leadership exam 3 practice questions

Which statement describes both self-power and feminist power? A) The militant express ion of power by assertive women B) The power gained from knowing other powerful people C) The narrowing of the authority gap between nurses and physicians D) Personal awareness that is demonstrated by having power over one's life

Personal awareness that is demonstrated by having power over one's life

What is necessary when implementing care multidisciplinary action plans (MAPs)? A) Caregivers alter the plan as they deem necessary B) Variances be indicated for patient deviations C) Time frames for implementation be left open D) Critical paths not be considered in care planning

Variances be indicated for patient deviations

Optimum span of control a. Is between 40-60 b. Varies with the manager's abilities, the employee's maturity, and task complexity c. Is less than 5 d. Cannot be achieved in an organization with a line/staff organizational structure

Varies with the manager's abilities, the employee's maturity, and task complexity

Which statement demonstrates an understanding of the factors that are considered when a change in the care delivery system is being proposed? (Select all that apply.) A) "We have determined that our level of care would improve if we provided it differently." B) "It's questionable whether our current nursing staff is large enough to support the proposed change." C) "We will discuss our proposed change with the multidisciplinary team members." D) "Administration has been supportive of the planned change in our care delivery system."

all of them

a staff nurse provides care based on intuition and always seems to be in control of her personal and professional life—serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power? a. Referent b. Legitimate c. Information d. Connection

Referent

A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to chair task forces to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager's approach to improve their own units. This nurse is which type of leader? a. Transformational b. Transactional c. Laissez-faire d. Authoritative

Transformational

What determines the size of the authority gap between a manager and an employee? A) The organizational philosophy B) The degree of rigidity in the corporate chart C) How credible the manager is perceived to be D) How much informal power the manager possesses

How credible the manager is perceived to be

A candidate has arrived for an interview. The interview is conducted with various personnel within the organization. This is an example of an attempt to ensure which result? 1. Interrater reliability 2. Intrarater reliability 3. Validity 4. Construct validity

Interrater reliability

The nurse leader is conducting a staff meeting. During the meeting, staff members have verbalized dissatisfaction with the staffing pattern created by the nurse leader. The nurse listens intently as the staff come up with other options. The nurse leader is demonstrating: a. openness. b. integrity. c. dedication. d. magnanimity

openness

A nurse manager must also consider a number of internal variables that will affect staffing patterns. An internal variable to be considered is: a. organizational staffing policies. b. state licensing standards. c. American Nurses Association. d. consumer expectations

organizational staffing policies.

The primary purpose of unit practice committees in a health care organization is to improve: (Select all that apply.) a. practice b. processes. c. outcomes. d. reimbursement. e. turnover.

a. practice b. processes. c. outcomes.

Shared governance is a model of organizational structure in which staff nurses are: a. employed to establish mutual goals with clients. b. empowered through autonomy and accountability. c. engaged in problem-solving strategies and techniques. d. equipped with evaluative thinking methodologies.

empowered through autonomy and accountability.

An employee satisfaction survey is conducted annually and shows that nurses in a particular unit are committed to their jobs and feel that they make positive contributions. These nurses are: a. engaged. b. disengaged. c. unproductive. d. at retirement age.

engaged

Mintzberg described management in terms of behaviors. Mintzberg's decisional roles include: (Select all that apply.) a. figurehead. b. spokesperson. c. entrepreneur. d. resource allocator. e. negotiator.

entrepreneur resource allocator. negotiator

The first step in the nursing process and in the problem-solving process is to: a. identify the problem. b. gather information. c. consider the consequences. d. implement interventions.

gather information.

In a job interview for a staff position, which of the following indicates your knowledge of patient safety? a. "Will I be able to get overtime hours on your unit?" b. "If there is an opportunity to work extra shifts, I would really like that." c. "Is there a strategy in place to reduce the number of overtime hours on the unit?" d. "I see no reason why I wouldn't be able to work overtime."

"Is there a strategy in place to reduce the number of overtime hours on the unit?"

Which statement demonstrates an intervention focused on the primary disadvantage of team nursing? A) "We are working with 1 fewer team members today." B) "The team will be meeting for a care report update in 5 minutes." C) "Our patient assignment is comprised of both males and females" D) " We will be having a member of the float pool on our team today."

"The team will be meeting for a care report update in 5 minutes."

What is included in an MAP? 1. Critical path 2. Nursing care plan 3. Indication of times when nursing interventions occur 4. Nurses follow the care plan to facilitate expected outcomes A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

1, 2, 3

Which factors are associated with the empowerment of staff? I . Allow 2. Develop 3. Enable 4. Lead A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

1, 2, 3

What are necessary components of leadership and management? I . Power 2. Authority 3. Empowerment 4. Authority power gap A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4

1, 2

What are the reasons for losing this power? 1. Being politically naive 2. Failure to use appropriate political strategies 3. The lack of a dynamic and powerful persona 4. Association with others who desire similar power A) 1, 2 B) 1, 3 C) 2,4 D) 3, 4

1, 2

What contributed to beginning of an acute shortage in many health-care settings in the late 1990s? 1. Hospital downsizing 2. National businesses downsizing 3. Shortsightedness regarding recruitment 4. Shortsightedness regarding retention A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

1, 2, 3

There are advantages and disadvantages to each type of scheduling. What is true about extending the workday with 10- or 12-hour shifts. Requires overtime pay 2. Increases nurse satisfaction 3. Decreases cost 4. Increases judgment errors A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

1, 2, 4

What components should be included in an agenda for a meeting? Select all that apply. 1. Time and date of the meeting 2. Topics to be presented 3. Individuals who will be providing information 4. Phone numbers of all participant members 5. Time allotted to each topic

1. Time and date of the meeting 2. Topics to be presented 3. Individuals who will be providing information 5. Time allotted to each topic

When was the veteran generation born? A) 1925 to 1942 B) 1943 to early 1960s C) Early 1960s to 1980 D) Late 1970s to 1986

1925 to 1942

A small rural hospital has been designated as a critical access hospital. It has 40 beds and an average occupancy of 34 beds. To prepare the staffing, the chief nursing officer computes the occupancy as being: a. 90%. b. 85%. c. 75%. d. 60%.

85%

An organization can be defined as a. Individuals with specific responsibilities b. A group of people acting together to improve quality c. A group of people striving to achieve a balanced budget d. A group of people with a common purpose

A group of people with a common purpose

A new nurse manager has conducted a series of interviews, but did not use an interview guide.Why would the managers director be dismayed that no interview guide was used? 1. Each organization has standardized interview questions that must be used. 2. The director has selected questions to ask the interviewee. 3. A list of standardized questions allows for reliability in comparing candidates. 4. The director was not included in the interview process.

A list of standardized questions allows for reliability in comparing candidates.

Which is a common feature of a learning organization? A) A tolerance of mistakes B) Hiring RNs with baccalaureate degrees C) Encouraging a variety of visions D) Stressing individual learning

A tolerance of mistakes

What is the most important component in being well organized and increasing productivity on the unit? A) Adequate resources B) A well-trained staff C) A well-thought-out plan D) Time to carry out your duties

A well-thought-out plan

Health disparities in the patient care population are most likely to occur when the health-care workforce lacks diversity in which area? Select all that apply. A) Age B) Gender C) Ethnicity D) Education

Age Gender Ethnicity

What should selectors do when processing the employment application? A) Accept the resume as an honest and objective source of data regarding the applicant B) Require a physical examination before making a hiring decision C) Always follow up on references and verify employment history D) Use unsolicited personal information about an applicant as a valid reason for job disqualification

Always follow up on references and verify employment history

An emergency department (ED) manager has an interview scheduled for 8 AM the next morning. The manager's usual hours are 8 AM to 4 PM. This manager ahs been working as staff due to an increased volume of clients. What action should the manager take to prepare for this interview a. Reschedule the interview to a later time b. Arrive at work early that morning to prepare for the interview c. Arrive at the usual time and conduct the interview d. Have human resources conduct the interview

Arrive at work early that morning to prepare for the interview

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? A) Planning nursing care independently of others B) Assigning work according to the expertise of group members C) Being responsible for care planning 24 hours a day D) Carrying out the majority of personal care for your patients

Assigning work according to the expertise of group members

What is the foundation of reference power? A) Association with others B) Ability to grant favors C) Personality D) Fear

Association with others

According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement? a. Authoritative b. Closed systems c. Open systems d. Trait

Authoritative

A prototype (critical indicator) client classification system is: a. Based on average care times for groups of clients b. Composed of individual elements of direct care with weights for care elements c. Based on actual items of direct and indirect nursing care activities d. Based on financial considerations

Based on average care times for groups of clients

A nurse manager is interviewing a candidate who has much experience in other industries. The candidate was recently licensed and is interviewing for a registered nurse charge position. Which consideration is most important for the manager to bear in mind when regarding this candidate? 1. Can the candidate perform the job? 2. Will the candidate perform the job? 3. Will the candidate apply past work experience? 4. How long will the candidate retain this position if hired?

Can the candidate perform the job?

Where did critical pathways originate from? A) Case management B) Functional nursing C) Team nursing D) Primary care nursing

Case management

Institutions organize and structure themselves by defining departmental function and authority to achieve a more coordinated effort. In institutions where the executive leader retains more decision-making authority, the operation takes on a more _____ philosophy .a. Centralized b. Decentralized c. Autocratic d. Democratic

Centralized

Patient surveys convey that they are uncertain about who is the registered nurse (RN). The CEO makes a decision that mandates that white nursing caps will be worn by all RNs and blue nursing caps by all licensed practical nurses to differentiate professional nurses and occupational nurses from nurses' aides and other ancillary staff. Which type of structure does this represent? a.Centralized b.Decentralized c.Nonparticipative d.Participative

Centralized

Shared governance is a vehicle for engaging organizations and creating the necessary forums and intersections that assure the decisions and actions remain dynamic and as close to the point of service as possible. Shared governance promotes: a. dependence. b. non-punitive culture. c. Collaboration d. executive decision making.

Collaboration

The staff mix-acuity index is a measure of a. Ratio of licensed to unlicensed personnel per unit b. Licensed personnel available to care for the patients c. Number of elderly patients, gerontological experience of staff d. Complexity of care, qualifications of personnel

Complexity of care, qualifications of personnel

A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess? a. Expert b. Legitimate c. Connection d. Reward

Connection

What occurs when RN hours decrease in a unit's calculation of nursing care hours per patient day (NCH)/(PPD)? A) Adverse patient outcomes generally increase B) Decreased errors C) Decreased patient falls D) Decreased patient satisfaction

Decreased patient satisfaction

A nurse manager is trying to improve patient satisfaction ratings for her area of responsibility. The manager meets with the staff and forms an ad hoc committee to address the issues around the problem. This is an example of what style of leadership? a. Bureaucratic b. Democratic c. Laissez-faire d. Autocratic

Democratic

What should the interviewer do to increase the reliability and validity of an interview? A) Conduct single, rather than multiple, interviews B) Trust his or her first impressions of an applicant C) Avoid taking notes during the interview D) Develop a structured interview format

Develop a structured interview format

Which action represents the key management function of strategic planning? a. Determining that all nurses on the unit understand the current organizational philosophy b. Evaluating the communication process between the pharmacy and the nursing departments c. Monitoring data from the quality management initiative related to the last three orientation programs d. Developing a 5-year plan that will incorporate the clinical nurse leader as a part of all nursing units

Developing a 5-year plan that will incorporate the clinical nurse leader as a part of all nursing units

Which statement best describes functional nursing care delivery? A) Nursing care is holistic and patient centered B) The nurse must be a licensed person C) Emphasis is on getting work done through tasks D) It is also known as total patient care

Emphasis is on getting work done through tasks

A human resources (HR) manager knows which method of recruitment is most likely to be productive and inexpensive? 1. Internet websites 2. Advertisements in professional journals 3. Employee referrals 4. Job fairs

Employee referrals

The nurse identifies what decisional roles that are included in Mintzburg's description of management in terms of behavior? (Select all that apply.) a. Figurehead b. Spokesperson c. Entrepreneur d. Resource allocator e. Negotiator

Entrepreneur Resource allocator Negotiator

According to Fayol, controlling is a function of management. Controlling compares to what phase of the nursing process? a. Evaluation b. Diagnosis c. Assessment d. Implementation

Evaluation

What term is used to identify previously acquired skills that are necessary for further learning? A) Experiential factors B) Transfer of learning C) Reinforcement D) Chunking

Experiential factors

What is the advantage of staff turnover a. Fresh ideas b. Younger staff c. Cost containment d. Increased groupthink

Fresh ideas

What is the advantage of staff turnover? A) Fresh ideas B) Younger staff C) Cost containment D) Increased groupthink

Fresh ideas

The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of? A) Team nursing B) Case method nursing C) Primary care delivery D) Functional nursing care

Functional nursing care

What generational work group values the more flexible part-time and 12-hour shift options? A) Veteran generation B) Baby boomer C) Generation X D) Generation Y

Generation X

Which statement about power is correct? A) It is a finite quality and, once gained, is very difficult to lose B) It is destructively manipulative but is necessary for effective management C) Women generally view power more positively than do men D) Having power generally results in the gain of additional power

Having power generally results in the gain of additional power

What is the first step to developing an educational program for an organization? A) Identifying the resources available to meet the needs B) Identifying the desired skills or knowledge the staff should have C) Explaining to the team that human resources should be doing this work D) Assessing the staff's willing to learn new skills

Identifying the desired skills or knowledge the staff should have

Bob is a staff nurse in the critical care unit. He routinely assists with calling staff to find coverage for the next shift and volunteers to coordinate policy and procedure revision and development on the unit. Which type of leadership is Bob demonstrating? a. Formal b. Informal c. Laissez-faire d. Democratic

Informal

Nursing management has been tasked with building a new team to address methods that can be used to promote health education in the clinical setting. Members of the previous team were all from the same nursing unit in the hospital. What action should nursing management take in order to build the new team? 1. Maintain the same member composition 2. Limit the time allowed for the team to report 3. Assign individual work to team members and use self-report as the basis for teamwork 4. Invite more diverse membership

Invite more diverse membership

During an interview, the manager has a strong impression that the applicant is a good fit for the position. How should the manager proceed? 1. Offer the applicant the job. 2. Cancel the remaining interviews for the position. 3. Keep this feeling in mind but do not make a hasty decision. 4. Tell the applicant that he or she is the strongest candidate for the position.

