Leadership & Management Quiz 1-4

According to Maslow, what statement best describes motivation? Select one: a. Unsatisfied needs trigger behavior. b. Some individuals have hereditary needs. c. Lower level needs are less valued. d. All needs have equal power in motivation.

a. Unsatisfied needs trigger behavior.

The novice nurse can reduce the likelihood of being sued for malpractice by: Select one: a. beginning his or her career in a lower acuity setting. b. establishing positive, therapeutic relationships with clients and families. c. avoiding performing interventions without a witness present. d. engaging in lifelong learning

b. establishing positive, therapeutic relationships with clients and families.

A nurse has accepted a new position as the manager at an ambulatory clinic. The nurse can best model subordinate advocacy in this new position by: Select one: a. abolishing formal performance reviews. b. increasing the number of part-time employees and reducing the number of full-time employees. c. encouraging employees to participate in decision making. d. adopting a laissez-faire leadership style

c. encouraging employees to participate in decision making.

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: Select one: a. exhaustion. b. negative sanctions. c. role ambiguity. d. role overload

c. role ambiguity.

The RN overhears the nurses' aide speaking in a harsh tone to a client with early Alzheimer's memory loss. Which statement should the RN make to begin addressing this issue? Select one: a. "I am concerned about your conversation with the client. It sounded short and impatient." b. "You must remember to watch your tone of voice with clients. Someone might overhear." c. "I have decided to reassign that client to another aide." d. "Do you think it would be a good idea to have an in-service on dealing with Alzheimer's patients?"

a. "I am concerned about your conversation with the client. It sounded short and impatient."

A manager has been experiencing challenges during a planning process and must implement strategies to overcome barriers that impede planning. What is the manager's best action? Select one: a. Reevaluate whether the goals and objectives are appropriate and achievable b. Make the goals of the plan more general so that they can be more easily achieved c. Limit membership in the planning team to administrators, leaders, and executives d. Establish a fixed goal that is unaffected by changes in the organization

a. Reevaluate whether the goals and objectives are appropriate and achievable

An experienced nurse is applying for a position as a clinical nurse-leader (CNL). In addition to the nurse's clinical experience, what characteristic best qualifies the nurse for this position? Select one: a. The nurse has a master of science in nursing degree. b. The nurse has consistently adhered to the standards of practice. c. Specialty certification in a specific area of practice. d. The nurse currently sits on the hospital's ethics board

a. The nurse has a master of science in nursing degree.

Under which circumstance could the manager of an oncology unit deviate from the federal guidelines for handling chemotherapy agents? Select one: a. The state has instituted a policy that is more restrictive than the federal one. b. The organization has been accident-free for the last 10 years. c. The director of nurses requested more personalized guidelines be put in place. d. The state has a less restrictive policy that supersedes the federal one

a. The state has instituted a policy that is more restrictive than the federal one.

The nurse is admitting a new client who is facing a serious health problem. The nurse can best apply the skills of advocacy when working with this client by: Select one: a. seeking opportunities to demonstrate professionalism. b. engaging closely and genuinely with the client and family. c. making decisions for the client and family in order to lessen their responsibilities. d. providing evidence-based care

b. engaging closely and genuinely with the client and family.

The manager is organizing a class to prepare nurses to function in the neonatal ICU. What is the manager's initial action? Select one: a. Evaluate the educational background and credentials of the new nurses. b. Evaluate the professional attributes of the nurses who already work on the unit. c. Identify the learning needs of the new nurses. d. Identify available learning resources that will assist with role transition

c. Identify the learning needs of the new nurses.

What principle should guide the nurse's delegation of tasks to unlicensed nursing assistive personnel (NAP)? Select one: a. Like all members of the care team, NAP stands to lose their licensure in case of negligent practice. b. It is safe to assume that the NAP has at least a high school diploma as a minimum hiring criterion. c. No federal or community standards have been established for training the broad classification of NAP. d. The nurse is protected from liability when allowing the NAP to perform only those tasks the employer includes in their job description

c. No federal or community standards have been established for training the broad classification of NAP.

