NURSING LEADERSHIP & MANAGEMENT REVIEW

You are a new staff in the medical ward. Mrs. Castro is a patient who complains about anything done for her in the morning shift. The best action to take is: A. Refer her to a doctor B. Do not listen to her complaints C. Consult your head nurse for advise D. Label her as "difficult" patient

C. consult your head nurse for advice

Leadership is best defined as ________. A.coercion B. Interpersonal dynamics C. Influence D. Passive learning

C. influence

Refers to location where the decision is made

Centralization

In this model, the staffing coordinator is usually aware of the abilities, qualifications and availability of supplemental personnel who may be needed to complete the schedule

Centralized schedule

A staffing which is generally fairer to all employees because policies tend to be employed more consistently and impartially

Centralized staffing

A hierarchy and is depicted in vertical dimensions of organizational charts

Chain of command

A personal that coordinates care & assignments may ultimately be the only person familiar with all the needs of any individual patient

Charge nurse

Professional behavior and _____ of the agency staff needs to mirror those of the organization and therefore be seen as reflection of the care provided in the unit

Clinical performance

Well developed ______ & ______ skills are essential to effective functioning in a matrix structure

Collaboration & coordination

Floating a nurse should always the raise the question about the practitioner's ______ to provide safe care to patients in the unfamiliar unit.

Competence

When and how it is done

Controlling

Nurses working as ____ nurses are generally experiences nurses who maintain a range of clinical competencies

Float

This can be effective strategy if the nurses are being deployed from centralized flexible staffing pool and they have the competencies to work on the unit which they are assigned

Floating

The degree to which an organization has rules, stated in terms of policies that defines a member's function

Formalization

Physical location of units

Geographic Dispersion

Lines of authority and responsibility

Hierarchy

A statement that sets the duties and responsibilities of a specific job

Job description

It involves direct responsibilities for accomplishing the objectives of nursing department, service or unit.

Line functions

They do the daily schedules or weekly plans for the administration of direct patient care in their respective units

Lower or first level of management

It pervades all levels

Major aspects of planning

Requiring staff to stay on duty after their shift ends to fill staffing vacancies is called

Mandatory overtime

It can be effective in the current health care environment

Matrix Structure

A structure that is complex is designed to reflect both function & service is an integrated organization structure

Matrix Structures

Traditional long corridors are not conductive to

Modular nursing

It is one of the most vital functions of the budget- and the function that the nurse manager will be most involved with on a daily basis

Monitoring Progress

This means a fewer numbers of directly supervised staff and thus higher degrees of direct observation and control

Narrow Span of Control

It provides the direction for the evolving statement of philosophy and the organizational structure

Nursing Mission Statement

A collaborative activity that focuses on comprehensive asssessment and interventio and holistic planning w/ appropriate referrals to meet the healthcare needs of the patient and the family

Nursing care management

It states specific & measurable goals to be accomplished

Objectives

The graphic representation of work units and reporting relationships, relates to a division and specialization of labor functions attended by specialists

Organizational chart

The reflection of the norms or traditions of the organization and is exemplified by behavior that illustrate values & beliefs.

Organizational culture

How is it to be done

Organizing

It shows the part of each person will play in the general social pattern as well as the responsibilities, relationships, and standards of performance

Organizing

Asking staff to stay on duty after their shift ends to fill staffing vacancies is called

Overtime

Rehabilitative care settings may use this model

Partnership model

This can serve in determining the amount of nursing care required, generally within 24 hrs. As well as the category of nursing personnel who should give that care

Patient classification system (PCS)

in functioning nursing, staff members are responsible only for their specific task, the role of achieving _______ becomes to the nurse manager's responsibility

Patient outcomes

If based on budget results, it can motivate manages effectively control budgets and will serve as a basis for salary decisions and career advancement for the managers.

