230 test 1 leadership & nurse management

which of the following is unique to a professional standard of decision making? SATA A. weighs benefits and risks when making a decision B. analyzes and examines choices more closely C. utilizes concrete thinking D. anticipates when to make choices without other's input

A,B

effective nurse leaders are... SATA A. also good followers B. good critical thinkers C. able to effectively work together towards shared goals D. never act on their ideas E. have master's degrees

A,B,C

when is it most appropriate to dictate an order change? A. when the change is complicated B. in an emergency C. when resistance is very high D. if the change is unimportant

B

a nurse manager plans to implement a new scheduling process. this was met with resistance from the staff who were happy with how it was before. How can the nurse manager lower their resistance to this change? A. tell the staff that their concerns are irrelevant and post the schedule anyways B. share information about the new schedule and its impact on the unit C. post the schedule and deal with staff on an individual basis D. ask the staff to come up with an alternative for the nurse managers consideration

B

a patient asks the nurse is she has to agree with the provider's treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this situation? SATA A. beneficence B. autonomy C. veracity D. justice

B

which of the following describes the difference between patient confidentiality and patient privacy? A. confidentiality occurs between people who are close, whereas privacy can affect anyone B. privacy is the right to be free from intrusion into personal matters, confidentiality is protection from sharing someone's information C. confidentiality involves the use of technology for protection, whereas privacy uses physical components for protection D. privacy involves protection from being watched and confidentiality involves protection from verbal exchanges

B

which of the following is most likely to be within a nurse's comfort one? A. a new assignment B. tasks the nurse has done many times C. change to a different shift D. addition of several new tasks

B

servant leadership focuses on A. helping patients care for themselves B. removing incompetent managers C. creating a supportive work environment D. resolving conflicts quickly

C

transformational nursing leaders have the ability to A. increase the negativity of the team B. work best alone C. define the groups mission and communicate that mission with others D. pay close attention to the weaknesses and short-comings of others

C

which is a major reason why newly licensed nurses resign? A. poor pay B. needlestick injuries C. unsupportive management D. lack of advancement opportunities

C

an emotionally intelligent nurse leader A. seeks emotional support from others B. cannot juggle multiple demands C. works alone without help D. welcomes constructive criticism

D

organizational culture is best defined as A. the stated vision and mission of an organization B. policies and procedures C. the type of decor that was chosen for the facility D. an enduring set of shared values and beliefs

D

scientific management focuses on A. interpersonal relations B. servant leadership C. staff development D. efficiency

D

creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety? A. provision of adequate resources to provide care and service B. use of interprofessional collaboration to solve problems and assess risks C. adherence to staffing ratios D. encouragement of reporting errors and near-misses

c

there has beena. sudden increase in catheter-associated UTI's on Janes unit. what is the best way for jane to persuade staff to implement a new foley catheter care protocol? A. tell them the change has been ordered by administration B. present statistics proving the need for the change C. tell a compelling story about why the change is needed D. explain the importance of the change in simplest terms

c

who stated that " the function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or recovery (or to peaceful death)"?

florence nightingale

a nurse is providing care toa. patients whose family just sued another hospital and two physicians. under which ethical principle should the nurse practice? A. justice B. veracity C. autonomy D. nonmaleficence

A

nursing practice in the 21st century focuses on

A. the patient

an important competency that nurse leaders need to develop in order to lead effectively is the A. ability to be firm and inflexible B. ability to to be closed-minded and ignore feedback C. ability to communicate effectively with others D. ability to follow orders without questioning them

C

autocratic leaders A. postpone decision making as long as possible B. share leadership with other members of the team C. give orders and make decisions without consulting the team D. encourage creativity when problem-solving

C

how can you increase your staff's receptivity to an important change in procedures? A. assign the new procedure to the newest staff member B. apologize for making their work more complicated C. give them time to learn the new procedure

C

if you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong? A. publicly (government) supported B. voluntary, not-for-progit C. for-profit D. all of the above

C

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A nonnursing colleague asks about this code. Which of the following statements best describes this code? A. Improves self-health care B. Protects the patient's confidentiality C. Ensures identical care to all patients D. provides guidelines for appropriate professional behaviors and guides practice