The nurse-manager is chairing a committee, most of whose members are subordinates. When communicating with the members during meetings, the manager should: Select one: a. ensure their contributions are recorded for performance appraisal purposes. b. avoid informality in speech or writing. c. avoid overt demonstrations of power or authority. d. reserve the right to impose decisions on the committee

c. avoid overt demonstrations of power or authority.

A nurse-manager has been commissioned to create a new workplace committee that will focus on client safety issues. When forming this committee, the manager should: Select one: a. ensure that half of the members are the manager's subordinates and half are the manager's superiors. b. give members permission to attend meetings as often or as rarely as they wish in order to accommodate their schedules. c. meet at least twice per week for the first month to create momentum. d. aim for diversity of genders and cultures among the membership

d. aim for diversity of genders and cultures among the membership

A nurse has become dismayed at repeated instances of false documentation in the health-care organization. The nurse has become aware that documentation has been altered so that acts of negligence appear to be accidents. When preparing to blow the whistle on this behavior, the nurse should: Select one: a. attempt to edit the false documentation so that it is more accurate. b. resign from the health-care facility to reduce the risk of retaliation. c. seek permission from the nurse's immediate supervisor and head of the organization. d. carefully document any prior attempts to address the issue with supervisors

d. carefully document any prior attempts to address the issue with supervisors

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: Select one: a. set aside low- and medium-priority tasks until the project is complete. b. delegate the project to subordinates and ask for weekly updates. c. request clerical or secretarial assistance. d. divide the project into smaller components that can be more easily completed

d. divide the project into smaller components that can be more easily completed

A nurse-manager works on a unit that has a decentralized self-scheduling system. When managing with this scheduling option, the manager should: Select one: a. avoid becoming involved with the system so that staff remain autonomous. b. advocate for the most senior staff to receive the most desirable shifts. c. refer any disputes to the organization's personnel department. d. oversee the system carefully to ensure sufficient staff coverage at all times

d. oversee the system carefully to ensure sufficient staff coverage at all times

A nurse has asked a colleague for assistance with a complex wound dressing change. What response suggests that the colleague is at a novice level of nursing experience? Select one: a. "Sure. Can you give me directions and then I'll do what you say?" b. "I'm really busy right now. Can we do it sometime this afternoon?" c. "I can do it for you later, if that helps." d. "Definitely. I'll go and get the supplies and meet you at the bedside."

a. "Sure. Can you give me directions and then I'll do what you say?"

The nurse-manager can begin to promote the needs of a culturally diverse staff by: Select one: a. adopting a neutral teaching style that is equally accessible to all cultures. b. clustering staff members according to their culture whenever possible. c. focusing educational activities on the needs of staff from minority groups. d. viewing diversity as an opportunity rather than a threat

d. viewing diversity as an opportunity rather than a threat

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? Select one: a. "We have a great deal to accomplish today, but I am confident that we can do it by working together." 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. "Is it okay with the rest of you if I do all the charting and you do the direct patient care?"

a. "We have a great deal to accomplish today, but I am confident that we can do it by working together."

A performance appraisal states that the manager often underdelegates. What is potential cause of this delegation error? Select one: a. A need for perfectionism b. A high degree of trust in subordinates c. Sufficient time to accomplish unit goals alone d. A democratic leadership style

a. A need for perfectionism

Which action should the nurse prioritize when trying to prevent malpractice claims? Select one: a. Always functioning with the scope of the nursing practice act b. Asking for assistance when engaged in complicated procedures c. Devoting time to establishing an effective nurse-client relationship d. Always carrying a personal liability insurance policy

a. Always functioning with the scope of the nursing practice act

A nurse-manager oversees approximately 12 employees. What strategy should the manager prioritize when trying to motivate the employees? Select one: a. Apply motivational strategies that are personally meaningful to each employee. b. Offer praise for exceptional performance. c. Apply punishments objectively and fairly. d. Advocate for an increase in pay

a. Apply motivational strategies that are personally meaningful to each employee.

