Ch 16

The responsibilities for staff development have recently been decentralized in a large health-care organization. The nurse-manager should take action to prevent what possible consequence of this change?

Increased role ambiguity

New intravenous pumps are being introduced in a health-care organization. How can educators best implement social learning theory into the necessary education and training?

Demonstrating the use of the pump to groups of learners and then letting them practice

Which action by the nurse-leader best demonstrates the leadership role to the socialization and education of new nursing staff during their orientation?

Discusses organizational values and unit culture

The unit supervisor is working with an RN who has just been promoted to charge nurse. What action by the supervisor will best help the RN adjust to this new role?

Arrange for the RN to meet with staff peers in the organization

The nurses and managers of a clinic have agreed on a commitment to becoming a learning organization. What change in practice would suggest progress toward this goal?

Recognizing that mistakes are an inevitable part of the learning process

Which statement best demonstrates understanding of the concept of knowledge of results?

"Today you clearly demonstrated an understanding of client focused care."

The leadership of a health-care organization has declared their intention to make the facility a learning organization (LO). What action is most likely to achieve this goal?

Acknowledging and rewarding employees who participate in continuous learning

The nurse-manager is attempting to promote closer adherence to the principles of evidence-based practice. What is the manager's best action?

Arrange for easy online access to academic databases

A nurse with more than 15 years of experience in an adult medical setting has just transitioned to a job in the day surgery department. What should the manager of this department do to aid the resocialization of this experienced nurse?

Avoid making assumptions about the nurse's ability to perform the job roles.

A nurse-manager is helping a newly graduated RN adjust to the professional nursing role. What is the manager's most appropriate action?

Be alert to signs and symptoms of the shock phase of the nurse's role transition.

What goal is most congruent with being a learning organization?

Continuing education for staff exceeds the requirements for licensure.

New mechanical lifts for client transfers are being introduced at a health-care facility. The manager plans to implement the principles of social learning theory in the necessary training. What actions should the manager facilitate? Select all that apply.

Having an expert demonstrate the correct use of the mechanical lift Providing opportunities for hands-on practice Encouraging staff to work in groups during education sessions

What is the emphasis for the manager in the coaching role?

Helping employees reach an optimum level of performance

The manager is organizing a class to prepare nurses to function in the neonatal ICU. What is the manager's initial action?

Identify the learning needs of the new nurses.

The nurse-manager is developing an educational program for an organization. What action should the manager perform first?

Identifying the desired skills or knowledge the staff should have

The nurse-manager needs to determine the effectiveness of a staff workshop on establishing IV access. What is the manager's best method for determining this?

Observing staff perform and document the practice

One year ago, a hospital implemented a 6-month internship program for new hires who are recent graduates. When evaluating the success of this transition to practice program, what piece of data should leaders and managers prioritize?

Retention rates among participants of the program compared with nonparticipants

A nurse-manager's interactions with a staff member suggest that the person is experiencing difficulties with resocialization. What potential causes should the manager consider? Select all that apply.

Role ambiguity Inability to meet job demands Role overload Lack of motivation

Which statement best describes the manager's main role in socialization of a new nurse?

Sharing organizational values, expected attitudes, and behaviors

Which statement best describes a characteristic of mentorship?

Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor.

The integrated leader-manager has recognized a need to promote evidence-based practice on the unit. What action is most appropriate?

Supporting staff who are trying to change old practices that are not evidence-based

The nurse-manager stresses the benefits of learning a new skill to achieving the unit's goal of client satisfaction. The manager will break the skill down into its component parts and teach the subskills in sequence. This demonstrates understanding of which concept of education?

Task learning

The staff at a community health clinic will require training on the use of the new electronic health record system. How should the nurse-manager organize the necessary education in order to enhance learning?

Teach in several short, frequent sessions

The manager overheard an experienced nurse say to a new nurse, "Sorry you won't be able to join us for our weekly get-together at the yogurt shop. I see you are going to be here charting for a while yet." How should the manager best interpret this nurse's statement?

The experienced nurse has applied a negative sanction regarding group norms

The nurse-manager is applying the principles of andragogy during an educational offering. What is the manager's most appropriate action?

The manager openly values participants' life experiences.

A nurse-manager has organized a 1-day workshop that is open to all the staff members on the unit. What characteristic of the workshop would most clearly suggest that it is an educational workshop rather than a training workshop?

The workshop is focused on the broad intellectual development of the participants.

Before starting an educational session, the nurse-manager has determined that participants possess readiness to learn. What does this imply about the participants?

They have acquired the skills necessary for what is to be learned.

An experienced nurse has accepted a half-time management position on the unit. As well, the nurse works half-time providing direct client care on the unit. This nurse's immediate supervisor should identify the nurse's risk of

role ambiguity.

Training and education are important parts of staff development. Responsibility for these activities lies with:

the manager and the education department.

The nurse-manager can begin to promote the needs of a culturally diverse staff by:

viewing diversity as an opportunity rather than a threat