ALL Test Your Knowledge Quesitons (LM)

Joey stresses the importance of promoting 'esprit d corps' among the members of the unit. Which of the following remarks of the staff indicates that they understand what he pointed out? A. "Let's work together in harmony; we need to be supportive of one another" B. "In order that we achieve the same results; we must all follow the directives of Julius and not from other managers." C. "We will ensure that all the resources we need are available when needed." D. "We need to put our efforts together in order to raise the bar of excellence in the care we provide to all our patients."

A. "Let's work together in harmony; we need to be supportive of one another"

He raised the issue of giving priority to patient needs. Which of the following offers the best way for setting priority? A. Assessing nursing needs and problems. B. Giving instructions on how nursing care needs are to be met. C. Controlling and evaluating the delivery of nursing care. D. Assigning a safe nurse: patient ratio.

A. Assessing nursing needs and problems.

Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit. The patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Henry? A. Call for a staff meeting and take this up in the agenda. B. Seek help from her manager. C. Develop a strategic action on how to deal with these concerns. D. Ignore the issues since these will be resolved naturally

A. Call for a staff meeting and take this up in the agenda.

Which of the following is true about functional nursing? A. Concentrates on tasks and activities. B. Emphasizes the use of group collaboration. C. One-to-one nurse-patient ratio. D. Provides continuous, coordinated, and comprehensive nursing services.

A. Concentrates on tasks and activities.

She finds out that some managers have a benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely? A. Have condescending trust and confidence in their subordinates. B. Gives economic or ego awards. C. Communicates downward to the staff. D. Allows decision-making among subordinates

A. Have condescending trust and confidence in their subordinates.

. He discusses the goal of the department. Which of the following statements is a goal? A. Increase the patient satisfaction rate. B. Eliminate the incidence of delayed administration of medications. C. Establish rapport with patients. D. Reduce response time to two minutes.

A. Increase the patient satisfaction rate.

On the other hand, Ms. Caputo notices that the Chief Nurse Executive has a charismatic leadership style. Which of the following behaviors best describes this style? A. Possesses inspirational quality that makes followers get attracted to him and regard him with reverence. B. Acts as he does because he expects that his behavior will yield positive results. C. Uses visioning as the core of his leadership. D. Matches his leadership style to the situation at hand.

A. Possesses inspirational quality that makes followers get attracted to him and regard him with reverence.

Functional nursing has some advantages, which one is an exception? A. Psychological and sociological needs are emphasized. B. Great control of work activities. C. Most economical way of delivering nursing services. D. Workers feel secure in a dependent role.

A. Psychological and sociological needs are emphasized.

She reads about Path-Goal theory. Which of the following behaviors is manifested by the leader who uses this theory? A. Recognizes staff for going beyond expectations by giving them citations. B. Challenges the staff to take individual accountability for their own practice. C. Admonishes staff for being laggards. D. Reminds staff about the sanctions for non-performance

A. Recognizes staff for going beyond expectations by giving them citations.

Which of the following statements refer to the vision of the hospital? A. The Holy Spirit Medical Center is a trendsetter in tertiary health care in the next five years. B. The officers and staff of The Holy Spirit Medical Center believe in the unique nature of the human person. C. All the nurses shall undergo a continuing competency training program. D. The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment.

A. The Holy Spirit Medical Center is a trendsetter in tertiary health care in the next five years.

The statement, "The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment" refers to which of the following? A. Vision B. Goal C. Philosophy

B. Goal

Joey orients his staff on the patterns of reporting relationships throughout the organization. Which of the following principles refer to this? A. Span of control B. Hierarchy C. Esprit de' corps D. Unity of direction

B. Hierarchy

After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this? A. Collaboration B. Majority rule C. Dominance D. Compromise

B. Majority rule

Which of the following is the best guarantee that the patient's priority needs are met? A. Checking with the relative of the patient. B. Preparing a nursing care plan in collaboration with the patient. C. Consulting with the physician. D. Coordinating with other members of the team.

B. Preparing a nursing care plan in collaboration with the patient.

One staff suggests that they review the pattern of nursing care that they are using, which is described as a: A. Job description B. System used to deliver care C. Manual of procedure D. Rules to be followed

B. System used to deliver care

Which of the following conclusions of Ms. Caputo about leadership characteristics is true? A. There is a high correlation between the communication skills of a leader and the ability to get the job done. B. A manager is effective when he has the ability to plan well. C. Assessment of personality traits is a reliable tool for predicting a manager's potential. D. There is good evidence that certain personal qualities favor success in a managerial role.