Keep this feeling in mind but do not make a hasty decision.

Nurses' involvement in shared governance is an important component of: a. practice models. b. Magnet recognition. c. increased reimbursement. d. physician satisfaction.

Magnet recognition.

What does social learning theory suggest? A) Mentors are not effective in social learning B) Most behavior is learned by direct experience and observation C) Individuals who make mistakes learn better than those who do not D) Individuals learn best when left on their own

Most behavior is learned by direct experience and observation

A nurse is making outpatient assignments for the day. One of the LPNs is newly returned from a medical leave due to a back injury. Which patient would be most appropriate to assign to this nurse? a. Mr. D., a confused patient who is ambulatory and requires assistance with feeding. b. Mr. J., a recent postoperative patient who received a total knee replacement who has not yet been out of bed. c. Mrs. K., an elderly woman requiring one-person assistance for bed-to-chair transfers. d. Miss L., a cerebral palsy patient with pneumonia who uses a wheelchair

Mr. D., a confused patient who is ambulatory and requires assistance with feeding.

What is the best example of a pediatric unit's organizational culture a. All client rooms are private b. Nurse to client ratio is 4 to 1 c. Nurses wear colorful scrubs d. Primary nursing model is used for care

Nurses wear colorful scrubs

What is the best method for determining the effectiveness of a staff development program for managing IV puncture sites? A) Having class participants evaluate the instructor and the class B) Giving participants an examination or test at the conclusion of the course C) Having a documented decrease in the unit's IV site infections D) Observing staff implement and document the changes recommended

Observing staff implement and document the changes recommended

The nurse leader is conducting a staff meeting. During the meeting, staff members have verbalized dissatisfaction with the staffing pattern created by the nurse leader. The nurse listens intently as the staff come up with other options. The staff members recognize that the nurse leader is demonstrating which quality? a. Openness b. Integrity c. Dedication d. Magnanimity

Openness

The illustration below identifies which type of chart? a. Productivity b. Organizational c. Resource d. Staffing

Organizational

How employees perceive an organization is the a. Organizational climate b. Organizational culture c. Organizational chart d. Organizational structure

Organizational climate

Processes used in management parallel the nursing process. Which sentence describes a nurse using a management principle paralleled with the nursing process? a. Planning is demonstrated when the nurse motivates others. b. Directing is demonstrated when the nurse plans care for the patient. c. Organizing is demonstrated when the nurse coordinates care for patients. d. Controlling is demonstrated when the nurse tells other staff members what to do.

Organizing is demonstrated when the nurse coordinates care for patients.

What is the primary influence that shapes a person's response to authority? A) Power figures in the family unit B) Work experiences in each job held C) Administrative figures in the workplace D) Experiences in the spiritual dimension of life

Power figures in the family unit

Mrs. Ortiz is the nurse manager of a nursing service organization that provides around the clock care to clients in their homes. What method of patient care delivery best describes this model a. Case method (total patient care) b. Primary nursing c. Case management d. Differentiated practice

Primary nursing

Which action would be the most likely to result in encouraging evidence-based practice? A) Stress the need to base practice on research findings during orientation of new graduates. B) Include a statement of the need for evidence-based practice in the philosophy. C) Reprimand nurses who do not use research during the annual evaluations. D) Provide a computer program to nurses for access to the latest nursing research.

Provide a computer program to nurses for access to the latest nursing research.

Which statement is correct concerning primary nursing care? A) Requires minimal RN staffing B) Is easy to implement C) Provides challenging work D) Has proved to be a failure

Provides challenging work

What should a nurse manager consider when including a staff nurse in an interview of an applicant? 1. Restricting the number of questions the nurse can ask 2. Providing the nurse with an orientation program on interviewing techniques 3. Allowing the nurse to provide information but not the ability to ask the applicant questions 4. Allowing the nurse to ask and answer all questions freely

Providing the nurse with an orientation program on interviewing techniques

Which area of questioning is considered an illegal interview inquiry? A) Questions about the applicant's marital status B) The languages the applicant speaks or writes C) Inquiries about educational experiences D) Place of residence

Questions about the applicant's marital status

Which statement about education is the accurate? A) Education generally has an immediate use B) Managers have a responsibility to see that their staff is well educated C) Recognizing and encouraging educational pursuits are a leadership role D) Education always results in increased productivity

Recognizing and encouraging educational pursuits are a leadership role

What must be completed before a position is offered? A) Physical examination B) Preemployment testing C) Reference check D) Personal interview

Reference check

The nurse manager is monitoring overtime for the unit. She closely monitors staff hours and does not allow staff to come in for extra hours if they are over their allotted time per week. This is an example of which of Mintzberg's decisional roles of the manager? a. Entrepreneur b. Disturbance handler c. Negotiator d. Resource handler

Resource handler

A well known, respected practitioner whom you have heard lecture, but do not know personally, is an example of a a. Role model b. Preceptor c. Mentor

Role model

Which strategy is most effective in empowering staff? A) Serving as a role model of an empowered nurse B) Following a rigid but consistent rule enforcement policy C) Providing all employees with an annual cost-of-living raise D) Encouraging staff to establish a strong unit culture with turf boundaries

Serving as a role model of an empowered nurse

The nurse is acting in the planning function as a manager. Which of the following stages should be completed first? a. Set the plan b. Assess the situation and future trends c. Convert plan into action statement d. Set the goals

Set the goals

The nurse is acting in the planning function as a manager. The nurse knows which stage should be completed first? a. Set the plan. b. Assess the situation and future trends. c. Convert plan into action statement. d. Set the goals.

Set the goals.

What type of interview is a predictor of job performance and overall effectiveness a. Unstructured b. Semistructured c. Structured d. Informal

Structured

What type of interview is a predictor of job performance and overall effectiveness? A) Unstructured B) Semistructured C) Structured D) Informal

Structured

A nurse-manager notes how often a patient takes his medication to determine scheduling. This is an example of using which of the following systems a. Critical indicator PCS b. Summative task PCS c. Staffing by acuity

Summative task PCS

From an economic perspective, what is driving the current nursing shortage? A) Supply side of the supply/demand equation B) Demand side of the supply/demand equation C) Both the supply and demand sides of the supply/demand equation D) Short-term rise in demand in nursing services

Supply side of the supply/demand equation

Which delegation of tasks would require the nurse manager to intervene? a. The UAP re-delegates vital signs to the student nurse. b. The RN delegates assistance with bathing to the student nurse. c. The RN delegates monitoring of intake and output to the UAP. d. The RN delegates assistance with mobility to the UAP.

The UAP re-delegates vital signs to the student nurse.

Which statement is an example of the use of situational leadership? a. The emergency room manager takes a vote on holiday coverage and then responds to a Code Blue by directing orders at the nursing staff. b. The manager in surgery uses the vacation policy to grant time off and then performs a surgical count in an operating room using a checklist. c. A vice president of nursing allows the department directors to make a decision about a hospital policy on holiday time and then sides with a nurse who does not want to work the required time. d. The CEO of the hospital instructs the nursing senate to develop a dress code and then changes the dress code after determining he does not like it.

The emergency room manager takes a vote on holiday coverage and then responds to a Code Blue by directing orders at the nursing staff.

To be effective, nurse managers should focus on which area? a. Cost-effective operation of the unit b. Motivation of staff c. Accomplishing organizational goals d. The patients and their needs

The patients and their needs

What is coercive power based on? A) The ability to grant rewards to others B) The power of fear and of punishment C) The power inherent in one's position D) The gaining of knowledge and skills

The power of fear and of punishment

The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification? (Select all that apply.) a. The state's Nurse Practice Act b. Theory X management c. Nurse's Code of Ethics d. The NCSBN website e. NCSBN journal articles

The state's Nurse Practice Act The NCSBN website NCSBN journal articles

The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification? (Select all that apply.) a. The state's nurse practice act b. Theory X management c. Nurse's Code of Ethics d. The NCSBN website e. NCSBN journal articles

The state's nurse practice act The NCSBN website NCSBN journal articles

With modular nursing, who checks the completion of tasks assigned to a team member? A) The charge nurse B) The area manager C) The team leader D) Another team member

The team leader

Which statement is true regarding legislated minimum staffing ratios? A) They are mandated by federal law B) They are required by 28 states C) They are proposed to improve patient care D) They are necessary to reduce costs

They are proposed to improve patient care

A nurse manager uses many sources of data when planning the unit's workload for the year. Which of the following data must be considered in the planning? a. Hours of operation of the unit b. Trends in acuity on the unit c. Maximum work stretch for each employee d. Weekend requirements

Trends in acuity on the unit

The __________ of an organization is the formulation of ideas, plans, or dreams that help shape the future and ability to persuade colleagues and associates to share those dreams. a. Mission b. core values c. Vision d. organizational chart

Vision

Which question asked during an interview is acceptable? A) Are you married? B) Have you ever been arrested? C) What is your religious preference? D) What professional organizations do you belong to?

What professional organizations do you belong to?

Scheduling is a function of implementing the staffing plan by assigning unit personnel to work specific hours and specific days of the week. To retain nursing staff, the nurse manager must incorporate into the schedule plan: a. all weekends off. b. all holidays off. c. a variety of scheduling options. d. rotating shifts.

a variety of scheduling options.

At its start, shared governance requires the education and support of organizational executives, managers, and point-of-care staff. Organizational benefits include: (Select all that apply.) a. accountability of the nurse. b. reduction in liability claims. c. reduction in workers' compensation claims. d. improved financial outcomes. e. more expert involvement at the point of care.

a. accountability of the nurse. d. improved financial outcomes. e. more expert involvement at the point of care.

In the past year, you have noticed an increase in patient falls on your unit. In reading studies related to staffing and patient outcomes, you realize that you will need to plan for: a. higher patient care hours. b. safer facilities. c. institution of a patient-classification system. d. an increased number of RN positions.

an increased number of RN positions.

For organizational strategy to be implemented successfully it must be: (Select all that apply.) a. specific and inflexible. b. applied in a timely manner. c. agreed upon by all stakeholders. d. executed proficiently and efficiently. e. aligned with the organizational culture.

applied in a timely manner. executed proficiently and efficiently. aligned with the organizational culture.

Strategic management, long used in business to ensure a competitive advantage over similar enterprises, involves: (Select all that apply.) a. setting targets. b. establishing goals. c. evaluating success. d. developing an action plan. e. defining the core purpose. f. conducting an environmental scan.

everything except for E

Part of the evaluation design process when developing a strategic plan includes: a. delineation of measures of success. b. designing a form to critique the guidelines. c. formulating an implementation outline. d. writing the vision and mission statement.

delineation of measures of success.

A nurse manager must consider a number of external variables when preparing the personnel budget and projecting the unit's staffing needs. An external variable to be considered is: a. organizational staffing policies. b. staffing models. c. changes in services that will be offered. d. department of Health licensing standards.

department of Health licensing standards.

The statement, "We will increase our profit by 8% each year," is an example of a(n): a. strategic plan. b. mission statement. c. organization objective. d. implementation strategy.

organization objective.

An important aspect of managing the costs on a unit is to plan accurately for staffing needs. Nurse managers use staffing plans to: a. assign staff on the unit on a daily basis. b. ensure that days off are planned for the staff. c. outline the number of individuals by classification on a per-shift basis. d. predict the numbers and classifications of float staff needed to augment regular staff.

outline the number of individuals by classification on a per-shift basis.

