Registered Nurse: Management Care Flashcards
7 cards from real RN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Registered Nurse: Management Care flashcards as text
A charge nurse notices two staff members have a recurring interpersonal conflict that is affecting unit morale. What is the most appropriate initial action?
Answer: Meet privately with each staff member to hear their perspectives
Meeting individually with each party allows the charge nurse to gather unbiased perspectives before facilitating resolution.
Which staffing model distributes care based on patient acuity and nurse competency rather than a fixed nurse-to-patient ratio?
Answer: Acuity-based staffing
Acuity-based staffing dynamically assigns nurses based on individual patient complexity and nurse skill sets.
A nurse manager identifies that incident report filings have dropped significantly over the past month. This most likely indicates:
Answer: Under-reporting of adverse events
A sudden drop in incident reports typically signals a culture of fear or under-reporting, not a genuine safety improvement.
When implementing a new evidence-based protocol, which change theory focuses on unfreezing old behaviors, moving to new ones, and refreezing the change?
Answer: Lewin's Force Field Analysis
Lewin's three-step model (unfreeze, change, refreeze) is the foundational theory for planned organizational change.
A nurse delegates wound care to an unlicensed assistive personnel (UAP). Later, the UAP performs the task incorrectly. Who bears ultimate accountability?
Answer: The delegating registered nurse
The delegating RN retains accountability for the outcome of any task delegated to UAP under the five rights of delegation.
A unit's medication error rate has increased over three consecutive months. Using the Plan-Do-Study-Act (PDSA) cycle, what is the FIRST step the nurse manager should take?
Answer: Analyze root causes and plan a targeted intervention
The 'Plan' phase of PDSA begins with identifying root causes and designing a specific, testable intervention before acting.
Which leadership style is most effective when managing a highly experienced team during a routine, stable workload?
Answer: Laissez-faire leadership
Laissez-faire leadership is appropriate when staff are highly skilled and self-directed and the situation is stable and low-risk.