Leadership Quiz 2

a. "If you make a mistake with your staff, admit it, apologize and correct the error if possible."

The nurse has been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role? a. "If you make a mistake with your staff, admit it, apologize and correct the error if possible." b. "Don't be too soft on the staff. If they make a mistake be certain to reprimand them immediately." c. "Give your best nurses extra attention and rewards for their help." d. "Never get into a disagreement with a staff member."

2. This means the nurse isn't required to join

The nurse knows that an open shop or agency shop is which one of the following? 1. This means the nurse must participate in WSAthe union if hired 2. This means the nurse isn't required to join 3. This means the nurse must look around for another union 4. This means the nurse has an option to join the union but will have to join if she wants benefits

c. Low morale of staff on the unit

The nurse manager knows that there are external forces that influences changes in his unit. Which of the following is NOT an external force? a. Memo from the CEO to cut down on electrical consumption b. Demands of the labor sector to increase wages c. Low morale of staff on the unit d. Exacting regulatory and accreditation standards

C.The evaluation is focused on objective data systematically

There are times when Anna evaluates her staff as the she makes her daily rounds. Which of the following is NOT a benefit of conducting an informal appraisal? A.The staff member is observed in natural setting. B.Incidental confrontation and collaboration is allowed C.The evaluation is focused on objective data systematically D.The evaluation may provide valid information for complication of a formal report

A. Individual Orientation to department. B. Orientation D. Induction

What are the Phases of Employee Indoctrination? (Select All That Apply) A. Individual Orientation to department. B. Orientation C. Selection D. Induction

B. Staff working overtime can lead to errors that compromise patient safety

What can possibly be the result of requesting staff to stay on duty after their shift ends to fill staffing vacancies; and staff voluntarily working more hours than allotted shift? A. Staff can make more money B. Staff working overtime can lead to errors that compromise patient safety C. Staff can have good relationship with the manager D. There will be less conflict amongst staff members

A. Qualification B. Experience C. Language barrier D. The culture and values of the staff nurse

What could possibly be some of the nurse characteristics that could affect staffing? (Select all that apply) A. Qualification B. Experience C. Language barrier D. The culture and values of the staff nurse E. The choice of the staff nurse

3. "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and need ."

What statement, made in the morning shift report, would help an effective manager develop trust on the nursing unit? 1. "I know I told you that you could have the weekend off, but I really need you to work." 2. "The others work many extra shifts, why can't you?" 3. "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and need ." 4. "I can't believe you need help with such a simple task. Didn't you learn that in school?"

a. SBAR

What type of communication effectively communicates changes of a patients' condition to the provider? a. SBAR b. Email c. Texting d. Memo

A Create a positive situation

When dealing with a conflict among staff, what is the best approach by the nurse manager? A Create a positive situation B Ignore the situation C Relay staff responses to her administrator D Discuss the issues with the physicians E Appoint blame

a. Seek a win-win solution

When dealing with conflict, what actions are important for the nurse manager to do? (select all that apply) a. Seek a win-win solution b. Suppress the conflict c. Avoid getting involved and allow employees to work it out themselves d. Recognize and accept differences in team members* e. Role-model collaborative negotiations*

A. coaching

When managers address problem performance,such as substandard work like missed deadlines ,absence or lateness,unsoorbination,the manager should engage in ? A. coaching B.counseling C.mentoring D.performance management

B. Adequate nursing pool C. Competitive Salary D. Location's desirability.

Which factors affect Recruitment? (Select All That Apply) A. Status of local economy only. B. Adequate nursing pool C. Competitive Salary D. Location's desirability.

D. A RN who graduated three months ago

Which nurse likely faces the highest risk of being bullied in the workplace? A. A 57-year-old nurse who works in environment where most nurses are in their twenties or thirties B. A male RN in a high acuity environment where all other nurses are female C. A LPN who provides care where most other nurses have degrees D. A RN who graduated three months ago

A) Mission and philosophy of the organization B) Economics C) Social climate D) Political culture E) Legislative climate

Which of the following are factors that affect the ability to forecast the budget? Select all that apply. A) Mission and philosophy of the organization B) Economics C) Social climate D) Political culture E) Legislative climate

C.Patients are the best source of information regarding personnel appraisal.

