Chapter 13, Chapter 17, Chapter 21, Chapter 23

The nurse manager has decided to work on personal time-management skills. What should this manager do first?

1. Review patterns of time use

The nurse manager is writing annual evaluations for each nurse. In order to promote professional development, it is vital for the nurse manager and nurse to become involved in which activity?

3. goal setting

The nurse appears in the nursing station with multiple facial lacerations and says a visitor hit me. What is the manager's priority action?

Ask a nurse to accompany the employee to the ED

The nurse manager is concerned about the apparent lack of staff motivation to improve client care on a unit. How should this manager use motivational theories to help improve this situation?

Combine theories to develop a plan for this specific unit

A nurse manager is struggling with two marginal nurses and goes to the supervisor for advice. How should the supervisor advise the manager?

Continue to be persistent in you work with these nurses, Be fair and consistent with them, You must continuously assess the rest of your staff as you work with these two nurses, You must continue to address the issues with these nurses as they arise

An emergency department client is demanding pain medication and threatening to harm staff if they do not provide it. The ED physician calmly continues to ask the client about the level and location of pain as the nurse steps away and notifies security. What is the physician attempting to do by asking these questions?

De-escalate the situation

A nurse manager does not like conflict and would like to allow instances of bullying to go away on their own. What rationale by the manager's supervisor is the most important?

If you let bullying go, it just gets worse and more frequent

A nurse enters a client's room andsees a visitor threatening the client. The nurse questions the visitor in a nonthreatening manner. The visitor begins to threaten the nurse. What should the nurse do in this situation?

Keep a safe distance from the visitor

A newly formed task force is addressing the preventing of violence in the health care organization. Which group of employees is most likely to experience violence?

Nurses working in a geriatric unit, Nurses whose work space includes large waiting rooms

the newly licensed is delighted to have been hired at a magnet hospital and says they even assigned me a mentor. What is erroneous about this statement?

Preceptors are assigned, mentors choose proteges

The nurse manager becomes aware of frequent incorrect narcotics counts on the night shift. This is verified by the pharmacy. What should be the first action taken by the manager?

Review the staffing pattern and absentee list for the night shift

The nurse manager tells a newly licensed nurse that having a mentor is a benefit to career development. What should the new nurse expect from a mentor- protégé relationship?

The relationship will develop through stages

An ICU unit has experienced an influx of aggressive behaviors by visitors against nurses. The ICU manager has instituted a policy to limit visiting hours. An employee asks the manager why the change in visiting hours has been implemented. Which response is likely the most accurate?

The visiting hours allowed for added stress and commotion to the nursing staff

A nurse manager has required that all nursing staff attend an in-service in dealing with verbal threats. A staff nurse wonders why this is necessary since, Words don't hurt me - I just ignore them What is the nurse manager's most appropriate response to this statement?

Verbal threats often precede physical violence

The nurse executive works hard to create a civil workplace that does not tolerate harassing behaviors. How would this nurse best explain the reason for this emphasis on civility?

bullying and incivility are dangerous to client care

A nurse manager has felt overwhelmed by work the last few months. After putting in many hours of unpaid overtime, the workload is beginning to stabilize. The nursing supervisor asks the manager to take on a new task that is exciting and stimulating. What should the manager do? (SELECT ALL THAT APPLY)

1. Consider how much work will be added to the current workload 2. Tell the supervisor no. 3. Talk with the supervisor about decreasing another work responsibility if this project is accepted

A novice nurse manager is devising a schedule to meet the needs of the staff, clients, and other disciplines on the unit. Which is the most important method to counteract wasted time in nursing?

1. Delegate routine activities to concentrate on other tasks

The nurse manager has planned a meeting that all staff nurses have to attend. Which method would most efficiently notify the staff members of the meeting time?