An RN is a team leader for a small module of clients. While listening to a recorded report on a client, one of the team members remarks, "My mother lives near him, and she says his home life is in chaos." How should the RN best respond? Select one: a. Ask the team member how this information relates to the client's care b. Include the information in report for the next shift c. Politely ask the team member to be quiet d. Ignore the team member's comment

a. Ask the team member how this information relates to the client's care

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? Select one: a. Avoid making assumptions about the nurse's ability to perform the job roles. b. Arrange for a nurse residency to help the nurse transition to a new site. c. Encourage the nurse to mentor new graduates as a gesture of respect for the nurse's experience. d. Emphasize the importance of evidence-based practice in the culture of the unit

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

A client is preparing to be discharged from the health-care facility and has told the nurse that he would like to read his medical record. What is the nurse's best initial action? Select one: a. Confirm the facility's policy around providing medical records to clients b. Check whether this provision is included in the jurisdiction's Nurse Practice Act c. Arrange for the medical record to be provided to the client d. Inform the client that this request will be communicated to the facility's ethics committee

a. Confirm the facility's policy around providing medical records to clients

A new leader-manager is planning to implement the principles of strengths-based leadership after being hired for a new position. What action will best facilitate this plan? Select one: a. Creating a team with diverse abilities and talents b. Appraising team members on a scale that runs from "weaker" to "stronger" c. Identifying his or her personal strengths and utilizing them d. Organizing the flow of work to match his or her strength

a. Creating a team with diverse abilities and talents

A busy medical unit has been increasing the use of agency nurses. The nurse-manager should anticipate what consequence of this staffing alternative? Select one: a. Decreased continuity of nursing care b. A need for 8-hour rather than 12-hour shifts c. Increased reliance on unlicensed assistive personnel by nurses d. Short-term cost savings

a. Decreased continuity of nursing care

Question text A nurse-manager is participating in the budgeting process. What task should the manager perform first? Select one: a. Determining what needs to be covered in the budget b. Creating a spending plan c. Determining how to maximize cost effectiveness d. Identifying the organization's strengths and weaknesses

a. Determining what needs to be covered in the budget

In planning strategies to prevent stagnation and promote renewal, which action would most likely result in the desired outcome? Select one: a. Developing a program for recruitment of young talent b. Using length-of-service to determine committee selection c. Rewarding employees by promoting from within d. Having set pay increases mandated annually

a. Developing a program for recruitment of young talent

An employee has come to the manager with a long list of complaints about a coworker, all of which are attributable to personality factors rather than unsafe practice. What is the manager's best initial action? Select one: a. Encourage the employee to speak directly with the coworker b. Ask the employee to email or text message the complaints to the coworker c. Arrange for third-party mediation d. Acknowledge and document the employee's complaints

a. Encourage the employee to speak directly with the coworker

Which principle should guide the nurse-manager's use of nonverbal communication? Select one: a. It supersedes verbal communication when the two are incongruent. b. Nonverbal communication should be minimized because it confuses the receiver regarding the true intent of the message. c. Nonverbal communication is a significant part of the communication exchange only when it is not congruent with the verbal exchange. d. It is generally consistent across cultures, unlike verbal communication

a. It supersedes verbal communication when the two are incongruent.

During the budgetary process, a nurse-manager and the other members of the fiscal planning team are considering factors that may affect the accuracy of the budget. What factor should the team prioritize? Select one: a. Possible changes in reimbursement policies b. Legislation regarding client safety c. Establishment of new HMOs in the region d. Depreciation of capital equipment

a. Possible changes in reimbursement policies

Which factor is the greatest contributor to the resistance encountered with organizational change? Select one: a. Presence of employee mistrust b. Poor organizational leadership c. Ineffective organizational management d. Insufficient staff involvement in the process

a. Presence of employee mistrust

The unit manager has created a decision grid in order to assist with a difficult staffing decision that will affect many nurses. The decision grid will allow the manager to: Select one: a. examine alternatives visually and compare each against the same criteria. b. ensure that the decision is made objectively rather than subjectively. c. plot the outcomes of a decision over time and evaluate the decision-making process. d. predict when events must take place to complete a project on time

a. examine alternatives visually and compare each against the same criteria.

