MGMT

4. A nurse talks to the nursing supervisor about a problem she is having on the floor. This is an example of what channel of communication? A. Downward B. Upward C. Grapevine D. Diagonal

upward

1. A nurse is implementing a new staffing strategy, and identifies which response from a team member may indicate that change management may be needed? - I would like to read more about this new plan before I agree to it - Could you tell me exactly what you want us to do - I really don't see the need for this our staffing plan works - This exactly what I wanted to do sign me up

- I would like to read more about this new plan before I agree to it

2. Which would the student nurse recognize as phases in Lewin's theory as planned change? SATA •RELUCTANCE •MOVEMENT • REFREEZING • EDUCATION • RESISTANCE • UNFREEZING

- MOVEMENT - REFREEZING - UNFREEZING

b)Create a reward system for nurses who have the most compliance with fall risk assessment and safety precautions

1. A manager wants to create an environment to motivate the floor nurses. What would be the best way to motivate the nurses through extrinsic motivation? a) There is nothing a manager can do extrinsic motivation comes from within the employee b)Create a reward system for nurses who have the most compliance with fall risk assessment and safety precautions c)Allow nurses to do whatever they want, they will succeed if the manager leaves them alone. d)The best thing to do is to be the cool manager that fits in with the staff

c.) "Some people might have made a different decision. What led you to make your decision?"

2. Which statement would be most helpful when a nurse is helping clients clarify values? a.) "That was a poor decision. Why would it work?" b.) "The most important thing is to follow the plan of care. Did you follow all your doctor's orders?" c.) "Some people might have made a different decision. What led you to make your decision?" d.) If you had asked me, I would have given you my opinion about what to do. Now, how do you feel about your choice?"

1. Which of the following are national and state nurse unions? Select all that apply a)PASNAP b)Teamsters c)National Nurses United d)Service Employees International Union (SEIU) e)Communication Workers of America f)California Nurses Association

A) PASNAP C)National Nurses United D)Service Employees International Union SEIU) F) California Nurses Association

When dealing with conflict, what actions are most important for the manger to do? (Select all tht apply) A. Role-model collaborative negotiation B. Seek a win-win solution C. Supress the conflict D. Avoid getting involved and allow employees to work it out themselves E. Recognize and accepts difference in team members

A. Role-model collaborative negotiation B. Seek a win-win solution E. Recognize and accepts difference in team members

A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? A. avoidance B. smoothing C. cooperating D. negotiating

A. avoidance

When conflict arises, regardless of the situation, what is the first step in finding a successful resolution? A. Avoiding the situation at hand B. Be self-aware of your own feelings and emotions C. Involving a 3rd party to mediate the situation D. Finding faults in the other persons argument

B. Be self-aware of your own feelings and emotions

You notice a CNA displaying forceful conflict resolution styles with all RN's, as the charge nurse how would you best resolve the situation? A. You would approach the CNA in front of the other RN's and point out their resolution style is unacceptable. B. You ask another nurse to speak with the CNA to discuss other forms of conflict resolution. C. You speak with the CNA in private, and discuss other forms of conflict resolution. D. You penalize the CNA and do not offer constructive feedback.

C. You speak with the CNA in private, and discuss other forms of conflict resolution.

A nurse in an emergency department is admitting a client who reports dyspnea and shortness of breath. Which of the following actions is the priority for the nurse to perform prior to administering oxygen? A. Administer the prescribed bronchodilators. B. Give the ordered oxygen. C. Assess the patient, by auscultating for breath sounds D. Determine if the client has a history of COPD.

D. Determine if the client has a history of COPD

3. What is the best response for a nurse manager to handle someone who has a pattern of lengthy chatter?

I can't speak with you now but I am going to be free at 11am.