C. Assessment of personality traits is a reliable tool for predicting a manager's potential.

Joey plans to revisit the organizational chart of the department. He plans to create a new position of a Patient Educator who has a coordinating relationship with the head nurse inthe unit. Which of the following will likely depict this organizational relationship? A. Box B. Sold line C. Broken line

C. Broken line

Ms. Caputo is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? A. Organization Management B. Impoverished Management C. Country Club Management D. Team Management

C. Country Club Management

Joey is a newly-appointed nurse manager of The Holy Spirit Medical Center, a tertiary hospital located within the heart of the metropolis. He thinks of scheduling a planning workshop with his staff in order to ensure effective and efficient management of the department. Should he decide to conduct a strategic planning workshop, which of the following is not a characteristic of this activity? A. Long-term goal-setting. B. Extends to 3-5 years in the future. C. Focuses on routine tasks

C. Focuses on routine tasks

One leadership theory states that "leaders are born and not made," which refers to which of the following theories? A. Trait B. Charismatic C. Great Man D. Situational

C. Great Man

He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change? A. Wonders why things are not what they used to be. B. Finds solutions to the problems. C. Integrate the solutions to his day-to-day activities. D. Selects the best change strategy

C. Integrate the solutions to his day-to-day activities.

She came across a theory which states that the leadership style is effective depends on the situation. Which of the following styles best fits a situation when the followers are selfdirected, experts, and are matured individuals? A. Democratic B. Authoritarian C. Laissez-faire D. Bureaucratic

C. Laissez-faire

He knows that there are external forces that influence changes in his unit. Which of the following is not an external force? A. Memo from the CEO to cut down on electrical consumption. B. Demands of the labor sector to increase wages. C. Low morale of staff in his unit. D. Exacting regulatory and accreditation standards.

C. Low morale of staff in his unit.

Her former manager demonstrated passion for serving her staff rather than being served. She takes time to listen, prefers to be a teacher first before being a leader, which is characteristic of: A. Transformational leader B. Transactional leader C. Servant leader D. Charismatic leader

C. Servant leader

He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to? A. Scalar chain B. Discipline C. Unity of command D. Order

C. Unity of command

Ms. Caputo learns that some leaders are transactional leaders. Which of the following does not characterize a transactional leader? A. Focuses on management tasks. B. Is a caretaker. C. Uses trade-offs to meet goals. D. Inspires others with vision

D. Inspires others with vision

She surfs the internet for more information about leadership styles. She reads about shared leadership as a practice in some magnet hospitals. Which of the following describes this style of leadership? A. Leadership behavior is generally determined by the relationship between the leader's personality and the specific situation. B. Leaders believe that people are basically good and need not be closely controlled. C. Leaders rely heavily on visioning and inspire members to achieve results. D. Leadership is shared at the point of care.

D. Leadership is shared at the point of care.

He wants to influence the customary way of thinking and behaving that is shared by the members of the department. Which of the following terms refer to this? A. Organizational Chart B. Cultural network C. Organizational structure D. Organizational culture

D. Organizational culture

When Henry uses team nursing as a care delivery system, he and his team need to assess the priority of care for a group of patients, which of the following should be a priority? A. Each patient is listed on the worksheet. B. Patients who need the least care. C. Medications and treatments require D. Patients who need the most care

D. Patients who need the most care

CONFLICT MANAGEMENT True or False: Lack of conflict is a sign of a healthy group

F

True or False: Conflict are usually destructive to a group

F

True or False: Ignoring conflicts usually causes the, to dissipate and go away

F

True or False: It is not possible to teach people how to deal with conflicts effectively

F

True or False, Not Usually: Conflicts are destructive to a relationship

NU

True or False: A conflict exist whenever incompatible activities exis

T

True or False: Conflicts are valuable and even necessary to a group

T

True or False: Conflicts can and should be avoided whenever possible

T

True or False: Conflicts that are not openly expressed and constructively resolves will be expressed indirectly and persist

T

A decision grid allows the decision maker to: a. Visually examine alternatives and compare each against the same criteria b. Quantity information c. Plot decision over time d. Predict when events must take place to complete a project on time

a

A nurse supervisor's communication with her staff in an organization is called? a. Downward b. Upward c. Lateral d. Diagonal

a

CONTROLLING Which of the following is a management controlling function? a. Periodic evaluation of unit philosophy, mission, goals, and objectives b. Making out the daily patient care assignments c. Creating a budget d. Distributing holiday staffing policies

a

Communication has the greatest likelihood of being accurately interpreted when: a. More than one mode is used. b. Face-to-face communication is used c. Written communication is used d. The senior repeats the message using the same mode.