Performance Evaluation

It states beliefs & values

Philosophy

An important management function that helps reduce the risks of decision-making problem solving and effecting planned change

Planning

To make line and staff functions effective, decision-making authority is clearly spelled out in

Position descriptions

A method in which one RN functions autonomously as the patient's primary nurse throughout the hospital stay

Primary nursing

Paid hours that are actually worked on the unit

Productive tie

Team method of patient care delivery is good system if implemented

Properly

the benefits of _______ to organizational structure include coordination of services, expedited decision making process, and clarity of purpose

Service line approach

Nurses internalizes professional values & standard codes of behavior

Socialization

The number of workers that a supervisor can effectively manage should be limited depending upon the pace and pattern of the working area

Span of control

Those that assist those in line positions is accomplishing the primary objectives

Staff functions

A function of planing for hiring and deploying qualified Human Resources to meet the needs of patients for care & services

Staffing

It is selecting the people who are able to carry out the action plan

Staffing

One of the purpose of classifying patients in which perceived patient needs can be matched with available nursing resources

Staffing

This can relate to the minimum number of professional nurses required on a unit at a given time or the amount of minimum staffing in an extended-care facility or prison

Staffing regulations

A modification of functional nursing is

Team nursing

Reflects the values of the times

The Nursing Staff

Articulated goal to which the organization aspires

The Vision

This signifies the removal of hierarchical layers, thereby granting authority to act, and placing authority at the action level

The term flat

The scope of responsibility is the overall nag event of the organization

Top Management

Productivity targets such as nursing hours per patient per day or hours per visit for emergency departments are referred to as ________

Units of service (UOS)

Responsible to one superior

Unity of command

They are technicians, nurse aids, and certified nursing assistants

Unlicensed assistive (or nursing) personnel

Purposeful statements designed to identify the desire future of an organization

Vision statement

The amount of work performed by a nursing units, or cost center is referred to a its

Workload

Jon is the only RN at Hospital ABC to be certified to inset percutaneous intravenous catheters. This certification gives Jon: A. legitimate power b. Expert power c. Charismatic power d. self power

b. expert power

Maslow, Herzberg, McGregor and Ouchi developed theories about worker behavior, based on which school of thought? a. Scientific theory b. Motivational theory c. administrative theory d. socialization theory

b. motivational theory

A task of middle manager may perform that set short-term and long-term goals of patient care, revises policies if needed so that patient care objectives can be met: a. assessment b. planning c. organization d. controlling

b. planning

Leaders who make all their decisions based on their own ethical values (honesty, integrity, respect, etc) are engaged in what kind of power? a. expertise b. principle-centered c. legitimacy d. charisma

b. principle-centered

**According to House's path theory, which of the following is true? a. effectiveness of leadership style depends more on the follower than the leader b. the leader's effective leadership style helps the worker remain on the appropriate path c. the leader's charisma or personal appeal helps workers remain on the appropriate path d. workers are empowered to achieve a common purpose.

b. the leader's effective leadership style helps the worker remain on the appropriate path

A document that details how financial resources will be allowed to ensure that the organization is able to conduct its daily business & achieve goals

budget

Participating in the ______ to determine resource allocation Is a fundamental responsibility of nurse leaders.

budget process

According to Mintzberg's model of managerial work, effective managers: A. act first and then communicate b. are seldom involved in leading people or forming networks c. Manage action by doing, for example, directing change or negotiating d. Lead at the first level, act at the second level and communicate in summary form

c. Manage action by doing, for example, directing change or negotiating

In this position may not have formal managerial rank but the nurse uses managerial and leadership skills to work with other nurses and assistive personnel. A. charge nurse b. Nurse supervisor c. staff nurse d. Head nurse

c. Staff nurse

A person who effectively uses connection power would: a. do a lot of name dropping to emphasize connections b. continually return to the same people for favors to build a network c. build a group of networks based on different affiliations d. understand that reciprocity is unimportant

c. build a group of networks based on different affiliations

The ability to develop creative, critical thinking in their followers and to stimulate followers to think independently and to question the leader's view to reducing the risk of blind loyalty that may ultimately be harmful to followers is among the most important characteristics of ethical: a. autocratic leader b. legitimate leader c. democratic leader d. charismatic leader

