Leadership quiz 4
Which nurse is experiencing intrapersonal conflict? Select one: A manager who perceives a dilemma between loyalty to staff and loyalty to the organization in a particular situation A manager who has received a negative performance appraisal and who wishes to dispute the findings A manager who is in conflict with a long-standing employee who often ignores the manager's directives A manager who has to confront a nurse who made a medication error but did not follow up with documentation
The correct answer is: A manager who perceives a dilemma between loyalty to staff and loyalty to the organization in a particular situation
A nurse-manager has to make some difficult decisions around the allocation of vacation time during the holiday season. When making a decision, what should the manager do first? Select one: Clearly identify each of the desired objectives in the situation Think of as many alternatives as possible Elicit ideas from as many staff members as possible Consider how the issues has been addressed in the past
The correct answer is: Clearly identify each of the desired objectives in the situation
A nurse-manager has made a decision and is now preparing to evaluate the decision. What question should best guide the nurse's evaluation process? Select one: Did the outcomes align with the original objectives? Is evaluation necessary when using a good decision-making model? Is every party happy with the outcomes of the decision? Can evaluation be eliminated if the problem is resolved?
The correct answer is: Did the outcomes align with the original objectives?
An employee has come to the manager with a long list of complaints about a coworker, all of which are attributable to personality factors rather than unsafe practice. What is the manager's best initial action? Select one: Ask the employee to email or text message the complaints to the coworker Acknowledge and document the employee's complaints Arrange for third-party mediation Encourage the employee to speak directly with the coworker
The correct answer is: Encourage the employee to speak directly with the coworker
Two student nurses close to graduating are at their preceptorship with a nurses on a busy unit at the hospital. The students report they are only being allowed to take vital signs, pass out food trays, and provide basic hygiene instead of learning how to balance a full patient load providing total care and collaborate with the staff. The faculty report this to the unit manager, what is the unit manager's best course of action? Select one: Tell the staff nurses she understands how busy they are lately and not to worry about it. Remind the nurses that they were students once and to try and give more nurse things for the students to do. Place a copy of the ANA's Code of Ethics highlighted with statements about incivility highlighted at the nurses personal areas at the nurses' station Explain that there is zero tolerance for incivility even with students and that this could effect employment rates and quality of care.
The correct answer is: Explain that there is zero tolerance for incivility even with students and that this could effect employment rates and quality of care.
A registered nurse reports to the nurse-manager that the team's nursing assistant regularly fails to complete assigned tasks. The nurse-manager responds that it is the nurse's initial responsibility to talk with the nursing assistant about this problem. The manager is engaged in what aspect of conflict? Select one: Conflict avoidance Conflict smoothing Facilitating conflict resolution Encouraging competitive conflict resolution
The correct answer is: Facilitating conflict resolution
The nurses on a medical unit are using several different techniques for performing wound care and the manager recognizes a need to implement evidence-based practice (EBP). What should the manager do first when applying the principles of EBP? Select one: Identify the main peer-reviewed journals in field of wound care Identify how expert nurses typically perform wound care Perform a review of the literature about wound care Formulate a specific, searchable clinical question about wound care
The correct answer is: Formulate a specific, searchable clinical question about wound care
The nurse-manager is faced with a difficult decision in a situation that involves the manager's values. What is the manager's best action? Select one: Defer the decision to a colleague with different values Try to base a decision on intuition rather than values Set aside his or her values and make a rationale decision Identify and reflect on his or her own values
The correct answer is: Identify and reflect on his or her own values
Which statement best defines conflict? Select one: It involves an internal struggle resulting from value-related discord. It centers on either internal discord or external discord between individuals. It is the outcome of a visible struggle between individuals. Its basis is the violation of personal rights or values.
The correct answer is: It centers on either internal discord or external discord between individuals.
Which statement is true concerning critical thinking? Select one: a. It requires reasoning and creative analysis. b. It is a simple approach to decision making. c. It is narrower in scope than decision making. d. It is a synonym for the problem-solving process.
The correct answer is: It requires reasoning and creative analysis.
A nurse-manager has realized that the data gathering process before a recent decision may have been influenced by confirmation bias. How can the manager best prevent this in the future? Select one: Collect only the minimum quantity of data before making a decision Make sure not to prioritize information that supports the manager's beliefs Delegate data gathering to a trusted colleague who has different values Consider all of the implications of an alternative before making a decision
The correct answer is: Make sure not to prioritize information that supports the manager's beliefs
Which is a true statement about destructive negotiation tactics? Select one: I. Ridicule often takes the form of ambiguous or inappropriate questioning and is a diversionary tactic. II. Most managers successfully resist the helplessness tactic because of their nursing preparation. III. Nurses are known to be particularly vulnerable to the tactic of flattery. IV. Negotiation tactics can sometimes be manipulative; thus, managers must be cognizant of the other party's motives.
The correct answer is: Negotiation tactics can sometimes be manipulative; thus, managers must be cognizant of the other party's motives.
One of the nurses on the unit said, "My Vietnamese patient won't look me in the eye, but I know that Asian patients avoid making eye contact as a way of showing respect." This nurse is demonstrating what type of illogical thinking? Select one: Arguing from analogy Affirming the consequences Deductive reasoning Overgeneralizing
The correct answer is: Overgeneralizing
A recent graduate has begun working at a health center and finds the behaviors of colleagues stressful and intimidating. The nurse's colleagues whisper when she is around, roll their eyes at her, and laugh when she asks for assistance or clarification. What is this recent graduate's best action initially? Select one: Organize a meeting to confront the colleagues about their behavior Report these behaviors to the nurse-manager Seek assistance from the organization's ombudsperson Avoid the offending colleagues whenever possible
The correct answer is: Report these behaviors to the nurse-manager
Nurses on a unit notice that a routine blood specimen collection is not being done correctly and it has become a recurrent problem. Rather than talking to the responsible individual(s), one nurse sends out a negatively worded message to all the nurses creating organizational conflict. What can the nurse manager do to best facilitate conflict resolution? Select one: Responsibility charting where the staff is educated on chain of command to resolve issues Structure change, transferring one of the nurses responsible to another unit Avoiding- the nurses can resolve the issue without interference of the manager Soothing one party, assuring the nurse reporting the issue that you are just as upset at the incompetence of the staff.
