Leadership Chapter 12

Which option is related to collaboration between the nurse and patient instead of coordination of patient care? 1. Requires direct interaction with the patient. 2. Can take place either before or after patient care is provided. 3. Is not goal directed. 4. Is done to ensure that something happens.

1

Which typical response by the nurse indicates the use of effective collaboration skill? 1. Negotiates with others. 2. Avoids competition. 3. Strongly defends own ideas. 4. Attacks to assert own position.

1

Select the options that reflect the key concepts related to collaboration. Standard Text: Select all that apply. 1. Partnership. 2. Interdependence. 3. Position. 4. Responsibility. 5. Dynamic.

1, 2, 4, 5

The nurse is working to make sure all plans for the patient's discharge are complete. Which option best reflects the role in which this nurse is working? 1. Evaluation. 2. Coordination. 3. Communication. 4. Collaboration.

2

Which option, regarding the benefits of interprofessional collaboration, is accurate? 1. These relationships are easy to establish because physicians, nurses, and ancillary professionals work closely together. 2. Interprofessional environments are easy to establish, but hard to maintain. 3. Professionals will have more career mobility as health care systems change. 4. Health care research will be conducted solely by physicians, leaving patient care to nurses.

3

A nurse who is often a staff leader frequently comes to the nurse manager with concerns and complaints. When the nurse is reviewed for a merit raise she does not receive it although the nurse demonstrated excellent work leading the unit change to evidence-based practice. This illustrates use of which type of power by the nurse manager? 1. Coercive power. 2. Referent power. 3. Informational power. 4. Reward power.

1

Select the tools used by health care that are focused on coordination of care. Standard Text: Select all that apply. 1. Case management. 2. Clinical pathways. 3. Practice guidelines. 4. Disease management. 5. Care maps.

1, 2, 3, 4, 5,

A major conflict has arisen among staff nurses regarding holiday days off on the next schedule. One of the nurses has a history of destructive behavior associated with conflict that the nurse manager would like to catch before the behavior affects the operation of the unit. What behaviors, by this nurse, should the manager watch out for? Standard Text: Select all that apply. 1. The nurse ignored the policy for 15 minute work breaks and was away from the unit for 30 minutes. 2. When asked about the conflict the nurse states, "I don't know what you are talking about." 3. The nurse states, "We have a problem with this scheduling, but I bet we can work it out." 4. The nurse avoids going into the nursing station when an "opponent" in the conflict is present. 5. The nurse has lunch with a nurse from another unit.

1, 2, 4

Select the major goals of conflict management. Standard Text: Select all that apply. 1. To meet the needs of the patient, family or significant others, and the organization. 2. To decrease conflict. 3. To encourage staff to be more aggressive in dealing with conflict. 4. To ensure all parties feels positive about resolution to conflict. 5. To eliminate the possibility of conflict

1, 2, 4

The nurse manager has been working with staff to improve care coordination, but has not met success with this endeavor. Which statements, made by staff, would indicate to this manager that a barrier to coordination exists? Standard Text: Select all that apply. 1. "We never have the correct information from radiology for how they want us to prepare patients for tests." 2. "Has anyone been able to get the laboratory to answer the phone today?" 3. "I talked with one of the physical therapy assistants today. Did you know that all of our PT assistants have college degrees?" 4. "I tried to sit with some of the staff members from the pharmacy today at lunch, but they didn't include me in any of their conversation." 5. "The speech therapist helped me set up a way to communicate with a patient with a tracheostomy."

1, 2, 4

After a new management company took over the operations of a hospital many changes in policy were made. The nurse manager overhears a conversation in the break room that included comments such as, "I don't know why I even try" and "No one pays any attention to us anyway." What results of these feelings should the nurse manager watch for on the unit? Standard Text: Select all that apply. 1. Lack of creative problem solving in the staff. 2. Deterioration in morale. 3. Increased effort by other nurses to make needed changes. 4. New staff being increasingly alienated from those who have been employed longer. 5. Change in the culture of the unit.