c. democratic leader

The leadership trait that allows leader to adopt to changes in the organization' environment is called: a. intelligence b. self-confidence c. flexibility

c. flexibility

a characteristic of "power over" strategy is that it makes the receiver feel a. empowered b. collaborative c. incompetent d. secure

c. incompetent

Which of the ff is true about empowerment? a. it establishes an atmosphere that discourages risk taking b. it is clearly preferred by managers in health care organizations c. it allows flexibility to adapt to changing priorities, needs and situations d. it encourages competition over cooperation

c. it allows flexibility to adapt to changing priorities, needs and situations

Which of the following statements about management is true? a. it focuses on clinical excellence b. it tends to attract people who like quiet, routine work without interruptions c. it focuses on issues such as cost, productivity, effectiveness, and staffing d. It is synonymous with leadership

c. it focuses on issues such as cost, productivity, effectiveness and staffing

A nurse who has power is able to a. make staff do anything the nurse wants b. avoid engaging in organizing politics c. make or prevent change d. avoid decision making

c. make or prevent change

It is often synonymous with constant activity and interaction: a. leadership b. organization c. management d. nursing process

c. management

T***he concept of valence is defined as A. The perceived probability that certain effort will lead to a desired action or behavior B. the belief that certain effort will lead to the desired action c. perceived value of an outcome d. behavior that is repeated because it is positively or negatively reinforced.

c. perceived value of an outcome

An effective use of reward power would include a. giving bonuses for future performance b. using money as the primary reward system c. rewarding total performance d. giving incentives every day

c. rewarding total performance

Which of the ff is true about punishment or coercive power? a. penalties do not change people's behaviors b. people appreciate being the recipient of this type of power c. this power can include docking a person's pay, reprimands, or termination d. This type of power should never be used in an organization

c. this power can include docking a person's pay, reprimands, or termination

A method that one nurse provides total care for one patient during the entire work period

care method

Which of the ff statements represents a powerful image of a team leader? a. "i'm in charge here, and you all have to do what i say." b. "im too tired to deal with Dr. Jones today. When he gets here, tell him I've gone too lunch." c. "Is it ok with the rest of you if I do all the charting and you do the direct patient care?" 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."

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."

Situation: Miss Gregorio is head nurse in the ward where there are fourth year students affiliating for their Related Learning in management The CI of the students usually assigned 2 patients for each. The students are responsible for the 24 hours NCP of each of the patient assigned to them. This method of nursing care delivery is called: A. Team approach B. Functioning method C. Case management D. Primary nursing

D. Primary nursing

Which of the ff is not one of the 5 rights of delegation? A. Right task B. Right person C. Right direction D. Right experience

D. Right experience

Nursing management goals are best achieved by which of the following: A. Management and staff nurses working together B. Discussion with staff C. Knowing work schedule e D. Selection of competent staff

D. Selection of competent staff

Which of the following is a symptom of poor organization structure? A. Communication follows the chain of command B. The smallest ossicle number of managers exists to keep units functioning C. The Cain of command is fairly short D. There is a heavy reliance on committees to solve unit problems

D. There is a heavy reliance eon committee's to solve unit problems

Which of the following is a symptom of poor organization structure? A.communication follows the chain of command B. The smallest possible number of managers exist to keep units functioning C. The chain of command is fairly short D. There is a heavy reliance on committees to solve unit problems

D. There is a heavy reliance on committees to solve unit problems

In this model, nurse managers approve all schedule changes & actually spend time on a regular basis drafting the staff schedule considering only the staffing needs of the unit.

Decentralized scheduling

A staffing that leads to increased autonomy & flexibility

Decentralized staffing

Who is to do it

Directing

______ and nursing staff shortage may result in daily changes in the staff mix of team & daily assignment change for team members

Diverse work schedules

______ & ______ communicated to staff are essential to manage high and low volume as well as changes in acuity.

1) organizational policies 2) clearer expectations

The risk of making an error greatly increased when nurses had to work shifts that were longer than ____ when they worked significant overtime or hen they worked more than ____ per week.

