NU Leadership

The nurse should plan to see which patient first when planning morning care?

A 12-year-old who was admitted for chemotherapy via a central venous catheter.

A new nurse on a medical-surgical unit has an uncomfortable encounter with one of the RNs. Both the RN and the new nurse realize that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used?

Avoidance

When dealing with conflict among staff, what is the best approach by the nurse manager?

Create a positive situation

Negotiation closure ends with restating the final decision in order to assess individual understanding of the resolution.

FALSE

While meeting in the conference room, Fred stated that Carol 'freaked out' when he asked for assistance. What response by Carol would be most appropriate?

Fred, can you explain what you mean when you say that I 'freaked out'?

A nurse leader is trying to bring about change on the unit. Which intervention is associated with the nurse leader role?

Inspiring staff to maintain high standards regarding patient care

The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in the need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years, and this change will create conflict. At what stage does this conflict exist?

Latent conflict stage

What action by Roxanne would best address the latent conflict that underlies Carol's and Fred's active conflict?

Meeting with the unit's nurses to describe current challenges with staffing levels and possible solutions

The nurse manager of an acute care unit determines the increase in the incidence of medication errors over the last six months and identifies this as a focus area for improvement. What is the next action by the nurse manager?

Organize a total quality management (TQM) meeting

A nurse leader works at a facility that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. Which activity reflects how the leader can practice TQM on their unit?

Promote teamwork rather than individual accomplishments.

When dealing with conflict, what actions are important for the manager to do? (Select all that apply.)

Recognize and accepts difference in team members Role-model collaborative negotiation Seek a win-win solution

The nurse manager may use which quality assurance or performance improvement technique to identify underlying process flaws in the reporting of suspected child or elder abuse?

Root cause analysis

After a recent departmental reorganization, the nurse manager observes tension in several interactions among the staff. The manager understands that which of the following common causes for conflict in organizations could be at the root of the tension? (Select all that apply.)

Staffing changes Unclear expectations

The negotiation strategies mirror that of the nursing process.

TRUE

A registered nurse (RN) on a busy hospital floor is working alongside an 'agency nurse,' or supplemental RN (SRN). When working with the SRN, the RN should:

collaborate with the SRN in a similar way as with RNs who work on the unit consistently.

______________ is the final step of the quality improvement process that the nurse leader must complete in order to improve patient care.

evaluation

The unit manager of a medical-surgical unit undergoing restructuring changes realizes that to create a more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as 'smoothing'. Smoothing is best defined as:

looking toward something that the parties in conflict are in agreement about

Health care shifted focus from patient care to issues of cost and quality.

true

Carol was visibly angry about the perceived inequity between her work assignment and Fred's work assignment. When managing her own anger, Carol should:

try to identify the specific triggers that caused her to become angry with Fred.

The charge nurse is making assignments for the next shift. Which patient should be assigned to the new graduate nurse who has just successfully completed her unit orientation?

A 60-year-old who needs teaching about the use of incentive spirometry

The nurse working on a medical-surgical nursing floor should plan to assess which client first?

A patient admitted with renal failure with a previous day's urinary output of 900 cc

The nurse-manager of a surgical unit must hire travel RNs to work during busy times. Knowing that travel nurses typically receive higher hourly salaries as well as completion bonuses for the 13-week assignment, the manager anticipates regular staff will have animosity toward these nurses. The manager has a plan to allow the regular staff to have every weekend off (because part of the travel nurse's contract states that the nurse may be required to work each weekend during the contracted time frame). What type of conflict resolution strategy is the manager using?

Compromising

For a nurse leader, what is the optimal goal in resolving conflict between team members?

Create a win-win solution for all

Roxanne chooses to seek a consensus when managing the conflict between Fred and Carol. What outcome would most clearly suggest that Fred and Carol have reached a consensus?

Fred and Carol can both support the outcome, even though it is not ideal for either of them

Roxanne, the unit manager, demonstrated effective management of a workplace conflict. After becoming aware of a conflict, what action should a leader-manager prioritize?

Gathering as much information about the conflict as possible

When a new nurse executive identifies the goal of creating a 'just culture' environment in their healthcare organization, the staff understands that such an environment is characterized by a culture where:

The focus is on system processes that caused an error, not on individual blame.

The nurse in the emergency department should see which of these four patients first?

A patient reporting a headache, photosensitivity, and a stiff neck.

After receiving report, which client should the nurse see first?

A patient who was admitted with kidney stones and is crying with back pain.

Which nurse likely faces the highest risk of being bullied in the workplace?

A registered nurse who graduated from a bachelor of science in nursing program three months ago

A new graduate nurse plans to administer early morning medications after receiving change-of-shift report. Which medication should the nurse administer first?

A scheduled IV antibiotic for a client who has resolving pneumonia

A health care team is implementing the Toyota Production System (TPS) because the facility is having financial difficulty and may have to consider minimizing its workforce. Prior to implementing TPS, what should the team consider? (Select all that apply.)

How it will change the organization's culture, values, and roles The commitment of time and resources from the facility's leadership The level of staff preparation and involvement that will be required

A root cause analysis (RCA) is a process during which participants:

Identify risk points before, during, and after the event and the impact on the incident

The nurse leader must be aware of barriers that can prevent effective mediation. These include which of the following? (Select all that apply.)

Intimidation Manipulation Ridicule Negative body language

Which statement about total quality management is correct?

It considers the individual as the focal element on which production and service depend.

Nurse leaders make use of quality control tools to identify various types of errors as outlined by the IOM report. What are some of the most common types of errors reported in today's health care system? Select all that apply.

Medication errors Diagnostic errors Communication errors Equipment errors

The Institute of Medicine (IOM) would consider which behaviors as an indicator of quality care? (Select all that apply.)

Nurses taking population-specific classes to keep their professional knowledge updated Nurses returning to school to obtain a baccalaureate degree in nursing A hospital requiring annual retraining for all staff in CPR and AED use The use of nationally developed and approved patient education materials