Final Exam Leadership
Primary care nursing is organized so that the patient is at the center of the structure. How many nurses have 24‐hour responsibility for care planning and coordination for a particular patient? a) One b) Two c) Four d) Three
A
From the video on the Medical Home, what is the percentage of health care that Americans receive?
50 percent
A client has a managed care program that is organized on the basis of capitation. What is a characteristic of this client's health care? a) The client's providers are paid the same amount each month, regardless of the client's use of services. b) The client pays a fixed percentage of the cost of any health care, usually between 10% and 20%. c) The program uses a "gatekeeper" to ensure appropriate utilization of services. d) Health‐care providers earn a bonus if the client remains free of disease for a predetermined length of time.
A
A female manager has worked hard in her career to reach a high position in the organization. What action by the manager will directly prevent her from developing the queen bee syndrome? a) Working with other women to help them achieve similar success b) Emphasizing formal demonstrations of power rather than informal demonstrations c) Aiming for an equal number of male and female subordinates d) Increasing accountability to subordinates
A
A nurse has begun working in a new health‐care facility and is beginning to understand the organizational culture. When seeking to understand the organizational culture, the nurse should: a) try to perceive the dominant values, traditions, and beliefs in the organization. b) carefully examine the demographic characteristics of the workforce. c) ask coworkers at various levels to interpret the organizational chart. d) ask the middle‐ and upper level managers about the potential for advancement.
A
A nurse has recently graduated from nursing school and is transitioning into a nursing career. Which activity is the nurse's personal responsibility for career management? a) Developing career goals b) Developing career ladders c) Providing challenging assignments d) Establishing career paths
A
A nurse‐manager can implement the principles of preactive planning by: a) using new technologies to accelerate change. b) responding quickly to emergent problems. c) directing planning in response to a crisis. d) preferring the status quo as a stable environment.
A
A nurse‐manager has been required to justify each item of the following year's proposed budget. The manager has been instructed that referring to the previous year's expenditures is not a sufficient justification. What type of budgeting is being used in this facility? a) Zero‐based budgeting b) Perpetual budgeting c) Managed care d) Incremental budgeting
A
A nurse‐manager has introduced a proposed change to the operations of an ambulatory clinic and has been met with resistance. How should the manager best interpret this resistance? a) Resistance is an expected component of a proposed change. b) The presence of resistance suggests that the change may be unsuccessful. c) The presence of resistance indicates a need to implement power-coercive strategies. d) Resistance confirms that the proposed change is necessary
A
A recent switch to a new laundry provider at a long‐term care facility has been described as "cost‐ effective." What does this imply about the change in laundry service? a) It is worth the cost. b) It is reimbursable. c) The cost was anticipated. d) It is the least expensive service available.
A
For which client are the provisions of the Pa ent Self‐Determination Act (PSDA) most likely to be significant? a) A client who has just experienced an ischemic stroke and whose prognosis is poor b) A client whose neonate has just died of sudden infant death syndrome (SIDS) c) A client who has recently been diagnosed with HIV d) A client whose reduced ability to perform activities of daily living (ADLs) has required an admission to long‐term care
A
How can a nursing professional best demonstrate advanced achievement of competencies? a) Achieving a new specialty certification b) Participating in career planning c) Transfer to a new department d) Maintaining ethical standards of practice
A
Many nurses at an ambulatory clinic have expressed frustration about the low quality of care that clients have been receiving. How should a manager best interpret this situation? a) The nurses may be in the unfreezing phase of change. b) There is a need for the manager to demonstrate power-coercive strategies. c) The clinic is likely an aged organization. d) The movement phase of change will be difficult to initiate.
A
The manager of a community health center is committed to acting as an advocate. What action by the manager best promotes this goal? a) Taking prompt action when working conditions appear unsafe b) Pushing for the creation of a binding, national Bill of Rights for Patients c) Communicating a vision that advocacy is something highly valued in the organization d) Seeking formal and informal interactions with the media
A
The managers of an HMO have argued against a proposed decrease in deductibles, citing a risk of moral hazard. What phenomenon would show that the managers' concerns were justified? a) Members of the HMO use more health‐care services because of the reduced cost. b) Members leave the HMO for other HMOs that have more favorable terms. c) Members are reluctant to comply with the HMO regulations. d) Members of the HMO adopt high‐risk behaviors because the know that treatment is available.
