Leadership M6A1 Module 6 Quiz - Chapters 23-25
Which is the manager's best example of coaching used to encourage and improve an employee's daily work performance?
"Would you consider taking on the role of preceptor?"
The nurse-manager is preparing for the unit ward clerk's annual evaluation and sends out a short questionnaire requesting feedback on the ward clerk's job effectiveness in her job. The nurse-manager sent the request to one doctor who uses the unit frequently, to a staff nurse on each shift, to the housekeeping department head, and to the head of the volunteer program. In addition, the nurse-manager interviews three clients to determine how courteous the ward clerk is when answering call lights from the unit desk. What is this an example of?
A 360-degree evaluation
An employee believes that the performance appraisal was unfairly influenced by a drug error that the employee committed several weeks ago. The employee states, "The manager focused almost exclusively on this one mistake, and that event characterized my entire appraisal." This employee may have experienced what phenomenon?
A horns effect
Which employee is most likely experiencing the Matthew effect in his or her performance appraisal?
A nurse whose performance appraisal has included the same points for several consecutive years
Which of the following would be considered sentinel events that should be reported to The Joint Commission. Select all that apply.
A. A client experiences nephrotoxicity and requires dialysis because of a medication error. B. A client with dementia falls and suffers a hip fracture while trying to walk to the bathroom. E. A client experiences a transfusion reaction after receiving the wrong type of packed red blood cells.
A health-care organization has experienced a rise in medical errors and has committed to implementing Leapfrog initiatives. What aspects of health care should the organization address? Select all that apply
A. Ensuring that hospital referrals are evidence-based B. Utilizing the Leapfrog Safe Practices scores C. Expanding the use of computerized physician-provider order entry D. Ensuring that adequately trained intensive care physicians are easily accessible
When monitoring medication inventories for possible diversion or theft by nurses who abuse chemicals, what medication classifications should the manager monitor most closely? Select all that apply.
A. Opioid analgesics B. Benzodiazepines F. Central nervous system stimulants
The performance appraisal system in a health-care organization has been replaced by performance management. Under this new system, the nurse-manager should perform what actions? Select all that apply.
A. Work with employees to set performance goals B. Provide coaching to employees on an ongoing basis D. Provide leadership training to employees
A nurse-manager is planning a performance appraisal of an employee who has a number of performance deficiencies. What is the best approach to the performance appraisal of this employee?
Acknowledge the employee's strengths, focus on the key deficiencies, and create a long-term coaching plan.
How should the nurse-manager implement McGregor's hot stove rules when setting standards for employee behavior on the unit?
All employees should be made aware of the rules and associated punishments beforehand.
The nurse-manager has received a memo from the director of human resources stating that the organization will be adopting a performance management system. The manager should recognize what implication of this announcement?
Annual performance reviews will likely be discontinued.
Which is a management function associated with dealing with a problem employee?
Applies a progressive discipline model when employees fail to meet standards
What piece of data should the nurse-manager include in an outcome audit?
At discharge, a client was able to ambulate 40 feet unassisted.
A health-care organization has experienced a rise in medical errors and has committed to implementing Leapfrog initiatives. What aspects of health care should the organization address? Select all that apply.
B. Utilizing the Leapfrog Safe Practices scores C. Ensuring that hospital referrals are evidence-based D. Expanding the use of computerized physician-provider order entry E. Ensuring that adequately trained intensive care physicians are easily accessible
What should the manager do in completing an annual performance appraisal?
Base the appraisal on a standard to which all are held accountable
What factor contributes most to a performance appraisal being viewed as valid and relevant by the employees?
Belief that it is based on the performance of job description-related tasks
The nurse-manager is completing a competence assessment of an unlicensed care provider (UAP) on the unit. What components should the manager evaluate? Select all that apply.
C. The UAP's skill level E. The UAP's knowledge level for giving care
A nurse-manager and several colleagues are reviewing the results of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. These results will allow the team to make what assessment?
Clients' perspectives on the care they received
What task will best allow a health-care organization to benchmark its performance?
Comparing the organization's performance with that of best performing institutions
Which practice has the U.S. Food and Drug Administration suggested in order to decrease the risk of medication errors?
Computerized order entry with a drug bar code system
When creating a clinical practice guideline for the management of aggressive behavior on a mental health unit, the nursing committee should perform what action first?
