Essentials of Nursing Leadership & Management FINAL

A client's husband recently died. During her doctor's appointment, what would be the most appropriate statement by the nurse to the client at this time? A) "At least your husband didn't have to suffer." B) "It's better to go quickly as your husband did." C) "Your husband's loss must be very painful for you." D) "You'll begin to feel better after you get over the shock."

A) "At least your husband didn't have to suffer." B) "It's better to go quickly as your husband did." C) "Your husband's loss must be very painful for you." D) "You'll begin to feel better after you get over the shock." Answer: C

Sally has been working only 3 months after graduating from her nursing program. She confides in a friend that she wants to develop herself as a "good follower." Her friend says, "Anyone can follow—just walk behind someone and do nothing." How might Sally respond? A) "I don't mean now, but when I become a nurse manager." B) "Effective followers need to be active participants in the workings of this unit." C) "Effective followers need to do everything the administrators want." D) "Effective followers need to always question the status quo and strive to make changes."

A) "I don't mean now, but when I become a nurse manager." B) "Effective followers need to be active participants in the workings of this unit." C) "Effective followers need to do everything the administrators want." D) "Effective followers need to always question the status quo and strive to make changes." Answer: B

While working as the charge nurse on the 7:00 p.m. to 7:00 a.m. shift, the nurse overhears the UAP speaking harshly to Mr. Hernandez, who has an expressive aphasia and a left hemiparesis from a stroke. When the UAP leaves the room, the nurse decides to speak with her. Which of the following would be the most appropriate approach? A) "I have decided to change your assignment from Mr. Hernandez to Mrs. Hopkins." B) "I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez." C) "You need to watch your tone of voice as it sounded very harsh." D) "Perhaps you need to consider attending a training session on communication skills."

A) "I have decided to change your assignment from Mr. Hernandez to Mrs. Hopkins." B) "I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez." C) "You need to watch your tone of voice as it sounded very harsh." D) "Perhaps you need to consider attending a training session on communication skills." Answer: B

Matthew is completing his first year of employment as an RN on a medical-surgical unit. A new graduate has just started her orientation on his unit. He found her crying in the patient lounge stating, "I can't do this. This is just not like we learned in school." What response from Matthew demonstrates his leadership skill? A) "If you are already crying this is not the career for you." B) "I remember those feelings—come on—let's talk about it." C) "Why don't you talk to the nurse manager? Maybe she can give you a lighter load." D) "I would consider a transfer to an easier unit."

A) "If you are already crying this is not the career for you." B) "I remember those feelings—come on—let's talk about it." C) "Why don't you talk to the nurse manager? Maybe she can give you a lighter load." D) "I would consider a transfer to an easier unit." Answer: B

Linda believes she should begin demonstrating leadership skills on her unit. She speaks with her nurse manager about how to do this. The nurse manager, who wants to encourage Linda's leadership development, responds by saying: A) "Just watch me closely—it will come to you eventually." B) "Develop perseverance—just hang in there and do your work well—someone higher than I will notice you." C) "It takes a lot of energy to be a leader. You might want to sign up at the local gym." D) "Understand yourself first—what leadership skills do you want to develop?"

A) "Just watch me closely—it will come to you eventually." B) "Develop perseverance—just hang in there and do your work well—someone higher than I will notice you." C) "It takes a lot of energy to be a leader. You might want to sign up at the local gym." D) "Understand yourself first—what leadership skills do you want to develop?" Answer: D

Yana and Jonathan carry the gene for a rare genetic disorder that causes severe mental retardation and physiological problems incompatible with life. Yana has conceived twice, however, both children had the disorder and died within 2 months after birth. Yana has come to the fertility clinic. While her history is being taken, Yana says to the nurse, "After you harvest my eggs and fertilize them with Jonathan's sperm, throw out all the bad ones, and give me only the good ones." The best response made by the nurse is: A) "Now, that's not very nice." B) "We never implant bad embryos; we have a reputation to keep." C) "You have to take the good with the bad." D) "Let's talk about your concerns regarding the health of these embryos."

A) "Now, that's not very nice." B) "We never implant bad embryos; we have a reputation to keep." C) "You have to take the good with the bad." D) "Let's talk about your concerns regarding the health of these embryos." Answer: D

A new nurse manager plans to give a performance evaluation to a staff nurse who has worked on the unit for 15 years. The staff nurse has had multiple complaints regarding the delivery of client care from clients and other staff. The best statement by the nurse manager in beginning the performance appraisal would be: A) "Tell me how you view your delivery of client care?" B) "I have reviewed your past evaluations and cannot believe that you are still here!" C) "The other day I noticed how well you taught your client about his new medications." D) "I think that the acuity on this unit is too difficult for you."

A) "Tell me how you view your delivery of client care?" B) "I have reviewed your past evaluations and cannot believe that you are still here!" C) "The other day I noticed how well you taught your client about his new medications." D) "I think that the acuity on this unit is too difficult for you." Answer: A

A new graduate has been offered a nurse manager position. What is the graduate's best response? A) "Thank you, but I'm not ready to be a manager." B) "When can I start?" C) "What is the starting salary?" D) "Tell me what the benefits of the positions are."