1, 2, 4, 5

Select the appropriate interventions to discourage verbal abuse between physicians and nurses. Standard Text: Select all that apply. 1. Approach those involved in private and identify a need for change in behavior. 2. Gain a better understanding of each profession's viewpoint. 3. Appoint a professional from another discipline to take charge of training and education programs for physicians and nurses. 4. Encourage nurses who are involved in this behavior to find employment elsewhere. 5. Disseminate code-of-conduct policies and reporting guidelines to both nurses and physicians.

1, 2, 5

The nurse manager is responsible for resolving a conflict. Place the steps of conflict resolution in the order the manager should use. Standard Text: Click and drag the options below to move them up or down. Choice 1. Identify the problem behaviors. Choice 2. Discuss the situation with those involved. Choice 3. Document the facts and their source. Choice 4. Report the results to the appropriate supervisor

1, 3, 2, 4

The nursing department of a hospital is engaged in collaborative planning with the laboratory and radiology department of the same hospital. What are the benefits of this collaborative planning? Standard Text: Select all that apply. 1. It maximizes resources such as staff and equipment. 2. It keeps one department from getting too big a share of the budget. 3. It minimizes duplication of work. 4. It improves the relationship among these departments. 5. It makes the best use of space available.

1, 3, 4

Which actions are important in the prevention of conflict? Standard Text: Select all that apply. 1. Allocate resources fairly. 2. Try to keep problems confidential. 3. Address staff fears. 4. Clearly state expectations. 5. Keep lines between roles flexible and dynamic.

1, 3, 4

The nurse is very upset regarding a reprimand issued by the nurse manager. The nurse confronts the nurse manager in the hallway. How should the manager respond? 1. Ignore the situation. 2. Ask the nurse to move to the manager's office. 3. Tell the nurse to calm down and act professionally. 4. Respond to the nurse regarding the reprimand in the hallway

2

The staff nurse approaches the nurse manager with a complaint about a physical therapy assistant and states, "She doesn't do the same amount of work as the nursing assistants." After investigating, the manager believes the staff nurse does not understand the PT assistant's role and that is causing stress for the nurse. Which kind of conflict has this situation caused the nurse? 1. Organizational conflict. 2. Individual conflict. 3. Interpersonal conflict. 4. Repressive conflict.

2

A staff member has become very disagreeable. The other nurses know this staff member is transferring to another unit at the end of the week. The nurses decide to ignore the situation. This illustrates which method of conflict resolution? 1. Accommodation. 2. Collaboration. 3. Avoidance. 4. Passive-aggressiveness.

3

Initial conflict resolution includes using which strategy? 1. Developing more self-confidence. 2. Avoiding the situation. 3. Questioning throughout the process. 4. Obtaining a neutral third party to assist.

3

The manager has asked the staff to participate in the selection of new intravenous pumps for the unit. The manger has provided a list of choices and budget guidelines. This is an example of use of which management strategy? 1. Use of expert power. 2. Use of legitimate power. 3. Empowerment of staff. 4. Management persuasiveness.

3

There are gender differences in how people negotiate. Choose the option that reflects the way males are thought to negotiate. 1. Focus on what is fair. 2. Seek a win-win situation. 3. Overt testing of limits. 4. Refuse to communicate.

3

The administrative staff has brainstormed for ideas on creating a more collaborative environment in the health care agency. Which idea would be best to more completely develop? 1. Develop a plan to help members of each profession more completely understand the impact of their own work. 2. Institute collaborative strategies quietly and in a stealthy manner. 3. Hold education sessions regarding collaboration for each department. 4. Emphasize the fact that no one profession has all of the necessary skills to provide all care.

4

The nursing staff members report a problem to their nurse manager by saying, "We know we are going to have a problem with this." This statement illustrates which stage of conflict? 1. Perceived conflict. 2. Felt conflict. 3. Manifest conflict. 4. Latent conflict.

4

The patient, the nurse, and the physician have discussed treatment options and nursing care and have come to an agreement on the patient's plan of care. Which principle does this illustrate? 1. Education. 2. Conflict resolution. 3. Emotional intelligence. 4. Collaboration.

4

Which option illustrates that effective negotiation has occurred? 1. Education about the issue occurs. 2. Boundaries are set and meeting times and place are established. 3. Both parties compromise and make concessions. 4. An agreement is formalized.

4