Conducting a search of the literature for research results
One of the experienced nurses on a unit frequently approaches the manager to provide feedback on a recently hired nurse's performance. When preparing the new nurse's performance appraisal, how should the manager integrate the experienced nurse's feedback?
Consider the nurse's feedback but supplement it extensively with data from several other sources
After the first few months on the job, the nurse-manager has recognized that an experienced practical nurse at the clinic is a marginal employee. What strategy by the manager is most likely to be effective?
Create a personalized improvement plan with the nurse and work with the nurse to promote improvement
The nurse is admitting a new client and is reviewing the results of the medication reconciliation. What data will be included in the client's medication reconciliation? Select all that apply
D. The medications that the client was taking prior to admission E. The list of medications the client has been prescribed by the admitting physician
A novice nurse-manager is a member of a team that will oversee quality control in a health-care organization. What action should the nurse and the other members off the team perform first?
Determine the specific criteria and standards by which quality will be measured
An inexperienced nurse-manager has been excessively favorable to employees in their performance appraisals in an effort to garner their approval and acceptance. This strategy is likely to lead to what unintended consequence?
Employees will be unable to gauge their improvements in subsequent years.
What is the best course of action to stimulate broad participation of employees in quality control efforts?
Engage closely with the frontline staff who provide client care
A focus group has been organized so that employees can give feedback on their manager's work performance. What characteristic of the focus group will best ensure a productive and positive process?
Have an impartial employee relations officer facilitate the discussion
The leadership of a large health-care organization is considering the adoption of Behaviorally Anchored Rating Scales (BARS) for the performance appraisal system. This change in practice may require what task by the nurse-manager?
Helping develop a separate rating form for each job classification
Which factor should the nurse-manager prioritize when writing an employee's performance evaluation?
History of completing required tasks
During a quality improvement initiative, the leadership of a health-care organization have worked with senior managers to implement the principles of Lean Manufacturing. This initiative will focus on what factor?
Identifying and preventing waste
The nurse-manager has had difficulty improving the performance of a registered nurse who is a marginal employee on the hospital medical unit. The manager no longer wishes to work with the employee and has arranged a transfer to the postsurgical unit of the hospital. What type of transfer has the manager arranged?
Inappropriate
Which action is associated with the nursing leadership role in quality improvement
Inspiring staff to establish and maintain high standards regarding patient care
What action should the nurse-manager and other leaders in the health-care organization perform in order to ensure that a quality control program will be effective?
Integrate quality control through all levels of the organizational hierarchy
Which statement is accurate when describing performance deficiency coaching?
It is less spontaneous and requires more planning than ongoing coaching.
Which is a true statement regarding TQM?
It recognizes that the customer is the focal element on which production and service depend
A nurse-manager has referred staff members to a clinical practice guideline (CPG) that addresses the prevention of pressure ulcers. What is a characteristic of this CPG?
It will describe interventions for nurses to follow in an effort to provide evidence-based care.
Which statement correctly describes using self-appraisal as a performance appraisal tool?
It works best when used in conjunction with other appraisal tools rather than in isolation.
The nurse-manager is taking action to avoid the recency effect when conducting employees' performance appraisals. What is the manager's best action?
Keep ongoing notes on each employee's performance
What is the greatest limitation of the Health Plan Employer Data Information Set (HEDIS)?
Managed care organizations are not required to collect HEDIS data.
Following much debate, a health-care organization has adopted a system of peer review for the first time. How can the success of this system be best promoted?
Orient employees thoroughly to the purpose and process of the new system
As part of the quality control process, managers have set standards for performance and assessed whether these standards are being met. It has been determined that several standards are not being met. What is the prioritize response to this finding?
Perform interventions that will correct the deficiencies
A nurse-manager is focusing on management controlling functions that are associated with quality control. What task best addresses this goal?
Periodically evaluating the unit mission and philosophy
The nurse-manager works at a unionized health-care facility and is preparing for a disciplinary conference for an employee with a history of unexcused absences. What activity should the manager prioritize in this conference?
Presenting objective evidence that demonstrates the employee's deficient performance
High-achieving nursing students were found to have studied in small groups, attended class 100% of the time, took frequent rest breaks during study sessions, and ate a balanced diet for one week before the examination. What type of audit provided data about the students' preparation?
Process
What goal should the nurse-manager prioritize when preparing performance appraisals?
Promotion of employee growth
A nurse is uncharacteristically extroverted on today's shift, with an unsteady gait. The manager suspects that the nurse may be chemically impaired. What is the manager's most appropriate action?