D

professional governance in nursing involves A. working longer hours B. attending lots of meetings C. having nurses set standards for daily practices D. changing the organization's culture

c

George S. has just become a nurse manager in a long-term care facility. He knows he has a lot to learn-- What should he tell his staff? 1. Nothing, he should pretend he has experience 2. That he is still learning, too, and values their input 3. That the staff needs to manage themselves 4. How little he knows about management

2

the situational leadership model focusses on A. both the followers and the task B. the task C. the follower D. the behavior of others

A

theory Y emphasizes A. guidance, development, and rewards B. leadership, not management C. supervision, monitoring, and reprimands D. evaluation, budgeting, and time studies

A

there are numerous source of power to nurses in any organization. Which one is not? A. authority B. reward C. control of information D. coercion

A

professional accountability serves the following purpose: (SATA) A. to provide a basis for educational decision making B. to respect the decision of the client C. to maintain standards of health D. to evaluate new professional practices and reassess existing ones E. to belong to a professional organization

A,B,C,D

effective followers are those who are A. passive employees B. skilled and self-directed employees C. less valuable employees D. employees who are never supportive of new ideas

B

what is the difference between management and leadership? A. management focuses on budget B. management is an assigned position C. leadership is not concerned with getting work done D. leadership is more people-focused

B

a democratic nurse leader strives to consistently A. move the group towards the leader's goals B. make little or no attempt to lead the group C. share leadership with the group D. dampen creativity

C

in which fo the follwoing situations is a change hardest to make? A. when the need is immediate B. when the reward is immediate C. when the benefits will be realized years from now D. if it is change that keeps you in your comfort zone

C

several studies have shown that although care planning and advance directives are available to everyone, only a minority actually complete them. which of the following has been shown to be related to completing an advanced directive? SATA A. african american race B. younger age C. lower socioeconomic status D. higher education

D

which of the following situations demonstrates a nurse acting as an advocate for her patient? A. calling nursing supervisor in difficult situations B. reviews and understands the laws as it applies to the patient's conditions C. documents all clinical changes in the medical record in a timely manner D. assess the patient's point of view and prepares to articulate this point of view

D

The NCLEX for nurses is exactly the same in every state in the United States. The examination: 1. Gaurantees safe nursing care for all patients 2. Ensures standard nursing care for all patines 3. Ensures that honest and ethical care is provided 4. Provides a minimal standard or knowledge for a registered nurse in practice

4

what is the best explanation of authority? A. it is position dependent B. it's based on the ability to lead others C. it is expertise- driven D. it resides primarily in the clients served

A

which of the following best describes this statement: " the nurse promotes, advocates for, and strive to protect the health, safety and confidentiality of the client." A. respecting the patient's privacy and confidentiality when caring for him B. serving on a committee that will improve client care C. maintaining professional boundaries when working with a patient D. caring for oneself before caring for others

A

which of the following is a macro-level change? A. shift in medicare payment policies B. change in shift differentials C. opening a new unit D. changing visiting hours

A

which of the following is the best indication that a change has been fully integrated? A. when no one talks about it anymore B. if adoption occurred rapidly C. when resistance turns from active to passive D. when a full year has passed since the change was implemented

A

select all of the following that represent the knowledge and skills expected of the professional nurse? A. accountability B. advocacy C. autonomy D. social networking E. participation in nursing blogs

A,B,C

effective nurse managers have (SATA) A. leadership capabilities B. clinical expertise C. business sense D. budgeting savvy

A,B,C,D

a unit team leader who fails to provide direction to the nursing care team is classified as what type of leader? A. democratic leader B. laissez-faire leader C. autocratic leader D. situational leader

B

when should a new grad nurse try to take on management responsibilities? A. as soon as they graduate B. after developing clinical expertise C. after 15 years of being a nurse D. after 2 years on the job

B

HIPPAA regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following scenarios meet this criteria? A. the patient is from a correctional institution B. the situation involves child abuse C. an injury occured from a firearm D. the patient is a staff member E. the breach of information was an accident

B,C