1. Email

A nurse is participating in time-management education. This week's assignment is to compile a list of personal goals. Which of these goals should the nurse include? (SELECT ALL THAT APPLY)

1. I will lose 10 pounds by christmas 3. I will read for pleasure for 1 hour every day after work 5. We will save $200 monthly for the next 12 months for a car down payment

The nurse manager routinely experiences stress related to deadlines for projects. What should be the nurse's first action to control this stress?

1. Identify the actual stressor and the precipitating factors

A nurse manager is working on several projects and is stressed most of the time. This manager prefers working at the unit desk instead of in the office to be certain nothing on the unit is missed. Which would be the most effective method to decrease this manager's stress?

1. Keep a structured schedule for work time on each project in the office

What are reasons that nurses fail to manage time effectively? (SELECT ALL THAT APPLY)

1. Nurses do tasks they enjoy doing before the ones they do not enjoy 2. Nurses do things that bring the most immediate closure first 3. Nurses respond on the basis of who wants something 5. Nurses work on things in the order of their arrival

A colleague frequently forwards funny e-mails to everyone on her contact list. The nurse manager does not have time to look at the e-mails and is aggravated when they appear. How should the manager handle this situation? (SELECT ALL THAT APPLY)

1. Set the email filter to divert the messages to a spam folder 2. Tell the sender that the manager is not allowed to get personal emails at work 4. Send the colleague an email that reads Stop wasting my time with these emails 5. Delete the messages without opening them

A nursing supervisor has a report due and just cannot seem to find the time to get it completed. One day before it is due, the supervisor turns it in. This situation best exemplifies which time waster?

1. The supervisor waited for the deadline pressure to increase the priority

A nurse frequently has to work late and has no time to do required training while at work. She has to do it on her days off. Choose the work-related time waster that commonly puts nurses in this position.

1. Unscheduled tasks delaying those that are scheduled

How can a nurse who is consistently falling behind at work improve to become more organized and disciplined?

1. Use the same system every day to organize client care and required activities such as paperwork

Which statements indicate that a nurse manager is using time reactively? (SELECT ALL THAT APPLY)

1. We were so busy yesterday that I did not get the schedule completed 3. We have so many new graduates on our unit that our work is never caught up 5. I am really concerned about what the nursing supervisor said about our unit. I can't get it off my mind

A newly licensed nurse is considering a job offer at a hospital that offers a residency program. The nurse should expect to be in this program for up to ____ months

18

A nurse manager must place a telephone call to a colleague who always wants to chat socially for several minutes. The manager does not have time for a social call. What is the best time for the manager to make this call?

2, A few minutes before the colleague usually goes to lunch

When driving towards a meeting, the nursing supervisor gets a call explaining the meeting is to be delayed for about 30 minutes. Which activity is the best use of this supervisor's waiting time?

2. Drive to the meeting place and read the minutes from the last meeting

A newly appointed nurse manager has just completed education on time-management skills. Which statement would the instructor evaluate as indicating this nurse understands the basic concepts of time management?

2. The key to using time management is to respect my time as well as the time of others

A nursing supervisor warns the nurse manager, "Having access to electronic communication is not always a blessing." How should the manager interpret this warning? (SELECT ALL THAT APPLY)

2. The manager does not have to be physically present in the facility for communication to take place 3. If not used effectively, electronic communication can prevent the manager from getting rest 4. Along with flatter organization and easy access, the nurse manager's job responsibilities have increased 5. In today's health care environment there is pressure to do more with less

The nurse manager has several tasks that need to be accomplished. Which task is the manager likely to do first?

3. A task that has been assigned by the supervisor instead of a task that the manager thinks will benefit the unit

The nurse manager must attend to several tasks this afternoon. Which tasks would the manager categorize as urgent? (SELECT ALL THAT APPLY)

3. Assisting a family whose child is in the emergency department 4. finding replacements for two staff members on the next shift who called in sick

As part of a new time management initiative, the nurse manager is creating a "to-do" list. How should the manger structure this list? (SELECT ALL THAT APPLY)

3. Block out time for the unexpected 4. Be certain the list is flexible

A staff nurse frequently interrupts the nurse manager with problems that the staff nurse could solve. What should the manager say to correct this behavior? (SELECT ALL THAT APPLY)

3. Is this a problem you can handle yourself 4. You have the skills to solve this issue 5. I trust you to solve this problem

During a job interview the nurse manager asks, "What are your short-term goals?" Which statement by the applicant addresses this question?