Staff members on your unit raise concern that there is rising acuity on the unit and lack of responsiveness in addressing these needs through appropriate staffing. They point to increased incidences of adverse and sentinel events on the unit. To address this concern, your hospital organization would do best to: a. implement a patient-classification system immediately. b. participate in databases that compare the outcomes and staffing levels versus those of similar institutions. c. provide increased numbers of staff to the unit. d. ignore such concerns because acuity is variable

participate in databases that compare the outcomes and staffing levels versus those of similar institutions.

A nurse staffing plan takes into account: a. specific nurse-to-patient ratios per shift. b. participation of nurses in projecting staffing needs. c. compensation and benefits for each level of staff. d. the occupancy load of a unit.

participation of nurses in projecting staffing needs.

The difference between staffing and scheduling is that staffing: a. puts the right person in the right position. b. puts the right person in the right time and place. c. refers to the number of nursing hours per patient per day. d. looks after interpretation of benefits and compensatio

puts the right person in the right position.

Your healthcare organization has a decentralized system for scheduling. As part of this process, after you have developed a draft schedule, you may need to: a. seek budgetary approval. b. balance personal schedules against institutional needs. c. negotiate the schedule with unit staff. d. submit the schedule to a centralized staffing office for review

submit the schedule to a centralized staffing office for review

Operational choices for action that are made to implement a strategy are called: a. tactics. b. objectives. c. core values. d. strategic plans.

tactics

What are often neglected areas of the indoctrination process? 1. Induction 2. Orientation 3. State or national laws 4. Union contracts A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

2, 3, 4

The nurse manager of a nursing unit monitors the actual number of missed medications on her unit each month and compares this number with the expected results. This is an example of which function of management? a. Planning b. Organizing c. Directing d. Controlling

Controlling

What factor contributed significantly to the beginning of the acute RN shortage that originated in the late 1990s? A) Closing of nursing programs B) Lack of interest in nursing C) Hospital downsizing D) Poor nursing salaries

Hospital downsizing

According to Mintzberg's 1994 model, what are the three levels of management? a. Thinking, feeling, and doing b. Informing, directing, and controlling c. Autocratic, democratic, and laissez-faire d. Information, people, and action

Information, people, and action

A nurse states she believes in the dignity of each patient. At break, she is overheard talking about a patient in a persistent vegetative state as a "lump." This represents an inconsistency in which quality of an effective leader? a. Dedication b. Magnanimity c. Integrity d. Humility

Integrity

Which statement about PCSs is accurate? A) Classification systems are able to solve staffing problems B) Nursing care hours assigned to a classification system should remain constant C) A good classification system is without fault D) Internal and external forces may affect classification systems

Internal and external forces may affect classification systems

The nurse manager would counsel the staff nurse for delegating which task to the UAP? a. Personal hygiene b. Assistance with eating breakfast c. Assistance with toileting d. Interpretation of abnormal vital signs

Interpretation of abnormal vital signs

The nurse is acting as a leader in the role of charge nurse and notes that the unlicensed assistive personnel (UAP) on the floor are stressed related to their increased workload. The nurse changes the original planned approach based on the presenting situation. Which theory of leadership is the nurse implementing with this action? a. Situational b. Transactional c. Transformational d. Autocratic

Situational

In an organization that has a decentralized organizational philosophy, decision-making authority rests in levels closer to the point of service rather than in the executive levels. Benefits of a decentralized organizational philosophy include: (Select all that apply.) a. encouraging more input. b. supporting greater innovation. c. facilitating faster response times. d. permitting a narrower span of control. e. allowing for more levels of management

a. encouraging more input. b. supporting greater innovation. c. facilitating faster response times.

What was the focus historically for case management? A) Individual patient B) Care for populations C) Group of patients with same chronic illness D) Group of patients with same acute need for surgery

individual patient

Since 2008 what is the legal minimum staffing radios for a medicalñsurgical nursing unit? A) 1:4 B) 1:5 C) 1:6 D) 1:7

1:5

Which of the following has been done improperly? a. The UAP re-delegates vital signs to the student nurse. b. The RN delegates assistance with bathing to the student nurse. c. The RN delegates monitoring of intake and output to the UAP. d. The RN delegates assistance with mobility to the UAP.

The UAP re-delegates vital signs to the student nurse.

An action plan: a. breaks a strategic plan into manageable parts. b. details a futuristic view of the institution. c. outlines the steps in performing a procedure. d. provides a strategic plan for actualizing the mission.

details a futuristic view of the institution.

An effective manager must: (Select all that apply.) a. understand the concepts of budgeting. b. run a unit efficiently without regard to cost. c. be able to staff the unit effectively. d. be adept at information management. e. achieve desired outcomes in any way possible.

understand the concepts of budgeting. be able to staff the unit effectively. be adept at information management.

To prepare staffing schedules, a nurse manager needs to calculate paid non-productive time. When calculating paid non-productive time, the nurse manager considers: a. work time, educational time, and holiday time. b. paid hours minus worked hours. c. vacation time, holiday time, and sick time. d. paid hours minus meeting time.

vacation time, holiday time, and sick time.

The local hospital has a new specialty unit for women and children. The nursing staff has created a family advisory council to assist in reviewing educational materials used at discharge. This shared governance structure is an example of: a. interprofessional education. b. whole-system integration. c. engagement. d. collaboration.

whole-system integration.

Advisory of staff relationships on the organization chart a. Are depicted as unbroken lines b. Denote the official line of command c. Denote a relationship of information and assistance but not organization authority d. Generally outnumber line relationships

Denote a relationship of information and assistance but not organization authority

What should the interviewer do to increase the reliability and validity of an interview a. Conduct a single, rather than multiple interviews b. Trust his or her first impressions of an applicant c. Avoid taking notes during the interview d. Develop a structured interview format

Develop a structured interview format

What nursing model provides the foundation for matching patient needs with nursing competencies? A) Primary nursing practice B) Differentiated nursing practice C) Modular nursing D) Case management

Differentiated nursing practice

A nurse is volunteering in the community to educate parents to increase the number of children in the school district who are immunized. The nurse oversees the activities of a group of volunteers. Which role best describes the nurse's activity in this situation? a. Management b. Leadership c. Volunteerism d. Activism

Leadership

The nurse correctly defines leadership when making which statement? a. "Leadership is coordinating others toward a common goal." b. "Leadership is the ability to influence others." c. "Leadership focuses on the task at hand." d. "Leadership is based in formal authority."

"Leadership is the ability to influence others."

The nurse correctly defines leadership when stating: a. "Leadership is coordinating others toward a common goal." b. "Leadership is the ability to influence others." c. "Leadership focuses on the task at hand." d. "Leadership is based in formal authority."

"Leadership is the ability to influence others."

The manager may be greatly or minimally involved with recruiting, interviewing, and selecting personnel. What factors are important to consider in this process? 1. Size of the institution 2. Existence of a separate personnel department 3. Presence of a nurse recruiter within the organization 4. Use of decentralized nursing management system only A) 1, 3, 4 B) 1, 2, 3 C) 1, 2, 4 D) 2, 3, 4

1, 2, 3

What does indoctrination include for an employee? 1. Induction 2. Orientation 3. Socialization 4. Continuing education A) 1, 3, 4 B) 1, 2, 3 C) 1, 2, 4 D) 2, 3, 4

1, 2, 3

What type of interview questions are difficult to respond to without some advance thought? 1. Personal philosophy of nursing 2. Professional organizations membership 3. Individual strengths and weaknesses 4. Career goals A) 1, 3, 4 B) 1, 2, 3 C) 1, 2, 4 D) 2, 3, 4

1, 3, 4

A clinical nurse leader (CNL) enters the workforce and hopes to use her interdisciplinary skills to participate on a quality improvement committee. The coordinator of the quality group invites the CNL to join the group. Which type of power is demonstrated by the coordinator of the group? a. Coercive b. Transformational c. Laissez-fair d. Legitimate

Legitimate

A staff nurse develops an innovative documentation system for post op patients. The nurse manager grants the nurse paid leave to develop one for the medical patients. What type of power is the nurse manager using a. Reward power b. Expert power c. Legitimate power d. Informational power

Legitimate power

In Mintzbergs contemporary management model, there are different levels. For the People Level, which actions does the manager focus on? Select all that apply: a. Communicating b. Linking c. Controlling d. Doing Tasks e. Obtaining Resources f. Motivating

Linking Motivating

A key component of the strategic planning process is to assess the environment. Place the steps of the assessment process in order: a. Identify strengths and weaknesses internal to the organization. b. Shape strategies into a strategic plan on which strategic management is based. c. Establish priorities for the critical issues so that strategies are based on the priority issues. d. Analyze strengths, weaknesses, opportunities, and threats for their impact on the organization. e. Analyze internal components for the purpose of drafting a picture of the critical features of the organization.

1. A 2. E 3. D 4. C 5. B

Which statements are accurate with regard to team building? Select all that apply. 1. All nurses should participate in a collaborative manner. 2. Nurse managers must participate as team leaders in order to be effective. 3. Team building is an effective way to increase productivity. 4. Team building is an effective way to decrease costs. 5. Team leaders should not provide direction and allow for individual team member growth.

1. All nurses should participate in a collaborative manner. 3. Team building is an effective way to increase productivity. 4. Team building is an effective way to decrease costs.

The nurse manager is conducting an interview for a position as a full-time RN in a critical care unit. Which statements by the nurse manager would be most effective in selecting a qualified nurse for this position? Select all that apply. 1. I have 20 years of experience as a critical care nurse and I am an advanced practice nurse in adult medical surgical nursing. 2. We do lots of client teaching. Do you like doing client teaching? 3. Tell me about your past work experience. 4. Please tell me about your most rewarding experience as a nurse. 5. Have you ever cared for a client on a ventilator?

3. Tell me about your past work experience. 4. Please tell me about your most rewarding experience as a nurse.

What is the priority goal for a manager with regard to staffing and scheduling? A) Schedule staff so there is no overtime B) Ensure that there is adequate staff to meet the needs of each patient C) Develop trust in staff by seeing that staffing is carried out in a fair manner D) Ensure that staff members usually have days off and special requests granted

Ensure that there is adequate staff to meet the needs of each patient

Which factor is considered the greatest obstacle to solving the projected nursing shortage? A) Lack of nursing faculty B) Expense of nursing education C) Lack of interest in nursing as a career D) Poor social respect of the nursing profession

Lack of nursing faculty

A nurse manager receives two vacation requests from staff for the same days off. Unit policy states that only one person may be off at a time. The manager decides to allow the staff the time off anyway. What type of leadership is the manager demonstrating? a. Democratic b. Bureaucratic c. Laissez-faire d. Autocratic

Laissez-faire

A nurse manager lists several preferences for hiring employees. The human resources manager would advise this manager that which practices do not meet the bona fide occupational qualification (BFOQ) regulation? Select all that apply. 1. I like to hire all female nurses to work in labor and delivery and postpartum. 2. I hire only strong young men as transport workers. 3. I prefer to hire nurses who have served in the military. 4. I only hire nurses who are bilingual for work in the emergency department. 5. I prefer to hire women as unit clerks

1. I like to hire all female nurses to work in labor and delivery and postpartum. 2. I hire only strong young men as transport workers. 3. I prefer to hire nurses who have served in the military. 5. I prefer to hire women as unit clerks

Which members would be included in an interprofessional team approach in the clinical setting? Select all that apply. 1. Selected members from different departments throughout the hospital 2. All of the nurses who work full time at the facility 3. Both licensed and nonlicensed employees who work in the hospital setting 4. A collection of individuals who work in the hospital and/or community of interest who are considered to be stakeholders 5. Nursing staff and community health department

1. Selected members from different departments throughout the hospital 3. Both licensed and nonlicensed employees who work in the hospital setting 4. A collection of individuals who work in the hospital and/or community of interest who are considered to be stakeholders

Unrest and employee turnover have resulted in a unit being critically understaffed. The human resources department and nurse manager are attempting to recruit new nurses for the unit. How should the history of this unit be presented? Select all that apply. 1. The facts of the history should be presented while maintaining the confidentiality of those involved. 2. The history should briefly be mentioned as some minor problems with staffing. 3. The history should not be mentioned. 4. The recruiters should focus on the positive work environment of the rest of the facility. 5. Steps being taken to correct problems on the unit should be outlined and explained.

1. The facts of the history should be presented while maintaining the confidentiality of those involved. 5. Steps being taken to correct problems on the unit should be outlined and explained.

