×

Quiz Session - Attempts With Random Questions

ANCC NE-BC Exam Questions

Page 7 of 20

121.

Which action by a nurse manager violates the confidentiality requirements of the Americans with Disabilities Act (ADA)?

  • Sharing vague information about an employee's disability with one of the employee’s colleagues without their consent.

  • Discussing an employee's accommodation needs in detail in a private meeting with human resources.

  • Keeping records of employees' disabilities in a secure location.

  • Consulting a healthcare provider for guidance on an employee's accommodations with the employee's consent.

Correct answer: Sharing vague information about an employee's disability with one of the employee’s colleagues without their consent.

Sharing information about an employee's disability with their colleagues without their consent violates the ADA's confidentiality requirements by sharing personal disability information. Even if the information is vague, it is still considered a violation.

Discussing an employee's accommodation needs with human resources, keeping records of employees' disabilities in a secure location, and consulting healthcare providers about an employee's accommodations with their consent all comply with the ADA’s requirements for handling and discussing disability-related information respectfully and confidentially.

122.

In the context of healthcare delivery, a nurse executive aims to improve patient satisfaction scores. Which initiative is most likely to achieve this goal?

  • Implementing patient-centered care rounds.

  • Increasing the frequency of interdisciplinary team meetings.

  • Expanding the hospital cafeteria menu.

  • Increasing patient face time by reducing the time for electronic documentation by nurses.

Correct answer: Implementing patient-centered care rounds.

Patient-centered care rounds directly involve patients in their care, promoting communication and potentially improving satisfaction. Implementing patient-centered care rounds has been shown to be effective in increasing patient involvement, ultimately improving their satisfaction.

While important for team communication, increasing meeting frequency does not directly involve patients and may not impact their satisfaction scores as much as increasing the involvement of patients in care rounds. Expanding the menu may enhance the hospital stay experience but it is less likely to have a significant impact on overall patient satisfaction with care delivery. Reducing documentation time could indirectly improve nurse-patient interaction time, but implementing patient-centered initiatives more directly targets patient satisfaction.

123.

A nurse manager observes that a charge nurse is struggling to resolve conflicts within their team, leading to poor morale and teamwork. What is the best initial step for the nurse manager to take?

  • Provide the charge nurse with resources and training on conflict resolution and leadership skills.

  • Advise the charge nurse to delegate conflict resolution tasks to more experienced team members.

  • Reassign the charge nurse to a less demanding role.

  • Take over conflict resolution interventions until the charge nurse feels more comfortable in this area.

Correct answer: Provide the charge nurse with resources and training on conflict resolution and leadership skills.

Providing resources and training offers the charge nurse an opportunity to improve their conflict resolution and leadership skills, directly addressing the issue and supporting their professional development.

Delegating conflict resolution tasks may not address the charge nurse's need to develop these skills themselves and could undermine their authority. Reassigning the charge nurse without offering support or development opportunities can negatively impact their confidence and career progression. Taking over will not help the charge nurse to grow or learn in this area and can inhibit their development as a leader.

124.

After noticing a high rate of patient falls in the geriatric unit, a nurse executive initiates a project to analyze and improve the situation using lean principles. Which strategy best applies the "Continuous Improvement" principle of lean?

  • Setting up a cross-functional team to review, analyze, and address fall incidents on a monthly basis.

  • Conducting a comprehensive, one-time audit of all incidents of patient falls in the past year.

  • Implementing an immediate policy requiring all staff to attend a safety training workshop.

  • Installing additional handrails and safety equipment throughout the unit.

Correct answer: Setting up a cross-functional team to review, analyze, and address fall incidents on a monthly basis.

Setting up a cross-functional team to review, analyze, and address fall incidents on a monthly basis embodies the "Continuous Improvement" principle by establishing an ongoing process of evaluation, feedback, and adaptation to reduce patient falls.

A one-time audit provides valuable data but does not ensure continuous process improvement. While important, a one-time training does not constitute an ongoing improvement process. Installing safety equipment addresses a component of fall prevention but does not encompass the continuous review and improvement process.

125.

After implementing a new Electronic Health Record (EHR) system, a nurse executive observes resistance among the nursing team, affecting their performance and the overall adoption of the system. What is the most effective strategy to address this issue?

  • Organizing a feedback session for members to express their concerns and suggestions.

  • Mandating additional training sessions for all team members on the EHR system.

  • Penalizing those who are responsible for promoting resistance to the new EHR system.

  • Waiting to address the resistance, giving it time to either diminish or resolve spontaneously.

Correct answer: Organizing a feedback session for members to express their concerns and suggestions.