The nurse manager of a short-staffed unit needs to make a decision about a nurse's request for an unpaid leave of absence. In order to increase the chance of making a good decision, the manager should: Select one: a. involve as many people in the decision-making process as possible. b. begin the decision-making process by presuming the status quo to be the best option. c. generate as many different alternatives as possible. d. prioritize the option that is most innovative.

a. involve as many people in the decision-making process as possible.

The nurse-manager who seeks to exemplify emotional intelligence should: Select one: a. regulate his or her own emotions and those of others. b. prioritize emotion over reason when making decisions. c. effectively manipulate the emotions of others to achieve goals. d. attempt to remove emotion from decision making

a. regulate his or her own emotions and those of others.

A nursing supervisor has been given the responsibility for increasing the frequency and thoroughness of nursing assessments on a hospital unit. However, the supervisor does not have the authority to enforce new guidelines for assessment or assign consequences for noncompliance. What is the most likely outcome of this scenario? Select one: a. The supervisor will need to use unauthorized enforcement. b. The desired outcome will not be achieved. c. The assessments will improve, but the nurses will be resentful. d. The assessments will improve as a result of collaboration.

b. The desired outcome will not be achieved.

Several RNs on the unit want to address the possibility of initiating flextime on the unit because they state that the current scheduling system is unfair. What is the manager's best initial response? Select one: a. Asking the RNs to circulate a petition to be signed by employees who support the change b. Arranging for the RNs to air their views at the next staff meeting c. Sharing with the RNs that they need to address the issue with upper management d. Assuring the RNs that every effort is being made to streamline the current scheduling system

b. Arranging for the RNs to air their views at the next staff meeting

A nurse has accepted a position as a staff nurse and will practice primary care nursing. The nurse will be the only RN on the team. What is an appropriate role expectation for role fulfillment? Select one: a. Carrying out the majority of personal care for assigned patients b. Assigning work according to the expertise of group members c. Being responsible for care planning only during the shift when he or she works d. Planning nursing care independently of others

b. Assigning work according to the expertise of group members

The manager has learned that some of the more experienced nurses on the unit have been playing pranks on a newly hired nurse and delegating their most challenging tasks to the nurse. What is the manager's best response after confirming that these events took place? Select one: a. Implement a structure change so the experienced nurses no longer work at the same time as the new nurse b. Confront the more experienced nurses directly about their behavior c. Arrange for third-party consultation involving the more experienced nurses, the manager and the new nurse d. Offer support and encouragement to the newly hired nurse

b. Confront the more experienced nurses directly about their behavior

What action most directly addresses the projected nursing shortage? Select one: a. Increasing the number of nursing internships for recent graduates b. Creating incentives for nurses to enter faculty roles c. Expanding the nursing scope of practice d. Increasing the number of unlicensed assistive personnel

b. Creating incentives for nurses to enter faculty roles

Which statement is true regarding decision making? Select one: a. Past experience has little to do with the quality of the decision. b. Decisions are greatly influenced by each person's value system. c. Scientific methods provide identical decisions by different individuals for the same problems. d. Personal beliefs can be adjusted for when the scientific approach to problem solving is used.

b. Decisions are greatly influenced by each person's value system. Values, life experience, individual preference, and individual ways of thinking will influence a person's decision making. No matter how objective the criteria will be, value judgments will always play a part in a person's decision making, either consciously or subconsciously. It is not possible for a nurse to fully "set aside" personal beliefs when making a decision, even if the nurse applies the principles of self-reflection.