A nurse manager and a human resources (HR) manager are developing an interview guide for registered nurse positions in critical care units. How should this document be structured? Select all that apply. 1. The questions should be specific to the registered nurse position. 2. Questions should be general enough that they will guide the interview for any critical care unit. 3. Sufficient room should be allowed between the questions so that notes on the interview can be written directly on the guide. 4. Questions should require independent answers and should not be leading. 5. The document should allow space for demographic information such as name, gender, and age

1. The questions should be specific to the registered nurse position. 3. Sufficient room should be allowed between the questions so that notes on the interview can be written directly on the guide. 4. Questions should require independent answers and should not be leading.

What must staff and scheduling policies not violate? 1. Local laws 2. Labor laws 3. State or national laws 4. Union contracts A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

2, 3, 4

When work is redesigned it frequently has consequences for employees that must be considered. What consequences must be considered 1. Professional interactions 2. Degree of autonomy 3. Employee evaluation 4. Communication patterns a. 1, 2, 3 b. 1, 2, 4 c. 1, 3, 4 d. 2, 3, 4

2, 3, 4

When work is redesigned, it frequently has consequences for employees that must be considered. What consequences must be considered? 1. Professional interactions 2. Degree of autonomy 3. Employee evaluation 4. Communication patterns A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

2, 3, 4

Which information is an example of what should be included in the position description for the RNs who will staff a newly opened hospital unit? 1. Base salary is $22.00 per hour with a 10 percent shift differential for hours worked after 7:00p.m. 2. Communicates changes in client condition to appropriate staff 3. Will accrue sick time at a rate of 4 hours per month 4. Reports directly to the nurse manager of the unit 5. Must maintain ACLS certification

2. Communicates changes in client condition to appropriate staff 4. Reports directly to the nurse manager of the unit 5. Must maintain ACLS certification

The hiring process to fill a nursing position has been slowed because the human resources department is involved in a recruitment effort for laboratory positions. A staff nurse says, Why do we have to wait on HR? Why cant we just hire a nurse? What rationale does the nurse manager provide for waiting until HR can be involved in filing the nursing position? Select all that apply. 1. HR makes all the final hiring decisions. I just suggest the candidate I would like to have to fill the job. 2. HR will screen the applicants for us so we dont waste time interviewing people who are not qualified. 3. HR makes certain that we are not doing anything illegal as we interview for this position. 4. We cant hire a nurse until HR has done a criminal background check. 5. HR has to check to be certain that the applicant has a valid license before we can offer the job

2. HR will screen the applicants for us so we dont waste time interviewing people who are not qualified. 3. HR makes certain that we are not doing anything illegal as we interview for this position. 4. We cant hire a nurse until HR has done a criminal background check. 5. HR has to check to be certain that the applicant has a valid license before we can offer the job

Employees in your facility work 40 hours per week, receive 5 vacation days, 5 paid sick days, and receive 5 paid holidays. What number do you use as productive hours to calculate FTE's? a. 2080 b. 2065 c. 1932 d. 1960

2080

A nursing applicant is scheduled for an interview with the nurse manager. Prior to the day of the interview, the human resources (HR) department reports that the applicants references would not recommend her for hire. How should the nurse manager proceed? Select all that apply. 1. Have HR call the applicant and cancel the interview. 2. Call the applicant, tell her that the references were poor, and cancel the interview. 3. Conduct the interview without telling the applicant that the references were poor. 4. Conduct the interview and tell the applicant that the references were poor. 5. Conduct the interview and see if the applicant spontaneously explains why the references might be poor

3. Conduct the interview without telling the applicant that the references were poor. 5. Conduct the interview and see if the applicant spontaneously explains why the references might be poor

It is 2 PM. You are calculating the nursing care hours for the 3 to 11 PM shift and must decide whether you need to call in additional help. You have three RNs, three nursing assistants, and one ward clerk scheduled. You have 22 patients with the following acuity and nursing care hours allotted for the evening shift: Category I, 4 patients 2.0 hours Category II, 2 patients @ 2.3 hours Category III, 10 patients @ 2.8 hours Category IV, 6 patients @ 3.4 hours What are the needed hours of nursing care? A) 61 hours B) 52.6 hours C) 68.4 hours D) 48.4 hours

61 hours

The nurse knows while leadership behaviors and management skills often complement each other they differ in which way? a. Managers focus on relationships. b. A manager may not possess leadership traits. c. Leadership focuses on coordinating and directing others. d. A manager is a visionary who sets the direction for a group.

A manager may not possess leadership traits.

Which of the following nurses would be considered to have expert power a. A nurse with extensive experience and specialized training in preoperative nursing b. A nurse manager who dispenses favors to nurses who are willing to work overtime c. A nurse whose dynamic and engaging personality makes it easy to create alliances d. A nurse who is positioned high on the hospitals organizational chart

A nurse with extensive experience and specialized training in preoperative nursing

Which statement is true regarding the float pool nurse? Select all that apply. A) They are classified as per-diem staff B) The nurse trades increased personal flexibility for less pay C) Float pool nurses do not receive usual staff benefits D) They are crossed trained on multiple units

A) They are classified as per-diem staff D) They are crossed trained on multiple units

Which statement provides an accurate description of backup behavior? 1. Understand how other team members behave during group interactions. 2. Ability to shift assignments during periods of high workload 3. Assessing team performance 4. Develop a common understanding of the environment.

Ability to shift assignments during periods of high workload

In checking the background of a potential candidate for hire, which is the least frequently checked source? A) Academic credentials B) References of former employers C) References of recent teachers D) Verification of work history

Academic credentials

A hospital's policy requires that all nurse managers must have a minimum of a bachelor's degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit? a. Send memos to all staff except the upset nurse to invite them to a luncheon. b. Ask management to transfer the upset nurse to another unit. c. Assign the upset nurse to committees that do not directly affect that nursing unit. d. Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication

Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication

A hospital's policy requires that all nurse managers must have a minimum of a bachelor's degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit? a. Send memos to all staff except the upset nurse to invite them to a luncheon. b. Ask management to transfer the upset nurse to another unit. c. Assign the upset nurse to committees that do not directly affect that nursing unit. d. Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication.

Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication.

The American Nurses Association has advocated for the Registered Nurse Safe Staffing Act. This legislation is based on ANA Safe Staffing Principles and takes what factors into consideration for planning staffing on a nursing unit? a. Patient acuity and complexity b. Education and training of the nurses c. Technology available and use on the unit d. All factors listed are to be considered

All factors listed are to be considered

Which statement describes an example of an intraprofessional team with regard to nursing in the clinical setting? 1. Nurses who work in the emergency room department 2. All nurses who work in the facility at both staff and supervisory levels 3. Entire hospital staff composed of nurses and ancillary team members 4. Chief nursing officer (CNO) of the facility and medical staff

All nurses who work in the facility at both staff and supervisory levels

Nursing intensity includes a. Availability and quality of client care b. Amount and complexity of client care c. Cost and quality of care d. Amount and availability of client care

Amount and complexity of client care

Team members are becoming disillusioned with the group performance. The members of the team indicate that they have no input into the decision-making process. Which statement if provided by team members would account for their disillusionment? 1. Times and dates for the meetings are provided in advance. 2. An agenda is provided at the start of the meeting. 3. At the start of the meeting, the team leader provides an overview of stated goals. 4. The meeting ends with a summary of what transpired during the session.

An agenda is provided at the start of the meeting.

What is the most fiscally responsible method for determining staffing needs for a hospital unit? A) Maximum patient load capacity of the unit B) Numbers of patients present for an upcoming shift C) An agreed-upon staffing formula currently in use D) Total beds on the unit

An agreed-upon staffing formula currently in use

You overhear an experienced nurses say to a new nurse, Sorry you won't be able to join us for our weekly get-together at the local yogurt shop. I see you are going to be here charting for a while yet. What is this an example of? A) Behavior that supports positive sanctions B) An application of a sanction regarding group norms C) Constructive feedback about expected group norms D) Role modeling desired behavior

An application of a sanction regarding group norms

A chief nurse officer (CNO) is considering a collaborative effort with a school of nursing to offer externships to students. The chief financial officer (CFO) rejects the proposal because it will entail a cost to the organization. Which statement by the CNO would influence the CFO to reconsider this proposal? 1. Nursing is the foundation of this hospital and we have to get nurses into the organization. 2. We could hire students as nurses aides, which would save costs. 3. An externship will allow the nursing students to work with nurses, learn about the organization, and create a positive impression of our facility. 4. Offering a nurse externship would allow the organization to create the types of nurses we would like to hire

An externship will allow the nursing students to work with nurses, learn about the organization, and create a positive impression of our facility.

What is the primary outcome resulting from the implementation of the functional nursing care delivery system? A) A cost-effective method of care delivery B) Another permanent care delivery option C) Ancillary staff with varying levels of training and education D) A care delivery system addressing the needs of the baby boom patient

Ancillary staff with varying levels of training and education

Which statement best describes andragogy? A) Andragogy techniques are usually ineffective for mature learners B) Andragogy relies on structure and direction C) Andragogy works well with people who have had life experiences D) Andragogy works best with teacher-led activities

Andragogy works well with people who have had life experiences

An emergency department (ED) manager has an interview scheduled for 8:00 the next morning. The managers usual hours are 8:00 a.m. to 4:00 p.m. This manager has been working as staff due to an increased volume of clients. What action should the manager take to prepare for this interview? 1. Reschedule the interview to a later time. 2. Arrive to work early in the morning to prepare for the interview. 3. Arrive at the usual time and conduct the interview. 4. Have a human resources representative conduct the interview.

Arrive to work early in the morning to prepare for the interview.

A nurse manager is aware that U.S. citizenship is required by a job position being filled. How should the manager handle this requirement during the job interview? 1. Ask the applicant to provide proof of citizenship before the interview is scheduled. 2. Ask the applicant if he or she is an U.S. citizen. 3. Do not ask unless the applicant mentions citizenship. 4. Ask if the applicants family is from the United States.

Ask the applicant if he or she is an U.S. citizen.

A nurse delegates a bed bath to unlicensed assistive personnel (UAP). After lunch, the patient rings for the nurse and complains that he has not yet been cleaned up. He is very upset and angry. What should the nurse's next action be? a. Assist the patient in getting cleaned up. b. Write up the UAP for not carrying out the assignment. c. Report the UAP to the unit manager. d. Go find the UAP, and tell her to complete the bath immediately.

Assist the patient in getting cleaned up.

What does proactive political strategy include? A) Assuming authority to do something if it is not expressly prohibited B) Using competitive approaches to the decision-making process C) Attempting 10 appear as a victim so future gains can be made D) Verbalizing discontent with the politics of an organization

Assuming authority to do something if it is not expressly prohibited

What statement best represents an authentic relationship? 1. Observing for deficits while promoting strength 2. Assuming that both you and others are working at the best possible level 3. Words are not consistent with demonstrated actions 4. Promoting self-empowerment

Assuming that both you and others are working at the best possible level

What is the name of the gap that sometimes exists between a position of authority and subordinate response? A) Leadership subordinate B) Manager subordinate C) Administrator power D) Authority power

Authority power

An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation? a. Autocratic b. Democratic c. Laissez-faire d. Referent

Autocratic

Upon entering a patient's room, the nurse notes that the patient is unresponsive. The nurse takes control and begins to direct other members of the health care team during this crisis. The nurse is demonstrating characteristics of which type of nursing leadership? a. Autocratic b. Democratic c. Laissez-faire d. Bureaucratic

Autocratic

A patient is found unresponsive and pulseless. The nurse begins cardiopulmonary resuscitation (CPR) and calls for help. When help arrives, the nurse should take on which role? a. Autocratic leader b. Democratic leader c. Laissez-faire leader d. Bureaucratic leader

Autocratic leader

To project staffing needs and to avoid understaffing, it is important that nurse managers consider which of the following? a. Maximum productive hours b. Average non-productive hours c. Minimum benefit hours d. Maximum vacation time

Average non-productive hours

Which method would a nurse leader use in order to sustain team synergy? 1. Allow participant team members to direct topics 2. Avoid calling numerous meetings if not warranted to stated goals 3. Do not provide an agenda until the team meets to discuss concerns 4. Do not provide a stated purpose for the meeting

Avoid calling numerous meetings if not warranted to stated goals

What would be the most helpful intervention to take to help a new RN adjust to the professional nursing role? A) Advise the new RN to avoid confrontations with doctors whenever possible B) Advise the new RN that this is the real world not the textbook one C) Be alert to signs and symptoms of the shock phase of role transition D) Be alert to signs that the new RN has not shed nursing school values

Be alert to signs and symptoms of the shock phase of role transition

Which of the following is not a rule for keeping power a. Practice benign neglect b. Do your homework c. Be competitive d. Form alliances

Be competitive

Which step should be taken first when recruiting and selecting nursing staff? 1. Develop a structured interview guide. 2. Become familiar with the position description for the jobs available. 3. Develop a recruitment strategy to attract qualified applicants. 4. Identify potential applicants who would meet the job description.

Become familiar with the position description for the jobs available.