Organizing a feedback session where team members can express their concerns and suggestions is an effective strategy to understand the root causes of resistance and engage the team in finding solutions, promoting buy-in and adaptation.

Mandating additional training may be helpful but it does not address the reasons for resistance. Penalizing incorrect use or resistance could negatively impact morale and miss opportunities to improve the implementation of the new system. Ignoring the issue or waiting to address it is unlikely to resolve the resistance and could lead to ongoing problems with system adoption.

126.

In the context of value-based purchasing, which initiative would most effectively improve a hospital's reimbursement rates?

  • Implementing evidence-based protocols to reduce hospital-acquired conditions.

  • Reducing administrative staff to lower operational costs.

  • Increasing the number of elective surgeries performed.

  • Expanding the hospital's marketing efforts to attract more patients.

Correct answer: Implementing evidence-based protocols to reduce hospital-acquired conditions.

Hospital-acquired conditions are a focus area in value-based purchasing programs, and reducing them through evidence-based protocols can significantly impact quality scores and reimbursement.

Reducing administrative staff may lower costs but does not directly improve care quality or patient outcomes, which are the primary focus in value-based purchasing. While increasing surgeries could increase revenue, it does not directly align with value-based purchasing focus on quality and patient outcomes. Value-based purchasing focuses on improving income through improving the quality of care, not the quantity of care. Marketing efforts might increase patient volume but do not directly improve the quality metrics measured by value-based purchasing programs.

127.

A nurse executive wants to improve patient care outcomes in a culturally diverse community. Which of the following strategies would be most effective?

  • Developing care plans primarily based on the needs of the patient population.

  • Implementing a one-size-fits-all approach to patient care to avoid cultural bias.

  • Assigning patients to nurses based primarily on the nurse’s linguistic compatibility.

  • Avoiding discussions on cultural preferences to prevent discomfort.

Correct answer: Developing care plans primarily based on the needs of the patient population.

Developing care plans primarily based on the needs of the patient population recognizes and addresses the diverse cultural needs of patients, leading to better care outcomes.

Implementing a one-size-fits-all approach to patient care ignores the unique needs of a diverse patient population. While avoiding cultural bias is ideal, the unique cultural needs of the community must be considered. Assigning patients to nurses based primarily on the nurse’s linguistic compatibility can be helpful but does not address the full scope of cultural sensitivity needed. It also may lead to situations where clinical needs are not as well addressed as they could be otherwise. Avoiding discussions on cultural preferences to prevent discomfort avoids important opportunities to provide patient-centered care and may lead to misunderstandings or dissatisfaction.

128.

A nurse executive is addressing a conflict between two departments over resource allocation. What principle from the ANA Code of Ethics should guide the executive's decision-making process?

  • Justice

  • Fidelity

  • Autonomy

  • Beneficence

Correct answer: Justice

Justice refers to fairness and equality, which is crucial in resolving conflicts over resource allocation.

Fidelity involves keeping promises and commitments, which is important but less directly relevant to resource distribution. Autonomy emphasizes individuals' rights to make decisions about their own care, which is not applicable in this context. Beneficence involves taking actions to benefit others which, while important, doesn't directly address the issue of fair resource distribution.

129.

A nurse leader overseeing several patient care units decides to implement a laissez-faire leadership style to promote innovation and self-direction among the nursing staff. Which of the following actions best exemplifies this leadership style?

  • The nurse leader provides general goals for the units but allows the nursing staff to determine the best methods to achieve these goals.

  • The nurse leader frequently holds meetings to directly assign specific tasks to each nurse and closely monitors their progress.

  • The nurse leader sets clear, detailed guidelines for daily operations and expects strict adherence from the staff.

  • The nurse leader implements a structured mentorship program where experienced nurses are assigned to guide newer staff members.

Correct answer: The nurse leader provides general goals for the units but allows the nursing staff to determine the best methods to achieve these goals.

Laissez-faire leadership is typically uninvolved, allowing teams a great deal of latitude with minimal leadership involvement. Offering general goals while allowing staff the freedom to choose how to achieve them embodies the essence of laissez-faire leadership.

Closely monitoring progress and directly assigning tasks contradicts the laissez-faire approach, which emphasizes autonomy and minimal direct supervision. Setting detailed guidelines and expecting strict adherence aligns more with an authoritarian leadership style. While a mentorship program promotes development, the structured nature of assigning mentors suggests more direct oversight than typical of laissez-faire leadership.

130.

A nurse executive is evaluating the impact of the shift from fee-for-service to value-based purchasing on hospital revenue. What is the primary focus of value-based purchasing?

  • Improving the quality of care.