12 hours, 40 hours

NCH needed per patient per day for Moderate Care

3

NCH needed per patient per day for Total, Complete Intensive care

4.5

Employees working in agencies located in communities with less than one million population, will work ___hours /week and the fore will get only one-off duty a week

48

NCH needed per patient per day for highly specialized critical care

6

Ratio of professional to non-professional distribution when caring for Category 4 patients:

70:30

Hospital and management heed lack of concern for the nurse. Which of the following action would you initially take? A. arrange for a dialogue between a selected group of nurses & management B. Resign from your positioning stating abuse of management C. Discuss the problem with other health related groups D. Organize the nurse and the other health workers to go on strike.

A. Arrange for a dialogue between a selected group of nurses & management

Feedback that restates instructions make sure there is no confusion is called: A. Clarifying B. Interpretive C. Judgmental D. Personal feedback

A. Clarifying

However someone with great management skills may not be up to date a. clinically b. scientifically c. traditionally d. historically

A. Clinically

Planning objectives should: A. Have a specific time frame B. Be subjectively evaluated on a periodic basis C. Have 100% compliance as minimum criteria D. Be broad and inclusive in nature

A. Have a specific time frame

Which of the following is true about an organization's chain of command? A. It allows nurses to question orders and consult with the hierarchy of the organization B.It is used only for nursing issues and does not appoint o physicians C. It prevents nurses from moving more than one level above the nurse's level of employment D. It does not require that he nurse reveals specific patient information

A. It allows nurses to question orders and consult with the hierarchy of the organization

Which statement is most accurate concerning decentralized staffing? A. It carries the risk that employees may be treated unequally or inconsistently B. It uses one individual or computer to do the staffing C. The manager's role is that of making minor adjustments or providing input S. It provide goos control for the organization

A. It carries the risk that employees may be treated unequally and inconsistently

This statement on loading is TRUE: A. Loading must achieve organizational goals at coast B. Satisfaction and motivation are different C. No single motivation sufficiently explain human behavior D. There are no average person just unique ones

A. Loading must achieve organizational goals at all cost

This has similarities to the nursing process. It is needed whenever 2 + individuals work together toward a common goal. In which the manager coordinates the activities of the group to maintain balance & direction. a. Management B. Leadershup C. problem-solving D. Coaching

A. Management

Which of the following is the BEST reason for classifying patients according to the severity of illness from the nursing viewpoint? A. Nursing care of clients is better planned B. Professionals and non-professionals are delineated C. Staffing requirements are met D. Overtime work is avoided

A. Nursing care are of clients is better planned

To accomplish the nursing unit work, you should first get information about: A. Objectives of the unit B. Nursing budget C. Nursing service organizational chart D. Mission of the hospital

A. Objectives of the unit

You are a new staff nurse in San Juan Hospital and you observe that the medical unit is understaffed. What will you do? A. Observe for 1-2 weeks how nursing care is going on B. Ask the hospital director to hire additional nurses C. Decide to transfer to another hospital D. Pull out another nurse from another...

A. Observe for 1-2 weeks how nursing care is going on

This provides the framework for performance A. Planning B. Organizing C. Directing D. Controlling

A. Planning

**** The purpose of mgt. is to coordinate and direct actions and assign resourced in order to: a. achieve the organization's objectives b. receive a promotion c. develop high-quality staff d. keep staff turnover low as possible

A. achieve the organization's objectives

Preserving credibility, staying current with technology, and acting decisively n crises are positive ways of using what type of power? a. Expert B. Reward C. Authoritative D. Charismatic

A. expert

Which of the ff strategies is most effective in empowering staff? A. serve as a role model of an empowered nurse B. develop more rigid, consistent rule enforcement C. give all employees an annual cost-of-living raise d. encourage staff to establish a strong unit culture with turf boundaries

A. serve as a role model of an empowered nurse

The people involved in the operating level of the nursing management are: A. Administrators B. Staff nurses/nursing attendant C. head nurse/ senior nurse d. supervisors