According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement? a. Bureaucracy b. Closed systems c. Open systems d. Trait

Bureaucracy

The nurse manager of the emergency room believes that efficiency is the expected standard for the department and believes that efficiency lies in following established rules, policies, and guidelines. The only way to change procedures is to changes rules, policies, and guidelines. To run the emergency room with this philosophy, the nurse manager must take on which role? a. Laissez-faire leader b. Democratic leader c. Bureaucratic leader d. Autocratic leader

Bureaucratic leader

What is an advantage of centralized staffing? Select all that apply A) It is flexible B) It is staff focused C) It is cost-effective D) It is consistent and impartial

C) It is cost-effective D) It is consistent and impartial

A company that always directs problems to managers at the top of the hierarchy is using a. Centralized decision making b. Decentralized decision making

Centralized decision making

Which statement best describes case management a. Clinical outcomes should occur within a prescribed time frame b. Case managers do not provide direct patient care c. Managed care practice is a unit based model of care d. The goal is outcome management for every patient

Clinical outcomes should occur within a prescribed time frame

Which statement best describes case management? A) Clinical outcomes should occur within a prescribed time frame B) Case managers do not provide direct patient care C) Managed care practice is a unit-based model of care D) The goal is outcome management for every patient

Clinical outcomes should occur within a prescribed time frame

The nurse manager should use which of the following behaviors when implementing a shared governance structure? a. Autocratic decision making of the manager b. Coaching the staff to be successful c. Harboring the vision within the team d. Reimbursing the staff for overtime

Coaching the staff to be successful

Managers who exhibit an authoritative behavioral style are most likely to use which source of power? a. Informal b. Expert c. Coercive d. Reward

Coercive

Your patient is preparing for discharge. In discussing one of the discharge medications ordered, he mentions that he doesn't know how he will pay for such an expensive drug. What is your best course of action as the patient's advocate? a. Explain to the patient that he must have the medication as ordered for his own benefit. b. Get the names of local pharmacies that offer discounted prescriptions. c. Contact the physician to schedule a follow-up appointment to be sure the patient is taking the medication as prescribed. d. Contact the social worker to assist with checking prescription benefits and applications for subsidized prescription programs.

Contact the social worker to assist with checking prescription benefits and applications for subsidized prescription programs.

What is the goal of case management? A) Containing health-care costs B) Providing challenging work C) Enhancing professionalism D) Decreasing length of hospital stays

Containing health-care costs

A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function? a. Directing b. Planning c. Organizing d. Controlling

Controlling

The nurse has made patient care assignments and expects all team members to set their own goals for the day and manage their time to meet their goals. The nurse is implementing what style of leadership? a. Autocratic b. Democratic c. Bureaucratic d. Laissez-faire

Laissez-faire

An OB manager is interviewing a registered nurse for a labor and delivery position. The manager asks the interviewee, Tell me about the most challenging delivery experience in your nursing career, and learns the candidate has experienced several challenges that required quick action. Which nursing skill will this exchange best assess? 1. Adaptability 2. Negotiation skills 3. Initiative 4. Decision-making skills

Decision-making skills

The nurse manager is considered a "great communicator." She can be found on the unit talking with staff, keeping them informed and asking their opinions. She believes that her nurses are motivated by internal means and that they want to participate in making decisions about the unit although the final decision always rests with her. This nurse manager is what type of leader? a. Autocratic b. Democratic c. Bureaucratic d. Laissez-faire

Democratic

The nurse manager is considered a "great communicator." She can be found on the unit talking with staff, keeping them informed and asking their opinions. She believes that nurses are motivated by internal means and that they want to participate in making decisions about the unit although the final decision always rests with her. The nurses recognize that this nurse manager is what type of leader? a. Autocratic b. Democratic c. Bureaucratic d. Laissez-faire

Democratic

Which action demonstrates the leadership role to the socialization and education of new nursing staff during their orientation? A) Discusses the value the unit places upon patient satisfaction B) Addresses all questions regarding the responsibilities of the RN C) Schedules orientation sessions at times when patient acuity is at its lowest D) Plans for budget constraints so that educational needs are minimally impacted

Discusses the value the unit places upon patient satisfaction

What is one of the most politically serious errors one can make? A) Dispensing fictitious information B) Promoting the advancement of subordinates C) Withholding or refusing to divulge information D) Delaying decision making until there is additional information

Dispensing fictitious information

Which question is considered appropriate to ask during an interview? 1. What is the country of your national origin? 2. Do you speak any language in addition to English? 3. Will child care be a problem if you are hired? 4. Are there any holidays on which you would not work?

Do you speak any language in addition to English?

Which intervention by the unit supervisor best assist the RN who has just been promoted to charge nurse to adjust to the new role? A) Take the RN out to lunch to congratulate the nurse on the promotion B) Encourage the RN to meet with staff peers in the organization C) Explain to the RN on the need for underling respect D) Inform the RN of the past performance of new employees

Encourage the RN to meet with staff peers in the organization

In reviewing the job description of a nurse manager, the staff becomes aware that a nurse manager's role is complex. Which of the following duties are required of a nurse manager? (Select all that apply.) a. Ensure unit productivity reports. b. Develop policy and legislation to protect nurses' well-being. c. Plan staffing of UNPs only. d. Prepare a unit budget that reflects unit staffing needs. e. Monitor nurse-sensitive indicators such as falls and incidence of infections

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

According to Fayol, controlling is a function of management. The nurse understands controlling compares to what phase of the nursing process? a. Evaluation b. Diagnosis c. Assessment d. Implementation

Evaluation

An RN with excellent assessment and psychomotor skills would derive power on the basis of which source? a. Rewards b. Coercion c. Expert d. Legitimate

Expert

What type of power does a professional nursing certification provide? A) Legitimate B) Expert C) Charismatic D) Organizational

Expert

A busy neurologic ICU and step-down unit most likely would use which patient-classification system? a. Factor evaluation b. Prototype evaluation c. Hybrid system d. AHRQ system

Factor evaluation

What term identifies a system that allows employees to select among variations in work start-time schedules to meet their personal needs? A) Self-scheduling B) Flextime C) Decentralized staffing D) Cyclical staffing

Flextime

A nurse manager enjoys implementing new programs and beginning new projects. She is beginning to find herself overwhelmed and needs to decrease her workload. Which of the following ideas might best help decrease her workload? a. Comparing her vision with that of the institution b. Following the strategic objectives and mission of the hospital c. Reviewing the action plan and vision of the hospital system d. Using her intuition to determine which project should continue

Following the strategic objectives and mission of the hospital

The nurse manager observes that the nursing staff on the unit starts the process of assigned group work with regard to reviewing unit protocols by introducing members. Which part of the team development process is represented by this observation? 1. Norming 2. Storming 3. Forming 4. Adjourning

Forming

A nurse is reading about positive reinforcement with the goal of increasing staff motivation. Which action would demonstrate positive reinforcement? a. Every morning at shift change, thank each employee for an excellent job. b. Rotate a monthly "employee recognition award" among all employees on the unit. c. Wait until the annual performance review to recognize accomplishments. d. Give spur-of-the-moment recognition to an employee who has accomplished a goal.

Give spur-of-the-moment recognition to an employee who has accomplished a goal.

Which of the following are examples of the planning function of management? (Select all that apply.) a. Taking action b. Goal setting c. Assessing the present situation d. Setting the plan

Goal setting Assessing the present situation Setting the plan

Which is an outcome of decentralized staffing? A) Increased fairness to employees through consistent, objective, and impartial application B) Cost-effectiveness through better use of resources C) Greater manager autonomy to control the staffing on the units, resulting in an increase in self-esteem and teamwork D) Increased availability of data for monitoring the effect of staffing size and composition, quality of care, and costs

Greater manager autonomy to control the staffing on the units, resulting in an increase in self-esteem and teamwork

Culture can be characterized by which of the following statements a. Culture is under management's control b. Culture is based on beliefs about group survival c. Groups exert cultural control by rewards and sanctions d. Culture is based on perceptions that individuals have no control on the environment in the organization

Groups exert cultural control by rewards and sanctions

What does readiness to learn imply for individuals? A) Have acquired the skills necessary for what is to be learned B) Have the necessary motivation to learn C) Are in an atmosphere that encourages learning D) Are mature students with much experience

Have acquired the skills necessary for what is to be learned

What is the emphasis for the manager in the coaching role? A) Solving problems for the employee B) Showing employees how to work within the system C) Helping employees reach an optimum level of performance D) Redirecting employees to meet organizational goals

Helping employees reach an optimum level of performance

What is one of the most important differences between case management and disease management? A) Disease management referrals begin in the hospital inpatient setting B) Disease management is a collaborative process to meet patient needs C) High-cost population groups are targeted in disease management D) Disease management treatment is episodic

High-cost population groups are targeted in disease management

Which description best supports the "M" in the TEEAMS approach? 1. Recognition of individual team members 2. Showing excitement about the team's work 3. Promotion of an engaging work environment 4. Holding team members accountable

Holding team members accountable

What is the initial task when organizing a class to prepare nurses to function in the new neonatal ICU? A) Identifying possible learning resources B) Identifying any difference between current and needed skills C) Identifying current level of knowledge D) Identifying the knowledge or skill needed

Identifying the knowledge or skill needed

A staff member asks the manger for a particular day off on the next schedule. Which response demonstrates the concept of under promising and help the manager retain the staff's trust? A) I will do my best to give you the time off. B) Be sure to get the written request in early C) If staffing stays the same, I will arrange for your request. D) If you don't take any sick time before then, I'll give it to you

If staffing stays the same, I will arrange for your request.

A nurse manager is conducting her first interview. The manager is provided interview guidelines by the human resources (HR) director. Which advice from the HR director is most effective? 1. Follow these guidelines and do not ask personal questions. 2. If you are unsure of a question, ask yourself if the question applies to job performance. 3. You may ask any question as long as its stated in third person. 4. You may ask only the questions that are provided.

If you are unsure of a question, ask yourself if the question applies to job performance.

What positive impact do new practice models have on the staffing mix? A) Automatically cancel the PCS B) Will result in fiscal savings C) Require no changes in scheduling policies D) Impact patient care assignment methods

Impact patient care assignment methods

A nurse manager would like to add the statement Provide ongoing education to the client and the clients family to the position description of RNs. Where would this statement be placed in this document? 1. In the job qualifications 2. In the job responsibilities 3. In the job overview 4. In the job benefits

In the job responsibilities

What negative outcome can result from the decentralization of the responsibilities of staff development? A) Poor staff retention B) Deficient nursing care C) Increased role ambiguity D) Decreased nursing autonomy

Increased role ambiguity

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? A) Increasing the RN staff will cut down on nursing errors, prevent burn out, and decrease the cost associated with staff turnover B) Increasing the RN staff will result in increased patient safety and quality care, and thus improve physician satisfaction C) Increasing the RN staff will free more nurses to be available to answer doctors' concerns during their rounds and will reduce our costly use of overtime D) Increasing the RN staff will lead to improved patient education and a reduction in costly patient stays

Increasing the RN staff will free more nurses to be available to answer doctors' concerns during their rounds and will reduce our costly use of overtime

Which of the following was delegated inappropriately? a. Personal hygiene by the UAP b. Assistance with eating breakfast by the UAP c. Assistance with toileting by the UAP d. Interpretation of abnormal vital signs by the UAP

Interpretation of abnormal vital signs by the UAP

Which term can also be used to describe teamwork? 1. Interprofessional collaborative practice 2. Individual decision making 3. Maintaining individual autonomy 4. Individual problem solving

Interprofessional collaborative practice

What has research shown regarding interviewing reliability? A) Interviewer reliability is high if the interview is unstructured B) Interviewer reliability improves if the interview is structured uniformly C) Reliability increases when there is a team approach to the interview D) Positive information is weighed more heavily than negative information

Interviewer reliability improves if the interview is structured uniformly

Which statement accurately identifies a concern associated with decentralized staffing? A) It carries risks that employees may be treated unequally or inconsistently B) It uses one individual or a computer to do the staffing C) The manager's role is that of making minor adjustments or providing input D) It provides good control for the organization

It carries risks that employees may be treated unequally or inconsistently

Which statement is correct concerning prenegotiated budget management? A) It is incompatible with ethical accountability B) It is only the responsibility of the centralized staffing office C) It is inappropriate with new practice models D) It is a critical responsibility of managers

It is a critical responsibility of managers

Which is the most accurate statement regarding staffing and scheduling policies? A) It is more important to communicate policies verbally than in writing B) It is necessary that policies are written in a manner that allows some flexibility C) Policies should focus on the process D) Managers should have autocratic control over scheduling and staffing policies

It is necessary that policies are written in a manner that allows some flexibility

Which statement describes the induction phase of employee indoctrination (?) a. It occurs after hiring but before performing the role b. It includes the activities performed by the HR department c. It relates to the information included in the employee handbook d. It it the responsibility of the staff development department

It occurs after hiring but before performing the role

Which statement describes the induction phase of employee indoctrination? A) It occurs after hiring but before performing the role B) It includes the activities performed by the personnel department C) It relates to the information included in the employee's handbook D) It is the responsibility of the staff development department

It occurs after hiring but before performing the role

Which statement about the proper placement of employees within the organization is correction? A) It occurs when an attempt is made to place employees in units where they have the greatest chance of success B) It is overrated as a retention strategy because most employees readily adapt to whatever unit on which they are placed C) It refers to placing employees on units that have the greatest need for new staff D) It occurs when employees are able to modify their own personal values and beliefs to coincide with that of the unit on which they are placed

It occurs when an attempt is made to place employees in units where they have the greatest chance of success

Which statement concerning the queen bee syndrome is true? A} It occurs more often with women than with men B) It encourages the empowerment of subordinates C) It prevents the sharing of power D) It is an informal leadership role

It prevents the sharing of power

What outcome is associated with a good PCS? A) It eliminates most staffing problems B) It decreases the amount of overtime C) It provides an understanding of staffing problems D) It eliminates the need for adjustment or review

It provides an understanding of staffing problems

The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of the staff since, without their expertise and dedication, the award may not have been achieved. The staff nurse recognizes the nurse manager is demonstrating which quality? a. Dedication b. Openness c. Magnanimity d. Creativity

Magnanimity

Which statement is accurate with regard to leading and managing teams? 1. Management personnel do not always have to assume team leadership positions. 2. There is no need for reminders as long as an agenda has been provided. 3. Meetings must be held face to face in order to be effective. 4. Keeping members of the team focused is based on individual accountability.