  • Increasing the quantity of services provided.

  • Reducing the cost of care.

  • Expanding the access to healthcare services.

Correct answer: Improving the quality of care.

Value-based purchasing focuses on rewarding healthcare providers with incentive payments for the quality of care they give to people.

Increasing the volume of services is a characteristic of the fee-for-service model. Reducing the cost of care is a benefit but not the primary focus of value-based purchasing. Expanding the services or access to healthcare is unrelated to the reimbursement model.

131.

A nurse executive is assessing the effectiveness of a new patient safety initiative focused on medication administration errors. Which indicator would most accurately reflect the initiative's success?

  • A reduction in the incidence of medication administration errors.

  • The number of staff attending safety training sessions.

  • An increase in patient satisfaction scores related to medication education.

  • The number of medication-related near misses reported.

Correct answer: A reduction in the incidence of medication administration errors.

A direct reduction in medication administration errors is the most clear and relevant indicator of the initiative's success.

Attendance at training sessions indicates engagement but does not reflect the effectiveness of the initiative in reducing errors. Increased patient satisfaction with medication education is positive but it does not directly measure the reduction in administration errors. The number of medication-related near misses reported, while an important data point, does not necessarily reflect the actual number of near misses that occur.

132.

A nurse executive is conducting a literature review on the effectiveness of hand hygiene interventions in reducing Hospital-Acquired Infections (HAIs). Which type of study should be prioritized for inclusion in the review?

  • Meta-analyses

  • Descriptive studies

  • Cross-sectional surveys

  • Anecdotal evidence

Correct answer: Meta-analyses

Meta-analyses combine data from multiple studies to provide a comprehensive overview of the evidence on a particular intervention, making them highly valuable for literature reviews on effectiveness.

Descriptive studies provide information on the what, who, and where of health issues but do not assess the effectiveness of interventions. Cross-sectional surveys provide a snapshot of a particular issue at one point in time and are less useful for understanding the effectiveness of interventions over time. Anecdotal evidence is based on personal experiences and is considered the least reliable form of evidence for making evidence-based practice decisions.

133.

A nurse executive reviews patient satisfaction surveys and identifies a need to improve the hospital's environment to enhance patient experiences. Which initiative would be most effective in creating a healing environment?

  • Incorporating nature and art into patient and public areas.

  • Increasing the brightness of lighting in patient rooms.

  • Expanding the hospital cafeteria to include more dining options.

  • Providing patients with upgraded television and entertainment systems.

Correct answer: Incorporating nature and art into patient and public areas.

Evidence suggests that incorporating elements of nature and art into healthcare settings can reduce stress and improve patient outcomes, contributing to a more healing environment.

While lighting is important, simply increasing brightness does not necessarily contribute to a healing environment and can sometimes be counterproductive. While more dining options may improve the hospital stay, it does not directly influence the healing aspects of the patient environment. Entertainment options can improve patient satisfaction but do not contribute as significantly to the healing environment as the presence of nature and art.

134.

Which change management framework most involves a detailed analysis of organizational culture as a crucial component of preparing for change?

  • The McKinsey 7-S Model

  • The ADKAR Model

  • Lewin's Change Theory

  • Kotter's 8-Step Change Model

Correct answer: The McKinsey 7-S Model

The McKinsey 7-S Model includes "Shared Values" at its core, stressing the importance of organizational culture in the context of change.

The ADKAR Model focuses on individual change rather than an in-depth analysis of organizational culture. Lewin's Change Theory is more about the process of change rather than the analysis of organizational culture. While Kotter's model addresses culture, it does not emphasize a detailed analysis of it as a core component.

135.

Following a series of complaints about the emergency department's wait times, a nurse executive decides to implement a change. Which approach is most likely to improve patient satisfaction with wait times?

  • Providing regular updates to waiting patients about expected wait times and reasons for delays.

  • Introducing a triage system that prioritizes patients based on the severity of their condition.

  • Hiring additional administrative staff to handle patient check-ins more efficiently.

  • Expanding the emergency department's physical space to accommodate more patients.

Correct answer: Providing regular updates to waiting patients about expected wait times and reasons for delays.

Keeping patients informed about wait times and the reasons for delays has been shown to improve satisfaction, as it addresses concerns and sets realistic expectations.

While a triage system is critical for patient safety, it may not directly improve satisfaction with wait times unless patients understand the system's rationale. Additionally, a triage system that prioritizes patients based on the severity of their condition should already be in place in effective emergency departments that prioritize patient safety. Additional administrative staff can reduce check-in times but may not significantly impact overall satisfaction with emergency department wait times. Expanding physical space might reduce overcrowding but won't directly address patient satisfaction related to waiting without improvements in communication or process efficiency.