Promptly confront the nurse to discuss this suspicion
A nursing aide has been given a formal written warning regarding arguing repeatedly with the team leader about the given assignment. Today, the nursing aide has taken four lengthy personal phone calls during work time. This is the first offense of this nature. How will the manager deal with this disciplinary situation?
Provide a verbal warning that includes the rules related to personal telephone calls
A hospital is using the guidelines of the Leapfrog Group to inform safety improvements in the organization. What action will best incorporate these guidelines?
Purchasing a computerized physician-provider order entry system
A nurse-manager is participating in a hospital's quality control efforts and is collating data sources. What data source should the manager identify as a qualitative source?
Results of interviews with discharged clients
What action should the nurse-manager perform when preparing for and conducting a disciplinary conference?
Schedule the conference in advance at a time agreeable to both the employee and the manager
Which principle should guide the manager's use of self-appraisals for employees?
Self-appraisals usually require reflection and introspection on the part of the employee.
What role has The Joint Commission assumed in ensuring quality at the organizational level?
Standardizing clinical outcome data collection
A nurse-manager is overseeing an organization that uses the nursing minimum data set (NMDS). What will the use of the NMDS achieve?
Standardizing the collection of nursing data for use by multiple users
A hospital system is trying to address some of the deficits in care that were described in To Err Is Human. When addressing the errors that this report identified, the hospital's leaders should focus on what factor?.
Systemic flaws in health-care delivery
A nurse-manager is preparing to perform a 360-degree evaluation of a nurse on the unit. What is the manager's best action when preparing to do this type of evaluation?
Take action to protect the nurse's right to confidentiality
An employee is found to have grossly mistreated a client, which the employee has never done before. What consequence should be administered to the employee?
Termination
A nurse-manager is opposing the expansion of the prospective payment system (PPS). What argument against the PPS should the manager cite
The PPS has been linked to a decline in the quality of care.
A nurse-manager is opposing the expansion of the prospective payment system (PPS). What argument against the PPS should the manager cite?
The PPS has been linked to a decline in the quality of care.
An inexperienced nurse-manager has provided vague and ambiguous feedback to an employee during a performance appraisal. What is the most likely outcome of this practice?
The employee is uncertain of the value of the feedback.
The nurse-manager is contributing to the plan for the workplace reentry of an employee with a history of chemical abuse. What should be included in the reentry plan?
The employee should agree to random urine screening.
The nurse-manager recognizes that performance appraisals can be intense and wants to make sure that the process will have a positive outcome for employees. What action best promotes this goal?
The employees provide input into developing the performance standards.
What is the principle that guides constructive discipline?
The focus of constructive discipline is employee growth.
The manager is working with a staff member who has twice arrived late for assigned shifts over the past few weeks. What is the fundamental rationale for conducting a disciplinary conference for this employee?
The problem will get worse if it is ignored.
A nurse became frustrated with a client and deliberately damaged the medication cart in a subsequent outburst. How should the manager discipline this employee?
Written admonishment
What action should the manager take to arrive at a more fair and accurate assessment during performance appraisals?
Written anecdotal notes regarding the employee's performance should be maintained throughout the evaluation period.
The nurse-manager will be using management by objectives (MBO) to appraise employees' performance. When using MBO, the manager should
coach and support the employee in an effort to help the employee meet goals and outcomes.
In order to adhere with the recommendations of The Joint Commission around employee performance appraisals, the manager should:
ensure the appraisal is based on employee job descriptions.
In order to improve the likelihood that errors in the health-care system will be reported, nurse-managers should
foster a climate where analysis of errors is not solely focused on blame.
In order to improve the likelihood that errors in the health-care system will be reported, nurse-managers should:
foster a climate where analysis of errors is not solely focused on blame.
The nurse-manager is initiating the process of progressive discipline in response to an employee's tardiness. The manager should:
privately administer a verbal reprimand to the employee.
As part of a quality improvement initiative, administrators are conducting outcomes analysis and have included nursing-sensitive outcome measures. These outcome measures will:
separate out the unique contributions that nurses make to client outcomes.
A nurse-manager is using management by objectives (MBO) as a performance appraisal tool. When using this form of performance appraisal, the manager should:
support employees to help them reach mutually identified goals.
A client was treated in the hospital for a stroke and was the client's family members assert that the client was discharged too early and did not receive sufficient rehabilitation. The client's early discharge may have been attributable to:
the effect of diagnosis-related groups.