B. Staff nurses/ Nursing attendant

The main basis for endorsement while doing nursing rounds during a change of shift is primarily which one of the following? A. Information in the larded B. The clients health needs C. Prescribed medication & therapy D. Routine nursing care

B. The clients health needs

This is an example of a patient care unit objective A. To ensure adequate unit supplies/materials B. To provide safe nursing care C. To use the Kardex system of charting D. To determine the number of nursing staff needed

B. To provide safe nursing care

Desirable leadership attributes for primary nursing care-delivery model

Advocacy & assertiveness

The ideal primary nursing system requires an

All RN staff

Situation: Your head nurse participated in a 2 week seminar. You were designated to be officer-in-charge of your nursing unit. In unit planning which of the following questions initiate the process? A. How to schedule activities B. What is to be accomplished C. Who will do the planning D. Where to get unit supplies

B. What is to be accomplished

A group of people working to achieve a purpose

An organization

A major cause of nurse's dissatisfaction with their work revolves around the absence of professional _____ & _______

Autonomy & accountability

In one of those times you function as a charge nurse, during doctor;s rounds you found yourself faced with following activities. Which should you give priority? A. Attend to nursing students;to inquiry B. Go with doctor's rounds C. Write report required but he head nurse D. Respond to patient call for assistance

B. Go with doctor's rounds

A manager with narrow span of control will: A. Directly supervise more than 10 staff members B. Have greater opportunities for direct observation & control of staff C. Tend to oversea staff with high level of training D. Be unable to motivate staff members

B. Have greater opportunities for direct observation and control of staff

A person who is a leader but who does not have a sanctioned role within the organization is what kind of leader A. Formal B. Informal C. Situational D. Traditional

B. Informal

Which is then most accurate statement regarding staffing and scheduling polices? A. It is more important to communicate policies verbally than in writing B. It is necessary that polices 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

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

You have accepted position as staff nurse where you will practice small team or modular nursing, with you being the only RN. Select appropriate role expectation for your role fulfillment. A. Planning nursing care independently of others B. Maintaining a professional attitude C. Being responsible for care planning 24 hours a day D. Carrying out the majority of personal care for patients on your team

B. Maintaining a professional attitude

Expert clinicians are often promoted to nurse manager positions based on their clinical expertise, and not their a. Qualification B. Management skills C. Position D. Training

B. Management skills

Which of the following is true about delegation to a novice? A. Novices should not be delegated to aa they have insufficient experience B. Novices need rules to guide their actions C. Novices are able to recognize patterns in their work and can thus handle delegation D. Novices are able to see the big picture a well as the individual situation

B. Novices need rules to guide their actions

A RN who is prioritizing patient outcomes that are the most important is engaged in which part of the delegation process A. Assessing B. Planning C. Intervening D. Evaluating

B. Planning

It itemizes the organization's predicted expenses and expected revenues for a given period of time.

Budget

The ff are true to planning, except: A. It helps reduce the risks of decision asking problem solving B. It is a thinking or conceptual act that is frequently committed to writing C. this is the grouping of activities for the purpose of achieving objectives. D. The forecasting of events-the building of an operational plan

C. This is the grouping activities for the purpose of achieving objectives.

The care delivery model in which one nurse is responsible for all aspects of patient care for that nurse's shift is called: A. Functional nursing B. Team nursing C. Total patient care D. Patient-focused carre

C. Total patient care

To be well organized and increase productivity on the unit, the most important component is to have: A. Adequate resources B. A well trained staff C. A well thought out plan D. Time to carry out your duties

C. A well thought out plan

The most realistic and appropriate goal for a manager in regards to staffing and scheduling Is to: A. Schedule staff so there is no overtime B. Ensure that there is adequate staff to meet all 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 usually have days off and special requests granted

C. Develop trust in staff by seeing that staffing is carried out in a fair manner

Which of the following statements best describes functional nursing care delivery? A. Nursing care is patient centered B . The nurse must be a licensed person C. Emphasis is on getting the work done D. It is also know as total patient care