A) "Thank you, but I'm not ready to be a manager." B) "When can I start?" C) "What is the starting salary?" D) "Tell me what the benefits of the positions are." Answer: A

A family insists that their father, Alvin Shure, 68 years old, not be told he is dying of lung cancer. While hanging his IV medication, Mr. Shure asks the nurse, "I never had a medication in a bag like that. What is it for?" The nurse knows that the medication is an antineoplastic agent. The best response by the nurse is: A) "This is a new drug your physician ordered." B) "This medication is often used in the treatment of cancer." C) "This medication has more than one use, and I am not sure why you are receiving it." D) Request that the family tell him why he is getting the medication.

A) "This is a new drug your physician ordered." B) "This medication is often used in the treatment of cancer." C) "This medication has more than one use, and I am not sure why you are receiving it." D) Request that the family tell him why he is getting the medication. Answer: B

Maggie is a new UAP. She has been working the 7:00 p.m. to 7:00 a.m. shift on a busy telemetry unit for 3 months. She is perpetually late to work. The other UAPs on the unit are complaining about the situation. Of the following responses, which demonstrates the best example of assertive communication? A) "You are always late; what are you going to do about this situation?" B) "Being late is unacceptable; you need to change this behavior." C) "I noticed that you often arrive late; I think we need to discuss how this affects your performance." D) "Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem."

A) "You are always late; what are you going to do about this situation?" B) "Being late is unacceptable; you need to change this behavior." C) "I noticed that you often arrive late; I think we need to discuss how this affects your performance." D) "Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem." Answer: D

Billi Jo is a new UAP. She is eager and excited about her new job in health care. She is helping the nurse move a client up in bed. The nurse observes that Billi Jo is using all her back muscles and none of her leg muscles to accomplish this task. Which response best provides constructive criticism for Billi Jo? A) "You are not using very good body mechanics." B) "I find when I move clients, it helps to use my leg muscles more and my back muscles less." C) "I hope you are not considering a nursing career because you won't last 2 months if you move clients that way." D) "You were very helpful in moving the client up in the bed."

A) "You are not using very good body mechanics." B) "I find when I move clients, it helps to use my leg muscles more and my back muscles less." C) "I hope you are not considering a nursing career because you won't last 2 months if you move clients that way." D) "You were very helpful in moving the client up in the bed." Answer: B

Mrs. Brandon has breast cancer. She was diagnosed quite late in the illness and is terminal. She knows that she has breast cancer and has undergone a mastectomy, however, no one has told her the extent of her illness. The nurse comes in to change her dressings and hang her medication. Mrs. Brandon looks at the nurse and asks, "What is happening to me? Why won't anyone explain what is happening to me?" Her husband, Mike, and two daughters look at the nurse and shake their heads, "No." The best response by the nurse is: A) "You seem distressed; let's talk about your concerns." B) "You know you are ill; let's talk about dying." C) "You seem concerned about your health; talk to the doctor when he comes in to see you." D) "Mike, you need to talk to your wife and tell her what is really happening."

A) "You seem distressed; let's talk about your concerns." B) "You know you are ill; let's talk about dying." C) "You seem concerned about your health; talk to the doctor when he comes in to see you." D) "Mike, you need to talk to your wife and tell her what is really happening." Answer: A

What is the goal of conflict management? A) A conflict-free workplace B) Resolving conflicts C) Avoiding conflicts at any cost D) Problem reduction

A) A conflict-free workplace B) Resolving conflicts C) Avoiding conflicts at any cost D) Problem reduction Answer: B

A common theme in both the ANA and the ICN code is: A) A focus on the importance of compassionate care B) Nurses making decisions for clients C) Promoting nursing practice acts D) Maintaining continuing education

A) A focus on the importance of compassionate care B) Nurses making decisions for clients C) Promoting nursing practice acts D) Maintaining continuing education Answer: A

For registered nurses to enhance their expertise and sense of empowerment, certain activities are necessary. Which of the following will least prepare registered nurses for enhancing their competence?

A) Actively participating in interdisciplinary team conferences B) Attending professional organization meetings C) Refraining from participating in research projects in a clinical specialty D) Returning to school to earn a higher degree in nursing Answer: C

Lorena, an RN, is flying from Los Angeles to New York. The flight attendant requests the help of a nurse or physician if one is on board. Lorena approaches the flight attendant and asks if she can assist. Lorena is protected by the Good Samaritan Act because the act states that a licensed health-care provider can: A) Administer care any time B) Provide care that any other prudent individual with the same education would provide C) Provide the same care as a paramedic D) Provide care outside the scope of her practice as long as she knows how to perform the required procedure

A) Administer care any time B) Provide care that any other prudent individual with the same education would provide C) Provide the same care as a paramedic D) Provide care outside the scope of her practice as long as she knows how to perform the required procedure Answer: B

Servant leadership is best described as: A) An "employees first" attitude B) Emphasis on serving the patient C) A laissiz-faire approach D) Multi-tasking as much as possible

A) An "employees first" attitude B) Emphasis on serving the patient C) A laissiz-faire approach D) Multi-tasking as much as possible Answer: A