Management personnel do not always have to assume team leadership positions.

Training and education are important parts of staff development. Who is responsible for the education and training of staff? A) Preceptor B) Education department C) Manager and preceptor D) Manager and education department

Manager and education department

In decentralized decision making a. Many problems can be solved at the level they occur b. Decisions are made by a few individuals at the top of the organization hierarchy c. Communication is limited at different level of the hierarchy d. Decision making and responsibility are assigned to the highest practical managerial level in the organization

Many problems can be solved at the level they occur

What type of nursing uses mini teams, typically an RN and unlicensed healthcare workers, to provide care to a small group of patients who are centralized geographically? A) Total patient care B) Functional nursing C) Modular nursing D) Primary care nursing

Modular nursing

Which statement most closely reflects the differences between nurse leaders and managers? a. Nurse leaders are always in formal positions of authority. b. Nurse managers use transactional principles to accomplish goals. c. Nurse leaders rely primarily on interpersonal skills to accomplish goals. d. Nurse managers rely on supervisors for accountability and responsibility.

Nurse leaders rely primarily on interpersonal skills to accomplish goals.

Which action would not represent the process of collaboration in the clinical setting? 1. Nursing staff on the unit working together to problem solve including only full-time staff and not part-time staff 2. Staff on the surgical unit working together to prevent nosocomial infections by promoting hand hygiene throughout the hospital 3. Dietary and food service management team members working together to promote healthy dietary choices for individuals who eat in the hospital cafeteria 4. Staff nurses on a unit discussing how best to prevent falls on the medical unit

Nursing staff on the unit working together to problem solve including only full-time staff and not part-time staff

A new cancer center is being built in the local hospital. A patient survey has revealed that patients are not certain which caregiver is the registered nurse (RN) during their hospital stay. A group is formed to recommend methods to help patients identify which caregiver is their RN for the new cancer center. Which of the following groups best represents those who should be involved in forming recommendations? a. Chief medical officer, public relations vice president, and human resources b. Oncology clinical nurse specialist, nurse's aides, and RNs c. Physicians, unit secretaries, and vice president of finance d. Vice president of nursing, decentralized pharmacist, and licensedpractical/vocational (LPN/LVN) nurses

Oncology clinical nurse specialist, nurse's aides, and RNs

Which of the following leadership styles is best suited for implementation of a shared governance structure? a. Authoritarian b. Autocratic c. Participative d. Laissez-faire

Participative

What is the relationship between an employee and a role model? A) Active B) Nonverbal C) Encouraged by the role model D) Passive

Passive

The nurse leader recognizes that to deliver quality care, focus needs to be placed on which participant? a. Patient b. Self c. Other staff members d. Health care provider

Patient

The nurse who plans, organizes, delivers, and evaluates nursing care for patients is functioning in what role? a. Patient care provider b. Patient advocate c. Case manager d. Clinical nurse leader

Patient care provider

A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life—serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power? a. Referent b. Legitimate c. Information d. Connection

Referent

Which statement about the role of unit managers in recruitment and selection is accurate? A) The more centralized nursing management is and the more complex the personnel department, the greater the involvement of the unit manager B) Unit managers should always leave such decisions to a centralized personnel department so consistency can be maintained C) Regardless of the extent of their involvement, all managers must be aware of recruitment and selection constraints within their organization D) Unit managers should assume total responsibility for recruitment and selection of personnel on their units

Regardless of the extent of their involvement, all managers must be aware of recruitment and selection constraints within their organization

A nurse in an oncology unit has used the available resources. She has also considered other relevant factors such as specific isolation requirements when determining who can care for this patient. This is a demonstration of what right of delegation? a. Right task b. Right person c. Right circumstance d. Right supervision

Right circumstance

The registered nurse on an inpatient medical unit delegates vital signs and morning care to the unlicensed assistive personnel (UAP) for five stable patients. The nurse asks the UAP to document the vital signs and report any abnormal results immediately. Which rights of delegation is the nurse demonstrating? (Select all that apply.) a. Right person b. Right circumstance c. Right time d. Right supervision e. Right patient

Right person Right circumstance Right supervision

What is a leadership role associated with staffing and scheduling? A) Role models the use of evidence in making appropriate staffing and scheduling decisions B) Uses organizational goals and patient classification tools to minimize understaffing C) Periodically examines the unit standard of productivity to determine if changes are needed D) Evaluates scheduling and staffing procedures and policies on a regular basis

Role models the use of evidence in making appropriate staffing and scheduling decisions

Which statement accurately reflects self-scheduling? A) Self-scheduling requires greater worker accountability B) The manager has little responsibility in self-scheduling C) Self-scheduling has few or no shortcomings D) Self-scheduling works in most organizations

Self-scheduling requires greater worker accountability

Which strategy is most effective in empowering staff a. Serving as a role model of an empowered nurse b. Following a rigid but consistent rule enforcement policy c. Providing all employees with an annual cost of living raise d. Encouraging staff to establish a strong unit culture with turf boundaries

Serving as a role model of an empowered nurse

What does empowerment encourage? A) Delegation of responsibility B) Sharing authority with others C) Relinquishing informal power D) Successful authoritarian leadership

Sharing authority with others

Which statement best describes the manager's role in socialization? A) Providing the employee with organizational rules and regulations B) Providing the new employee with a good preceptor C) Ensuring that there are sufficient numbers of good role models D) Sharing organizational values, expected attitudes, and history

Sharing organizational values, expected attitudes, and history

The nurse is acting as a leader in the role of charge nurse and notes that the unlicensed assistive personnel (UAP) on the floor are stressed related to their increased workload. The nurse changes the original planned approach based on the presenting situation. What theory of leadership is being implemented? a. Situational b. Transactional c. Transformational d. Autocratic

Situational

A nurse manager is responsible for a unit consisting of 40 nurses who report to two clinical supervisors. In addition, there are 10 support staff who report to an administrative supervisor. The subordinates reporting to this manager are known as which dimension of organizational design? a.Division of labor b.Hierarchy c.Span of control d.Decentralization

Span of control

Which statement best describes mentorship? A) The intensity and duration of relationships are similar in mentorship and preceptorship B) Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor C) Mentees must be willing to put aside their personal goals and beliefs in an effort to identify more closely with their mentor D) Most nurses will have the opportunity for many mentor relationships during their careers

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

Which statement best describes mentorship? A) The intensity and duration of relationships are similar in mentorship and preceptorship B) Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor C) ìMenteesî must be willing to put aside their personal goals and beliefs in an effort to identify more closely with their mentor D) Most nurses will have the opportunity for many mentor relationships during their careers

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

Which is the positive outcome for a manager perceived to possess manager power? A) Staff have trust in the manager B) Unit staffing tends to remain stable C) The manager will be a leader as well D) Administration supports the manager's decisions

Staff have trust in the manager

You are the nurse in charge of a care team consisting of a new graduate, a male UAP, and an LPN. You are caring for Mr. P, a patient with renal failure and congestive heart failure. Mr. P is bedridden and weighs 227 kilograms. He must be turned every 2 hours. In making out assignments, what is your best approach? a. Assign Mr. P to the new nurse so she can get experience with a large patient. b. Assign Mr. P to the UAP because he is a male and is stronger. c. Assign Mr. P to the LPN and the new RN so the new RN can perform assessments. d. Take Mr. P as your own assignment and assign the other staff to assist with turns every 2 hours

Take Mr. P as your own assignment and assign the other staff to assist with turns every 2 hours

The nurse-manager stresses the importance of learning a new skill to achieving the unit's goal of patient satisfaction. This demonstrates understanding of which concept of learning? A) Readiness B) Motivation C) Task learning D) Transfer of learning

Task learning

How can the RN best teach a patient how to self-administer insulin? A) Schedule a long, uninterrupted session B) Explain the most complicated part first C) Use a dynamic lecture technique D) Teach in short, frequent sessions

Teach in short, frequent sessions

Which is a true statement about the patterns of patient care management? A) Functional nursing is organized according to the desires of the worker B) Primary nursing and total patient care are synonymous C) Team leading includes the concept of patient care conferences D) Case load nursing provides little autonomy for nurses

Team leading includes the concept of patient care conferences

The chief nurse officer (CNO) receives a call that the candidate for a nurse opening has arrived, but that the unit manager who was to have interviewed the candidate had to work an unscheduled night shift and is unavailable. Which action by the CNO is appropriate? 1. Inform the candidate the interview will have to be rescheduled. 2. Have the HR department refer the candidate to a nurse on the unit. 3. The CNO should conduct an initial interview and arrange for a second interview with the manager. 4. The CNO should call the manager and conduct an interview via a conference call.

The CNO should conduct an initial interview and arrange for a second interview with the manager.

A chief nurse officer (CNO) of a rural hospital is meeting with department directors and the human resources officer to discuss the hospitals recruitment strategies. A newly promoted director suggests a recruitment fair at a metropolitan city 100 miles away. The CNO rejects this proposal. Which option is likely the CNOs rationale for this decision? 1. The CNO would prefer to focus on the local area initially. 2. A metropolitan area is not a good area in which to recruit for a rural hospital. 3. Metropolitan nurses skills are too advanced for a rural hospital. 4. The director is new to the role and the CNO does not respect the nurses opinion

The CNO would prefer to focus on the local area initially.

The nurse is speaking to UAP about Mr. Seo, an Asian immigrant for whom they are caring. The UAP states, "I don't trust him. He never looks you in the eye. He must be lying about something." What must the nurse recognize in order to effectively manage the situation? a. The UAP is unaware of the cultural tradition of Mr. Seo, who views eye contact as disrespect. b. The UAP most likely has some good insight into Mr. Seo's behavior. c. The UAP requires much closer social space than does Mr. Seo and is probably making him uncomfortable. d. Mr. Seo most likely does not feel well and is avoiding eye contact because he wants to rest

The UAP is unaware of the cultural tradition of Mr. Seo, who views eye contact as disrespect.

A medical intensive care unit has a registered nurse position open. The qualifications for the position require a minimum of 1 year of acute-care nursing experience, BLS and ACLS certification, and the ability to administer intravenous cardiac drips. Which fact in an applicants application would be sufficient reason to decline the applicants request for an interview? 1. The candidate graduated from nursing school 9 months ago. 2. The candidate does not have ACLS certification. 3. The candidate does not have experience with cardiac drips. 4. The candidate was an LPN for 10 years prior to being an RN

The candidate graduated from nursing school 9 months ago.

During an interview the candidate informs the manager of a difficult experience between a client and a physician. The nurse had to negotiate between an unhappy client and a difficult physician. Which notation by the manager would describe this situation? 1. The candidate has good initiative. 2. The candidate has good conflict resolution skills. 3. The candidate is a client advocate. 4. The candidate is adaptable.

The candidate has good conflict resolution skills.