3. True or False: Nurses can work at a unionized company and can decide whether or not they want to join the union.

True

5. True or False: Adults learn differently than children; therefore, nurse leaders need to be familiar with teaching and learning styles to effectively educate staff members

True

Which patient is at the highest risk of falling? a)A 75-year-old female with episodes of syncope. b)A 36-year-old female with a fractured tibia. c)A 22-year-old male with 3 fractured ribs and right arm in a cast. d)A 63-year-old male with angina pectoris.

a)A 75-year-old female with episodes of syncope.

Which patient is at the highest risk of falling? a)A 75-year-old female with episodes of syncope. b)A 36-year-old female with a fractured tibia. c)A 22-year-old male with 3 fractured ribs and right arm in a cast. d)A 63-year-old male with angina pectoris.

a)A 75-year-old female with episodes of syncope.

Which of the following patients are at an increased risk for falls? (select all that apply) a)Age 65 and older b)History of falls c)Positive orthostatic vitals signs (rise in pulse > or = 20) d)Patients with hearing aids e)Cognitive and sensory impaired patients (those taking sedatives or antiparkinson medications) f)COPD patients

a)Age 65 and older b)History of falls c)Positive orthostatic vitals signs (rise in pulse > or = 20) e)Cognitive and sensory impaired patients (those taking sedatives or antiparkinson medications)

4. Which of the following are pros of joining a nurse union? Select all that apply a)Job security b) Mandatory striking c)Guaranteed wages and pay increases d) "Bad eggs" e) Better work conditions f)Union dues

a)Job security c)Guaranteed wages and pay increases e) Better work conditions

5. A new graduate nurse has been having difficulty working with one of the older nurses and has requested to be assigned to the evening shift. Which approach to conflict management has the new nurse chosen? a)Avoiding b)Collaboration c)Competing d)Accommodation

a)avoiding

4, What are some negative effects of 12-hour shift? Select all that apply. a)decrease quality of care b)all work is completed c)decrease in patient safety d)increase continuity of care e)slower reaction time

a)decrease quality of care c)decrease in patient safety e)slower reaction time

2. What are some strengths of centralized scheduling? Select all that apply. a)provides organization views of staffing needs b)staffing policies tend to be employed more consistently and impartially c)frees the middle-level manager to complete other management functions d)staff are able to take requests directly to their manager e)provides greater autonomy and flexibility for individuals staff member

a)provides organization views of staffing needs b)staffing policies tend to be employed more consistently and impartially c)frees the middle-level manager to complete other management functions

3. What are the dimensions of nursing intensity? Select all that apply. a)severity of illness b)client dependency on nursing c)day of the week d)location e)complexity of nursing care f)time

a)severity of illness b)client dependency on nursing e)complexity of nursing care f)time

2. A nurse has been hired as a new nurse manager at a hospital that has union representation. Which union-related activities should this manager expect will be included in the role? Select all: a. Actively helping to administer any grievance procedures b. Participating in issues related to disciplining employees c. Encouraging union membership d. Being certain that all disputes within management are public e. Avoiding collective bargaining

a. Actively helping to administer any grievance procedures b. Participating in issues related to disciplining employees

2. Douglas McGregor created Theory X and Theory Y to explain how management views employees and the effect this has on the organization. He also believed that each person has qualities of both. Select all that apply to Theory X a. Avoid work b. Are imaginative and Creative c. Requires threats and punishment to be motivated d. Must be directed e. Needs general supervision

a. Avoid work c. Requires threats and punishment to be motivated d. Must be directed

1. A nurse is confronted with a situation and is asked her opinion on the new staffing plan. She says "yes, I agree." However, she does not agree and complains about it to other nursing staff. What type of verbal communication is this an example of? A. Passive-aggressive B. Passive C. Assertive D. Aggressive

a. Passive-aggresive

4. A new nursing job becomes available for a leadership role. What are qualities that those in a leadership role should have? Select all that apply: a)Recognize each employee as an individual b)Does not listen to other employees c)Devotes time and energy to create a supportive work environment d)Promotes positive attitudes for self-empowerment

a. Recognize each employee as an individual c. Devotes time and energy to create a supportive work environment d. Promotes positive attitudes for self-empowerment

