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 nurse manager is informed that a staff nurse has been witnessed accessing a patient's electronic health record without a clinical reason. The FIRST action should be:
Answer: Conduct a preliminary investigation and place the nurse on administrative leave pending findings
A fair and thorough investigation is required before disciplinary action to determine intent and gather all facts, consistent with HIPAA breach response protocols.
Which budgeting approach requires each department to justify ALL expenditures from zero each fiscal year, regardless of prior year spending?
Answer: Zero-based budgeting
Zero-based budgeting requires justification for every line item from scratch, promoting cost-consciousness and elimination of unnecessary spending.
A nursing unit has a high turnover rate among new graduates in their first year. Which retention strategy is MOST evidence-based?
Answer: Implementing a structured nurse residency program with mentorship and gradual acuity progression
Nurse residency programs with mentorship and gradual acuity exposure have the strongest evidence base for improving first-year retention.
Under the National Labor Relations Act, which nurse manager behavior during a union organizing campaign is PROHIBITED?
Answer: Threatening to close the unit if staff vote to unionize
Threatening reprisals or unit closure to discourage union activity is an unfair labor practice prohibited by the NLRA.
A charge nurse is preparing the staffing plan for the evening shift and must prioritize which patients require RN-level care. This decision is based on which principle?
Answer: Scope of practice and patient acuity
RN-level task assignment is determined by scope of practice and the clinical complexity of individual patients, ensuring safe and appropriate care.
A sentinel event occurs on the unit. After immediate patient stabilization, which process does The Joint Commission require the organization to undertake?
Answer: A root cause analysis (RCA) to identify system-level contributing factors
TJC mandates a root cause analysis following sentinel events to identify systemic failures and implement corrective actions to prevent recurrence.
Which of the following best exemplifies the 'just culture' model in nursing management?
Answer: Distinguishing between human error, at-risk behavior, and reckless behavior when responding to mistakes
Just culture differentiates unintentional errors (system fixes), risky behaviors (coaching), and reckless actions (accountability) to promote safety reporting.