C. Emphasis is on getting the work done

Staffing refers to: A. Describing job responsibilities B. Requirements and selection of the nurse C. Filling work force requirement D. Establishing qualifications for employment

C. Filling work force requirement

It focuses on the individual worker, rather than the processes and procedures as the key to organization motivation, productivity, and control. A. Motivational theory b. administratrative theory c. Human theory d. Bureaucratic theory

C. Human theory

which of the ff is true about evidence based care? A. It supports doing above knowing B. It uses the best evidence if the evidence fits current protocols C. It uses outcomes research to develop care strategies and delivery D. It requires nursing to conduct their own research

C. It uses outcomes research to develop care strategies and delivery

Which of the following is an outcome of decentralized staffing? A. Provide increased fairness to employees through consistent, objective and impartial application B. It is cost-effective because it allows better use of resources C. Managers are give the autonomy to more closely control the staffing on their unit, resulting in an increase in self-esteem and team work D. Improves the availability of data for monitoring the effect of staffing size & composition, quality of care and costs.

C. Managers are give the autonomy to more closely control the staffing on their unit, resulting in an increase in self-esteem and team work

They primarily supervise other managerial staff and monitors the quality of care that staff provides to patient. The manager is also responsible for motivating staff to meet organization goals. The remainder of their time is usually spent in planning/coordinating/staff evaluation. a. Chief Nurse Executive B. Nurse director C. Nurse manager D. Staff nurse

C. Nurse manager

Miss Sanchez is assigned to pull new team leaders for one month. As a team leader the intel activity would be which of the ff: A. Document all nursing care rendered but he staff B. Evaluate the performance of the staff C. Organize the work load D. Get the patient assignment

C. Organize the workload

In utilizing her knowledge of management, the head nurse as the leader of the unit is expected first to? A. Formulate with the members, policies to be followed in the ward B. Evaluate the care rendered to clients C. Plan with members the nursing care of patient D. Delegate tasks to be done by her members

C. Plan with members the nursing care of patient

A well-selected patient classification system A. Eliminates most staffing problems B. Decreases the amount of overtime C. Provides an understanding of staffing problems D. Eliminates the need for adjustment or review

C. Provides an understanding of staffing problem

Primary nursing care: A. Requires minimal RN staffing B. Is easy to implement C. Provides challenging work D. Has proved to be a failure

C. Provides challenging work

The most fiscally responsible method for determining staffing needs for a hospital unit would be using: A. Maximum patient load capacity of the unit B. Numbers of patient present for the upcoming shift C. The agreed upon staffing formula presently in use D. Total beds on the unit

C. The agreed-upon staffing formula presently in us

Grids that outline the critical or key events expected to happen each day of patient's hspitalization

Critical paths

A schedule that is fair to all

Cyclical schedule

A mission statement is best defined as: A statement that reflects the organization's work, why and how it is done B. Annual actions specified as needed to attain the goals C. An organizational framework of decentralized leadership and autonomous decision-making D. A brief, fairly broad statement that reflects the organization's purpose, its key principles or values, and its customers or clients.

D. A brief, fairly broad statement that reflects the organization's purpose, its key principles, or values and its customers or clients.

The first step to successful delegation is: A. Plan B. Intervene C. Evaluate D. Assess

D. Assess

Regardless of the method of nursing care delivery the head nurse is still accountable for all nursing care of patients in the ward. This is an application of the principle of: A. Scalar principle B. Proper channeling of communication C. Unity of command D. Command responsibility

D. Command responsibility

Transferring the authority to perform a selected nursing task to a competent individual in a selected situation is called: A. Evaluation B. Promotion C. Feed back D. Delegation

D. Delegation

A leadership role in planning includes: A. Articulating the unit philosophy in writing B. Assessing unit resources available for planning C. Developing uint policies and procedures that operational is unit objectives D. Encouraging subordinates too be involved in policy formation

D. Encouraging subordinates to be involved in policy formation

You were designed by your head nurse to be the nursing team leader. What is the first thing you should do? A. Gather information about patients assigned to the team B. Call directive-giving conference C. Classify group activities and schedule their patients D. Establish objectives for team patients