Which of the following is the correct definition of "chain of command"? a. Relationship without authority b. The tendency for people to perform as expected c. The hierarchy of authority and responsibility d. Activity directed through linear authority

The hierarchy of authority and responsibility

The biggest advantage of functional nursing is a. The continuity of communication with patient, family, physician, and other staff b. The decentralization of nursing care decisions, authority, and responsibility to the staff nurse c. The ease of coordinating patient care needs requiring more than one staff member d. The level of efficiency obtained by each employee who works on the unit

The level of efficiency obtained by each employee who works on the unit

Organization culture can be defined as a. How the employee's "perceive" an organization b. The use of power by the organization to direct the work of others c. The predictable stages of group development d. The system of symbols, beliefs, values, history, and communication patterns unique to each organization

The system of symbols, beliefs, values, history, and communication patterns unique to each organization

When assigning tasks to other health care providers, the nurse understands that each task must be delegated using which guidelines? (Select all that apply.) a. The task must be within the scope of the person to whom it is being delegated. b. The task is one that can be delegated to other health care providers. c. The task can be delegated whenever assessments are required. d. The task may be re-delegated by the person to whom it was first delegated. e. The task may require the nurse to procure resources to complete the task.

The task must be within the scope of the person to whom it is being delegated. The task is one that can be delegated to other health care providers. The task may require the nurse to procure resources to complete the task.

When explaining delegation to student nurses, what statement by the nurse educator aligns to the ANA regarding delegation? a. A transfer of authority to a less-qualified individual b. The nurse transferring accountability to the delegate c. The transfer of tasks by the nurse while retaining accountability d. Transferring responsibility for assessments and planning

The transfer of tasks by the nurse while retaining accountability

Which of these factors are included in the "TEEAMS" approach? 1. Time, evidence-based practice, efficiency, accountability, mutual respect, and support 2. Temperament, efficiency, environment, autonomy, model, and support 3. Task, enthusiasm, efficiency, authority, management, and support 4. Time, empowerment, enthusiasm, appreciation, management, and support

Time, empowerment, enthusiasm, appreciation, management, and support

A nurse manager tells the human resources (HR) director, I would really like to hire someone of another race to balance out the team. The HR director tells the manager recruiting and hiring based on race is in violation of which statute? 1. The Equal Pay Act of 1963 2. Age Discrimination Act 3. Americans with Disabilities Act 4. Title VII of the Civil Rights Act

Title VII of the Civil Rights Act

A nursing administrator believes that the organization supports an inadequatedistribution of power. What is the administrator's initial action to combat this situation? A) To form a coalition to extend administrative networking B) To pose a plan for organizational restructuring. C) To gain entry in to an informal power group. D) To improve one's personal power base

To gain entry in to an informal power group.

Which statement demonstrates understanding of the concept of the knowledge of results? A) These are the goals for today's lecture. B) Today each of you demonstrated an understanding of patient focused care. C) As RNs on this unit, you will need to be proficient in assessing for depression. D) There will be a short quiz on today's material to assure you understand the material.

Today each of you demonstrated an understanding of patient focused care.

What is the oldest form of organizing patient care that is still widely used today? A) Total patient care B) Functional nursing C) Team or modular nursing D) Primary care nursing

Total patient care

Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory? a. Trait b. Chaos c. Bureaucracy d. Organizational

Trait

The nurse recognizes which leadership theory that assumes that leaders are born with certain leadership skill that few people possess? a. Trait theory b. Behavioral theory c. Situational theory d. Transformational theory

Trait theory

A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Which type of leader accurately describes this nurse? a. Transactional b. Situational c. Transformational d. Contemporary

Transactional

The unit charge nurse uses reward and punishment to gain the cooperation of the nurses assigned to the unit. What type of leader is this charge nurse? a. Transformation b. Autocratic c. Transactional d. Situational

Transactional

The nurse manager of a unit is sharing the most recent results of a patient satisfaction survey to motivate staff. This approach is a characteristic of what type of nursing leader? a. Transformational b. Transactional c. Situational d. Autocratic

Transformational

The nurse manager of a unit is sharing the most recent results of a patient satisfaction survey to motivate staff. This nurse manager is a _________________leader. a. Transformational b. Transactional c. Situational d. Autocratic

Transformational

The nurse recognizes which skills that are needed to be an effective manager? (Select all that apply.) a. Understand the concepts of budgeting. b. Run a unit efficiently without regard to cost. c. Be able to staff the unit effectively. d. Be adept at information management. e. Achieve desired outcomes in any way possible.

Understand the concepts of budgeting. Be able to staff the unit effectively. Be adept at information management.

In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change? a. Unfreeze b. Move c. Refreeze d. Acceptance

Unfreeze

What is the advantage of decentralized scheduling? A) Unit manager understands the needs of the unit and staff intimately B) Employees will be treated equally and consistently C) Manager role is limited to making minor adjustments and providing input D) It allows the most efficient use of resources

Unit manager understands the needs of the unit and staff intimately

What should managers do to maintain adequate staff in their organization? A) Proactively plan to hire two RNs for each unit each year B) Use knowledge of turnover rates on their units for planning and hiring C) Look at staff-to-patient ratios at other health-care organizations in the area D) Hire consultants to study national turnover rates to determine recruitment needs

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

A medical unit nurse manager is conducting an interview of a potential employee. Which strategy should the manager use? 1. Document first impressions of the applicant. 2. Review the rsum during the interview. 3. Use closed questions to elicit more information. 4. Use work sample questions to determine knowledge

Use work sample questions to determine knowledge

Which statement represents a powerful image of a team leader? A) I'm in charge here, and so all requests need to come to me. B) I'm too tired to deal with Dr. Jones today. When he gets here, tell him I've gone to lunch C) Is it okay with the rest of you if I do all the charting and you do the direct patientcare? D) We have a great deal to accomplish today, but I am confident that, by working together, we can do it and do it well.

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

What is the relationship between the national and local economy and an organization's ability to maintain an adequate workforce a. When the economy is on an upswing, many unemployed nurses return to work b. When a recession occurs it causes many part time nurses to return to full time and a delay in retirement c. Although the economy tends to affect the size of the blue collar workforce nursing remains fairly stable regardless of economy d. When there is an economic downturn, many RN reduce their work hours from full time to part time

When a recession occurs it causes many part time nurses to return to full time and a delay in retirement

What is the relationship between the national and local economy and an organization's ability to maintain an adequate workforce? A) When the economy is on an upswing, many unemployed nurses return to work and recruitment becomes easier B) When a recession occurs it causes many part-time nurses to return to full-time employment and others to delay their retirement C) Although the economy tends to affect the size of the blue-collar workforce, professions such as nursing remain fairly stable regardless of economic changes D) When there is an economic downturn, many nurses reduce their work hours from full time to part time

When a recession occurs it causes many part-time nurses to return to full-time employment and others to delay their retirement

Which is an appropriate strategy for planning, conducting, and controlling the interview? A) When an applicant clearly does not have the proper qualifications for a position, the interviewer should be tactful, but advise the applicant as soon as possible that there is a lack of appropriate qualifications for the job B) Personal questions should be asked early during the interview process so a rapport can be established between the interviewer and the applicant C) The interviewer should develop questions that can be answered with a yes or no answer D) The interviewer should assess an applicant's perceptive skills by sending nonverbal cues to the applicant during his or her responses

When an applicant clearly does not have the proper qualifications for a position, the interviewer should be tactful, but advise the applicant as soon as possible that there is a lack of appropriate qualifications for the job

When do nursing shortages historically occur? A) When the economy is beginning an upswing B) When the economy is receding C) When nursing salaries decline D) When patient acuity increases

When the economy is beginning an upswing

A new graduate nurse is preparing for an interview by the nurse recruiter. The applicant should be ready to be asked questions about which topic? 1. General state of health 2. Availability of transportation to work 3. Previous military service 4. Willingness to work all shifts

Willingness to work all shifts

Which statement concerning women's views of power is true? A) Women view power as a male right B) Women view power differently than men do C) Gender views regarding power differ only slightly D) Gender views regarding power are rapidly changing

Women view power differently than men do

An increasingly common staffing and scheduling alternative is the use of supplemental nursing staff such as agency nurses or travel nurses. Which statement is correct about agency nurses or travel nurses? A) Work for premium pay B) Employed directly by the health-care agency C) Result in increased continuity of nursing care D) They receive the standard facility benefits

Work for premium pay

A female manager has worked hard in her career to reach a high position in the organization. What action by the manager will directly prevent her from developing queen bee syndrome a. Increasing accountability for subordinates b. Aiming for an equal number of male and female subordinates c. Emphasizing formal demonstrations of power rather than informal demonstrations d. Working with other women to help them achieve similar success

Working with other women to help them achieve similar success

An emergency department (ED) manager interviews and hires a candidate who reports having several years of ED experience. Soon after hire, the nurse makes a series of errors and harms several clients. When investigating these errors, the nurse manager discovers the nurse falsified his experience and credentials. Is the hospital liable for this nurses actions? 1. Yes, the hospital could be liable for negligent hiring if credentials were not checked. 2. Yes, the hospital could be liable but only if it did not properly train the nurse. 3. No, the nurse is liable because information about experience was falsified in the interview. 4. Yes, the hospital is liable for all errors committed by nursing staff

Yes, the hospital could be liable for negligent hiring if credentials were not checked.

The human resources (HR) director is planning on attending a career fair and has asked the director of nursing to attend as well. The nursing director replies, I really dont have time to attend. Do you really need a nurse to go with you? Which response by the HR director is most appropriate? 1. Your attendance is necessary to assist me with managing the booth. 2. Your attendance is necessary to answer specific nursing questions. 3. I need your assistances in answering questions about our benefit package and nurses wages. 4. I would like another person from the organization to assist in representation

Your attendance is necessary to answer specific nursing questions.

The terms leadership and management are often used interchangeably. Although these concepts are related, they are different in definition and in practice. Leadership behaviors and management skills complement each other. However, a. managers focus on relationships. b. a manager may not possess leadership traits. c. leadership focuses on coordinating and directing others. d. a manager is a visionary who sets the direction for a group.

a manager may not possess leadership traits.

The statement, "We will provide high-quality care and services to our patients. We are committed to maintaining excellence, respect, and integrity in all aspects of our operations and our professional and business conduct," is an example of: a. a mission statement. b. the core values of an organization. c. a strategic plan. d. the core purpose of an organization.

a mission statement.

Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (Select all that apply.) a. serving on interdisciplinary care teams. b. being competent to work in several areas independently when dictated by patient census. c. attending a meeting to plan advanced training for unlicensed assistive personnel. d. evaluating outcomes of care that are reported to a standing committee. e. managing units with higher acuity, shorter length of stay, and more diverse patients and staff.

a. serving on interdisciplinary care teams. c. attending a meeting to plan advanced training for unlicensed assistive personnel. d. evaluating outcomes of care that are reported to a standing committee. e. managing units with higher acuity, shorter length of stay, and more diverse patients and staff.

In checking the background of a potential candidate for hire, which is the leastfrequently checked source? A) Academic credentials B) References of former employers C) References of recent teachers D) Verification of work history

academic credentials

A strategy to increase RN staff retention at Valley Hospital includes: a. better compensation and benefits. b. clearer position descriptions. c. lay-offs of nursing assistants. d. adequate staffing to meet acuity levels.

adequate staffing to meet acuity levels.

Which statement regarding the view of power held by some women is true'? Select all that apply. A) Power is inherently possessed by men B) Power is associated with personal attributes C) Power is viewed as dominance versus submission D) Power is associated with personal qualities not accomplishment

all of the above

Which statement supports the manager's commitment to staff empowerment? A) Unit goals include hiring an additional 2 nursing assistants B) A staff committee will be formed to address that unit issue . C) We can arrange for you to spend 2 months working on another unit. D) I've got funding to support staff who are interested in earning certifications.

all of the above

What contributes to a nurse's difficult resocialization? Select all that apply. A) Role ambiguity B) Role overload C) Inability to meet job demands D) Past work experience

all of them

What is the positive patient outcome during a single shift of case method nursing? (Select all that apply.) A) Clear lines of responsibility B) Nursing autonomy C) Holistic patient care D) Unfragmented care

all of them

Which concept should a care delivery system support? (Select all that apply.) A) Organization B) Nursing process C) Cost effectiveness D) Patient satisfaction

all of them

Which external and internal forces must a manager adjust for when implementing the PCSs associated with unit staffing? Select all that apply. A) Presence of nursing students on the unit B) The hiring of two graduates as staff C) The increase of scheduled medical students D) Language barriers presented by nursing staff

all of them

Which factor affects the accurate prediction of staffing needs? Select all that apply. A) When staff resignations historically occur B) How long new hires usually stay employed C) Education of current nursing staff members D) Third-party insurer reimbursement levels

all of them

Which power-building strategy would be the appropriate for a new employee? Select all that apply A) Maintaining a sense of humor B) Gaining additional nursing certifications C) Learning the institution's organizational culture. D) Attending a training seminar on a new piece of unit equipment

all of them

A hospital with a large surgery department is concerned about surgeons starting their own surgical centers. In relation to the environmental assessment process, this is an example of: a. an economic monopoly. b. an external threat. c. marketplace competition. d. political strength.

an external threat.