5. A nurse manager is having trouble motivating employees on the unit. Which could be the issue that the nurse manager is having? a)The nurse manager is internally motivated b)The nurse manager is happy and positive c)The nurse manager does not take the time for self-care d)The nurse manager talks to employees with respect

a. The nurse manager is internally motivated b. The nurse manager is happy and positive d. The nurse manager talks to employees with respect

3. What is an advantage for using SBAR during staff communication? A. Improves verbal communication and reduces medical errors B. Provides a complete patient health history C. Focuses on a comprehensive physical examination D. Avoids making recommendations

a. improves verbal communication and reduces medical errors

4. The nurse wishes to improve personal Emotional Intelligence (EI) in hopes of a promotion to nurse manager. Which skills are important for this nurse to improve? Select all that apply. a.) Self-confidence b.) Knowledge base of nursing c.) Proficiency in technical skills d.) Empathy e.) Ability to initiate change

a.) Self-confidence d.) Empathy e.) Ability to initiate change

1.what is the first step in time management process?

allowing enough time for sufficient daily planning

2. Two nurses disagree on the approach to be taken when caring for a hostile patient. One nurse feels the patient should be treated in the same manner that the patient treats the nurse. The second nurse feels that the patient should be further assessed to determine the possible cause of the patient's hostility. These nurses are experiencing which type of conflict? a)Intrapersonal conflict b)Interpersonal conflict c)Organizational conflict d)System conflict

b)Interpersonal conflict

1.Which is a clear violation of the principles of professional nursing ethics? a)policy allows internal fetal monitors for labor, there are articles to support and refute the value b)When asked about a medication, a nurse says, "I never look them up, I just give what is prescribed" c)The nurses agree to fundraise to support a labor strike proposed by nurses at another facility d)A client states he didn't tell the doctor the truth when asked about his therapeutic diet

b)When asked about a medication, a nurse says, "I never look them up, I just give what is prescribed"

5. What is Workplace advocacy? a)to give nurses a voice about setting their wages and standards for their trades b)refers to activities nurses undertake to address problems in their everyday workplace setting c)When a union member believes that management has failed to meet the terms of the contract or labor agreement and communicates this to management d) a formal and legal group that works through a collective bargaining agent to formally present desires

b)refers to activities nurses undertake to address problems in their everyday workplace setting

2. Which nonverbal communication technique is very therapeutic and effective but requires a conscious effort by the nurse to practice? A) Listening B) Silence C) Touch D) Converting Acceptance

b. Silence

4. which statement about time management is true?

nurses who are self aware and have clearly identified personal goals and priorities have greater control over how they spend their time.

3. 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)Patients are the best source of information regarding personnel appraisal.

The nursing assessment of an 80-year-old patient who demonstrates some confusion but no anxiety reveals that the patient is a fall risk, because the patient continues to get out of bed without help despite frequent reminders by staff. Which of the following is the appropriate initial nursing intervention to prevent falls of this patient? a)Provide one-on-one observation of the patient. b)Place the patient in a belt restraint. c)Place a bed alarm device on the patient. d)Apply wrist restraints

c)Place a bed alarm device on the patient.

4. There are times when Katherine evaluates her staff as 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 compilation of a formal report.

c)The evaluation is focused on objective data systematically.

