Leadership - week 3 study questions

You are a new nurse. The hospital where you work is committed to providing safe, high-quality care. Which of the following activities would let you know that your organization is committed to, improving patient safety? a. the hospital has a good catch program for staff who recognize errors and near misses b. the hospital subscribes to TJC safety publications c. the hospital measures performance every month, monitors quality indicators, and regularly reports on quality d. all of the above

a

OSHA, a federal government agency, is responsible for: a. providing training to handle difficult clients and their families b. providing research and education training c. upholding the standards of nursing practice d. developing and enforcing workplace safety and health regulations

d

how can you increase yours staff's receptivity to an important change in procedures? a. assign the new procedure to the newest staff member b. apologize for making their work more complicated c. provide them with a booklet on preparing for change d. give them time to learn the new procedure

d

new graduates usually experience a "honeymoon" period at their first job, which is characterized by: a. extreme criticism from colleagues b. long hours and low pay c. feeling undervalued d. excitement about the new position

d

nursing standards of care and the organization's policies and procedures greatly decrease risk to PT safety. Which of the following steps can a nurse take to further reduce risk? a. submit event or incident reports for near misses b. follow medication administration policies and procedures c. always report significant data on care to PTs and providers in a timely manner d. all of the above

d

organizational culture is best defined as a. the stated vision and mission of an organization b. policies and procedures c. the type of décor that was chosen for the facility d. an enduring set of shared values and beliefs

d

when designing a technical change, which of the following should be considered? a. will it work better than the old way? b. is this change needed? c. is there a simple way to do this? d. all of the above

d

an effective way to help a diverse staff work together is to: a. provide equal opportunities for advancement b. pretend there are no cultural differences c. promote uniformity in communication styles d. establish an English only policy institution wide

a

burnout at work can be identified best by: a. expressions of frustration and powerlessness b. fatigue and refusal to work double shifts c. allergic reactions d. a preference for effciency

a

enhancing the quality of work life can be achieved by: a. encouraging critical thinking and new ideas b. discouraging a working relationship with one's peers c. being negative d. endangering a PTs health or safety

a

medical errors account for 250,000 deaths per year. it is estimated that as many as 50% of these errors may be preventable. What steps would you take to avoid a medication error? a. review the PTs medication administration record during bedside shift report b. ask your colleagues to get your medication so that you can give it on time c. call the pharmacist d. review the medication administration policy

a

several of your colleagues are going to join the ANA. You know the annual dues are a little more than you can afford right now, but you want to learn more. Your friends think that joining the ANA will help empower them. How do professional organizations empower nurses? a. the represent nurses in the political arena b. they equalize power between employees and staff c. they provide opportunities for promotion d. they provide health insurance

a

the HHS is charged with protecting the health of all Americans and providing essential health services. which of the following HHS quality initiatives is currently under way? a. post acute care reform initiative b. national health care research and quality indicators aimed at helping improve access to care c. NDNQI d. health IT

a

there are numerous sources of power in an organization. Several are available to nurses. Which one is not? a. authority b. reward c. control of information d. coercion

a

to achieve safe PT care, a culture of safety must exist. What are characteristics of an organization with a culture of safety? a. transparency, openness, reporting of errors is rewarded, blame free environment b. honesty, studying of serious events c. privacy, reporting of errors appreciated d. blame free environment, openness, error reporting is encouraged

a

what is the best explanation of authority? a. it is position dependent b. it is based upon the ability to lead others c. it is expertise driven d. it resides primarily in the clients served

a

which of the following is a macro level change? a. shift in medicare payment policies b. change in shift differentials c. opening a new unit d. changing visiting hours

a

which of the following is the best indication that a change has been integrated? a. when no one talks about it anymore b. if adoption occurred rapidly c. when resistance turns from active to passive d. when a full year has passed since the change was introduced