The health-care provider orders an injection for a pediatric client. The client's legal guardian refuses to allow the nurse to administer the medication, however, the nurse proceeds to administer the injection. Legally, the nurse has committed: A) An assault B) A battery C) An invasion of privacy D) False imprisonment

A) An assault B) A battery C) An invasion of privacy D) False imprisonment Answer: B

Collective bargaining is best described as: A) An informal problem-solving process B) A generally informal process involving all staff members C) A formal procedure governed by labor laws D) Focused on interpersonal relationships

A) An informal problem-solving process B) A generally informal process involving all staff members C) A formal procedure governed by labor laws D) Focused on interpersonal relationships Answer: C

An action that can lead to a malpractice suit would be: A) Assessing a client more than once per shift. B) Listening to the physician explain the benefits and risks of a procedure as they are being explained to the client. C) Reporting that he or she has witnessed a coworker using controlled substances when working. D) Altering a client's record.

A) Assessing a client more than once per shift. B) Listening to the physician explain the benefits and risks of a procedure as they are being explained to the client. C) Reporting that he or she has witnessed a coworker using controlled substances when working. D) Altering a client's record. Answer: D

Empowerment occurs more often with: A) Authoritarian management B) Shared governance C) Laissez-faire governance D) Autocratic management

A) Authoritarian management B) Shared governance C) Laissez-faire governance D) Autocratic management Answer: B

Nancy is supervising a patient care assistant and a licensed practical nurse. When giving them assignments she states, "You two decide how you want to divide up the patients." This is an example of what type of leadership? A) Autocratic B) Laissez-faire C) Democratic D) Situational

A) Autocratic B) Laissez-faire C) Democratic D) Situational Answer: B

Sally meets with all the staff to get input on the governance of the unit. Her management style is most likely: A) Autocratic B) Participative C) Directive D) Permissive

A) Autocratic B) Participative C) Directive D) Permissive Answer: B

Wilhelmina, an RN for over 6 years, had her license suspended because an audit of her continuing education credits showed that she had not met the mandatory course requirements. The Board of Nursing has the ability to do this based on: A) Case law B) Administrative law C) Civil law D) Statutory law

A) Case law B) Administrative law C) Civil law D) Statutory law Answer: B

A problem-solving process used in the nurse-client relationship is known as: A) Case management B) Nursing process C) Evaluation techniques D) Remediation theory

A) Case management B) Nursing process C) Evaluation techniques D) Remediation theory Answer: B

One way to lower the resistance to change would include: A) Centralization of information B) Confirmation of currently held beliefs C) Provision of psychological safety D) Ensuring the involvement of few people to reduce confusion

A) Centralization of information B) Confirmation of currently held beliefs C) Provision of psychological safety D) Ensuring the involvement of few people to reduce confusion Answer: C

In dealing with conflict, it is important to approach it in a(n): A) Competitive manner B) Destructive manner C) Cooperative manner D) Ambivalent manner

A) Competitive manner B) Destructive manner C) Cooperative manner D) Ambivalent manner Answer: C

Problem resolution, as opposed to negotiation, is appropriate in which of the following situations? A) Complex, widespread disagreement B) Highly charged situation C) Political issue D) Interpersonal misunderstanding

A) Complex, widespread disagreement B) Highly charged situation C) Political issue D) Interpersonal misunderstanding Answer: D

Empowerment is psychological and includes a feeling of: A) Control B) Loss C) Effectiveness D) Quantity

A) Control B) Loss C) Effectiveness D) Quantity Answer: C

Larry was brought to the hospital by two police officers. He was combative and verbally abusive. After waiting for over an hour, Larry tells the nurse he is leaving. The nurse removes Larry's clothes from the room, leaving him only in his underwear. The nurse may be charged with: A) Cruel and unusual punishment B) Slander and libel C) False imprisonment D) Assault and battery

A) Cruel and unusual punishment B) Slander and libel C) False imprisonment D) Assault and battery Answer: C

Conflict can occur when there is: A) Decreased workloads B) Acceptance of cultural differences C) A secure work environment D) Tension between groups

A) Decreased workloads B) Acceptance of cultural differences C) A secure work environment D) Tension between groups Answer: D

Behaviors of an effective leader include: A) Denying the exchange of information B) Inability to communicate effectively C) Giving only negative feedback D) Developing oneself and others

A) Denying the exchange of information B) Inability to communicate effectively C) Giving only negative feedback D) Developing oneself and others Answer: D

Juliana, an RN, is caring for Mary Lewis, 80 years old. Ms. Lewis falls and injures herself. Which of the following actions should Juliana take to decrease her liability? A) Document the incident carefully on an incident report form. B) Chart the facts surrounding the client's fall, condition, and follow-up care. C) Do not document anything about the fall. D) Just tell the on-coming nurse that Mary fell.