For several months, a nurse-manager has been rewarding employees' performance in an effort to motivate them. The nurse-manager should be aware of what unintended consequence of this practice? Select one: a. Employees may set unrealistically high goals for themselves. b. Employees' intrinsic motivation may become blunted. c. Unhealthy competition may develop between coworkers. d. Employees may expect a corresponding increase in salary

b. Employees' intrinsic motivation may become blunted.

A nurse-manager has identified the following objective for the care on the unit: "At least 95% of new clients' health records will contain a completed assessment for intimate partner violence." How should the manager improve this objective? Select one: a. Include the rationale for the objective b. Include a time frame in the statement c. Increase the objective to 100% of health records d. Focus on client actions rather than documentation

b. Include a time frame in the statement

A nurse-manager has realized that the data-gathering process before a recent decision may have been influenced by confirmation bias. How can the manager best reduce the risk of this in the future? Select one: a. Delegate data gathering to a trusted colleague who has different values b. Make attempts not to prioritize information that supports the manager's beliefs c. Consider all of the implications of an alternative before making a decision d. Collect only the minimum quantity of data before making a decision

b. Make attempts not to prioritize information that supports the manager's beliefs

Which statement best depicts leadership? Select one: a. Strong leaders can coerce people into following them. b. People will follow a person in a leadership position only by choice. c. A leadership position has a narrower scope than a management position. d. Leadership requires meeting organizational goals

b. People will follow a person in a leadership position only by choice.

A nurse-manager has recently learned that the health-care facility will be moving toward a case management approach. What factor is most likely driving this change? Select one: a. The need to provide challenging work for nurses and other members of the care team b. The need to contain costs c. The need to obtain magnet designation d. The need to enhance professionalism throughout the organization

b. The need to contain costs

A situation has occurred in a health-care organization where it is important to determine whether a particular nurse is categorized as a "staff nurse" or as a supervisor. What criterion should be used to make this differentiation? Select one: a. The nurse's position in the hierarchy of the unit based on years of experienced b. The percentage of time that the nurse spends as charge nurse versus giving direct client care c. The nurse's level of influence on his or her peers and colleagues d. The nurse position on the organization's salary scale

b. The percentage of time that the nurse spends as charge nurse versus giving direct client care

A nurse is referencing the ANA code of ethics when making a decision about the best response to a challenging situation. What information will the nurse be able to obtain from this document? Select one: a. Guidelines that will help the nurse clarify his or her own values b. The principles that are most valued in nursing practice c. A model that will guide the nurse to make an ethical decision d. Legal guidelines to help the nurse make an ethical decision

b. The principles that are most valued in nursing practice

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? Select one: a. Interactional b. Transactional c. Transformational d. Bureaucratic

b. Transactional

The manager of a clinic is considering a change in the scheduling of vacation time in which nurses would self-schedule their vacation rather than having the manager respond to their submitted requests. A nurse has pointed out that it is possible that newer nurses may feel intimidated by more experienced nurses on the unit when scheduling their vacation. This observation constitutes what component of a SWOT analysis? Select one: a. S b. W c. T d. O

b. W

A rural hospital is considering a sharp reduction in the range and availability of the services it provides. Before making this change, the hospital's leadership should: Select one: a. decentralize its decision-making model. b. consult with local stakeholders. c. review its organizational chart. d. implement shared governance

b. consult with local stakeholders.

A nurse manager is in charge of a unit that consists of a generationally diverse group of staff nurses. The nurse manager knows that this type of staffing arrangement will: Select one: a. require the baby boomer nurses have more flexibility in scheduling and time off as compared to the generation X nurses. b. establish a diverse working environment based on experience and technology. c. create a nursing environment that will be more structured and focused on the use of technology to provide the best care. d. allow generation Y and Z nurses to create a secure and stable work environment

b. establish a diverse working environment based on experience and technology.

An experienced nurse-manager describes a recently hired nurse as "very promising." The manager can best promote this nurse's career development by: Select one: a. providing the nurse with positive feedback. b. providing the nurse with increasingly challenging work assignments. c. removing the nurse from client care responsibilities and assigning management tasks. d. asking other nurses to model their behavior on the new nurse's behavior.

b. providing the nurse with increasingly challenging work assignments.