The correct answer is: Responsibility charting where the staff is educated on chain of command to resolve issues
The nurse manager informs the staff that in order to save money the hospital wants to do a way with using agency nurses. The individual units staff themselves so its up to the manager to address. The nurses are upset about this. The manager presents the options of mandatory overtime for everyone, or allowing the nurses to self schedule and sign up for overtime as long as its covered. Select one: Mediation Competing Seeking consensus Smoothing
The correct answer is: Seeking consensus
The nurse-manager is applying an evidence based approach to a clinical question around client mobilization. When using a PICO format to search for evidence, the nurse should identify what? Select one: Costs associated with a potential change in practice The role of intuition in the decision-making process The preferences of clients and their families The clients for whom the intervention would be relevant
The correct answer is: The clients for whom the intervention would be relevant
Which of the following workplace situations would be categorized as latent conflict? Select one: Two nurses were in conflict about inequities in their work assignment but were able to resolve the conflict. The most experienced nurses on a unit are allowed to self-schedule, but less experienced nurse are not. A nurse expresses anger to the manager, accusing the manager of preferential treatment toward other nurses. A nurse expresses frustration to a colleague who did not perform some tasks that were clearly delegated.
The correct answer is: The most experienced nurses on a unit are allowed to self-schedule, but less experienced nurse are not.
The nurse-manager is mediating a conflict between two nurses on the unit. What goal should the manager prioritize when addressing this conflict? Select one: A solution is chosen that minimizing the effect on other employees. The nurses emerge from the resolution with a close personal relationship. The nurses agree to a solution that is mutually beneficial. A solution is identified that can be easily and quickly implemented.
The correct answer is: The nurses agree to a solution that is mutually beneficial.
The nurse is working with a group of students who are learning a high-risk procedure. How should the nurse best ensure learning while protecting the safety of clients? Select one: Use simulation for the students to learn and practice the skill Create an unfolding case study featuring the procedure Teach the students about the traditional problem-solving process before they practice the procedure Help the students use a decision-making model to choose the safest technique
The correct answer is: Use simulation for the students to learn and practice the skill
A nurse-manager was involved in conflict where the other individual adopted a competing approach. This approach is evident in what circumstances? Select one: When managers need to control a volatile situation When fair play is important to all involved parties When an appropriate political strategy is necessary When one party wins at the expense of the others
The correct answer is: When one party wins at the expense of the others
The nurse-manager is applying the decision-making process when addressing a nurse's high rate of absenteeism. This process should result in: Select one: an outcome that is desired by all. a chosen course of action. a new understanding of the problem. an action that guarantees success.
The correct answer is: a chosen course of action.
The unit manager has created a decision grid in order to assist with a difficult staffing decision that will affect many nurses. The decision grid will allow the manager to: Select one: ensure that the decision is made objectively rather than subjectively. plot the outcomes of a decision over time and evaluate the decision-making process. examine alternatives visually and compare each against the same criteria. predict when events must take place to complete a project on time.
The correct answer is: examine alternatives visually and compare each against the same criteria.
The nurse-manager of a short-staffed unit needs to make a decision about a nurse's request for an unpaid leave of absence. In order to increase the chance of making a good decision, the manager should: Select one: begin the decision-making process by presuming the status quo to be the best option. prioritize the option that is most innovative. involve as many people in the decision-making process as possible. generate as many different alternatives as possible.
The correct answer is: generate as many different alternatives as possible.
Which statements demonstrate a characteristic of a critical thinker? Select all that apply. Select one or more: "I'll talk to the client's primary care giver about the problem." "It's important that we not give up; our clients deserve it." "The solution has to be something the client is willing to do." "Maybe there is no new solution to this particular problem." "Since that didn't work effectively, let's try something different."
The correct answers are: "Since that didn't work effectively, let's try something different.", "The solution has to be something the client is willing to do.", "I'll talk to the client's primary care giver about the problem.", "It's important that we not give up; our clients deserve it."
Which of the following behaviors should the nurse-manager identify as workplace violence, incivility, or bullying? Select all that apply. Select one or more: A nurse's specific vacation request is denied by the manager for 2 years in a row. A group of nurses consistently refuse to help a nurse when that nurse has a heavy workload, despite having time to do so. A nurse tells a nursing student to rush to room 311, knowing that the unit has no room 311. A nurse asks a colleague to assess a known verbally abusive client without warning to see how the colleague will respond. Staff members assign an unwanted nickname to a colleague.
The correct answers are: A group of nurses consistently refuse to help a nurse when that nurse has a heavy workload, despite having time to do so., Staff members assign an unwanted nickname to a colleague., A nurse asks a colleague to assess a known verbally abusive client without warning to see how the colleague will respond., A nurse tells a nursing student to rush to room 311, knowing that the unit has no room 311.
Two nurses in a small community are in conflict because the first nurse's son committed a violent assault on the second nurse's son. In recent weeks, workplace interactions between the two have become increasingly tense. What is the nurse-manager's best strategy for resolving this conflict? Select one: Soothing Confrontation Structure change Responsibility charting
The correct answers are: Confrontation, Soothing, Responsibility charting, Structure change