a

which of the following events should be reported? select all that apply a. a PT is placed in a broken wheelchair that tips over b. a staff member tells a neighbor about the famous athlete who is a PT c. an employee reports to work under the influence of alcohol d. a PT spills her supplemental protein drink on the floor; the certified nursing assistant (CNA; aide) mops it up

a, b, c

a suburban hospital recently announced that staff nurses could no longer choose their shift. instead, they would be assigned to either a 12 hour day shift or a 12 hour night shift on an as needed basis. An informal group of staff nurses met to discuss this new policy. they came up with several arguments against it. which of the following suggestions would help to alleviate the deleterious effects of this new policy? select all that apply a. allow self scheduling by staff nurses in each unit b. provide free dinner for nursing staff at the end of the night shift c. allow staff members to request consistent days off d. end visiting hours before the day shift ends so that the night shift nurses do not have to deal with visitors

a, c

actions to address violence in the health care workplace include: select all that apply a. identifying the factors that contribute to violence and controlling as may as possible b. allowing violence to escalate c. assessing staff attitudes and knowledge regarding responses to violence d. providing weapons training to those identified as having a potential for physical violence

a, c

an incident of sexual harassment as identified by the EEOC is: select all that apply a. telling jokes about sexual identity issues b. separate restrooms c. providing coffee and doughnuts to the nursing staff d. demanding a daily kiss for writing a favorable evaluation

a, d

factors found to increase nurses' joy at work include: select all that apply a. ability to provide quality care b. consistently high workload c. a pattern of continuous conflict and disagreement d. civility and respect

a, d

which of the following are considered reasonable accommodations for an employee with a disability? select all that apply a. modification of the work schedule b. salary reduction to reflect lower output c. additional days off and extended vacations d. adjustment of work procedures

a, d

a new nurse manager plans to implement a new scheduling process. This was met with resistance from the staff who were very happy with the current scheduling process. How can the nurse manager lower their resistance to this change? a. tell the staff that their concerns about the new schedule are unfounded and plan to post the new schedule b. share information about the new schedule and discuss its impact on the unit c. post the schedule and deal with staff on an individual basis d. ask the staff to come up with an alternative for the nurse manager's consideration

b

according to NIOSH, a common reaction to latex allergy is: a. increased appetite b. allergic contact dermatitis c. increased falls d. an increase in violent outbursts

b

in which of the following situations would a personal change probably be the hardest to make? a. when the need is immediate b. if the benefits will be realized ears from now c. when the reward is immediate d. if it is change that keeps you in your comfort zone

b

nurses who feel empowered can make significant contributions to a health care organization. Feeling empowered includes feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. What is essential to nurse empowerment? a. belonging to a professional organization b. participating on a unit practice council c. reasonable work assignments d. a rewards and recognition program

b

structured care methodologies (SCM) are: a. nursing tools designed to identify best practices and facilitate standards of care. b. used to create a stable set of performance indicators to measure outcomes c. used to assist employees with wellness and injury prevention d. helpful when making staffing assignments

b

the purpose of QI is to continuously improve the capability of everyone involved to provide safe, high quality PT care. what is important to know about the QI process? a. it is independent of team work b. it is a data driven approach to improving process c. common safety indicators are not used to evaluate quality of care d. opportunities for QI are selected by organization leadership

b

when evaluating the quality of care, a health care organization must consider structures, processes, and outcomes of care delivery. which of the following is a good example of an organizational process? a. budgeting adequate money for nursing salaries b. preparing a PT for discharge c. monitoring for infections d. increasing time between clinic visits

b

when is it appropriate to dictate (order) change? a. when the change is very complicated b. in an emergency c. when resistance is very high d. if the change is unimportant

b

which of the following best describes what is most likely to be within a nurse's comfort zone? a. a new assignment b. tasks she's done many times c. change to a different shift d. addition of several new tasks

b

which of the following procedures and modifications contributes to reducing indoor air pollution? a. windows that may be opened by staff as needed b. more powerful ventilation systems and air filtration c. selecti ofon products with more polyvinyl chloride (PVC) d. increased use of medical waste incinerators