D. Establish objectives for team patients

You are assigned to administer meds to all patients throughout your shift. This an example of: A. Team nursing B. Case method nursing C. Primary care delivery D. Functional nursing care

D. Functional nursing care

Which of the following statements about patient classification systems is the most 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

D. Internal and external forces may affect classification systems

Miss Yap. A clinical instructor resented you reminding students about early charting. What should you do? A. Confront Miss Yap as soon as possible B. Do not call again attention of students C. Discuss the problem with co-staff nurses D. Present the problem to your head nurse

D. Present the problem to your head nurse

A task of middle manager may perform that observe whether policies are meeting the needs of patients and the staff that provide care: a. assessment b. planning c. organization d. controlling

a. assessment

***Which group of leadership theories states that the leader's style has less impact on outcomes than on certain environmental and other factors? a. contingency theory b. democracy theory c. charismatic theory d. goal-setting theory

a. contingency theory

A nurse manager who spends 90% of his or her time submitting time schedules for nursing shifts and assigning teams and patients is at what level of management? a. First-line nurse manager b. middle-level manager c. chief nurse executive d. vice president or patient care services

a. first-line nurse manager

The ability to interact with other persons successfully. A manager must be able to understand, work with, and relate both individuals and groups in order to build a teamwork environment. a. human skill b. conceptual skill c. technical skill d. human relations

a. human skill

The level of nursing manager that spends the least time directly supervising certified and non-certified nursing staff is: a. Nurse executive b. Middle-level manager c. first-level manager d. charge nurse

a. nurse executive

Management is often synonymous with constant activity and a. decision making b. interaction c. problem-solving d. conflict resolution

b. Interaction

A leader who defers decision making to his or her followers is called what type of leader? a. autocratic b. laissez-faire c. contingency d. high task

b. Laissez-faire

Optimum span of control: a. Is between 40 and 60 B. varies with the manger's abilities, the employee's maturity and task complexity C. Is less than 5 d. Cannot be achieved in an organization with line/staff organization structure

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

A staff nurse with some increased managerial responsibilities is usually called an: a. nurse executive b. charge nurse c. nurse assistant d. associate director of nursing

b. charge nurse

Is most important or manager at the first-line management level and becomes less important as the manager moves up in the organization structure: A. Managerial skill B. Human skill C. Conceptual skill D. technical skill

d. Technical skill

****According to bureaucratic theory, which of the ff is true? a. Efficiency is achieved through personal relations between employee and supervisor b. There is no need for hierarchy, as all workers have a key role in the organization c. Employees should be hired based on their relationship with the owner. d. effective organizations are rational and orderly

d. effective organizations are rational and orderly

a nurse's clinical abilities, education, and knowledge of systems are part of the power source known as: a. legitimacy b. charismas c. connection d. expertise

d. expertise

The leadership trait defined as self-knowledge or self-awareness and the ability to receive feedback and learn from mistakes is called: a. passion b. vision c. curiosity d. integrity

d. integrity

The size of authority power gap between a manager and an employee: a. widens as the manager expresses a personal interest in his or her employees. b. can be decreasd by visible exercises of authroity and rigidity in decision making c. increases when the manager loses credibility d. is determined by how much status the manager has

d. is determined by how much status the manger has

The source of power known as "connection power" is best described as: a. power that equates with the degree of the nurse's personal or organizational authority b. power that is based on people's respect for or trust in particular person c. power based on honor, respect, loyalty, and integrity d. power that derives from an awareness of the networks that exist between people in an organization.

d. power that derives from an awareness of the networks that exist between people in an organization.

It defines how work is organized, where decisions are made, and the authority and responsibility of workers

organizational structure

the measure of patient's needs for nursing care in a 24-hour period, considering the extend of each patient's illness

patient acuity

What is to be done

planninh

During the preparation go unit's personnel budget, nurse managers are accountable for ______ using established targets and projected volumes

projecting the staffing needs of a unit each year

A major disadvantage of functional nursing is

the fragmentation of care