 Detailed Answer Key Houston Leadership 0316 1.A charge nurse allows two nurses who are arguing about who gets to go to lunch first, go together. The charge nurse agrees to cover both nurse’s client care. The charge nurse displayed which of the following types of conflict management? A. Avoiding Rationale:The charge nurse did not display avoiding, which is not to acknowledge or try to resolve the conflict. B. Competing Rationale:The charge nurse did not display competing, which is when the charge nurse would make quick or unpopular decision at the expense of another. C. Compromising Rationale:The charge nurse did not display compromising, which is when all parties involved are willing to give up something in the resolution of the conflict. D. Cooperating Rationale:The charge nurse did display cooperating, which is resolution of the conflict by sacrificing and allowing the staff nurses to get want. 2.A nurse in the cardiac catheterization lab implements a new procedure for achieving hemostasis of the cardiac catheter insertion site. Which of the following is a distinguishing characteristic of a new standard of care? A. Achievable Rationale: Achievable is a measurement tool for setting standards, not a characteristic. B. Measureable Rationale:Measurable is a measurement tool for setting standards, not a characteristic. C. Predetermined Rationale:Predetermined is used to distinguish the characteristic for implementing a new standard of care. D. Objective Rationale: Objective is a measurement tool for setting standards, not a characteristic. 3.A nurse manager received a client request not to have a particular nurse care for her while at the acute care facility. Which of the following is the most appropriate action by the nurse? A. Document the issue on an incident report. Rationale:The nurse manager documenting the issue on an incident report does not resolve the issue. Created on:02/09/2020Page 1 Download the Full Statement Here In accordance with the Code of Ethics for Nurses, the intent of this statement is to provide guidelines for registered nurses assuming the role of charge
nurse. ONA recognizes that the role of the charge nurse may vary with the area of practice and facility policy; however, the registered nurse’s role must be consistent with professional standards as developed by the nursing profession, the scope of practice defined in the Law, and the rules of the Board of Nursing. Charge nurses are registered nurses who are responsible for the operation of the nursing unit over a specific time period. The charge nurse must have a
strong foundation of clinical knowledge and skills on which to base judgments and make decisions, organizing abilities to direct nursing tasks and operations, and interpersonal skills to facilitate communication and the work of others. The charge nurse accepts the responsibility for, and is accountable for, his/her own nursing practice. The charge nurse also seeks out and pursues opportunities for learning and assumes responsibility for his/her own self-development. Registered nurses must
be knowledgeable and skillful in performing the charge nurse role. A registered nurse who assumes the role of charge nurse also assumes the responsibility inherent to the role. Three fundamental responsibilities for charge nurses include planning, coordinating, and evaluating unit nursing activities. The charge nurse identifies the procedures, processes, and patient care to be accomplished during the work period, as well as the resources that will be required
to safely carry out the work of the unit. CoordinatingThe charge nurse distributes the work of the unit in a manner that makes the best use of available resources, both personnel and material, and which take into account the knowledge, skills, and abilities of those persons who will be integral to the patient care process. The charge nurse provides ongoing coordination of work and resources as necessary to meet changing requirements in the work environment. EvaluatingOn an ongoing basis, the charge nurse evaluates individual and collective outcomes of the patient care provided during their shift, compares patient care delivery to accepted standards, adjusts assignment of resources as necessary, and reports changing needs and outcomes to the health care staff. Because the charge nurse observes and weighs patient care delivery and outcomes as provided by coworkers, the charge nurse may be asked to contribute observations to individual employee evaluations, suggest competency evaluations, or to advise and educate fellow staff. These functions of the charge nurse should not, however, be constructed as supervisory in the sense of exercising control regarding employment decisions. The charge nurse is accountable for overall operation of an assigned unit during a specific time period, but is not solely or personally responsible for the selection or discharge of employees of the health care facility. Functions and Competencies of the Charge Nurse
Policy DevelopmentThe Nursing Department within the employing agency is responsible for developing written policies and procedures relative to the registered nurse working in a charge nurse role. These policies should reflect the scope of nursing practice, as well as established professional standards. Policies and procedures do not release nurses from accountability for their own actions. References for the Scope of Practice for the registered nurse: A. Ohio law and rules regulating the practice of nursing B. Code for Nurses with Interpretative Statements C. ANA Standards of Clinical Nursing Practice |
Which client situation requires the most immediate intervention by the charge nurse?
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