b

There has been a sudden increase in catheter associated urinary tract infections that must be address on Jane's unit. What is the best way for Jane to persuade the staff to implement a new Foley catheter care protocol? a. tell them to change has been ordered by the administration b. present statistics proving the need to change c. tell a compelling story about why change is needed d. explain the importance of the change in simple terms

c

a colleague tells you, "I'm so burned out, I think it's time for me to resign." what can you tell your colleague? a you probably need a break from work. why don't you ask for a 6-month leave of absence? b. why don't you apply for a position at our rival hospital c. tell me how you take care of yourself and what you like about your work d. we're all burned out. welcome to the club

c

a surprisingly dangerous job in the US is working: a. in a coal mine b. as a window cleaner in NY city c. in a health care facility d. as a police officer

c

creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety? a. provision of adequate resources to provide care and service b. use of interprofessional collaboration to solve problems and asses risk c. adherence to staffing ratios d. encourages the reporting of errors and near misses

c

if you are employed at the hospital owned by a corporation listed in the stock market, in which category does your facility belong? a. publicly (government) supported b. voluntary, non for profit c. for profit d. all of the above

c

studying errors and identifying how they occur helps organizations improve PT safety. which category offers is the most useful in identifying and remedying vulnerabilities in an organization? a. sentinel event b. adverse event c. near miss event d. wrong procedure event

c

the occurrence of sexual harassments may be reported to: a. IHI b. ANA c. EEOC d. CDC

c

which of the following is a characteristic of a bureaucratic organization? a. organic structure b. flexible teams c. rigid unit structures d. self-correction and self control

c

you have been asked to serve on your unit practice council. this is an important role and one that you are excited to perform. What should you know about professional governance so that you are prepared for this work? Professional governance in nursing involves: a. working longer hours b. attending a lot of meetings c. nurses setting nursing standards for daily practice d. changing the organization's culture

c

Stephanie Beals was a little nervous during her first week of work as a licensed nurse. Distracted by a lead nurse behind her, her hand slipped, and she was stuck by the needle she had just used. what is most important for Stephanie to do? a. disinfect the site of the needlestick b. apologize to the PT, clean the site, and properly dispose of the needle c. update her hep B immunization d. report the incident and obtain PEP within 2 hours

d

a common ergonomic occupational related risk in the health care environment is: a. indoor air pollution b. active shooters c. nosocomial infection d. back injuries

d

a federal agency that partners with other agencies throughout the nation to investigate health problems, conduct research, implement prevention strategies, and promote safe and healthy environments is known as the: a. FDA b. IOM c. ANA d. CDC

d

a new nurse manager has observed several instances of horizontal violence beween staff members on her unit, primarily verbal an malicious gossip. what should she do? a. ignore it because it is not physical violence and will not hurt anyone b. model this bullying behavior so that staff can see how it affects PPL c. keep a log of observed bullying behavior to discuss during the employees' annual evaluation d. confront the bullying behavior and discuss strategies for responding to it

d

communities and regulatory agencies continually challenge hospitals, skilled nursing facilities, and home health companies to enhance, improve or change care delivery and the care environment to ensure safe, high-quality care. Which factors are important in improving a hospital's care environment? a. adequate staffing b. collegial relationships among staff c. emphasis on staff development d. all of the above

d

what type of resistance to a change is the hardest to overcome? a. the resistance that comes from inertia: "we always do it this way." b. active resistance to changing a preferred procedure c. passive resistance to an unpopular change d. resistance based upon fear of losing one's job

d

your new organization is committed to quality patient care. which of these are considered characteristics of quality health care? a. the nurses use evidence based research to guide care delivery b. the nurses are respectful and responsive to their clients' individual preferences c. the nurses perform an independent double check when administering chemotherapy medication d. all of the above

d