A) Document the incident carefully on an incident report form. B) Chart the facts surrounding the client's fall, condition, and follow-up care. C) Do not document anything about the fall. D) Just tell the on-coming nurse that Mary fell. Answer: D

Mr. Phillipe has suffered a stroke. His daughter brings DNR and power of attorney documents to the hospital. The purpose of the DNR is to: A) Document the terminal nature of the client's condition B) Allow an alternative to the universal standing order to provide cardiopulmonary resuscitation to all clients C) Provide an opportunity for the client, family, and caregivers to discuss the nature of the client's condition and the best possible course of action if the client has a cardiac arrest D) Provide legal protection for nurses who believe a client should not be resuscitated

A) Document the terminal nature of the client's condition B) Allow an alternative to the universal standing order to provide cardiopulmonary resuscitation to all clients C) Provide an opportunity for the client, family, and caregivers to discuss the nature of the client's condition and the best possible course of action if the client has a cardiac arrest D) Provide legal protection for nurses who believe a client should not be resuscitated Answer: B

Which of the following would not be considered one of the elements for a negligence claim? A) Duty B) Breach of duty C) Spontaneous duty D) Harm

A) Duty B) Breach of duty C) Spontaneous duty D) Harm Answer: C

Of the following qualities, which would least likely be attributed to an effective nursing leader? A) Energy and integrity B) Pessimism and stress C) Courage and initiative D) Optimism and perseverance

A) Energy and integrity B) Pessimism and stress C) Courage and initiative D) Optimism and perseverance Answer: B

The best indication that a conflict is resolved is when: A) Everyone falls silent. B) The group that was correct is the winner. C) Issues remain a concern. D) Everyone is satisfied with the solution

A) Everyone falls silent. B) The group that was correct is the winner. C) Issues remain a concern. D) Everyone is satisfied with the solution. Answer: D

Communication has the best chance of being interpreted accurately when: A) Face-to-face communication is used B) The message is repeated by the sender C) Sent electronically D) More than one mode is used

A) Face-to-face communication is used B) The message is repeated by the sender C) Sent electronically D) More than one mode is used Answer: D

A positive aspect of hierarchy is: A) Few policies or practices B) Consistent operation C) Flexibility D) Promotion of creativity

A) Few policies or practices B) Consistent operation C) Flexibility D) Promotion of creativity Answer: B

Which of the following would be considered an extrinsic value? A) Food B) Water C) Money D) Shelter

A) Food B) Water C) Money D) Shelter Answer: C

Nonmaleficence means: A) Freedom to make decisions for oneself B) Doing no harm, either deliberately or unintentionally C) Doing good for the benefit of others D) Treating everyone equally, regardless of gender, race, religion, or disease

A) Freedom to make decisions for oneself B) Doing no harm, either deliberately or unintentionally C) Doing good for the benefit of others D) Treating everyone equally, regardless of gender, race, religion, or disease Answer: B

Beneficence means: A) Freedom to make decisions for oneself B) Doing no harm, either deliberately or unintentionally C) Doing good for the benefit of others D) Treating everyone equally, regardless of gender, race, religion, or disease

A) Freedom to make decisions for oneself B) Doing no harm, either deliberately or unintentionally C) Doing good for the benefit of others D) Treating everyone equally, regardless of gender, race, religion, or disease Answer: C

The essence of leadership is the leader's ability to: A) Get people to work together B) Influence other people C) Help others meet their personal goals D) Influence the group to follow the leader's way of thinking

A) Get people to work together B) Influence other people C) Help others meet their personal goals D) Influence the group to follow the leader's way of thinking Answer: A

Marie, an RN, accompanies the surgeon to Ms. Allen, a diabetic with gangrene of the lower left extremity. The surgeon explains to Ms. Allen that he will perform a below-the-knee amputation that will remove the infection. He will give her some antibiotics, and she will probably go home in a few days. After the surgeon leaves, Marie brings in the consent forms and asks Ms. Allen to tell her what the surgeon said. Ms. Allen states, "Oh, he is going to remove the infection and give me antibiotics and then I can go home. I feel so much better now because my other doctor told me they were going to cut off my leg!" Based on this information, Marie's next step should be to: A) Have Ms. Allen sign the consent form B) Draw a picture of a below-the-knee amputation for Ms. Allen C) Tell Ms. Allen that she did not hear what her doctor told her D) Call the surgeon and explain the situation to him

A) Have Ms. Allen sign the consent form B) Draw a picture of a below-the-knee amputation for Ms. Allen C) Tell Ms. Allen that she did not hear what her doctor told her D) Call the surgeon and explain the situation to him Answer: D

Glenn is an RN on a busy medical-surgical unit. He comes to work today for his usual shift after working a double shift yesterday. At the end of this day, two RNs call in, and the nurse manager tells Glenn he needs to stay and cover the next shift. Glenn may refuse to accept an assignment if: A) He is being asked to care for too many difficult clients B) He believes his assignment is unsafe C) He is being asked to work overtime D) He believes there are not enough nurses to work with him

A) He is being asked to care for too many difficult clients B) He believes his assignment is unsafe C) He is being asked to work overtime D) He believes there are not enough nurses to work with him Answer: C

Nancy has been working as an RN in long-term care for 4 months. She has been offered the evening supervisor position at a local nursing home. The salary is attractive. What should be her main consideration prior to accepting this position? A) Her clinical expertise, business sense, and leadership skills. B) Staffing ratios and number of RNs on the evening shift. C) Vacation, sick time, and tuition reimbursement. D) Mission and philosophy of the facility.