The care team is working with a client who has mental illness and who has been deemed a threat to self and others. It may be justified to take away the client's right to: Select one: a. confidentiality. b. self-determination. c. beneficence. d. justice

b. self-determination.

A staff member asks the manager for a particular day off on the next schedule. Which response demonstrates the concept of underpromising and help the manager retain the staff's trust? Select one: a. "I'd like to, but that would be unfair to the other nurses." b. "If you don't take any sick time before then, I'll give it to you." c. "I can't guarantee it right now but I will try to find a solution for you." d. "Be sure to get the written request in early."

c. "I can't guarantee it right now but I will try to find a solution for you."

The principle of autonomy would have the greatest bearing on what clinical situation? Select one: a. A nurse is considering whether to report a colleague's rough treatment of a client. b. A client is unable to afford the treatment that carries the best chance for a cure. c. A client is discussing a do-not-resuscitate order with the care team. d. The nurse is caring for two clients in pain and must choose which to treat first

c. A client is discussing a do-not-resuscitate order with the care team.

A nurse filed a grievance against the employer and the matter has proceeded to arbitration. What is true about this employee's grievance? Select one: a. Arbitration is likely the initial step in resolving the grievance. b. The grievance took place at a public health-care organization. c. A neutral third party will impose a solution to the grievance. d. The employer is likely trying to avert a strike

c. A neutral third party will impose a solution to the grievance.

What activity is most likely to promote a nurse's continued competence? Select one: a. Working in a variety of clinical settings b. Meeting minimal standards for relicensing c. Acquiring new knowledge and skills on a regular basis d. Submitting to regular performance reviews

c. Acquiring new knowledge and skills on a regular basis

A nurse-manager is required to make decisions about the proper placement of employees within the organization. What practice should the manager follow? Select one: a. Avoiding overemphasizing the match between the employee and the unit in order to prevent discrimination suits b. Placing new employees on units that have the greatest need for new staff c. Attempting to place employees in units where they have the greatest chance of success d. Helping employees modify their personal values and beliefs to coincide with that of the unit on which they are placed

c. Attempting to place employees in units where they have the greatest chance of success

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? Select one: a. Complete the low-priority tasks first, then a medium priority task, and then focus exclusively on the high priority task b. Arrange the tasks according to the amount of time that they will require c. Complete the high-priority task as early in the day as possible d. Complete some low-priority tasks first to make room for focusing on the high-priority task

c. Complete the high-priority task as early in the day as possible

What is one of the most politically serious errors one can make? Select one: a. Promoting the advancement of subordinates b. Delaying decision making until there is additional information c. Dispensing untrue information d. Withholding or refusing to divulge information

c. Dispensing untrue information

A nurse is applying the ethical principle of justice when providing care for clients. What action best exemplifies this principle? Select one: a. Respecting clients' rights to make decisions about their care b. Meeting continuing education requirements for license renewal c. Ensuring that time and resources are distributed equitably to clients d. Prioritizing actions that will benefit the largest number of clients

c. Ensuring that time and resources are distributed equitably to clients

A nurse-manager is working with a team of colleagues to update the organization's staffing and scheduling policies. What principle should the manager follow during this process? Select one: a. Each unit manager should be granted full control over scheduling and staffing. b. It is more important to communicate policies verbally than in writing. c. Policies should be written in a way that allows some flexibility. d. Each employee should be given the right to opt into the type of system that he or she wishes

c. Policies should be written in a way that allows some flexibility.

