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Exam 2: NUR204/ NUR 204 (New 2025/ 2026
Update) Leadership & Management Review |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
what should you never delegate? Answer: the nurse judgment/process
QUESTION
why is it important to give clear instructions when delegating? Answer: Clear instructions help improve patient outcomes
QUESTION
benefits of utilizing delegation for an organization Answer: Quality of care, increase productivity, reduced cost, teamwork, client satisfaction
QUESTION
assignments vs. delegations
Answer: patient assignments are not delegation
- the RN assigns the LPN tasks withing their scope of practice
QUESTION
Understand how State Acts influence delegation Answer: RNs should know the LPN/LVN nurse practice act in the state in which they practice and should understand the legal scope of practice
QUESTION
what is the states nurse practice act? Answer: the deciding factor regarding what can legally be delegated.
QUESTION
what to do If the nurse practice act lacks clarity? Answer: the state board of nursing can provide guidance. It may be necessary to contact the state board of nursing to determine legal scope of practice for LVNs.
QUESTION
what is the higest priority when determining whom to delegate a task? Answer:
Answer: completing the task and reporting any patient concerns to the RN (e.g. taking vital signs and also reporting back to the RN).
QUESTION
what is negative communication? Answer: anything that stops the patient from talking or blocking the conversation from continuing
QUESTION
what should the nurse manager do if they see negative communication? Answer: step in and stop it right away, dig further into the situation
QUESTION
what is the ANA's standard in delegation? Answer: the RN will consider the following
- Assessment of the patient's condition
- Capabilities of the nursing and assistive staff
- Complexity of the task to be delegated
- Amount of clinical supervision the RN will be able to provide
- Staff workload
QUESTION
what is initial direction?
Answer: knowing someone is competent, so you give them a task and then check later to make sure its done
QUESTION
how to show empathy when communicating? Answer: use words like "i understand how frustrated this is making you"
QUESTION
communication techniques for baby boomers Answer: they perfer more formal face to face communication
QUESTION
communication techniques for millenials Answer: they value inclusion, team effort, and collective action, they are adaptable to rapid change
QUESTION
examples of aggressive communication Answer:
Answer: for better patient outcomes, when something is lacking we will use the improvement project to find out where the problems are to correct them
QUESTION
examples of variable costs Answer: cost of supplies, salary expense
QUESTION
what factors to consider during a cariance analysis Answer: this is when we are trying to find why we spent more than the budget. we look at change in employee salaries, revenue generated, client census, supply usage, and employee benefits
QUESTION
how should the nurse manager become budget savvy? where to start? Answer: first action: review the organizational budgeting guidelines
QUESTION
what is the recommended timeline to begin developing a budget? Answer:
a few months ahead of the start of the new fiscal year
QUESTION
role of a nurse manager when using a top-down budget process. Answer: Budget goals are established by administrators; unit managers do not contribute to goal setting, the nurse manager will implement and follow the budget.
QUESTION
what is the participatiory budget? Answer: the nursing manager is apart of the decision where we need to save money
QUESTION
what is the incremental budget process. Answer: the nurse manager will use the previous year's budget, adjusting for increases in salaries or a decrease in revenue
QUESTION
examples of the incremental budget process Answer: determine the expected increase in salaries from the previous year, determining if there is an increase in supply cost
QUESTION
Indirect costs examples Answer: salaries for administrative personnel and expenses for security, housekeeping, utilities, and building maintenance (electricity, water bill)
QUESTION
example of the right task Answer: only an RN can initiate and complete a new plan of care risk of falling for patients with some diseases, ambulation should not be delegated to a UAP
QUESTION
example of right circumstance Answer: delegation of tasks that do not require independent nursing judgments (i.e. UAP performing hygiene).
QUESTION
example of the right direction and communication Answer: The RN must provide information on the TYPE medication to give and what outcomes to expect (i.e. fleet enema) as well as tell them to report back.
QUESTION
how to correctly document Answer: DO NOT GIVE ASSUMPTIONS
- never document your opinions
- should include as much detail as possible
QUESTION
who to contact if you see a collegue post about a pt on social media? Answer: the nurse supervisor
QUESTION
what should you be commenting on social media? Answer: donot comment on things you know nothing about
QUESTION
examples of red herring Answer:
- you dont like men thats why you did that
- youre just jealous because i have my masters
QUESTION