A) Her clinical expertise, business sense, and leadership skills. B) Staffing ratios and number of RNs on the evening shift. C) Vacation, sick time, and tuition reimbursement. D) Mission and philosophy of the facility. Answer: A

Creativity is especially important in which phase of problem-solving? A) Identifying the issue B) Generating possible solutions C) Evaluating the solutions D) Implementing the solution

A) Identifying the issue B) Generating possible solutions C) Evaluating the solutions D) Implementing the solution Answer: B

Which of the following would not be acceptable behavior in the on-line communication environment? A) If you were face-to-face, would you say this? B) Follow the same rules of behavior on-line that you follow when dealing with individuals in person C) Sending copies of information only to individuals with a need to know. D) Using a communication language style that will cause a reaction on the part of the receiver.

A) If you were face-to-face, would you say this? B) Follow the same rules of behavior on-line that you follow when dealing with individuals in person C) Sending copies of information only to individuals with a need to know. D) Using a communication language style that will cause a reaction on the part of the receiver. Answer: D

Once resistance to change is recognized, it must be: A) Ignored B) Pacified C) Addressed D) Justified

A) Ignored B) Pacified C) Addressed D) Justified Answer: C

Which of the following is least effective when giving evaluation feedback? When it is given: A) Immediately B) Frequently C) Privately D) Negatively

A) Immediately B) Frequently C) Privately D) Negatively Answer: D

Negative feedback should be given: A) In the nursing station B) During report C) With a yearly evaluation D) Privately

A) In the nursing station B) During report C) With a yearly evaluation D) Privately Answer: D

The term "shared governance" describes: A) Actively participating in interdisciplinary team conferences B) Attending professional organization meetings C) Refraining from participating in research projects in a clinical specialty D) Returning to school to earn a higher degree in nursing

A) Informal ways in which access to opportunity is made available to staff B) Staff nurses' inclusion in decision-making through representation in governing practice and management issues C) Nurses' involvement in decision-making at the administrative level D) A shared staffing on various levels to serve the needs of the institution Answer: B

According to "trait theories," the most common traits of a good leader are: A) Information giving and decision-making B) Public speaking and nonrisk behaviors C) Intelligence and initiative D) Verbal and written communication skills

A) Information giving and decision-making B) Public speaking and nonrisk behaviors C) Intelligence and initiative D) Verbal and written communication skills Answer: C

The role of the manager includes: A) Interpersonal, informational, and decisional actions B) Extroverted personality, hidden agenda, and personal gain C) Introversion, asking questions, and inability to take action D) Extreme prejudice, being unknowledgeable, and being uncaring

A) Interpersonal, informational, and decisional actions B) Extroverted personality, hidden agenda, and personal gain C) Introversion, asking questions, and inability to take action D) Extreme prejudice, being unknowledgeable, and being uncaring Answer: A

You have used the S-BAR method of communication and your patient needs immediate attention and has not received it. Your best response would be to: A) Keep calling the same practitioner until you get results B) Hope the practitioner will act soon C) Go up the chain of command D) Ask the next shift to follow-up

A) Keep calling the same practitioner until you get results B) Hope the practitioner will act soon C) Go up the chain of command D) Ask the next shift to follow-up Answer: C

Which of the following qualities would be detrimental to effective nursing management? A) Leadership B) Clinical expertise C) Business sense D) Minimum communication

A) Leadership B) Clinical expertise C) Business sense D) Minimum communication Answer: D

Liu Chen, an RN, is taking a client history. She is entering the information into her handheld as the client speaks to her and asks questions clearly and concisely. However, Liu asks questions regarding information the client has already given. The client says to Liu, "Are you listening to me?" Of the following, which best indicates Liu is listening to the client? A) Maintaining appropriate eye contact. B) Glancing around the room and writing a note. C) Asking another question immediately after receiving an answer to the first question. D) Typing notes on the computerized record while the client is speaking.

A) Maintaining appropriate eye contact. B) Glancing around the room and writing a note. C) Asking another question immediately after receiving an answer to the first question. D) Typing notes on the computerized record while the client is speaking. Answer: A

The order of the basic listening sequence is: A) Message, encoder, feedback, decoder, method of sending B) Encoder, message, method of sending, decoder, feedback C) Decoder, message, encoder, method of sending, feedback D) Feedback, decoder, message, method of sending, encoder

A) Message, encoder, feedback, decoder, method of sending B) Encoder, message, method of sending, decoder, feedback C) Decoder, message, encoder, method of sending, feedback D) Feedback, decoder, message, method of sending, encoder Answer: B

Jeremy graduated from an associate degree nursing program 2 years ago. He is brought before the State Board of Nursing for offering to give physicals for summer camp for $25. Because Jeremy has violated the Nurse Practice Act in his state, he is charged with committing a: A) Misdemeanor B) Felony C) Civil law D) Common law

A) Misdemeanor B) Felony C) Civil law D) Common law Answer B

An example of a human relations-oriented manager is one who: A) Motivates employees to work to their highest potential B) Uses control rather than guidance C) Assumes close supervision over staff development D) Implements punishment rather than rewards potential

A) Motivates employees to work to their highest potential B) Uses control rather than guidance C) Assumes close supervision over staff development D) Implements punishment rather than rewards potential Answer: A