Which of the following statements is NOT true about performance appraisal? A.Informing the staff about the specific impressions of their work help improve their performance B.A verbal appraisal is an acceptable substitute for a written report C.Patients are the best source of information regarding personnel appraisal. D.The outcome of performance appraisal rests primarily with the staff.

C. Increases patient safety

Which of the following statements would indicate to the manager that the nurse needs further teaching on what not managing time properly does? A. Decreases quality of care B. Increases stress levels C. Increases patient safety D. Increases medication errors

C. Produce new strategies that could improve employee efficiency.

Which of the following would be an example of performance management? A.Terminate employees because of their absences B. Re-train them and put them on a 180 probation period. C. Produce new strategies that could improve employee efficiency. D. Only give them a verbal warning, since they have a good performance review.

A. Marital status B. Race C. Credit History

Which of these are illegal interview inquires? (Select All That Apply) A. Marital status B. Race C. Credit History D. Reason for leaving last employer.

C. A 27 year old sedated male client.

Which of these clients is at greatest risk for falls? A. A 77 year old female client in a client room that has low glare floors. B. An 87 year old female client in a client room that has low glare floors. C. A 27 year old sedated male client. D. A 37 year old male client with impaired renal perfusion.

B. Induction

Which phase of the employment process includes getting on the payroll and completing documentary requirements? A. Orientation B. Induction C. Selection D. Recruitment

D. The home health care nurse should advise the client that the best fire extinguisher to have in the home is an ABC fire extinguisher.

Which statement about environmental safety is accurate? A. The nurse should advise clients in a smoke filled room to open the windows. B. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire. C. Rapidly lift and move a client away from the source of the fire when their slippers are on fire. D. The home health care nurse should advise the client that the best fire extinguisher to have in the home is an ABC fire extinguisher.

D. The client assures you that the smoke alarm batteries are replaced annually to insure that they work.

You are serving as the supervisory nurse for a home healthcare agency in the community. You are doing an admission assessment for a 76 year old male client who resides with his elderly wife. Which of the following assessments would indicate that the couple needs some education relating to home safety? A. The client has refrigerated foods labelled with an expiration date. B. You assess that the home is free of scatter rugs that many use to protect the feet against hard floors. C. The client uses the FIFO method for insuring food safety. D. The client assures you that the smoke alarm batteries are replaced annually to insure that they work.

a. identify the source of the conflict and understand the points of friction

A new young unit manager is hired on a floor where most of her staff nurses are senior to her. They display high levels of confidence, are very articulate, and sometimes aggressive. This makes the new manager feel uncomfortable and an insufficient leader. What is the best action for her to take? a. identify the source of the conflict and understand the points of friction b. seek help from the director of nursing c. quit her new job and seek employment elsewhere d. disregard her feelings and continue her work independently

1. ʺThe NLRB does not mean a union will develop.ʺ

A nurse has a grievance against an organization in which the NLRB (National Labor Relations Board) has been contacted. The nurse informs her manager, ʺWait until the union gets involved.ʺ Which of the following is appropriate? 1. ʺThe NLRB does not mean a union will develop.ʺ 2. ʺA union will not get involved in this situation.ʺ 3. ʺThe NLRB is not concerned with your grievance.ʺ 4. ʺThe grievance will be resolved with or without the NLRB.ʺ

a) Personnel

A nurse manager is reviewing the budget for the nursing unit. Which budget covers the expenditure for the unit's workforce? a) Personnel b) Volume c) Capital d) Operating

B) Zero Based

A nurse manager is using a budgeting approach that requires justification for each budgetary need. What approach is being used? A) Flexible B) Zero Based C) Performance D) Incremental

4. Registered nurses hired as management are not eligible for collective bargaining.

A nurse who has accepted a position as an assistant ICU manager is discussing unionization with the HR (human resources) director. The HR director informs the new employee that he is unable to join the union. Which of the following is an appropriate rationale? 1. The nurse has never worked for a union in the past. 2. The nurse must first complete orientation before he is eligible to join the union. 3. The nurse must have worked in a hospital environment for at least 5 years. 4. Registered nurses hired as management are not eligible for collective bargaining.

