HESI Leadership |LATEST VERSION |NEW
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QUESTIONS
Which statements indicate that the nurse leader is adapting to changes in
leadership practices to adjust to complex changes in healthcare systems? Select
all that apply.
1
"I will stop tracking progress."
2
"I will be clear about purpose and process."
3
"I will involve stakeholders and listen to them."
4
"I will stop utilizing and providing older resources."
5
"I will align systems and processes to support the change."
- ANSWER "I will be clear about purpose and process."
"I will involve stakeholders and listen to them."
"I will align systems and processes to support the change."
The nurse leader should be clear about the purpose and processes in order to
adjust to complex changes. This clarity will help the nurse leader implement the
desired changes efficiently and effectively. Listening to the stakeholders and
,involving them helps the nurse leader understand the changes properly. Aligning
systems and processes to support the change is an effective way to implement
the change. Tracking progress helps the nurse analyze whether the change is
being implemented properly. Utilization of both new and older resources is
required to implement the changes effectively.
Which activity performed by the registered nurse in a healthcare organization is
considered active delegation?
1
A pharmacist giving medications upon prescription
2
A primary healthcare provider assessing and prescribing medication
3
A registered nurse administering medication and fluids upon prescription
4
A registered nurse directing an unlicensed nursing professional to perform
certain task
- ANSWER A registered nurse directing an unlicensed nursing professional to
perform certain task
Active delegation by a registered nurse is the process of assessing a situation
and determining what is appropriate for client care such as directing an
unlicensed nursing professional to perform certain tasks and holding the
individual accountable. Passive delegation contains functions that are normally
performed or are an essential part of the practice of a licensed individual. A
pharmacist giving medications upon prescription is passive delegation since it is
a part of practice. A primary healthcare provider assessing and prescribing
medication is passive delegation since it is a part of practice for a primary
healthcare provider. A registered nurse administering medication and fluids
,upon prescription is passive delegation since it is a part of practice for a
registered nurse.
The registered nurse (RN) is caring for a client who underwent ileostomy. Which
activity performed by the nurse indicates following the principle of right
circumstance of delegation? Select all that apply.
1
Assessing the willingness of the delegatee
2
Assessing the equipment to determine vital signs
3
Providing supervision of the delegatee during the task
4
Teaching institutional policies about caring for a client with ileostomy
5
Communicating with the delegatee about care management of the client -
ANSWER Assessing the equipment to determine vital signs
Providing supervision of the delegatee during the task
Assessing the equipment and resources available to perform the task
determines right circumstance of delegation. Supervising the delegatee during
the task indicates right circumstance of delegation. Assessing the willingness of
the delegatee determines the principle of right person of delegation.
Determining if the task can be performed based on institutional policies
indicates principle of right task of delegation. Communicating with the
delegatee falls under right communication of delegation.
, Which personnel are responsible for identifying the need for and calling in
specialty trained providers in emergencies?
1
Triage officer
2
Public information officer
3
Medical command physician
4
Hospital incident commander
- ANSWER Medical command physician
The medical command physician is responsible for identifying the resource
needs of the clients. Therefore the medical command physician identifies the
need for and calls in the specialty trained providers in emergencies. Triage
officers are responsible for rapidly evaluating each client to determine priorities
for treatment. The public information officer serves as a liaison between the
healthcare facility and the media. The hospital incident commander is the one
who assumes overall leadership for implementing the emergency plan.
What are the functions of the Hospital Incident Command System (HICS) in
disaster management? Select all that apply.
A
To manage mass fatalities
B
To provide first aid stations
C
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