A
The nurse is assigned to administer medications to all patients throughout the shift . What is this an example of? a) Functional nursing care b) Case method nursing c) Team nursing d) Primary care delivery
A
The nurse made a medication error that injured a hospital client. The nurse's attorney has cited the concept of respondent superior during the trial. This argument would focus on: a) the hospital's responsibility for the injury. b) the resources that were available to the nurse. c) the intent of the nurse's actions. d) the provisions of the nurse's malpractice insurance.
A
The nurse‐manager is on a team that is performing a SWOT analysis of the staffing system at a community clinic. What should the manager do when addressing the "S" component of the SWOT analysis? a) Identify any characteristics of the staffing system that currently help the clinic meet its goals b) Identify stakeholders in the current staffing system c) Strategize about ways that the staffing system could possibly be improved d) Examine the factors indicating that a change in the staffing system is necessary
A
Two registered nurses have disagreed about their scope of practice regarding medication administration. What resource should the nurse consult? a) The Nurse Practice Act b) The a orney general's office c) The nursing standards of practice d) The code of ethics
A
What determines the size of the authority-power gap between a manager and an employee? a) How credible the manager is perceived to be b) The organizational philosophy c) How much informal power the manager possesses d) The degree of rigidity in the organizational chart
A
What is an implication of responsibility accounting for a nurse who manages a hospital unit? a) The manager is accountable for the way that resources on used on the unit. b) The organization's financial officer works with manager regarding budget approval. c) The budgeting process must be transparent and data must be made publicly available. d) The manager has a responsibility to submit the unit budget on time each year.
A
What is the name for a provision of health care in an organized system to subscribing members in a geographical area with an agreed‐on set of basic and preventive supplemental health maintenance and treatment services for a fixed, prepaid charge? a) A health maintenance organization (HMO) b) Preferred provider organizations (PPOs) c) A traditional third‐party payer indemnity plan d) Diagnosis‐related groupings (DRGs)
A
What is the primary reason for documenting nursing interventions as soon as possible after an activity is completed? a) Decreasing the risk of inaccurate documentation b) Demonstrating professional nursing behavior c) Observing an established nursing principle d) Implementing effective time management skills
A
Which characteristic of a planned change is most likely to threaten its success? a) The suggested change is introduced to staff after the plan has been formalized. b) An assessment of resources to carry out the plan is completed before unfreezing. c) The change agent is aware of the organization's internal and external environment. d) Individuals affected by the change are involved in planning for the change.
A
Which characteristic of an organization would suggest that flattening is occurring? a) There is reduction in the administration levels. b) There are formal and informal systems are in place to address conflicts. c) There are shared work goals across units. d) There is a collective spirit.
A
Which statement about me management is true? a) Nurses with clearly identified personal goals and priorities have greater control over how they spend their me. b) Writing goals down is not usually necessary if the goals are limited to fewer than five in number. c) Keeping a time inventory for a day will allow the manager to identify a me management pattern. d) Most people have an accurate perception of the time they spend on a particular task or the total amount of time they are productive during the day.
A
Which statement is true concerning critical thinking? a) It requires reasoning and creative analysis. b) It is narrower in scope than decision making. c) It is a simple approach to decision making. d) It is a synonym for the problem‐solving process.
A
Max Weber, as part of the scientific management era, contributed immensely to the development of organizational theory. Which statements are representative of his beliefs? Select all that apply. a) Organization charts could depict the hierarchy of authority. b) Impersonality of relationships should exist in organizations. c) Bureaucracy could provide a rational basis for administrative decisions. d) Advancement and placement should be based on relationships. e) Worker satisfaction was integral to productivity.
ABC
The nurse‐manager works in a health‐care facility that has applied for Magnet status. What characteristics of the organization will support the application? Select all that apply. a) Open, participatory management b) High staff nurse satisfaction c) Improved patient outcomes d) Large number of registered nurses and an absence of practical nurses e) Centralized decision‐making environment
ABC
Which statements are true regarding planned change? Select all that apply. a) Change affects the homeostasis of a group. b) Resistance to change should be expected as a natural part of the change process. c) Change should be viewed as a chance to do something innovative. d) Careful planning can guarantee the success of a change initiative. e) Technical changes are more resisted by staff than social changes are.