a

ETHICOMORAL ASPECTS Ethics can be defined as a study of: a. What our conduct and actions should be b. How people make decisions that are legally and morally appropriate c. What our lives and relationships are in reality d. Conflict, power, and interdependency

a

For health care provider to collaborate on patient care, they must: a. Have mutual respect for the knowledge and expertise of each other b. Have enough time to carry out the collaboration steps c. Like each other enough to want to collaborate d. Be willing to cooperate enough with each other

a

For you to initiate change, the most appropriate approach is: a. Discuss matter with nurses b. Resolve the issue through discussion c. Make a ward SOP d. Impose a time for charting

a

Informal communication in an organization is best described as: a. Exchanged unofficially by most personnel b. Initiated by subordinates and directed upward c. Conveyed unofficially by the board of directors through department heads. d. Initiated by someone in a staff position to someone in a line position

a

LISTS are an effective planning tool when: a. They are realistic in terms of what can reasonably be accomplished in a given time period. b. Task are grouped so only a few items appear on the actual list c. They are relatively inflexible, so the planner cannot procrastinate d. Subordinates are not motivated and the manager wants tasks to be accomplished

a

PLANNED CHANGE A deliberate course of action that results in alteration of something different in a nursing unit refer to as: a. Planned change b. Improve systems c. Re-education d. Nursing process

a

The manager must remember that a daily list: a. Is planning tool, and thus must have flexibility in its implementation b. Should include all the planner's short-term, intermediate, and long-term goals. c. Should be highly structured with little time for the unexpected, thus decreasing the possibility of procrastination. d. Should not be changed once initial planning is completed

a

What is the primary reason that first-and middle-level managers experience more interruptions than higher level managers? a. First- and middle level managers generally directly interact with a greater number of subordinates in daily planning. b. First-and middle level managers are more social in nature c. First and middle level managers are busier than higher level managers d. Clerical and secretarial help assigned to first and middle level managers are less efficient than those assigned to higher level managers

a

Which of the following behaviors best demonstrate your change agent role? a. Teach work attitudes to change behavior b. Attend a seminar on planned change c. Introduce work simplification procedures d. Suggest change inward policies as needed.

a

Which of the following is true about lateral communication? a. It only includes people from different departments, not from the same department b. It requires little effort since people at the same level seldom share common knowledge and experience c. It cannot be used in diverse environments d. It requires attention to the basics of the communication process

a

Which of the following would be a normal and expected behavioral response in the unfreezing phase? a. Anger b. Withdrawal and acceptance c. Open acceptance d. Active collaboration

a

Which statement most accurately defines intrinsic motivation? a. Motivation that is directly related to a person's internal level of aspiration b. Motivation that is enhanced by job environment c. Motivation that is not shaped by personal values d. Motivation that is not relate to achievement

a

You are orienting a new graduate nurse to your unit and have found this individual's charting to be inadequate. Identify the most appropriate statement to initiate a discussion with the new RN. a. Tell me in your own words what you intend your charting to convey. b. Your charting is nondescriptive c. Do you think a refresher course in charting would help you? d. Are you having difficulty assessing your patient?

a

Feedback that restates instructions and makes sure there is no confusion is called: a. Clarifying b. Interpretive c. Judgmental d. Personal feedback

a. Clarifying

A charge nurse assists a group of personnel to resolve their conflict, with the outcome being that the two opposing goals were discarded and new goals were adopted. This is probably an example of: a. Smoothing of conflict by the leader b. Facilitating collaboration among personnel c. A majority rule approach d. A good lesson in compromising

b

Consensus in negotiation: a. Means that one party wins at the expense of another b. Indicates a willingness by all parties to accept agreed-upon conditions c. Is one of the most rapid conflict resolution strategies d. Implies a unanimous decision has been reached.