3. My brother and I want to go on a mission trip in the next year

The nurse manager holds a regular Wednesday meeting with the charge nurses on the unit. There is no new information to discuss this Wednesday. What should the manager do?

4. Cancel the meeting

A nurse manager's week is filled with handling routine and repetitive issues. Which strategy should the manager employ to make handling these tasks most effective and efficient?

4. Hold a meeting each week especially for dealing with routine and nonurgent matters

For the last several weeks, the nurse manager has felt as if there is not enough time in the day to accomplish all the required tasks. The manager goes home exhausted and does not look forward to going to work in the morning. What strategy may help alleviate some of this stress?

4. Pick out a simple task and complete it just before going home each day

Which activities are similar enough that they could be grouped to better manage time? (SELECT ALL THAT APPLY)

4. Search the internet for an unfamiliar client diagnosis 5. Emailing a colleague a question about the schedule

The nurse manager is significantly behind in the required paperwork for the job. How can the manager rectify this situation?

4. Set a goal to work on paperwork for a portion of everyday

A nurse manager has identified that a major time waster is the amount of time spent on the telephone each day. Which strategy would help reduce this time?

4. Set a specific block of time to return calls

Which strategies would decrease the amount of time the nurse manager spends with "drop-in" visitors to the manager's office? (SELECT ALL THAT APPLY)

4. Stand up to greet the visitor and remain standing 5. Encourage appointments for routine matters

The hospital has initiated a new fall risk assessment tool. The nurse manager would like to reward those staff members who use the tool regularly. Which methods of reinforcement would be most successful in getting long term compliance?

A coupon for a free lunch for staff members who, according to a medical record review of nursing documentation, consistently use the tool correctly

A nurse is suspected of abusing narcotics. A thorough investigation has been performed, and the nurse will now be notified of the suspicion and investigation. How should this notification be handled?

A nurse should be approached at work with no prior notice and asked to come to the nurse executive's office

The nurse manager is reviewing the current staff to determine who should precept a newly licensed nurse. Which nurse is the most logical choice?

A nurse who is clinically competent and has the desire to assume the responsibility to train new staff

A nurse manager has been working with a disgruntled employee for several weeks. today the employee comes to the manager's office with yet another complaint about a new hospital policy. The manager says I am sick of your complaining. Leave me alone so I can get some work done. What should the manager do now?

Apologize to the employee for being unprofessional as what the issue with the policy is

The nurse has just been notified that a client is to be admitted from the emergency department with a diagnosis of alcohol intoxication. The ED nurse says they have been unable to obtain much history because of the client's lethargic state. Which action is an appropriate intervention by the nurse?

Approach the client with caution when obtaining vital signs and shift assessments

A nurse admits to diverting narcotic drugs while working. The manager says All nurses who admit diverting narcotics have to be reported to the state board of nursing. How should the nurse interpret this statement?

As false, because in some states reporting depends on other factors

A nurse manager is investigating a report made by a staff nurse. The nurses state that a visitor backed the nurse against a wall and was verbally abusive but did not touch the nurse. How should the manager describe this incident to the HR director?

As violence against the nurse

the nurse is caring for a client who aggressive, demanding and verbally abusive toward staff and visitors. The client says im getting out of here, I am going to end it all. What immediate action should the nurse take?

Call security

The pharmacy reports that medication records of a unit have begun to show frequent corrections. What other signs of diversion would the manager look for on the unit?

Chart review on effectiveness of pain control, Increase in use of doses of as-needed narcotics that results in wastage, Chart review that reveals that clients require much more narcotic pain medication on one shift than on others, Narcotic containers that look as if they have been altered

A nurse hears screaming from a client's room. A male visitor leaves the client's room. Which is the nurse's priority action?