ABC
A nurse is facing a malpractice suit after an incident where a client received the wrong dose of medication. Which elements must be present to prove malpractice? Select all that apply. a) Presence of injury b) Causal relationship between inadequate care and injury c) Ability to foresee harm d) Intent to cause harm e) Breach of duty
ABCE
What actions by the nurse‐manager are consistent with relationship age leadership? Select all that apply. a) Including committee representatives from all areas that will be affected by a change b) Encouraging teamwork to solve problems and address issues c) Recognizing staff members who have contributed to the organization's goals d) Encouraging competition between staff members to increase overall efficiency e) Communicating regularly and openly with employees
ABCE
Which are common areas requiring nurse-client advocacy? Select all that apply. a) Preventing medication errors b) Promoting respect for client dignity and cultural values c) Facilitating access to health‐care services d) Maintaining current licensure e) Securing client informed consents
ABCE
Which statements concerning autonomy are true? Select all that apply. a) It supports the process of progressive employee discipline. b) It is a form of personal liberty. c) It is based on a person's right to make a choice. d) It overrides paternalism but not beneficence. e) Its legal equivalent is self‐determination.
ABCE
Which activities are associated with a leadership role? Select all that apply. a) Providing a motivational speech at the new employee orientation b) Finding a nurse to cover another nurse's shift c) Establishing goals for the coming year d) Mentoring two new managers e) Advocating for nurses to receive more professional development opportunities
ACDE
The nurse‐manager is participating in organizational planning. Which factors should the team consider when identifying variables that may complicate the planning process? Select all that apply. a) Rapidly changing technologies b) Public mistrust of the nursing profession c) Decreased acknowledgement of the importance of planning d) Government regulations e) Changing population demographics
ADE
A leader‐manager has recognized the need to be more consistent with time management? What skill should the nurse develop in order to facilitate time management? a) Recognizing the need for goal setting b) Enlisting the help of an administrative assistant c) Handling emergency situations quickly d) Prioritizing tasks accurately
D
The nurse‐manager who seeks to exemplify emotional intelligence should: a) prioritize emotion over reason when making decisions. b) regulate his or her own emotions and those of others. c) effectively manipulate the emotions of others to achieve goals. d) a empt to remove emotion from decision making.
B
Twenty‐first‐century leadership models generally emphasize the importance of: a) motivation. b) relationships. c) consequences. d) incentives.
B
A change in the skills mix has been proposed at a care facility. What action by the nurse‐manager would best support a rational-empirical change strategy? a) Appointing "champions" to ensure communication throughout the change process b) Presenting the research evidence that supports the change c) Publicizing the change to generate enthusiasm d) Ensuring that employees know the consequences of resisting
B
A manager is trying to get in the habit of creating a daily list of tasks. The manager should: a) include all relevant short‐term, intermediate, and long‐term goals. b) include flexibility in the implementation of the list. c) keep the list highly structured, thus decreasing the possibility of procrastination. d) avoid changing the list once initial planning is completed.
B
A nurse failed to supervise a confused client, and the client fell while transferring to the bathroom. The client was unharmed, but the client's family has launched a malpractice suit, citing the nurse's breach of duty. What is the most likely outcome of this case? a) The outcome will depend on the extent to which the client was responsible for the incident. b) It will likely be unsuccessful because the client was not injured. c) It will likely be successful, provided the family can prove the event was reasonably foreseeable. d) The outcome will depend on how the nurse's actions compare to the established standard of care.
B
A nurse is considering applying for employment at a new health‐care facility. How should the nurse best identify the aims and priorities of the organization? a) Ask interviewers about recent responses to consumer satisfaction surveys b) Review the organization's mission statement c) Review the organization's policy and procedures documents d) Speak with as many front‐line workers as possible
B
A nurse is off‐duty, in the community, and witnesses an adult suddenly collapse. The individual appears to be unconscious. How should the nurse apply Good Samaritan laws to this situation? a) The nurse should a empt to contact emergency services before intervening. b) The nurse is not required to intervene, even though intervening is an ethical act. c) The nurse a empt to determine if the individual has an advance directive before intervening. d) The nurse should intervene because of the legal obligation to do so.