A recent graduate has begun working at a health center and finds the behaviors of colleagues stressful and intimidating. The nurse's colleagues whisper when she is around, roll their eyes at her, and laugh when she asks for assistance or clarification. What is this recent graduate's best action? Select one: a. Organize a meeting to confront the colleagues about their behavior b. Avoid the offending colleagues whenever possible c. Report these behaviors to the nurse-manager d. Seek assistance from the organization's ombudsperson

c. Report these behaviors to the nurse-manager

A nurse-manager has proposed a change in the skills mix on a hospital unit, with fewer registered nurses and more nursing assistants. What outcome best demonstrates that the nurse is applying the principles of thought leadership? Select one: a. Individuals who oppose the plan have become isolated by their peers. b. Nurses and nursing assistants will both participate in the operations planning. c. Skeptics of the plan have begun to see it as innovative and beneficial. d. The ultimate decision on the matter will be based on rational ideas rather than emotions.

c. Skeptics of the plan have begun to see it as innovative and beneficial.

What is an inappropriate reason for delegation? Select one: a. Someone else is better qualified to do the task. b. To free the manager to address more complex unit needs c. The manager does not find the task intellectually challenging. d. To empower subordinates by "stretching" them in their work assignment

c. The manager does not find the task intellectually challenging.

The nurse-manager of a community health clinic is participating in budget planning for the next year. The manager will most likely assign the most money to what expenditure category? Select one: a. Supplies and equipment b. Short-term capital acquisitions c. The personnel budget d. The operating budget

c. The personnel budget

A nurse-manager is implementing strategies to maintain adequate staff in the health-care organization. What action by the manager will best achieve this goal? Select one: a. Hire consultants to study national turnover rates to determine recruitment needs b. Look at staff-to-client ratios at other health-care organizations in the area c. Use knowledge of turnover rates on their units for planning and hiring d. Proactively plan to hire two RNs for each unit each year

c. Use knowledge of turnover rates on their units for planning and hiring

What strategy best increases the likelihood that a nurse-manager's communication will be accurately interpreted? Select one: a. Repeating the message as often as possible b. Producing clear, simple, written communication c. Using more than one mode of communication d. Using face-to-face communication

c. Using more than one mode of communication

Which response is most characteristic of a servant leader? Select one: a. "I'll personally handle this situation." b. "Do whatever it takes to get it done fast." c. "I don't think you have the skills necessary to be effective." d. "Let me think about that request for 24 hours and get back to you."

d. "Let me think about that request for 24 hours and get back to you."

One of the nurses comes to the manager and reports, "I didn't receive overtime pay when I acted as ambulance support last week. Our union contract says that we're supposed to. Will you please follow up and see that I get the overtime on my next check?" What is this an example of? Select one: a. A formal grievance about a contract b. An employee contributing to a toxic workplace setting c. A problem that needs to be reported to the director of nursing immediately d. An issue around the implementation of a contract

d. An issue around the implementation of a contract

A nurse-manager recognizes the need to foster creativity among employees. What action will best promote creativity? Select one: a. Encourage regular turnover of employees. b. Demote employees who show a lack of creativity. c. Hire young employees whenever possible. d. Avoid micromanaging employees' behaviors.

d. Avoid micromanaging employees' behaviors.

How can a manager best implement the principles of situational or contingency leadership theory? Select one: a. By avoiding punitive consequences when addressing workers' lack of performance b. By deferring to employees for day-to-day management decisions c. By establishing rules and norms that can be applied the same way in all conditions in the organization d. By adapting his or her leadership style to a particular circumstance

d. By adapting his or her leadership style to a particular circumstance

A nurse-manager admits to feeling frustrated and confused by the fact that each day "just slips away," leaving many important tasks undone. How should this manager begin developing better time management skills? Select one: a. Experiment with adjustments to the daily schedule b. Request a temporary reduction in workload c. Identify a mentor who can plan the manager's schedule d. Complete a time inventory to identify how time is used

d. Complete a time inventory to identify how time is used

Interviews at a large health-care organization are conducted by various individuals and groups, due to the high number of positions and applicants. What action will best ensure interrater reliability when different individuals are conducting interviews? Select one: a. Have at least two, but not more than four, interviewers conduct each interview b. Use yes-no questions whenever possible, rather than open-ended questions c. Use a semistructured format and have interviewers practice with one another d. Create a structured interview format and adhere to it closely