1. Which type of scheduling is done by the nurse manager? a)centralized scheduling b)self scheduling c)decentralized scheduling d)permanent scheduling

c)decentralized scheduling

3. A new manager has come into the unit and wants to make a motivating environment. He is trying to think of the best ways to motivate staff, Which is the most motivating to a unit? a)Creates rules that must be followed, with consequences if not done to his liking b)The manager chooses his favorites and wants everyone to follow their lead c)Develops the need for teamwork and sets goals as a team, that involves everyone on the unit d)Allows the nurses to do as they please, he is new and has no right to make changes

c. Develops the need for teamwork and sets goals as a team, that involves everyone on the unit

5. The number of adverse events such as falls and pressure ulcers on your unit is increasing. An ideal staffing plan to address this issue would include which of the following? Increasing the: a)Total number of staff on the unit. b)Staff and RN hours per patient. c)Total number of staff, and implementing 12-hour shifts. d)Number of RNs and number of RNs with experience on the unit.

d) Number of RNs and number of RNs with experience on the unit.

4. A conflict management technique where both sides work together to develop an optimal outcome is called: a)avoiding. b)competing. c)confronting. d)Collaborating.

d) collaborating

A 76-year-old client lives alone at home. Which of the following is the highest priority question for his home health nurse to ask regarding his safety. a)"Do you use soft glow light bulbs in your front room lamps?" b)"At what temperature is your thermostat set?" c)"Why don't you consider selling your two-story home and buying a house without stairs?" d)"Do any of your medications cause you to be physically unsteady?"

d)"Do any of your medications cause you to be physically unsteady?"

2. She knows that performance appraisal consists of all the following activities EXCEPT: a)Setting specific standards and activities for individual performance. b)Using agency standards as a guide. c)Determine areas of strength and weaknesses d)Focusing activity on the correction of identified behavior.

d)Focusing activity on the correction of identified behavior.

1. Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for her to do? a) Advise her staff to go on vacation. b) Ignore her observations; it will be resolved even without intervention c)Remind her to show loyalty to the institution. d)Let the staff ventilate her feelings and ask how she can be of help.

d)Let the staff ventilate her feelings and ask how she can be of help.

1. A nurse manager of a busy cardiac unit observes disagreement between the RN's and the LPN's related to schedules and nursing responsibilities. At a staff meeting, the manager compliments all the nurses on a job well done and points out that expected goals and outcomes for the month have been met. The nurse concludes the meeting without addressing the disagreements between the two groups of nurses. What of the conflict resolution strategies is being employed by this manager? a)Collaborating b)Competing c)Compromising d)Smoothing

d)Smoothing

5. She conducts a 6-month performance review session with a staff member. Which of the following actions is appropriate? a)She asks another nurse to attest the session as a witness. b)She informs the staff that she may ask another nurse to read the appraisal before the session is over. c)She tells the staff that the session is manager-centered. d)The session is private between the two members.

d)The session is private between the two members.

6. According to the adult learning theory, adult learners ____. a. do not require the need to practice quickly what they have learned b. do not learn from past mistakes c. do not need to be ready to learn as they recognize they must learn d. should be actively involved in the evaluation of their progress

d. should be actively involved in the evaluation of their progress

3. The registered nurse, employed by the risk management department of a hospital is giving an in-service class on social media to nursing employees. Which one of these statements should be included in this class? a.) Posts are private and accessible only to the intended recipient. b.)Once content has been deleted, it is no longer accessible. c.)No harm is done if patient information is disclosed only to the intended recipient. d.)The nurse should not refer to a patient, even by nickname or room number.

d.)The nurse should not refer to a patient, even by nickname or room number.

3. The conflict resolution technique in which each side gives up something and gains something is called: a.avoiding. b.accommodating. c.competing. d.Compromising.

d.Compromising.

5. When Listening to a nurse give report on a patient, what is the order of the acronym used: A. Greeting, review, respectful listening, reward and recommend B. Greeting, recommend, respectful listening, review and reward C. Greeting, respectful listening, review, recommend and reward D. Respectful listening, review, greeting, recommend, and reward

greeting, respectful listening, review, recommend and reward

5. In prioritizing the do now items the manager may make a list, whats important to remember about this list?

its a product of planning and not the goal

2. what does a good Nursing manager remember about creating a daily list?

must have flexibility in implementation.