RN Registered Nurse: Management Care 2

Question 1

A charge nurse notices two staff members have a recurring interpersonal conflict that is affecting unit morale. What is the most appropriate initial action?

Accepted Answer

Meet privately with each staff member to hear their perspectives

Answer

Meeting individually with each party allows the charge nurse to gather unbiased perspectives before facilitating resolution.

Question 2

Which staffing model distributes care based on patient acuity and nurse competency rather than a fixed nurse-to-patient ratio?

Accepted Answer

Acuity-based staffing

Answer

Acuity-based staffing dynamically assigns nurses based on individual patient complexity and nurse skill sets.

Question 3

A nurse manager identifies that incident report filings have dropped significantly over the past month. This most likely indicates:

Accepted Answer

Under-reporting of adverse events

Answer

A sudden drop in incident reports typically signals a culture of fear or under-reporting, not a genuine safety improvement.

Question 4

When implementing a new evidence-based protocol, which change theory focuses on unfreezing old behaviors, moving to new ones, and refreezing the change?

Accepted Answer

Lewin's Force Field Analysis

Answer

Lewin's three-step model (unfreeze, change, refreeze) is the foundational theory for planned organizational change.

Question 5

A nurse delegates wound care to an unlicensed assistive personnel (UAP). Later, the UAP performs the task incorrectly. Who bears ultimate accountability?

Accepted Answer

The delegating registered nurse

Answer

The delegating RN retains accountability for the outcome of any task delegated to UAP under the five rights of delegation.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN Registered Nurse: Management Care 2