the importance to assess and monitor them for which condition?
Suicidal ideation
Bipolar Disorder
Eating Disorder
Which ethical principle is paramount in ensuring patients have the right to engage in alternative and complementary treatments even if the treatments are considered risky.
Autonomy
Veracity
Fidelity
Justice
When it comes to over-the-counter supplements which term implies the product is effective even though there is no scientific evidence to support its claim of effectiveness
Recreational Use
Traditional Use
Practice Use
Title XIII of which legislative act created the HITECH act which mandated the use of informatics in health care?
The American Recovery and Reinvestment Act
The Affordable Care Act
The Patriot Act
This occurs when staff bend processes, policy directives and/or protocols to circumvent or temporarily fix a real or perceived barrier or system flaw..
Alternate
Bypass
Workaround
Which certification that can be achieved by hospitals identifies a hospital to have better nurse workplace satisfaction and lower nurse turnover?
Teaching Hospitals
Government Hospitals
Magnet Hospitals
Which committee works cooperatively with the Senate Finance Committee in considering Medicare and Medicaid issues?
Senate Labor and Human Resources Committee
House and Senate Appropriation Committee
House Commerce Committee
Which publication by the ANA Is dedicated as the legislative newsletter for nurse lobbyist activity?
American Journal of Nursing
The Capital Update
The American Nurse
Which type of learning objective captures the feelings, emotions, interests and attitudes of the leaner?
Affective Objectives
Cognitive Objectives
Psychomotor objectives
Which type of learning objective includes demonstrating and modeling skills needed for self-care?
Affective Objectives
Cognitive Objectives
Psychomotor objectives
Which factor has changed nursing practice in that some patients come with higher levels of information about their illness and possible treatments for their illness?
The internet
Smartphone apps
The electronic health record
Which federal governmental agenda is geared to building a healthier nation by providing objectives to help prevent threats to the health of US citizens?
Crossing the Chasm IOM Report
Healthy people 2020
The joint commission
Which resource has a website to help nurses evaluate the health literacy of their patients in order to tailor client-education materials to meet their needs.
Healthy People 2020
The Pew Commission's Final Report
The Joint Commission Public Policy Initiative
Which of the following is the most effective type of learning?
Active learning
Passive learning
Cramming learning
Which is the most effective way to evaluate your patient's learning?
Passive learning
Teach back
Active learning
Because there is a great deal of literature published, it is important to have this type of skill when reading peer reviewed journals and nursing publications.
Critical discernment
Active learning
Critical thinking
Which of the following provides the best evidence in an evidence report?
A quasi-experimental study
A meta analysis report
A case study
An ADN prepared nurse can engage in research by participating in which of the following research activities:
By assisting in data collection
By sharing their research findings with colleagues
By investigating and monitoring the quality of nursing practice in a clinical setting
Which ethical principle is central to the concept of informed consent for human subjects who participate in research?
Non-maleficence
Fidelity
Justice
Self determination
Which of the following has been identified by the National Council of State Boards of Nursing (NCSBN) as nurse-to-nurse violence?
Micromanaging
Slander
Cyberbullying
Which of the following is an excellent way to impress potential employers and put the internet to work in your search for a new career?
A portfolio
A cover letter
A resume
Which program did the IOM recommend to help new nurses transition from the classroom to the practice setting?
Nurse Residency Program
Preceptor Programs
Hospital Orientation Programs
Which of the following is traditionally the first form of contact a prospective employer will have with a potential new hire?
A portfolio
A resume
An internship
In the nursing process - which phase would capture setting goals and expected outcomes for the patient?
The implementation phase
The planning phase
The analysis phase
Evaluation phase
Which vitamin is best to take on the day you will sit for the NCLEX to reduce the effects of short term stress?
Vitamin D
Vitamin C
Vitamin B
Vitamin E
Which of the following are considered overt bullying? (select all that apply)
Name calling
Sabotage
Physical hazing
Negative criticism
Exclusion
Which of the following are considered covert bullying? (select all that apply)
Unfair assignments
Refusing to help someone
Fault findings
Marginalizing a person
Intimidation
Which of the following is considered bullying by a peer in the workplace?