Check on the client

a nurse comes to a mandatory education session wearing a picture and slogan that is degrading to nursing. what should the manager do first?

Check the human resources policies regarding appropriate dress

An experience nurse often answers less experienced nurses' questions about client care and teaches hemodynamics during orientation to the unit. The nurse has also participated in research into hemodynamic monitoring of ICU clients. Which clinical ladder designation does this nurse best exemplify?

Clinical expert

A nurse executive is trying to convince the hospital management team that a clinical ladder system would work well in nursing. Which points should the nurse include in this argument?

Clinical ladders keep very good nurses at the bedside, These programs proven to be worth their cost, similar programs have been shown to improve nurse job satisfaction, quality of client care increases with these programs

A nurse comes to the unit manager to report a coworker's behavioral changes. The nurse has noticed that the coworker's handwriting has become shaky and illegible, that the coworker has mood swings and that the coworker has increased tardiness. Which should be the manager's first action?

Collect additional information regarding behaviors, absenteeism and/or tardiness

A night shift supervisor has been called to the ED to assist in managing a violent situation with a visitor. Once the violent has been contained and security and police have responded. What should be the supervisor's next action?

Complete an incident report

The nurse has expressed job dissatisfaction to the unit manager. The manager assigns another staff member as a coach for this nurse. What is the most important aspect of the coach's job?

Conduct the relationship in a confidential manner.

When a nurse enters the room, the client states he has a gun and points to a male visitor. The nurse does not see a gun. What should the nurse do?

Contact security

A registered nurse is dissatisfied with the wages and health benefits available in his current position and decides to seek other employment. This employee's frustration is most linked to which motivational theory?

Content theory

After the second week of orientation the nurse witnesses the death of a child in the ED. Which role should this nurse's preceptor focus on at this time?

Counseling the new nurse

A nurse makes a medication error and notifies the client's physician. The physician berates the nurse over the phone and states - you are an idiot. How should the manager deal with this situation?

Document the facts of the encounter, Privately tell the physician that the behavior was bullying, Confront the physician during rounds and demand an explanation

A nurse manager wished to use a model of job performance to help match employees and tasks to achieve the greatest effectiveness. What should the manager do first?

Establish, in writing, the expectations of each task

In an attempt to decrease tardiness, a hospital gives employees an extra hour's pay for each wage period that the employee has not been late for work. This incentive program is an example of which theory?

Expectancy

A manager is following up on an employee's injuries. The manager has contacted HR to initiate the process of worker's compensation. Which action would be appropriate by the manager?

Follow up with the employee to express concern and answer any questions regarding this situation

A CNO is contacted by the organization's supervisor on a Saturday night regarding a problem in the hospital's emergency department. The supervisor describes an incident in which an orderly was assaulted. Why is the CNO not surprised about this report?

Health care violence is more likely to occur in the ED

An ED has doubled its client visits within the past year. This has led to an increased wait time and overcrowding in the ED waiting room. Which recommendation by the ED nurse manager to the CNO would be the most effective?

Hire more ED nursing staff to manage the increased volume of clients

A nurse writes some scathing remarks about another nurse's professionalism on a social media site. A complaint of bullying lodged with the nurse manager. Which statement by the manager is appropriate?

I will follow up on this complaint and take action as needed

A unit secretary is chronically late returning from breaks. the rest of the secretary's work is excellent and his is always helpful and supportive of nurses and client families. The nurse manager has discussed the lateness with hi,, but it has not stopped. Thinking this might be an attention-seeking behavior, the manager decides to use extinction as a strategy. What should the manager do?

Ignore the behavior, Plan to be away from the secretary's area during his break times

Two staff members have a long-standing dislike of one another. Generally they hide their feelings by occasionally they engage in name-calling and derogatory remarks. Today their dislike erupted into a shoving match in the break room. How should the manager handle this situation?