David, the nurse manager, asks to see Allison, a new RN, for a few minutes after lunch. When Allison mentions this to her colleagues at lunch, they fill her with dread about the purpose of the meeting. Allison reluctantly stops by David's office. He asks Allison to sit down and says, "I thought you should know that I heard you explaining the procedure for a cardiac catheterization today to Mrs. Young. You did a great job, and I also wanted to let you know that the unit has literature that you can give the clients regarding many of the procedures they may undergo while here." Allison leaves the office feeling very good about herself. David provided Allison with: A) Negative feedback B) Constructive criticism C) Destructive criticism D) Positive feedback

A) Negative feedback B) Constructive criticism C) Destructive criticism D) Positive feedback Answer: D

When issues and problems arise that cannot be resolved through discussion, the next step might be: A) Negotiation B) Discussion C) Problem-solving D) Arguments

A) Negotiation B) Discussion C) Problem-solving D) Arguments Answer: A

Madeline is working in the pediatric oncology unit as a pediatric client care technician and enjoys playing with the children. Every time the nurse needs her for something, Madeline can be found in the play area or in a child's room. The nurse believes if Madeline would do her tasks, then she would be able to deliver better nursing care. The nurse is finally exasperated with Madeline after finding her in the playroom one more time. The nurse says, "You are lazy and never get anything of importance done for this unit!" The nurse has just provided Madeline with: A) Neutral criticism B) Positive feedback C) Negative feedback D) Constructive criticism

A) Neutral criticism B) Positive feedback C) Negative feedback D) Constructive criticism Answer: C

Staff members at the bottom of the organizational hierarchy have: A) No power B) No power and no authority C) High authority and high power D) Little authority, but some power

A) No power B) No power and no authority C) High authority and high power D) Little authority, but some power Answer: A

Louis, an RN, is caring for Emil Jones, a 58-year-old newly diagnosed diabetic. Louis needs to instruct Emil regarding his insulin pump. While performing client teaching, which of the following barriers to communication can Louis eliminate? A) Noise from the television B) Language differences C) Educational level D) Mr. Jones' lack of attentiveness

A) Noise from the television B) Language differences C) Educational level D) Mr. Jones' lack of attentiveness Answer: A

During a code Sue begins giving order to the staff. Her management style at this time is: A) Nondirective B) Permissive C) Controlling D) Participative

A) Nondirective B) Permissive C) Controlling D) Participative Answer: C

After administering an incorrect dosage of a medication the nurse realizes that too little medication was given to the client. The nurse then administers a second dose in order to give the correct dosage. Legally, the nurse must: A) Not tell anyone about the error B) Document that the correct medication was administered C) Document the error in the nursing notes D) Both A and B

A) Not tell anyone about the error B) Document that the correct medication was administered C) Document the error in the nursing notes D) Both A and B Answer: C

A nursing student is preparing for the NCLEX. Which of the following activities would be most appropriate 2 days before the student is to take the examination? A) Pack a bag of items that may be needed during the test. B) Map out the route to the exam site. C) Eat a diet high in fats and carbohydrates. D) Both A and B

A) Pack a bag of items that may be needed during the test. B) Map out the route to the exam site. C) Eat a diet high in fats and carbohydrates. D) Both A and B Answer: D

New nursing graduates may assist in implementing change by: A) Participating in staff meetings B) Maintaining current status of client data C) Using procedures suggested by the hospital D) Ignoring quality improvement issues

A) Participating in staff meetings B) Maintaining current status of client data C) Using procedures suggested by the hospital D) Ignoring quality improvement issues Answer: A

Ground rules are set during a negotiation in order to: A) Prevent escalation of the conflict B) Restrict freedom of discussion C) Clarify the source of the conflict D) Reduce formality

A) Prevent escalation of the conflict B) Restrict freedom of discussion C) Clarify the source of the conflict D) Reduce formality Answer: A

The health-care institution where Cori is a nurse manager has moved to e-mail as a method of communication. When using this communication method, it is important to remember that: A) Professional e-mail must use formal headings. B) Professional e-mail may remain informal. C) E-mail does not require the same level of courtesy as a formally written communication. D) Professional e-mail should be written in all capital letters.

A) Professional e-mail must use formal headings. B) Professional e-mail may remain informal. C) E-mail does not require the same level of courtesy as a formally written communication. D) Professional e-mail should be written in all capital letters. Answer: B

What is the "essence" of management? A) Providing leadership B) Encouraging continuing education C) Coaching employees D) Completing staff evaluations

A) Providing close supervision B) Getting work done through others C) Constant monitoring of unit expenses D) Staff development Answer: B

Which of the following is an example of the decisional activities of a manager?