d. Make the manager who assigned the task seem superior

According to Gellerman, stretching is meant to do all of the following EXCEPT a. Provide personal and professional development b. Allow people to rise to the challenge c. Unleash imagination, ingenuity and creativity d. Make the manager who assigned the task seem superior

b. throughout

According to Ludwig's System Theory, which element of a system comprises actions that occur to transform into output? a. evaluation b. throughout c. output d. feedback

a. Food, water, sleep and shelter

According to Maslow's hierarchy, motivation needs to satisfy an individual's most basic needs of a. Food, water, sleep and shelter b. Security of employment, body, health and property c. Friendship, family and sexual intimacy d. Self-esteem, confidence, achievement and respect of others

B. Use a mechanical lift.

After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed? A. Use a slide board. B. Use a mechanical lift. C. Use a gait belt. D. Notify the client's doctor that the client cannot be safely transferred by you.

1. Low wages and high client-to-nurse ratios 4. Supervisors who monitor the working conditions and believe they understand staffing issues 5. Nurse managers who are authoritative in their management style

An ICU manager is conversing with a faculty nurse from an area college who has nursing students fulfilling their critical care practicum on the unit. The faculty nurse asks the manager, ʺWhy do nurses join unions?ʺ Which of the following are reasons a nurse would join a union? Select all that apply. 1. Low wages and high client-to-nurse ratios 2. Low wages 3. Supervisors working as staff when necessary 4. Supervisors who monitor the working conditions and believe they understand staffing issues 5. Nurse managers who are authoritative in their management style 6. Nurse managers who work as staff and understand the staffʹs issues

D. Being brief and to the point

Which of the following is true regarding limiting time wasting? A. Keeping yourself easily accessible q B. Encouraging socialization among workers C. Scheduling long conversations with friends in the med room D. Being brief and to the point

B. Break goals into smaller units of work

Which of the following is a healthy habit to practice in mastering personal time management? A. Accept all tasks that you are asked to complete B. Break goals into smaller units of work C. Work on your long terms goals before the short term goals D. Solve problems as they come and not ahead of time

3. An interest of 30 percent of the staff who are interested in unionization

An employee has contacted a union to discuss the possibility of unionization in her organization. The union representative informs the employee which of the following is the first step in the collective bargaining process? 1. A general consensus within the organization to consider unionization 2. An interest of 50 percent of the staff who are interested in unionization 3. An interest of 30 percent of the staff who are interested in unionization 4. An interest in obtaining higher wages and benefits

B. Is not beneficial; hence it should be prevented at all times

As a young manager, she knows that conflict occurs in any organization. Which of the following statements regarding conflict is NOT true? A. Can be destructive if the level is too high B. Is not beneficial; hence it should be prevented at all times C. May result in poor performance D .May create leaders

c. Storming

During a group meeting the staff has already introduced themselves and begun discussing their stance of the facilities policies and procedures. What part of group communication is this considered? a. Norming b. Forming c. Storming d. Termination

a. Silence b. Appearance c. Gestures e. Space

4. What are the different aspects of nonverbal communication? a. Silence b. Appearance c. Gestures d. Off-setting e. Space

A. Staffing

A Nurse Manager's plans of assigning competent people to fill the roles designed in the hierarchy. Which process refers to this? A. Staffing B. Scheduling C. Recruitment D. Induction

B Collaborate with the SRN in a similar way with other RNs working on the unit consistently

A RN on a busy floor is working alongside an "agency nurse." When working with the supplemental RN, the RN should: A Delegate to the SRN in a similar manner as delegating to a LPN B Collaborate with the SRN in a similar way with other RNs working on the unit consistently C Recognize that the use of SRNs is associated with decreased patient outcomes D Ensure that lower- acuity patients are assigned to the SRN whenever possible

C) Incremental

A new nurse manager with limited experience is considering what approach to use to determine the budget of the nursing unit for the upcoming fiscal year. Which approach would be easiest to implement? A) Performance B) Zero based C) Incremental D) Flexible

d. development of a mentoring program

If an institution's goal is to increase staff retention to provide excellent care, which of the following professional development activities should have priority? a. development of research activities b. development of web-based instruction modules c. participation in state and local organizations d. development of a mentoring program

B. Staffing

Implementing the staffing plan by assigning unit personnel to work specific hours and days of the week is known as: A. Assigning B. Staffing C. Delegating D. All the above

A. Assessment of employee performance

In the performance appraisal session, criticism should always include? A. Assessment of employee performance B. Setting work standards C. Providing feedback to the employee D. All of the above