Vertical violence
Parallel violence
Horizontal violence
None of the above
In regards to managing staff, which of the following is NOT true when delegating?
Giving authority to unlicensed person for specific task in a specific situation
RN must know the scope of practice another team is eligible to do
Remember to delegate task of a stable client
Unstable clients task should be done by an LPN or an assistive personnel
Which stage of grief would you focus on what they could have done differently in past to prevent what is happening now?
Anger
Denial
Bargaining
Depression
Which of the following is true in regards to integrative practice?
It focuses on illness rather than health
It focuses on health rather than illness
Focuses on the financial problem and not health
None of the above
Which of the following is true in regards to alternative practice?
Focuses on a holistic, patient focused approach
Emerges interventions that support whole person/whole systems
Integrates evidence, clinical expertise and patient beliefs
Considers treatments that are used instead of Standard treatments
Which of the following is considered alternative practice treatments? (select all that apply)
Curing/treating
Acupuncture
Aromatherapy
Chemotherapy
Therapeutic touch
Which of the following is NOT true in regards to establishing trust?
The most important rule is to establish trust to have a successful relationship with the client
You dont have to accept their behavior even though you do not agree with it
Always be honest with the client even when it is not pleasant to do so
Remain consistent & protect HIPPA
Which of the following is true in the denial stage of grief? (Select all that apply)
Its the "im fine" stage
It is an conscious process that protects the client from feeling vulnerable & losing control
The goal is to maintain their denial so they do not accept reality
Approach by considering autonomy or right to self determination
Which stage of grief acts as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life?
Depression
Anger
Denial
Bargaining
Dictators will attempt to threaten, humiliate, intimidate, or demean others with goals of overcoming their own lack of confidence, feeling more powerful, and inflating their low self-esteem. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of behavior is referred to as which of the following?
Vertical violence
Lateral Violence
Parallel violence
Overt lateral violence
Which of the follow is the patient demonstrating cognitive domain objective?
Patient agrees to taking insulin to control diabetes mellitus
Patient understands the effective use of insulin
Patient learns how to give self insulin injections
Patient agrees to diet to control heart failure
Which of the following is the STRONGEST form of evidence?
Quantitive research
Qualitative research
Survey research
Exploratory research
Which of the following defines the joint commission?
To provide high quality care to clients, advocate for them, and creates a safe environment
To focus on the clients taking greater responsibility for their own health
To regulate client teaching because it is essential to high quality care
To enhance their own knowledge of health topics through proper use of the internet
Which of the follow is the patient demonstrating psychomotor domain objective?
Agrees to taking insulin to control diabetes mellitus
Understands the effective use of insulin
Understands the effective use of blood pressure medication
Learns how to give self insulin injections
Which organization has harshly criticized the disparity in health-care quality and strongly recommends placing clients in control of their own health making choices based on the best information and knowledge available to them?
Institution of medicine
The Joint Comission
National institutes of health
Accountable care organization
Because of the strong belief in which ethical principle, at-risk individuals are often permitted to engage in risky behaviors as long as conventional health care can find treatments or palliative measures for the symptoms of diseases it cannot prevent?
Autonomy
Fidelity
Veracity
Beneficence
Which of the following is an example of a therapy that capitalizes on knowledge of the soul and the movement of a divinely generated energy?
Therapeutic touch
Family therapy
Music therapy
Cognitive behavior therapy
The development of which of the following grew out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner?
Clinical practice guidelines
Clinical pathways
Primary nursing
Team nursing
Which of the following type oof cares focuses on the clients taking greater responsibility for their own health and self care?
Team nursing
Functional nursing care
Managed care
Ambulatory care
Which of the following is underlies successful collaboration?
Passive learning
Shared power
Teach back
Active learning
Which of the following are the some of components of magnet hospitals? (select all that apply)
Transforming care processes
Transformational leadership
Transactional leadership
Structural empowerment
Empirical quality results
Achieving clinical assessment
This discipline emphasizes safety in healthy care through prevent and is regulated by the state?