A) Providing leadership B) Encouraging continuing education C) Coaching employees D) Completing staff evaluations Answer: D

A new graduate is considering working at a health-care institution that focuses on core values. It is important for the new graduate to: A) Read the organization's mission and philosophy B) Develop a new set of values that blend with the organization C) Speak with other nurses who work in the institution D) Both A and C

A) Read the organization's mission and philosophy B) Develop a new set of values that blend with the organization C) Speak with other nurses who work in the institution D) Both A and C Answer: D

Which of the following actions would be typical for a manager who adheres to the scientific management approach? A) Reads research studies on management B) Stays in touch with his or her feelings C) Carefully works out the time each nursing task should take D) Allows staff to develop and enforce their own holiday schedule

A) Reads research studies on management B) Stays in touch with his or her feelings C) Carefully works out the time each nursing task should take D) Allows staff to develop and enforce their own holiday schedule Answer: C

Jim has demonstrated strong leadership skills during his first year as an RN. He observes that one of his coworkers appears very anxious when dealing with demanding families. Jim displays emotional intelligence when he: A) Reports to the nurse manager that his friend is very anxious when dealing with demanding families. B) Says to his friend, "Dealing with these demanding families can be very anxiety-producing." C) Says to his friend, "You seem very anxious when dealing with these families; maybe you should seek counseling help." D) Ignores the behavior because everyone takes a different time to adjust to the role of an RN.

A) Reports to the nurse manager that his friend is very anxious when dealing with demanding families. B) Says to his friend, "Dealing with these demanding families can be very anxiety-producing." C) Says to his friend, "You seem very anxious when dealing with these families; maybe you should seek counseling help." D) Ignores the behavior because everyone takes a different time to adjust to the role of an RN. Answer: B

The role of ethics committees is to: A) Resolve ethical dilemmas B) Prevent the physician from getting the institution into legal confrontations C) Establish guidelines to eliminate ethical dilemmas D) Provide appropriate guidance for the health-care team, family members, and the client

A) Resolve ethical dilemmas B) Prevent the physician from getting the institution into legal confrontations C) Establish guidelines to eliminate ethical dilemmas D) Provide appropriate guidance for the health-care team, family members, and the client Answer: D

Sources of coercive power come from which of the following? A) Responsibility B) Recognition C) Expertise D) Punishment

A) Responsibility B) Recognition C) Expertise D) Punishment Answer; D

Mrs. Chou has been suffering from senile dementia Alzheimer's type for over 5 years. Her family has kept her at home, and each member has participated in her care. The community health nurse has been supporting the family in this effort. Recently, Mrs. Chou has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to: A) Say nothing; this is a family issue. B) Speak with the members individually and persuade them to do "what is best for their mother." C) Discuss the conflicting opinions with the physician. D) Persuade the family members to meet together to express their feelings to one another.

A) Say nothing; this is a family issue. B) Speak with the members individually and persuade them to do "what is best for their mother." C) Discuss the conflicting opinions with the physician. D) Persuade the family members to meet together to express their feelings to one another. Answer: D

Jose and his girlfriend are driving on the highway and witness a motor vehicle accident. He calls 911 and pulls over to the side of the road. He immediately begins to assess the victim to determine what he can do until the paramedics arrive. His girlfriend says, "This guy can't give you permission to help him; maybe you should just leave him alone." Jose explains that he has implied consent. Implied consent is assumed when a client: A) Sees a physician or nurse by appointment in the office or clinic setting B) Arrives in the operating suite C) Is admitted to the hospital D) Is treated at the scene of an accident

A) Sees a physician or nurse by appointment in the office or clinic setting B) Arrives in the operating suite C) Is admitted to the hospital D) Is treated at the scene of an accident Answer: D

Michelle believes that her employees operate from the Theory Y philosophy. Based on this, how would she assist them in developing a scheduling plan for the unit? A) Send a completed schedule for 2 months out over e-mail. B) Ask for a committee of volunteers to develop the schedule. C) Meet with each employee to get his or her input about the best scheduling plan. D) Delegate scheduling to her assistant nurse manager.

A) Send a completed schedule for 2 months out over e-mail. B) Ask for a committee of volunteers to develop the schedule. C) Meet with each employee to get his or her input about the best scheduling plan. D) Delegate scheduling to her assistant nurse manager. Answer: C

Three nursing students are in the elevator and overhear Evan, one of the staff nurses, discussing his neighbor who was hospitalized last night for liver failure. Evan told his colleague that a mutual friend told him that the neighbor was "known for liking his brandy." A family member was in the elevator and also overheard the conversation. Evan may be charged with: A) Slander B) Libel C) Fraud D) Breach of confidentiality

A) Slander B) Libel C) Fraud D) Breach of confidentiality Answer: A

Mr. Jeremy received the wrong dose of a narcotic, and the error was caught during the shift's narcotic count. The nurse performing the count was not the nurse who signed out the medication. The nurse's next action should be to: A) Speak about the error with the nurse who gave the medication. B) Report the medication error without first consulting the nurse who signed out the medication. C) Call the nurse manager and ask her to handle the situation. D) Write out an incident report.