B
A nurse‐manager had to intervene in a conflict between a client and a staff member. The manager chose to make a decision "in the moment" rather than applying a methodical or deliberate decision‐making tool. How should this manager's actions be best interpreted? a) The manager demonstrated an autocratic leadership style. b) The manager applied heuristics to a problem that required a quick solution. c) The manager's decision was likely made on the basis of emotion. d) The manager should have used a decision‐making tool before responding.
B
What activity is most likely to promote a nurse's continued competence? a) Meeting minimal standards for relicensing b) Acquiring new knowledge and skills on a regular basis c) Submitting to regular performance reviews d) Working in a variety of clinical settings
B
A nurse‐manager is beginning a day and is responsible for completing numerous tasks, including one high‐ priority task, three medium‐priority tasks, and several lower priority tasks. How should the manager plan the day? a) Complete some low‐priority tasks first to make room for focusing on the high‐priority task b) Complete the high‐priority task as early in the day as possible c) Complete the low‐priority tasks first, then a medium priority task, and then focus exclusively on the high priority task d) Arrange the tasks according to the amount of me that they will require
B
A recent nursing graduate has not performed a dressing change on a central catheter for several months and is unsure of how to correctly perform this. The nurse should refer to the: a) practice rules. b) procedure manual. c) documentation. d) organization policy.
B
A registered nurse has admitted to the manager that she obtained her license on false pretenses and that she never actually graduated from a nursing education program. What is most likely to take place next? a) A fine levied by the jurisdiction where the event took place b) An investigation by the board of nursing c) Criminal charges d) A civil lawsuit by the health‐care facility
B
A state Nurse Practice Act is an example of which source of law? a) Constitution b) Statutes c) Administrative d) Judicial
B
A unit manager has been instructed to complete a comprehensive audit of the unit's use of resources. The manager is daunted by the size of the task, which will likely take several weeks to complete. The manager should: a) request clerical or secretarial assistance. b) divide the project into smaller components that can be more easily completed. c) delegate the project to subordinates and ask for weekly updates. d) set aside low‐ and medium‐priority tasks until the project is complete.
B
An older adult client has been admitted to the hospital with pneumonia and has been placed on a critical pathway. This tool will allow the care team to: a) decrease the amount of paperwork required for reimbursement. b) standardize the client's care. c) minimize the client's out‐of‐pocket expenses for care. d) minimize administrative costs.
B
An organization is considering the adoption of flexible budgeting. What advantage will this type of budgeting provide to the organization? a) Increased opportunities for staff to participate in the budget process b) Increased ability to adapt to changing circumstances throughout the year c) Increased reimbursement from state and federal agencies d) Longer budget cycles
B
In planning strategies to prevent stagnation and promote renewal, which action would most likely result in the desired outcome? a) Rewarding employees by promoting from within b) Developing a program for recruitment of young talent c) Using length‐of‐service to determine committee selection d) Having set pay increases mandated annually
B
Nurses on a hospital unit have been informed that a change to the documentation system is being proposed. What factor surrounding this change is most likely to cause unfreezing? a) The proposed documentation system has been introduced in many hospitals in the region. b) The nurses find the current documentation system unwieldy and inefficient. c) An influential nurse has extensive experience with different documentation systems. d) The leader‐manager supports a change in the documentation system.
B
One of the most commonly used tools in health‐care organizations is SWOT analysis. What is the definition of the "O" component of this model? a) External conditions that challenge or threaten the achievement of organizational objectives b) External conditions that promote achievement of organizational objectives c) Internal attributes that help an organization achieve its objectives d) Internal attributes that challenge an organization in achieving its objectives
B
The manager of a busy emergency department is primarily concerned with the practical, day‐to‐day operations of the department. This manager is most clearly demonstrating what type of leadership? a) Bureaucratic b) Transactional c) Transformational d) Interactional
B
The nurse is providing care in a setting that uses a team nursing approach. What should be integrated into the routines in the health‐care facility? a) Use of multidisciplinary action plans (MAPs) b) Frequent communication between team members c) Opportunities for UAP and practical nurses to increase their education level d) Inclusion of the patient and family as members of the team
B
The nurse who manages an ambulatory clinic is well known as being a visionary leader who is skilled at empowering others with this vision. What type of leader is this nurse? a) Transactional b) Transformational c) Interactional d) Bureaucratic
B
The nurse‐manager has held an educational workshop about the need for nurses to be more comprehensive with their client assessments. What outcome would suggest that there is a wide authority- power gap? a) The nurses seek an extended dialogue about the issue. b) The nurses do not make significant changes to the way that they assess clients. c) The nurses improve their assessments out of fear for the consequences of not doing so. d) The nurses respond by improving their assessments because of the respect they hold for the manager.