Immediately call for security

A night shift nurse is assuming a day shift's assignment, which includes two clients who pain is being controlled with oral hydrocodone. At shift assessment, both clients complain of pain. During shift report, the day nurse reports that both clients had just received two hydrocodone tablets for pain. What action should the night nurse take?

Inform the manager of the situation

The nursing administration has instituted a horizontal promotion system within the nursing department. What benefit is this program to the staff nurse?

It rewards the nurse's clinical excellence

A staff nurse is not meeting job expectations. The manager has followed some standard strategies such as counseling to try to motivate the nurse, but they have not been successful. When discussing the situation with the supervisor, the manager says, I Think I will try shaping strategies. What can the supervisor expect of the staff nurse's performance?

It should gradually move toward the expected behaviors

A nurse manager is investigating the application principles of equity theory to rewarding staff. Which options are rewards that the manager could influence?

Job satisfaction, Prestige

A night shift nurse frequently points out nurses' faults in front of co-workers. The manager of the unit has submitted a written warning to the charge nurse. What term should the manager use to label this behavior?

Lack of civility

There is substantial unrest among the staff of an intensive care unit that has resulted in negative client outcomes. Which employee factors should the manager assess first?

Motivation and ability to be effective on the job

As part of a presentation on health care workplace violence, the speak says injuries to nurses from violent acts in the work place are probably underreported. What rationale should the speaker offer for this statement?

Nurses may not clearly understand what constitutes workplace violence, Nurses may be unaware of how to report violent actions, Nurses may feel that dealing with violence is an unexpected part of the job, Nurses may believe that reporting a violent act will mark them as a weak employee

The ED staff has been caring for a client who exhibited violent behavior when pain medication was denied. Once the situation was resolved, which action by the ED manager would be appropriate?

Organize a training program to educate staff on how to manage these types of situations

The staff development nurse has elected to use coaching as a staff development technique. Which situation is an example of this technique?

Pairing a nurse with conflict management experience with an employee who has expressed dissatisfaction with the job

A nurse constantly complains about employee policies and procedures and frequently mentions how they are out to get us. The nurse is surprised when referred to by the manager as disgruntled during a discussion of this behavior. What information should the manager provide this nurse?

People who are constantly complaining decrease the morale of the rest of the unit

A hospital administrator has attended a conference on bullying and wishes to address the most likely bullies in the organization. Whom would the administrator invite to the first meeting about bullying behaviors?

Physicians, Managers, Senior manager

The nurse manager has identified physical assessment skills lacking in a new registered nurse. Using goal-setting theory, which statement by the manager would be the most effective in enhancing the nurse's assessment skills?

Plan to study one body system a week and demonstrate you assessment skills to me every week

A nurse who is a chronic complainer comes back from lunch 20 minutes late. When confronted by the manager the nurse says, The nurses who smoke always take longer lunches, no one say anything to them What is the manager's major consideration before replying to this statement?

Policies must be consistently applied to all employees

Two nurses are in the day room when a visitor approaches and starts yelling about the care his other is receiving. One nurse says Im sorry you are upset, what can I do for you? This visitor continues to complain more loudly. What should the other nurse do?

Quietly direct other people out of the room, Leave the room and call security

Which assignment would be in the best interest of a nurse reentering practice following treatment for abuse of mood altering drugs

Reassign the nurse for a period of time to a unit where no mood-altering drugs are given

The nurse is talking to a client who has a history of aggressive outbursts. What strategies should this nurse use?

Remain calm and speak in a moderate tone, Speak in simple terms, Allow the client to speak

A highly intoxicated client is brought to the ED. Paramedics report that the client was violent during transport and tried to kick the door out of the ambulance. How should the nurse prepare before seeing this client?

Remove any hemostats from the pocker, Take off the stethoscope and place it in the pocket enter the room calmly with a smile

An ICU nurse has just assisted the physician in placing a central line in a client. Over the past few days the client's son has just increasingly verbally abusive to nursing staff. The unit secretary tells the nurses that the son is at the nurse's station demanding to see the client. Which action by the nurse is most important?