A) Speak about the error with the nurse who gave the medication. B) Report the medication error without first consulting the nurse who signed out the medication. C) Call the nurse manager and ask her to handle the situation. D) Write out an incident report. Answer; A

When giving feedback it is important to include: A) Suggestions for change B) Only negative feedback C) Positive feedback followed by negative feedback D) A general opening statement comparing this person with others

A) Suggestions for change B) Only negative feedback C) Positive feedback followed by negative feedback D) A general opening statement comparing this person with others Answer: A

Which skills will not be useful in becoming a better follower? A) Supporting the ideas of your colleagues B) Becoming an effective listener C) Demonstrating energy and enthusiasm in the workplace D) Contradicting others if their ideas are not useful to the team

A) Supporting the ideas of your colleagues B) Becoming an effective listener C) Demonstrating energy and enthusiasm in the workplace D) Contradicting others if their ideas are not useful to the team Answer: D

Which of the following is a common goal for a health-care organization? A) Survival B) Limited existence C) Cooperation with the competition D) Downsizing

A) Survival B) Limited existence C) Cooperation with the competition D) Downsizing Answer: A

Resistance to change has three major sources: A) Technical concerns, psychosocial needs, threats to a person's position B) Staffing concerns, physical needs, threats to hierarchy needs C) Prior concerns, social needs, threats to self-actualization D) Technology concerns, personal needs, threats to hospitalized clients

A) Technical concerns, psychosocial needs, threats to a person's position B) Staffing concerns, physical needs, threats to hierarchy needs C) Prior concerns, social needs, threats to self-actualization D) Technology concerns, personal needs, threats to hospitalized clients Answer: A

The staff is discussing the confusion they have over some directions regarding a JCAHO project given by Linda, the associate nurse manager. Each staff member has a specific assignment, however, some of the tasks seem to be duplicated. Based on the five elements of communication, who is responsible for the clarity of messages? A) The decoder B) The transcriber C) The encoder D) The receiver

A) The decoder B) The transcriber C) The encoder D) The receiver Answer: C

Which of the following is usually not part of a job evaluation? A) The job description B) Being compared with others C) The results of the employee's efforts D) What the evaluator has seen

A) The job description B) Being compared with others C) The results of the employee's efforts D) What the evaluator has seen Answer: B

The most obvious aspect of organizational culture is/are: A) The unwritten rules B) The employee handbook C) The care environment D) The organizational climate

A) The unwritten rules B) The employee handbook C) The care environment D) The organizational climate Answer: B

Sharing decision-making responsibilities may be difficult for some managers for which of the following reasons? A) They believe that empowered staff members have higher levels of job-related tension. B) There is inadequate staffing on the unit. C) There is a lack of time and situational support. D) They may be reluctant to give up their control.

A) They believe that empowered staff members have higher levels of job-related tension. B) There is inadequate staffing on the unit. C) There is a lack of time and situational support. D) They may be reluctant to give up their control. Answer: D

Which of the following guidelines is not appropriate when giving negative feedback? A) Think before you speak B) Allow personal feelings to guide your response C) Focus on behavior, not the personality D) Uncover hidden feelings

A) Think before you speak B) Allow personal feelings to guide your response C) Focus on behavior, not the personality D) Uncover hidden feelings Answer: B

Anne wanted to simplify the current method of ordering missing medications. She devised what she thought was an excellent idea and presented her plan to the nurse manager on the unit. Her idea was rejected. What step in the process of change did Anne forget to follow? A) Threatening others B) Provoking resistance C) Unfreezing D) Refreezing

A) Threatening others B) Provoking resistance C) Unfreezing D) Refreezing Answer: C

The structure of many organizations is the: A) Traditional approach B) Organic structure C) Decentralized approach D) Network structure

A) Traditional approach B) Organic structure C) Decentralized approach D) Network structure Answer: A

Emotional intelligence is also an important part of leadership. Which of these qualities is not part of emotional intelligence? A) Understanding self B) Listening skills C) Acknowledging others D) Responding quickly to a crisis

A) Understanding self B) Listening skills C) Acknowledging others D) Responding quickly to a crisis Answer: D

The major hallmark of situational leadership is: A) Understanding the readiness of the follower B) Major focus on interpersonal relationships C) Effective listening skills D) Motivating others

A) Understanding the readiness of the follower B) Major focus on interpersonal relationships C) Effective listening skills D) Motivating others Answer: A

The two basic channels of communication are: A) Verbal and interpretive B) Nonverbal and interpretive C) Nonverbal and verbal D) Verbal and written

A) Verbal and interpretive B) Nonverbal and interpretive C) Nonverbal and verbal D) Verbal and written Answer: C

A nurse working in the critical care unit is described as being an excellent friend and critical thinker. This would be considered an example of: A) Virtue ethics B) Moral ethics C) Nursing ethics D) Power ethics

A) Virtue ethics B) Moral ethics C) Nursing ethics D) Power ethics Answer: A

A clinic run by volunteer doctors and nurses belongs in which of the following categories? A) Voluntary for profit B) Publicly supported C) Not for profit D) Governmental agency

A) Voluntary for profit B) Publicly supported C) Not for profit D) Governmental agency Answer: C

Jose has switched to the night shift from the evening shift so that he has more time to spend with his family. However, he is finding it difficult to sleep during the day. His wife asks him to do numerous tasks around the house while he is at home. The lack of sleep is beginning to affect his job performance, and he has made several medication errors over the past month. His evaluation is a month away. The best approach for the nurse manager to take in this situation would be to: A) Wait until his evaluation in a month B) Ask the night supervisor to speak with him C) Schedule a meeting with Jose for the next morning D) Ignore the situation because the manager knows Jose will improve

A) Wait until his evaluation in a month B) Ask the night supervisor to speak with him C) Schedule a meeting with Jose for the next morning D) Ignore the situation because the manager knows Jose will improve Answer: C