b

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

b

In completing an annual performance appraisal, the manager should: a. Consider good interventions as well as actual performance b. Let employees know where they stand as well as what is expected of them. c. Always make an effort to include subjective data d. Closely observe the employee for the 2 weeks preceding the appraisal conference to systematically and objectively obtain data

b

In planning care for a group of patients, the team leader should: a. Make sure that each patient on the team receives equal amounts of nursing care b. Begin by considering the needs of the patients who need the greatest amount of or most specialized care c. Begin by considering the needs of the patients who need the least amount of care d. Ask his or her team members who they feel like taking care of that day

b

It is the policy of the nursing service department that every six months staff nurses are evaluated. One nurse felt that she was unfairly evaluated by Miss Gregorio. The right action to take is: a. Share the feelings with her peer group b. Clarify from the head nurse the basis for her appraisal c. Keep quiet and respect the head nurse's decision d. Complain to the chief nurse of the hospital

b

Nonverbal communication: a. Is consistent across cultures b. Is given more credence than verbal communication when the two are incongruent c. Should be minimizing because it confuses the receiver as to the true intent of the message d. Is a significant part of the communication exchange only when it is not congruent with the verbal exchange.

b

Nursing students who scores in the top 5% on the examination studied in small groups, attended class 100% of the time, took frequent rest breaks during study sessions, and ate balanced diet for 1 week before the examination. These data were probably collected from a. Structure audit b. Process audit c. Outcome audit

b

TIME MANAGEMENT Which is the FIRST STEP in time management? a. Complete the highest priority task b. Allow time for planning and establishing priorities c. Reprioritize based on new information received d. Delegate work you cannot reasonably accomplish in a 24-hour time span.

b

The nurse who agrees to go into work for an emergency disaster drill, despite having company over dinner, is probably using which ethical framework to guide decision making? a. Utilitarianism b. Duty Based c. Rights based d. Intuitionism

b

This factor is the most influencing for acceptance of staff in change: a. Externally imposed b. Staff participates in decision c. Share in benefit d. Planned ahead

b

When resistance threatens needed change, what important measure would you use to overcome the resistance? a. Send a memorandum for change b. Gain early support from staff c. Use a problem-solving strategy d. Conduct staff re-education

b

Which of the following statements about time management is true? a. Most people have an accurate perception of time they spend on a particular task or the total amount of time they are productive during the day. b. Nurses who are self-aware and have clearly identified personal goals and priorities have greater control over how they spend their time, expend their energy, and what they accomplish c. Writing goals down is waste of time if the goals are limited in number. d. It is necessary to maintain a time inventory for only 2 or 3 days to establish a pattern of time management.

b

You were reprimanded by your head nurse in front of the other nurses for failure to report to her your patient's condition. Which of the following is your most appropriate action? a. Keep quiet and talk to her after b. Let her finish, then explain so everybody can hear. c. Keep quiet, then ask a friend to explain for you d. Ignore the remarks, then make a belated report.

b

Your best response to a patient's complaints against a physician is: a. Tell the truth. b. Instill in the patient confidence in the physician c. The physician is always "right" d. I can't help you

b

Which of the following is true about delegation to a novice? a. Novices should not be delegated to as 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 as well as the individual situation

b. Novices need rules to guide their actions

A registered nurse 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

Decision making is best defined as: a. The planning process of management b. The evaluation of phase of the executive role c. Present in all phases of the management process d. Required to justify the need for scare items

c

Employee behavior is best reinforced by: a. Praise from a supervisor b. Giving them an increase in pay c. Rewarding an employee with whatever he or she values d. Threat of punishment

c

Ethical dilemmas: a. Can be solved using empirical data b. Have clearly delineated facts for decision making c. Require choosing between equally undesirable alternatives d. Should consistently have a good outcome

c

The MORAL model: a. Is a problem solving model b. Does not include an evaluation step c. Requires the identification and analysis of multiple alternatives for action d. Requires the involvement of only the decision maker

c

The first step to quality control is: a. To tale corrective action when standards have not been met b. To collect data to see if standards have been met c. To determine criteria or standards d. To establish standards that reflect what is currently taking place in the organization

c

The quality of a decision is most often influenced by: a. The decision maker's immediate superior b. The decision maker's personal biases c. Questions asked and alternatives generated d. The time of day the decision is made

c

Thirty -eight percent of people who attended a smoking cessation clinic were not smoking 1 year after the clinic closed. These data probably came out from a: a. Structure audit b. Process audit c. Outcome audit d. Concurrent audit

c

When both the surgeon and the nurse were held accountable for the abdominal wound infection sustained by the patient because of contaminated sutures, the principle used was: a. Corporate liability b. Prima face evidence c. Respondent superior d. Individual professional responsibility

c

Which of the following increases the likelihood that the performance appraisal will have positive outcome? a. The manager should refrain from making any positive comments about the worker's performance so as not to minimize the areas the worker needs to work on. b. The employee should believe the appraisal is based on a different standard than that which other employees in the same classification are held to accountable to. c. The employee should have some input into developing the standards or goals on which his or her performance is judged. d. The manager should cite multiple examples of all performance deficiencies so employees are clear about their shortcomings.