Upon entering a patient's room, the nurse notes that the patient is unresponsive. The nurse takes control and begins to direct other members of the health care team during this crisis. This style of leadership is: a. autocratic. b. democratic. c. laissez-faire. d. bureaucratic.

autocratic

A patient is found unresponsive and pulseless. The nurse begins cardiopulmonary resuscitation (CPR) and calls for help. When help arrives, the nurse should take on the role of: a. autocratic leader. b. democratic leader. c. laissez-faire leader. d. bureaucratic leader.

autocratic leader.

The nurse manager of the emergency room believes that efficiency is the expected standard for her department. She also believes that efficiency lies in following established rules, policies, and guidelines. The only way to change procedures is to changes rules, policies, and guidelines. In order to run the emergency room with this philosophy, the nurse manager must take on the role of: a. laissez-faire leader. b. democratic leader. c. bureaucratic leader. d. autocratic leader.

bureaucratic leader.

Most strategic plans result in a written document. Strategic plan documents generally contain which of the following sections? (Select all that apply.) a. Forward b. Glossary c. Goals and strategies d. Executive summary e. Mission, vision, and values

c. Goals and strategies d. Executive summary e. Mission, vision, and values

The instruments that give voice to the organization's philosophy include which of the following? (Select all that apply.) a. Goals b. Focus c. Vision d. Mission e. Core values

c. Vision d. Mission e. Core values

A nurse asks, "What is meant by 'internal' customers?" The correct response is: (Select all that apply.) a. Insurance companies b. Accreditors such as The Joint Commission c. X-ray technicians d. Clinical pharmacist e. Chief financial officer

c. X-ray technicians d. Clinical pharmacist e. Chief financial officer

Strategic management is useful for nursing leaders and managers because it: (Select all that apply.) a. helps identify best practices on the nursing unit. b. rewards those who carry out strategy successfully. c. can be used to set measurable, achievable goals and plans. d. can be used to analyze the environment for opportunities and threats. e. can help determine the future of the nursing area, such as a department or unit

c. can be used to set measurable, achievable goals and plans. d. can be used to analyze the environment for opportunities and threats. e. can help determine the future of the nursing area, such as a department or unit

A factor evaluation system: a. utilizes financial data to determine number of staff-to-patient ratios. b. utilizes DRGs to determine acuity on a unit. c. combines interventions and time required for interventions to determine levels of care required. d. combines financial resources and nursing interventions to determine patient contact hours.

combines financial resources and nursing interventions to determine patient contact hours.

In evaluating weekend mortality rates, the head nurse on the cardiac unit is surprised to find that they are higher than on weekdays. In exploring the reasons for this apparent anomaly, the head nurse focuses on: a. availability of diagnostic personnel. b. availability of physicians. c. communication with on-call providers. d. acuity level of patients

communication with on-call providers.

A particular classification system assigns revenue according to the functional capacity of patients and the progression of patients during their stay in rehabilitation units. More independent patient activities, such as prompted voiding, require higher staff utilization than dependent activities but do not result in increased staff resources. This is an example of: a. bureaucracy. b. concern related to the validity of classification systems. c. inadequate reliability of classification systems. d. inappropriate subjectivity in making judgments about staffing.

concern related to the validity of classification systems.

Answering questions such as "What business are we in?" and "What business do we want to be in?" can lead the organization to define the: a. mission. b. objectives. c. core purpose. d. strategic plan.

core purpose.

A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management? a. Transactional b. Clinical consultant c. Corporate supporter d. Autocratic

corporate supporter

To reduce reliance on overtime hours, an organization develops a strategy for floating nurses during staff shortages. To maximize patient safety and reduce costs, the healthcare organization: a. develops a centralized pool of float nurses. b. assigns nurses from less busy units to ones with increased acuity levels. c. floats nurses only between units on which the nurses have been cross-trained. d. assigns float nurses to basic care only.

develops a centralized pool of float nurses.

Characteristics of strategic management include: (Select all that apply.) a. alignment with the external environment. b. helps identify best practices on the nursing unit. c. future orientation. d. engagement of the entire workforce in organizational leadership. e. use of change management strategies to achieve performance goals. f. facilitation of decision making with well-communicated decisions.

everything minus B

The purpose of strategic management is to: (Select all that apply.) a. ensure customer satisfaction. b. establish a competitive position. c. reach strategic objectives or goals. d. develop the organizational mission. e. provide a blueprint for operating a business

everything minus d

Tell whether the statement is true or false: An organization arranges a 2 day long session for its employees. This is an example of education a. True b. False

false

An organizational chart with one line of management and one line of staff reflects which of the following types of organizational structures? a.Authoritarian structure b.Flat structure c.Power structure d.Vertical structure

flat structure

The first step of the strategic planning process is to: a. develop strategic goals. b. survey the environment. c. implement the action plan. d. formulate the organization's mission and vision

formulate the organization's mission and vision

Organizational benefits of a culture of shared governance include: (Select all that apply.) a. improved financial outcomes. b. interdependence among staff nurses. c. increased commitment of staff to the organization. d. more senior leadership involvement at the point of service. e. a more efficient model for point-of-service decision making.

improved financial outcomes. increased commitment of staff to the organization. a more efficient model for point-of-service decision making.

Research about shared governance suggests that it is: a. enhancing the role of the nurse's aide within the organization. b. improving organizational and patient outcomes. c. not a cost-effective program when examining all areas of care. d. too much additional work for the already overwhelmed RN.

improving organizational and patient outcomes.

The 2011 Future of Nursing report published by the Institute of Medicine (IOM), calls for: a. an improved educational system that promotes seamless academic progression. b. the baccalaureate in nursing to be established as the minimal educational level for entry into practice. c. the master's degree to be established as the minimal requirement for a leadership position in nursing. d. increased participation in leadership among nurses.

increased participation in leadership among nurses.

A staff nurse has been working in the neonatal critical care unit for 10 years. She believes that a professional nurse is a lifelong learner. Many staff members come to her for clinical problem solving and advice. This nurse has: a.decisional authority. b.formal power. c.informal power. d.quantum authority.

informal power.

In organizations that practice shared governance, staff, managers, and leaders are responsible for: a. technology. b. budgeting. c. education. d. innovation.

innovation

One obstacle in the implementation of a shared governance model is that nurses have: a. empowered participation in committee meetings. b. limited time to work on projects. c. the same basic educational foundation. d. traditionally worked in decentralized structures.

limited time to work on projects.

The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of her staff since, without their expertise and dedication, the award may not have been achieved. The manager is demonstrating the quality of: a. dedication. b. openness. c. magnanimity. d. creativity.

magnanimity

As the unit manager, you post the staffing plan and compliance reports. This initiative is aimed at: a. maintaining unit morale. b. complying with national requirements. c. demonstrating patient outcomes. d. inviting staff participation in decision making

maintaining unit morale.

One difference between a leader and a manager is that a: a. leader has legitimate authority. b. manager motivates and inspires others. c. manager focuses on coordinating resources. d. leader focuses on accomplishing goals of the organization.

manager focuses on coordinating resources.

In organizations that practice shared governance, the nurse manager's role is to: (Select all that apply.) a. hire new employees. b. mentor the nursing staff. c. train new nurses in patient care. d. support the decisions of the nursing team. e. enable the staff to become effective leaders.

mentor the nursing staff. support the decisions of the nursing team. enable the staff to become effective leaders.

The guiding framework that describes the organization's purpose and future direction is the: a. futuristic guidelines. b. mission and vision. c. strategic plan. d. core purpose.

mission and vision.

When delegating to other health care providers, the nurse understands that the task: (Select all that apply.) a. must be within the scope of the person to whom it is being delegated. b. is one that can be delegated to other health care providers. c. can be delegated whenever assessments are required. d. may be re-delegated by the person to whom it was first delegated. e. may require the nurse to procure resources to complete the task

must be within the scope of the person to whom it is being delegated. is one that can be delegated to other health care providers. may require the nurse to procure resources to complete the task

The number of adverse events such as falls and pressure ulcers on the 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.

number of RNs and number of RNs with experience on the unit.

In organizations that practice shared governance, the responsibility for unit outcomes rests with the: a. nursing team. b. nurse manager. c. individual nurse. d. chief nursing officer (CNO).

nursing team.

Primary care nursing is organized so that the patient is at the center of the structure. How many nurses have 24-hour responsibility for care planning and coordination? A) One B) Two C) Three D) Four

one

A highly respected staff RN on the medical-surgical unit has volunteered to be the champion for the implementation of a new nursing protocol. What does champion mean in this situation? The staff nurse will: a. accept an award on behalf of her unit regarding this protocol. b. display a winning attitude in support of the new protocol. c. educate others in continuous quality improvement protocols. d. passionately commit to the implementation of the process and inspire others.

passionately commit to the implementation of the process and inspire others.

Hiscock and Shuldham state that, in order to deliver quality care, it is important for nurse leaders to be focused on the: a. patient. b. self. c. staff. d. physician.

patient

A nurse does not have to be a manager to be a leader. Even at the bedside, nurses use leadership skills, although possibly in different ways than a nurse manager. The nurse who plans, organizes, delivers, and evaluates nursing care for patients is functioning as a: a. patient care provider. b. patient advocate. c. case manager. d. clinical nurse leader.

patient care provider.

Participative leadership was first introduced in the late 1970s. It was adapted by health care organizations to form the basis of shared governance and has evolved to define the roles of nurses and resolve issues related to: a. patient care. b. nursing liability c. nursing salaries. d. nursing turnover.

patient care.

Addressing the strategic planning process questions involves considering environmental factors. An example of an external environmental factor to be considered is: a. financial factors. b. human resources. c. political climate. d. organizational culture

political climate.

Shared governance has far-reaching implications for today's health care environment. Patients benefit due to: (Select all that apply.) a. quicker responses at the point of service. b. more committed health care professionals. c. a more stringent model of health care service. d. better decisions being made by upper management. e. nurses being more assured, confident patient advocates.

quicker responses at the point of service. more committed health care professionals. nurses being more assured, confident patient advocates.

A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is: a. unfreeze. b. moving. c. refreeze. d. resistance

refreeze

A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is: a. unfreeze. b. moving. c. refreeze. d. resistance.

refreeze

To maintain patient safety, studies suggest that scheduling should avoid: a. rotating shifts. b. weekends. c. 8-hour shifts. d. mandatory overtime.

rotating shifts.

The purpose of an organization's philosophy is to: a. influence the goals and objectives of an organization. b. display how the parts of an organization are connected. c. be an instrument that gives voice to the organization s mission. d. serve as the institutional framework that shapes the direction of knowledge and skill acquisition.

serve as the institutional framework that shapes the direction of knowledge and skill acquisition.

A nurse works in the critical care unit (CCU). She enjoys being on the unit charge nurse team, the recruitment and retention team, and the peer evaluation team. The recruitment and retention team is responsible for hiring new employees into the CCU. The five-member team, consisting of three registered nurses (RNs), a unit clerk, and a nurse's aide, conduct the interviewing process with key questions that were developed by the team. This is an example of: a. centralized power. b. shared governance. c. span of control. d. vertical authority.

shared governance.

The concept of strategic management includes strategic planning and the implementation of: a. core values. b. strategy. c. tactics. d. objectives.

strategy

SWOT is an acronym for: a. stability, wealth, opportunistic, and timeliness. b. strategies, work ethic, oppositions, and team. c. strengths, weaknesses, opportunities, and threats. d. strong, worthy, oppositional, and tactical.

strengths, weaknesses, opportunities, and threats.

Decentralization occurs when: a. equipment is being purchased from approved vendors. b. hiring decisions are made at the executive level. c. power is distributed to those closest to the work of caregiving. d. supplies are distributed from one central supply area in the hospital.

supplies are distributed from one central supply area in the hospital.

Traditionally, nurses have worked in strong, hierarchical institutions with centralized decision making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures that have resulted in barriers to creating a shared governance system. One such barriers is: a. lack of role clarity. b. lack of time management. c. poor time management skills. d. that development takes a long time

that development takes a long time

For patient care to be completed in a safe and timely manner, it is sometimes necessary for the nurse to delegate tasks to other health care providers. The ANA describes delegation as: a. a transfer of authority to a less-qualified individual. b. the nurse transferring accountability to the delegate. c. the transfer of tasks by the nurse while retaining accountability. d. transferring responsibility for assessments and planning.

the transfer of tasks by the nurse while retaining accountability.

Communication skills are most essential for the nurse: a. when they become nurse managers. b. except when delegation is required. c. to decrease nurse-family interaction. d. to obtain information from patients.

to obtain information from patients

The leadership theory that assumes that leaders are born with certain leadership skill that few people possess is known as: a. trait theory. b. behavioral theory. c. situational theory. d. transformational theory.

trait theory.

In Magnet organizations, shared governance needs to be manifested through what mechanisms for nurses' decision making? a. Unit practice councils b. Democratic leaders c. Authoritarian leaders d. System-wide practice councils

unit practice councils