Remove the central line tray from the room

A hospital's safety committee has been asked to make recommendations to administration regarding methods to improve employee safety. Which suggestions should be made?

Security cameras throughout the facility, Curved mirrors in the corridors

The ED has seen as increase in violent behavior over the past year. The manager has voiced concerns over to the CNO regarding the safety of the ED staff. What should be done as a first step in addressing this issue?

The CNO should review the management of violent incidents procedure policy

A geriatric client in a long term care facility becomes increasingly confused and verbally aggressive as evening approaches. Which actions would the nurse interpret as potentially signaling a violet episode?

The client is moving slowly toward the room door, The client is staring blankly towards the nurse, the client raises his fist

The ICU staff has been dealing with several distractions over the last week. There was a scheduling error caused by a change in the staffing matric and miscommunication between management and administration. The staff is also caring for a client whose family has been verbally abusive and threatening. The manager notes an increase in absenteeism with the staff over the past 2 days. To which of these distractions is the absenteeism most likely related?

The decline in staff morale due to a hostile environment

a nurse manager often uses negative reinforcers as part of operant conditioning in order to inhibit undesirable behaviors. What often results from this action?

The employee ducks into a client room each time the manager is seen, no improvement in the frequency of the undesired behavior is seen, the employee calls in sick more often, the manager must constantly monitor the situation

Which findings associated with an employee are likely to be considered when discussing performance?

The employee has been tardy on one occasion when an unexpected snow feel just before shift change, The employee found a purse containing $200 in the cafeteria and turned it into security, The employee made two work errors requiring incident reports in the last year.

A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new nursing employees. Which situation is most likely to have resulted in this problem? 1. The hospital is in a poorer part of town and offers a great deal of charity care. 2. The hospital pays about $.25 per hour less than other hospitals as a starting wage for nurses. 3. The hospital has a reputation for allowing bullying behavior to occur. 4. The other hospital in town has a more modern building and campus.

The hospital has a reputation for allowing bullying behavior to occur

A nurse says I don't see what all the fuss is about bullying. Every new nurse has to go through it. It is just a part of the history of nursing. How should the manager respond?

The joint commission does not tolerate disruptive or abusive behavior, The American nurses association does not approve of bullying behaviors, new nurses bring new ideas - why would you bully them

A nurse manager has planned orientation activities for a new registered nurse. The new nurse is required to observe shift report and UAP delegation for a week. Then the new nurse is required to take shift report and delegate UAP assignments for a week. What is the rationale for making this orientation assignment?

The manager should focus on those skills specific to the new nurse's role

A nurse has been discovered using drugs on the units. Investigation reveals the nurse has likely been diverting and abusing narcotics for some time. What is likely the worst outcome for this nurse?

The nurse is terminated with no report made

The manager has determined that a nurse is marginal, but elects to ignore the situation for now, hoping the nurse's work will improve. What risks has the manager taken by choosing this strategy?

The nurse may harm a client, Other nurses on the unit may become disgruntled by having to cover for this nurse, The nurse may never become a good employee, The morale of the unit may decline

A staff nurse is known for having temper tantrums when the unit is stressful. The nurse slams doors, grumbles, and is demeaning to coworkers. This behavior has never been violent, but today its becoming more threatening. The nurse just came into the station and said- my nurse assistant is stupid, i am not going to put up with that much longer, she needs to be put in her place. How should the manager respond to this situation?

The nurse should be removed from the unit, A critical incident report should be written about the behavior, Security should be notified of the behaviors

During the orientation an newly employed nurse asks about the process of reporting such things as bomb threats to the organization. The person conducting the orientation says Well I guess you call 911. What is incorrect about this statement?

The person who is doing the orientation should be aware of the reporting policy, The nurse should have been told to notify security, The nurse should have been told to follow the reporting policy

A group of nursing students have just arrived on the unit. Which actions by staff would be considered uncivil to these students?