c

Which of the following is not an appropriate reason for change? a. Change to solve some problem b. Change to make work procedures more efficient so time will not be wasted on relatively unimportant tasks. c. Change to eliminate boredom on the part of the change agent. d. Change to reduce unnecessary work load

c

Which of the following reflects the most accurate statement regarding the major responsibility of a manager in advocacy? a. Advocacy is a management function and not a leadership role b. Managers should advocate first their organization c. Managers should advocate for patients as well as subordinates d. Professional advocacy is not a concern for most managers

c

You overhear the nurses' aide speaking in a harsh tone in Mrs. Smith, who has some early Alzheimer's memory loss. When the aide leaves the room, you talk with her. Which would be the most appropriate approach? a. You must remember to watch your tone of voice with patients. Someone might overhear. b. Do you think it would be a good idea to have an in-service on dealing with Alzheimer's patient? c. I am concerned because it sounded as though you lost your patience with Mrs. Smith. d. I have decided to reassign Mrs. Smith to another aide.

c

A critical goal in negotiation should always be: a. The both parties with the same amount b. That all hidden agendas be exposed c. Honestly in revealing exactly how much each party is willing to negotiate d. That both parties perceive that they have won something that they want

d

Achievement motivation focuses on: a. The intrinsic rewards to be acquired b. A need to nurture others c. A need to have legitimate power over others d. The intrinsic need to be successful

d

COMMUNICATION Which of the following principles about effective communication is true? a. Giving information is the same as communication b. Communication requires inactivity c. The receiver is responsible for message clarity d. Feedback is essential even if it is not positive

d

Decision makers should: a. Utilize outcome as the sole criterion for evaluating ethical decision making b. Identify only desirable alternatives in solving ethical dilemmas c. Make critical ethical decisions quickly so that situation does not become worse d. Accept that some ambiguity and uncertainty are a part of ethical decision making

d

In order to win as much as possible in negotiation nurses should: a. Well prepared with only one clear plan for dealing with the situation b. Communicate their hidden agenda c. Be unwilling to compromise, except as a last resort d. Begin with a high realistic expectation

d

Sally Smith, an LVN on the unit where you are a charge nurse, comes to you and says that Betty Borwn, a nursing assistant on her team, is taking long supper breaks, leaving much of her work for Sally to complete, and she wants you to talk with Betty. You say Sally, "Sally, I believe you should talk with Betty about this problem." This is an example of: a. Avoiding conflict b. Smoothing conflict c. Encouraging a competitive approach to conflict d. Facilitating conflict resolution.

d

The practice of allocation organs for transplantation based on a Peron's worth to society" is an example of what ethical principle for decision making? a. Autonomy b. Beneficence c. Paternalism d. Justice

d

The successful change agent makes a commitment to: a. Help followers arrive total consensus regarding the change b. Encourage subgroup opposition to change so many viewpoints can be heard c. Utilize change by drift if the resistance to change is too strong d. Be available to support those affected by a change until the change is complete.

d

When two or more people have conflict about values or goals, it is called: a. Intergroup conflict b. Intervalue conflict c. Intrapersonal conflict d. Interpersonal conflict

d

Which of the following represents a management function in planned change? a. Inspiring group members to be involved in planned change b. Visionary forecasting c. Role modeling high-level interpersonal communication skills in providing support for individuals undergoing rapid or difficult change d. Recognizing the need for planned change and identifying the options and resources available to implement that change.

d

Which statement best describes memos? a. Memos should make their main point at least twice b. Memos should be written in an authoritative, terse format. c. Headings in a memo confuse the reader and should not be used. d. Only essential information should be given in a memo.

d

You made an assignment for your team based on patient classification. They have been used to the functional method of care and resented the change. To minimize the resistance to the change, you could have: a. Introduced the felt need for change b. Introduce the change gradually c. Let each member write their objective to the change d. Involved the team in planning for the change

d

The first step to successful delegation is: a. Plan b. Intervene c. Evaluate d. Assess

d. Assess

Transferring the authority to perform a selected nursing task to a competent individual in a selected situation is called: a. Evaluation b. Promotion c. Feedback d. Delegation

d. Delegation

Which of the following is not one of the "five rights" of delegation? a. Right task b. Right person c. Right direction d. Right experience

d. Right experience