136.

During a routine audit, a nurse executive discovers that a significant number of staff are not adhering to the new documentation guidelines designed to meet regulatory standards. What is the most effective initial step to address this issue?

  • Conducting a refresher training session focused on documentation guidelines.

  • Disciplining the staff involved in the non-compliance.

  • Revising the documentation guidelines to be less stringent.

  • Continue to monitor the issue, giving the staff autonomy to correct the behavior on their own and address the issue if they do not.

Correct answer: Conducting a refresher training session focused on documentation guidelines.

Refresher training provides an opportunity to clarify guidelines, address misconceptions, and reinforce the importance of compliance.

Immediate reprimand or discipline may create a culture of fear rather than understanding and adherence to guidelines. Making guidelines less stringent may compromise regulatory compliance and patient care standards. Delaying to address the issue fails to address the underlying problem or promote compliance with necessary standards.

137.

When evaluating the effectiveness of a telehealth program for post-operative care, which metric is most critical?

  • Reduction in post-operative complications.

  • Increased adherence to post-operative instructions.

  • Patient satisfaction with the telehealth experience.

  • Total cost savings from reduced in-person visits.

Correct answer: Reduction in post-operative complications.

The reduction in post-operative complications is a direct indicator of the telehealth program's effectiveness in improving patient care.

Increased adherence to post-operative instructions is important but it is secondary to the improved outcomes this increased adherence should result in. Patient satisfaction is important but it is not a direct measure of the program's impact on health outcomes. Cost savings are beneficial but secondary to clinical outcomes like reducing complications.

138.

A nurse executive is planning to reorganize the skill mix in a pediatric unit to improve patient and family satisfaction. Which approach is most likely to achieve this goal?

  • Increasing the number of nurses with a Pediatric Nursing Certification (PED-BC).

  • Decreasing the ratio of RNs to patients.

  • Assigning a higher number of newly graduated nurses who are more current with modern practices.

  • Reducing the number of shift changes.

Correct answer: Increasing the number of nurses with a Pediatric Nursing Certification (PED-BC).

Nurses with a Pediatric Nursing Certification (PED-BC) have specialized training in pediatrics that can enhance patient care and family support, leading to higher satisfaction.

Decreasing the RN-to-patient ratio without adding specialized roles or additional support will not address specific patient and family needs. Assigning more newly graduated nurses decreases the overall experience level of staff on the floor, potentially decreasing patient and family satisfaction. Reducing the number of shift changes may improve continuity but doesn’t directly enhance the skill mix’s impact on satisfaction.

139.

A nurse leader is managing a diverse team in a high-acuity Intensive Care Unit (ICU). One experienced nurse is highly skilled but lacks confidence in their abilities, while a less experienced nurse is eager but still developing their skills. How should the nurse leader adjust their leadership style according to situational leadership theory?

  • Employ a supporting style for the experienced nurse and a coaching style for the less experienced nurse.

  • Use a directing style for both nurses, providing clear instructions to ensure patient safety.

  • Apply a coaching style for the experienced nurse and a supporting style for the less experienced nurse.

  • Adopt a delegating style for both nurses to foster independence and confidence.

Correct answer: Employ a supporting style for the experienced nurse and a coaching style for the less experienced nurse.

A supporting style helps build confidence in the skilled but hesitant nurse by offering encouragement and listening, while a coaching style provides the less experienced nurse with direction and support, aiding in skill development.

Directing style is best suited for individuals who are both unable and unwilling to take responsibility for doing something, not for those with varying levels of skill and confidence. A coaching style is overly directive for an experienced nurse who lacks confidence, while a supporting style might not provide enough direction for a less experienced nurse. Delegating is appropriate for individuals who are both willing and able to take responsibility, which does not fit the description of either nurse.

140.

To foster a culture of engagement, a nurse leader introduces a program where staff can nominate colleagues for "Excellence in Patient Care" awards. This initiative primarily targets which aspect of motivational theory?

  • Herzberg's motivators

  • Herzberg's hygiene factors

  • Maslow's physiological needs

  • Expectancy theory

Correct answer: Herzberg's motivators

Herzberg's motivators include recognition, which directly relates to the implementation of an awards program to improve engagement.

Hygiene factors, according to Herzberg, are essential factors of the job that prevent dissatisfaction but don't necessarily motivate employees. Physiological needs are basic survival needs and are not directly related to recognition programs. Expectancy theory relates to the belief that one's effort will lead to desired performance. While relevant, it's not as directly targeted by a recognition program as Herzberg's motivators.

×