True

Is the result of the integration of leadership and management a performance appraisal that facilitates employee growth and increases organizational productivity? True or False?

d. Moral values

McClelland theorized that people are motivated by three basic needs. Which of the following is NOT one of those basic needs? a. Achievement b. Affiliation c. Power d. Moral values

C) Payroll, supplies and expenses

Operational Budgets are financial plans for the entire organization day to day operations. This type of budget includes which of the following? A) Supplies, expenses and equipment purchases B) Expenses, equipment purchases and payroll C) Payroll, supplies and expenses D) Payroll, monthly expenses and large purchase items

B. Prepare a unit budget that reflects unit staffing needs. C. Monitor nurse-sensitive indicators such as falls and incidence of infections D. Ensure unit productivity reports.

Part of the nurse manager's job description is coordinating patient treatment and assigning different tasks to nurses within the department. Managing the staff of nurses for a care facility involves supervising nurses, recruiting new nurses, conducting job interviews and performance evaluations. Which of the following options fall within the job's description of the nurse manager? (Select all that apply) A. Plan staffing of UNPs only. B. Prepare a unit budget that reflects unit staffing needs. C. Monitor nurse-sensitive indicators such as falls and incidence of infections D. Ensure unit productivity reports. E. Develop policy and legislation to protect nurses' well-being.

A. Sterile items ONLY are placed on the sterile field. C. Coughing or sneezing over the sterile field contaminates the sterile field. E. Moisture and wetness contaminate the sterile field.

Select the basic sterile asepsis procedures that are accurate. Select all that apply: A. Sterile items ONLY are placed on the sterile field. B. The nurse must keep the sterile field below waist level. C. Coughing or sneezing over the sterile field contaminates the sterile field. D. The nurse must maintain a 1/2 inch border around the sterile field that is not sterile. E. Moisture and wetness contaminate the sterile field. F. Sterile masks are used by staff and the client when a sterile field is being set up and/or maintained

c. Upward

The charge nurse is communicated the needs of the nurse staff to the board of administration. What form of communication is this considered? a. Diagonal b. Horizontal c. Upward d. Downward

d. Assertive

The charge nurse is speaking to an aggressive family member. The charge nurse is able to repeat, review, and reflect the message of the family member. What type of verbal communication is the charge nurse displaying? a. Aggressive b. Passive-aggressive c. Passive d. Assertive

3. Empowerment of staff.

The manager has asked the staff to participate in the selection of new intravenous pumps for the unit. The manger has provided a list of choices and budget guidelines. This is an example of use of which management strategy? 1. Use of expert power. 2. Use of legitimate power. 3. Empowerment of staff. 4. Management persuasiveness.

A. The nurse should re-prioritize his/her tasks based on the remaining tasks and new information received.

The manager knows that the nurse understands the education on planning from the in-service this morning when he/she states: A. The nurse should re-prioritize his/her tasks based on the remaining tasks and new information received. B. The UAP should making a list for the nurse on the tasks to be done that shift. C. The nurse should complete the task with the highest priority after all other tasks have been completed D. The nurse should strive to complete multiple tasks at the same time rather than one at a time to be more efficient.

1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."

The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role? 1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." 2. "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." 3. "Give your best nurses extra attention and rewards for their help." 4. "Never get into a disagreement with a staff member."

a. organizational

The nursing professional development specialist uses which type of nursing decision-making to decide how services will be delivered? a. organizational b. targeted c. interventional d. experimental

B. Group activities together that are all in the same location C. Use time estimates E. Strive to end the work day on time through delegation and keeping goals

Which of the following may assist the staff nurse in planning out her activities? (select all that apply) A. Gather all supplies and equipment needed during the activity B. Group activities together that are all in the same location C. Use time estimates D. Wait to document your activities and interventions until the end of the shift E. Strive to end the work day on time through delegation and keeping goals

A. Average non productive hours

Which of the following should the nurse manager consider when projecting staffing need and avoid understaffing? A. Average non productive hours B. Minimum benefit hours C. Maximum vacation time D. Maximum productive hours

d. it is not beneficial and should be avoided at all times

Which of the following statements about conflict within an organization is false? a. it may result in poor performance b. it may create leaders c. it can be destructive if the level is too high d. it is not beneficial and should be avoided at all times