d. Create a structured interview format and adhere to it closely

The nurse-manager is frustrated by the quantity of paper clutter. How should the manager best deal with this time waster? Select one: a. Require face-to-face communication between staff members rather than written documentation b. Place additional recycling and trash receptacles throughout the unit c. Set aside a block of time once per week to process documents d. Deal with paper correspondence as soon as possible after it arrives

d. Deal with paper correspondence as soon as possible after it arrives

A manager delegated some tasks to a nurse several hours ago. The manager has now learned that the nurse did not complete any of the delegated tasks. What is the manager's best initial action? Select one: a. Assertively state the expectation that delegated tasks will be completed on time b. Take action to reestablish the authority power gap c. Document the nurse's insubordination and arrange a private meeting d. Determine exactly why the nurse did not complete the delegated tasks

d. Determine exactly why the nurse did not complete the delegated tasks

A charge nurse has discovered that a medication error was made on the previous shift. What is the nurse's best action? Select one: a. Write a memo to the nurse who made the error requesting an incident report be written b. Document in the client's chart that an incident report will be completed c. Share that information with the charge nurse on the previous shift d. Document the incident and follow it up as per hospital policy

d. Document the incident and follow it up as per hospital policy

A multidisciplinary team has been assigned responsibility for managing the change process in a large health-care organization. What goal should this team set for their activities? Select one: a. Change will happen as quickly as possible. b. Change will become a constant state in the organization. c. Resistors will face workplace discipline. d. Employees will not sabotage the change process

d. Employees will not sabotage the change process

What action by the manager of a community health center best demonstrates workplace advocacy? Select one: a. Phoning the home of a nurse who has called in sick to confirm that the nurse is genuinely ill b. Assigning a different nurse to a client who had personality differences with his original nurse c. Asking clients to provide feedback on the care that they have received in their homes d. Ensuring nurses have all the personal protective equipment they need to perform home visits

d. Ensuring nurses have all the personal protective equipment they need to perform home visits

A leader has launched an organizational planning process that requires the development of new policies. How should the leader utilize subordinates during this process? Select one: a. Ask subordinates to brainstorm alternatives and then have industry experts evaluate each alternative b. Delegate the evaluation phase of organizational planning to subordinates 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. Include subordinates early in the process and include them in all aspects of policy formation

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? Select one: a. Increasing the RN staff will lead to improved patient education and a reduction in costly patient stays. b. Increasing the use of unlicensed assistive personnel will result in increased patient safety and quality care, and thus improve physician satisfaction. c. Increasing the RN staff will cut down on nursing errors, prevent burn out, and decrease the cost associated with staff turnover. d. 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 overtime

d. 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 overtime

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? Select one: a. It is the least expensive service available. b. The cost was anticipated. c. It is reimbursable. d. It is worth the cost

d. It is worth the cost

A nurse leader has set a goal of becoming a more transformational leader. What outcome will best indicate progress toward achieving this goal? Select one: a. The nurse's subordinates demonstrate respect and loyalty. b. The nurse provides praise for good work performances. c. The nurse maximizes efficiency when allocating scarce resources. d. The nurse empowers others to reach their full potential

d. The nurse empowers others to reach their full potential

What characteristic of a nurse best indicates the attainment of an "expert" level of nursing experience? Select one: a. The nurse is learning from experience how best to react in clinical situations. b. The nurse has more than 3 years of clinical experience. c. The nurse identifies long-term goals for career advancement. d. The nurse possesses an intuitive grasp of complex clinical situations

d. The nurse possesses an intuitive grasp of complex clinical situations

Which characteristic of a planned change is most likely to threaten its success? Select one: a. An assessment of resources to carry out the plan is completed before unfreezing. b. Individuals affected by the change are involved in planning for the change. c. The change agent is aware of the organization's internal and external environment. d. The suggested change is introduced to staff after the plan has been formalized

d. The suggested change is introduced to staff after the plan has been formalized