Nursing shortage
Tuition debt
State issues
Client safety
Which of the following is allocation of normal task, normally authorized to perform during shift
Supervise
Evaluate
Assess for competency
Assign
Which of the following is a sexual or intimate attraction between both genders, men women
Homosexual
Pansexual
Bisexual
Gay
Which of the follow is of primary characteristics of cultural diversity?
Gender
Income
Work experiences
Race
Age
Religious beliefs
Sexual orientation
Geographic location
Which of the following involves client in their care to reach highest level of health & wellness?
Conventional practice
Integrative practice
Alternative practice
HIPPA
Which of the following develops a teaching plan through goals and objectives
Shared power
Teach back
Active learning
Passive learning
Well-paid consultants called Black Belts, trained in which process, are hired by hospitals and other institutions that believe this process may be the answer to their quality issues?
Six sigma quality improvements
Clinical pathways
HCAHPS
Job satisfaction
Which organization now serves as the gold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information?
Leapfrog group
Clinical pathways
Informatics
Cultural competence
Which of the following is the ability to be aware of the feelings and thoughts of others by using behavioral cues and promotes the nurses personal growth?
Transformational leadership
Marginalization
Bullying
Emotional intelligence
Which of the following are formed when the legislature divides into groups consisting of people with mutual interests?
Caucuses
Whips
Senate Labor and Human Resources Committee
House Commerce Committee
Which category comprises the largest groups of questions on the NCLEX, with about 38 to 62 percent of the total number of questions on the NCLEX?
Physiological integrity needs
The Capital Update
American Journal of Nursing
The Pew Commission's Final Report
Which stage is with its adherence to the law?
Formal (institutional) stage
Chaotic (antisocial) stage
Skeptical (individual) stage
Mystical (communal) stage
This is a commitment that healthcare workers make not only to learn about other cultures, but also to immerse themselves into those cultures
Cultural relativism
Cultural synergy
Cultural competence
Subcultures
Which of the following illnesses below are transmitted via airborne?(select all that apply)
Measles
MRSA
Impetigo
Chicken pox
Anthrax
This is a sexual or romantic attraction to persons including cisgender, transgender, and people who identify as nonbinary
Bisexual
Homosexual
Pansexual
Asexual
Which below infectious disease is transmitted vertically; from parent to offspring?
Influenza virus
Flavivirus
Polio virus
Zika virus
An organism capable of causing disease.
Host
Environment
Agent
None of the above
This is the root cause of the problem that is identified and the relationships of external or environmental influences are analyzed
Measure
Define
Control
Analyze
Strategies based on the previous three phases are developed to correct the problems
Improve
Analyze
Measure
Define
Defined as the combination of nursing science with information and communication technologies in the delivery of nursing care.
Safety
Client centered care
Informatics
Teamwork and collaboration
Government agencies that are established at local cities or states, and federal levels to provide health services
Home health
Community health centers
Public health
School based services
Which of the following is considered primary prevent?
Avoid development of a disease
Early detection treatment
Reduce complications of established disease
Prevent progression
Which of the following defines the goal by maintaining the health of workers in their workplaces
Occupational health clinics
HCP office's and general clinics
Community health centers
School based services
What is the health called that allows the client to access information through the computer regarding certain health related questions they may have
Community health
Telephone health
Home health
Public health
Which of the following is NOT apart of the six sigma?
Communication
Control
Measure
Define
Analyze
What is considered systems that are put into place to continuously monitor the changes in the process. By doing this, this goal is to detect error before they affect the whole system
Improve
Analyze
Define
Control
A nurse is working on a medical surgical unit. The nurse cares for the whole person and is providing for their physical, mental, spiritual and social needs. Which nature of spirituality is this considered?
Religion
Mortality
Holism
Spirituality
This spirituality stage is considered with its "unseen order of things"
Skeptical (individual) stage
Mystical (communal) stage
Chaotic (antisocial) stage
Formal (institutional) stage
The altering of a persons own cultural practice inn an attempt to become more like members of the new culture or major culture
Acculturation
Subcultures
Diversity
Cultural shock
A nurse is caring for a patient who is suffer with depression. Which of the following is the correct approach by the nurse when caring for this patient?
Explain your problems and relate
Offer deep breathing techniques
Ignore them and dont make eye contact
Offer medication to help with how their feeling
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