B
The nurse‐manager is applying the decision‐making process when addressing a nurse's high rate of absenteeism. This process should result in: a) an outcome that is desired by all. b) a chosen course of action. c) an action that guarantees success. d) a new understanding of the problem.
B
The nurse‐manager is working in a facility where two of the organizational goals are to increase physician satisfaction and reduce costs. A unit goal is to increase professional RN staffing. Which statement best supports all the stated goals? a) Increasing the RN staff will cut down on nursing errors, prevent burn out, and decrease the cost associated with staff turnover. b) Increasing the RN staff will free more nurses to be available to address doctors' concerns during their rounds and will reduce our costly use of over me. c) Increasing the RN staff will lead to improved pa ent education and a reduction in costly patient stays. d) Increasing the use of unlicensed assistive personnel will result in increased patient safety and quality care, and thus improve physician satisfaction.
B
Which statement best describes ethics? a) The conflict, power, and interdependency associated with the way we live b) What our conduct and actions should be regarding what is right and good c) How people make decisions they see as legally and morally appropriate d) How our lives and relationships are led in day‐to‐day circumstances
B
Which statement regarding nursing policies and procedures is most important to their successful application in achieving goals? a) The policies and procedures are created by staff representatives. b) All policies and practices are based on current evidence related to practice. c) Policies and procedures are reviewed at fixed times, every 5 years. d) One hundred percent of the staff adheres to established policies and procedures 100% of the time.
B
A nurse‐manager is arguing for the establishment of a formal career development program in the health‐ care facility. What potential benefits should the manager describe? Select all that apply. a) Employment benefits are increased. b) Personnel can be used more effectively. c) New skills are brought into the organization. d) Employee attrition can be reduced. e) Employees can increase earning power.
BCD
The leadership of a large health‐care organization has arranged a series of meetings with stakeholders. What individuals or groups would be included in this category? Select all that apply. a) Members of the local media b) A community group that advocates for the rights of people addicted to drugs c) A community group that promotes client safety in health care d) The surgeons and anesthetists who work in the operating room e) Representatives from the labor union that represents many staff members, an external organization, or individual
BCDE
The nurse‐manager is describing the forces that are driving change in today's health‐care environment. What phenomena should the nurse describe? Select all that apply. a) Decreased use of technology due to high cost of implementation b) Increased need to update health‐care-related technologies c) Shortages of health‐care professionals and providers d) Decreased third‐party reimbursement for health‐care services e) Increased cost of health‐care services
BCDE
The nurse‐manager of a clinic has launched a career development program for nurses. The manager should anticipate what benefits? Select all that apply. a) Increased interdisciplinary cooperation b) Increased retention of staff c) Increased skill level of nurses d) Decreased staff turnover e) Enhanced quality of work life for nurses
BCDE
Which nursing intervention demonstrates a en on to the nursing values central to client advocacy? Select all that apply. a) Reassuring the client that he or she will always make the right decision b) Suggesting to a client that a social services consult would help with discharge needs c) Assuring clients that their wishes will be respected regarding the care they receive d) Answering the client's questions regarding the alternatives to a proposed procedure e) Identifying the client's religious dietary practices when discussing a prescribed diet
BCDE
A health‐care provider prescribes a medical procedure that the staff nurse has reason to believe will harm the client. Which principle should guide the nurse's choice of action? a) The staff nurse cannot be held legally liable for any harm to the client if the procedure is carried out with due care. b) The nurse may lose his or her license by refusing to carry out the procedure. c) The nurse can be held legally liable for any harm if the procedure is carried out without questioning it. d) Liability rests with the health‐care provider, not the nurse.
C
A nurse has applied for a new position and has presented a nursing portfolio to the human resources department. This portfolio will allow the nurse to: a) present his or her specific career goals. b) showcase his or her academic credentials. c) give examples of professional growth d) justify salary expectations.