The unit clerk groans when the instructor enters the nursing station with the students, A nurse whispers - not students again today, A transport worker says, just great, more students to get in the way today

An OB nurse is caring for an unmarried woman who is in labor. The nurse learns the client is unwilling to name he baby's father. A male visitor who comes to visit the client raises the nurse's concern that he might be violent. Which behavior would raise this concern?

The visitor moves into the nurse's personal space when asking about the client's status

The hospital operator announced over the paging system Dr. Strong, fourth floor, A-wing, Dr. Strong, fourth floor, A-wing. A newly hired nurse asks another nurse Who is Dr. Strong. The nurse replies this is the announcement that alerts security there is violent behavior on that unit. Which statement would be an appropriate report to this unit's manager?

There was an incident in which a staff person did not know what Dr. Strong meant. Could we have an in service on this policy?

An error made in client care last week has just been discovered. A nurse who cared for the client during that period is asked about the error and states, that probably happened when the nurse covering for me at or for me breaks was in charge. How should the manager interpret this statement?

This nurse is scapegoating the coverage nurse

A nurse who has been abusing narcotics is in the nurse executive's office discussing the charges. The nurse executive is trying to convince the nurse to seek treatment for the abuse. Which statement should the nurse executive make?

Treatment is your best chance at returning to practice

A nurse manager has had issues with a marginal employee. Staff members have complained several times to the manager regarding this employee's competence. Which action by the manager would be appropriate?

Use progressive discipline to manage the employee

A manager has documentation to suspect substance abuse by a nurse. The manager meets with the human resources director to determine which course of action should be taken to abide by the organization's policies. This statement by the HR director is appropriate?

We should meet with the nurse and offer access to the employee assistance program

A nursing supervisor is seeking staff input while developing policies regarding violence prevention. A staff nurse says we have lots of threatening behavior on our unit. what is the most important question for the supervisor to ask?

When you report threats to your manager, is action taken quickly?

A CNO has received numerous complaints by staff regarding their manager. The staff describes behaviors such as not granting requested days off, favoring other staff members, and allowing lateral violence in the department. Which statement by the CNO to the manager would specifically describe a lack of civility?

Your behavior is rude and disrespectful towards your staff

in order to develop a succession-planning program as rapidly as possible, the management team has elected to divide the processes up among team members. Which assignments would be expected?

identify the most important things that managers do, decide which current nurses would make good managers, analyze management training opportunities

a nurse manager has scheduled several on the job instruction sessions. why would the nurse choose this format?

it is very cost-effective, travel expenses are minimized, transfer of learning issues are eliminated, the learners are motivated to learn

during strategic planning, the committee finds a need to develop a succession plan for the facility. what committee findings would draw attention to this need?

many of the facility's senior nursing managers indicate they will likely retire within 5 years, the nursing shortage in the area continues to worsen

What characteristics would cause the manager to classify an employee as marginal?

the employee's work does not improve with coaching, the employee just made an error for which discipline has already been done twice

Which job behaviors would the nurse executive consider troublesome no matter which unit employed the nurse?

the nurse made two medication errors today the resulted in poor client outcomes, a manager reports that a nurse used a piece of equipment that had been taken out of service for malfunction, a nurse did not report to work for 2 days and did not call in the absence

a nurse executive says I would really like to develop our current nurses so they can take a greater leadership role in the future. why is this a good management plan?

this method of developing leaders has proved to be cost-effective, the leadership development can be varied according to the needs of the nurse, when leaders are developed from within, management is already aware of their strengths and weaknesses, the specific needs of the organization can be served

A nurse manager is selecting nurses to serve as teachers in on the job instruction. What qualification should these nurses hold?

willingness to teach new nurses, ability to explain procedures accurately and clearly

a nurse has been asked to teach newly hired nurses how to operate some client care equipment that the unit has just received. the nurse says i'd love to do this, but someone else will need to take my clients today. how should the manager respond?

you will need to work the education into your day as you take care of clients