C
A nurse is deeply concerned about a proposed piece of legislation. Which action will best influence a local legislator who will be voting on the legislation? a) Signing an online petition b) Phoning the legislator's office repeatedly c) Writing a succinct, personalized letter to the legislator d) Forwarding the legislator online articles that related to the legislation
C
A nurse is facing an ethical dilemma about whether to report a colleague's offensive comment, an ac on which is likely to jeopardize their relationship. What is a characteristic of this nurse's ethical dilemma? a) The dilemma has no realistic solution. b) The dilemma can be solved by applying empirical data. c) The situation involves two or more undesirable alternatives. d) The situation involves a breach of the law.
C
In which situation would the nurse be justified in overriding a client's right to confidentiality? a) A teenage client asks the nurse not to tell her parents that she is pregnant. b) A client states that he does not want to know the results of his recent diagnostic test. c) An older adult client discloses to the nurse that her son occasionally hits her. d) A client does not want her husband to know that she is a client on the unit.
C
The novice nurse can reduce the likelihood of being sued for malpractice by: a) avoiding performing interventions without a witness present. b) beginning his or her career in a lower acuity setting. c) establishing positive, therapeutic relationships with clients and families. d) engaging in lifelong learning.
C
The nurse at a long‐term care facility became frustrated with a client who has dementia and is unable to be redirected from wandering. The nurse applied restraints to keep the client in bed during a night shift despite there being no order to do so. How should this nurse's actions be best interpreted? a) The nurse is guilty of malpractice. b) The nurse's action may be grounds for an assault charge. c) The nurse could face charges of false imprisonment. d) The nurse's action is permissible if it was in the client's best interest.
C
The nurse is applying a decision‐making process to a clinical challenge. When applying this process, the nurse must: a) analyze the root causes of a situation. b) prioritize the maximum good for the maximum number of people. c) choose between different courses of action. d) begin by solving the underlying problem.
C
The nurse is working with a client who has a terminal diagnosis and who is facing difficult decisions around end‐of‐life care? How can the nurse best advocate for this client? a) Arrange for the client to meet an individual who has faced the same decision b) Offer to facilitate a referral to social work or spiritual care c) Ensure the client receives all the necessary information to make an informed choice d) Teach the client how to make an effective decision
C
The only treatment alternative left for a client diagnosed with advanced cancer is a rare, highly experimental bone marrow transfusion with a 10% success rate. Some individuals are arguing that the high cost of the procedure could be be er spent providing well‐baby screening for 2,000 residents in the service area. What ethical principle is most directly involved in this situation? a) Unethical conduct b) Maleficence c) Utility d) Paternalism
C
There is one vertical, solid line connecting a middle manager and a top‐level manager on a clinic's organizational chart. What should a nurse conclude from this aspect of the organizational chart? a) The top‐level manager was originally promoted from being a middle‐manager. b) The middle‐ and top‐level manager share equal authority. c) The middle manager has only one boss. d) The middle manager is in a permanent position.
C
Which leadership role is most closely associated with advocacy? a) Giving subordinates and clients adequate information to make informed decisions b) Seeking appropriate consultation when advocacy results in intrapersonal or interpersonal conflict c) Creating a climate where advocacy and its associated risk taking are valued d) Ensuring that the workplace environment is safe
C
Which of the following nurses would be considered to have expert power? a) A nurse who is positioned high on the hospital's organizational chart b) A nurse whose dynamic and engaging personality makes it easy to create alliances c) A nurse with extensive experience and specialized training in perioperative nursing d) A nurse‐manager who dispenses favors to nurses who are willing to work overtime
C
Which patient would be most likely to benefit from a disease management approach? a) A client being treated for a transfusion reaction after receiving packed red blood cells b) A client who has been diagnosed with a postpartum hemorrhage (PPH) c) A client who has chronic obstructive pulmonary disease (COPD) d) A client who is being treated for a ruptured tympanic membrane
C
Which represents the management functions that are incorporated into the management process? a) Inspiring, planning, staffing, directing, and evaluating b) Organizing, staffing, planning, empowering, and controlling c) Planning, organizing, staffing, directing, and controlling d) Planning, directing, organizing, staffing, and transforming
C
Which statement is true regarding an economic man style manager a) The manager makes decisions that may not be ideal but result in solutions that have an adequate outcome. b) The manager may lack complete knowledge and generate few alternatives. c) The manager gathers as much information as possible and produces many alternatives. d) The manager is primarily motivated by his or her own financial gain.
C
A health‐care organization utilizes decentralized decision making. What will most likely happen when there is need for decisions to be made in the organization? a) The decision will be made by top‐level managers b) There is a potential that the decision will be made too quickly. c) It will be unclear who is ultimately accountable for the decision. d) A decision can be made at the lowest practical managerial level.
D
A leader has launched an organizational planning process that requires the development of new policies. How should the leader utilize subordinates during this process? a) Delegate the evaluation phase of organizational planning to subordinates b) Ask subordinates to brainstorm alternatives and then have industry experts evaluate each alternative c) Limit the involvement of subordinates to developing unit‐level policies and procedures d) Include subordinates early in the process and include them in all aspects of policy formation
D
A manager has accepted a new position and there are more than 20 people who directly report to the manger. What description of this manager's role is most accurate? a) The manager has a top‐level management position. b) The manager is working in a poorly designed organization. c) The manager's workload is unrealistic. d) The manager has a large span of control.
D
A nurse can directly address one of the Institute of Medicine's points for patient‐centered health‐care redesign by: a) becoming a nurse navigator who is centered on patients' needs. b) advocating for caps on the maximum allowable nurse-patient ratio. c) adopting a functional nursing model whenever the setting allows. d) centering every decision around the patient's care around the patient's and family's best interests.
D
A nurse has been hired to oversee a day surgery clinic. What action will best ensure good outcomes for this nurse, the clients, and the employees of the clinic? a) Consciously develop the ability to be charismatic b) Teach all employees about the financial considerations at the clinic c) Implement the principles of authoritative leadership d) Integrate nursing management and nursing leadership roles and practices
D
A nurse‐manager is aiming to project a powerful image of a team leader who empowers subordinates. What statement is most appropriate to this goal? a) "Is it okay with the rest of you if I do all the charting and you do the direct pa ent care?" b) "I'm too tired to deal with Dr. Jones today. When he gets here, tell him I've gone to lunch." c) "I'm in charge here, and so all requests need to come to me. Please let me know if you have any questions." d) "We have a great deal to accomplish today, but I am confident that we can do it by working together."
D
A nurse‐manager is responsible for implementing a large and complex plan that will require much me and effort. How should the manager address this large task? a) Delay beginning the task un l it has the manager's undivided attention b) Work on the task with few breaks in order to finish as quickly as possible c) Delegate as much of the task as possible to employees and focus on evaluation d) Break the task into smaller, less intimidating units
D
The nurse is admitting a client to the health‐care facility who is in the late stages of pancreatic cancer. In order to comply with the terms of the Pa ent Self‐Determination Act (PSDA), the nurse should: a) document that the client's family has been included in care planning. b) assess the client's expectations for recovery. c) ensure the client clearly understands each treatment option. d) determine whether the client has established an advance directive.
D
What ac on by a nurse‐manager best demonstrates servant leadership? a) Cultivating a personal relationship with each subordinate b) Communicating a clear vision for the future and asking subordinates to share it c) Making decisions on the basis of customer service d) Prioritizing the interests of others over the manager's own interests
D
What is one of the most politically serious errors one can make? a) Delaying decision making un l there is additional information b) Withholding or refusing to divulge information c) Promoting the advancement of subordinates d) Dispensing untrue information
D
What management activity characterizes the priorities that existed during the human relations era of management? a) Granting equal rights to men and women b) Punishing workers who were unproductive c) Application of laissez‐faire leadership d) Collaborative decision making
D
When applying the principles of advocacy, a nurse‐manager should: a) defer to a leader whenever possible because advocacy is primarily a leadership function. b) recognize that advocacy can only be provided for individuals, not groups or organizations. c) prioritize the needs of subordinates over the needs of the organization. d) balance the need to advocate for several different individuals, groups, and organizations.
D
Which ac on should the nurse prioritize when trying to prevent malpractice claims? a) Devoting me to establishing an effective nurse-client relationship b) Asking for assistance when engaged in complicated procedures c) Always carrying a personal liability insurance policy d) Always functioning with the scope of the nursing practice act
D
Which statement is correct regarding the distinction between legal and ethical obligations in decision making? a) Legal controls are much less clear and individualized. b) Ethical controls are much clearer and individualized. c) Ethical controls are clearer and philosophically impartial. d) Legal controls are clearer and philosophically impartial.
D
Put the planning Hierarchy in the correct order
Mission Philosophy Goals Objectives Policies Procedures Rules