NUR435 Leadership Week 5 Quiz

What are some methods that nursing staff can use to manage personal stress levels? (Select all that apply.) A. Pay attention to diet and exercise. B. Have a strong support network of friends and family. C. Get enough sleep. D. Take personal time each day. E. Take on extra shifts to keep the mind occupied.

A, B, C, D While stress management is unique to each person, some of the tools that may be effective include taking personal downtime each day, getting enough sleep, eating right, exercising, and having a strong network of friends and family for support.

Which of the following questions should be considered in the hospital gap analysis survey of clinical operations readiness in the event of a disaster? (Select all that apply.) A. Does the facility have procedures in place to maximize staff safety in a disaster? B. Does the facility have procedures in place for use of PPE? C. Does the facility have a mechanism of tracking costs associated with the event? D. Can the facility track patients until discharge or death while maintaining confidentiality? E. Does the facility have a lockdown plan in case of emergency?

A, B, D Assessing the clinical operations readiness in the gap analysis survey can be answered by asking some of the following questions: Does the facility have procedures in place to maximize staff safety in a disaster? Does the facility have procedures in place for use of PPE? Can the facility track patients until discharge or death while maintaining confidentiality?

Nursing leadership competencies in disaster planning and crisis management encompass which of the following domains? (Select all that apply.) A. Risk communication B. Assessment of the disaster scene C. Budget and resource allocation D. Technical skills E. Critical thinking

A, B, D, E Nursing leadership competencies in disaster planning and crisis management are invaluable, and fortunately they have been developed by a collaborative group led by the U.S. Department of Veterans Affairs, Office of Nursing Services. These disaster competencies are categorized into four domains: assessment of the disaster scene, technical skills, risk communication, and critical thinking (Coyle et al., 2007).

What are the major roles of nursing leadership in disaster planning? (Select all that apply.) A. Developing or refining the hospital's emergency operations plan. B. Ensuring the synchronization of department plans C. Ensuring that the community is synchronizing internal department plans in the event of a disaster D. Encouraging staff to stay at home in the event of a disaster to decrease confusion E. Providing clearly defined roles for staff nurses in a disaster situation

A, B, E Nursing leadership needs to ensure that all facility departments understand their role in a disaster situation. Nurse leaders are the coordinators in synchronizing department plans so that everything fits together to meet the essential needs of the staff, patients, hospital, and community. Once the comprehensive emergency management plans are complete, every department should understand their identified written role. Nursing leadership, in conjunction with security, develops or refines the hospital's EOP for incidents based on the HVA.

What is the role of the project facilitator in the emergency management committee? A. Keeping the plan current and in the forefront of strategic planning B. Creating key components of disaster protocols C. Improving care by developing patient care plans. D. Establishing guidelines for policy and procedures

A. Keeping the plan current and in the forefront of strategic planning A project facilitator is helpful in getting the committee started and operational. The project facilitator can also serve in a pivotal maintenance role, keeping the emergency management plan current and in the forefront of the administration's strategic planning over time.

In setting boundaries it is important to do which of the following? A. Set boundaries based on individual needs. B. Consider where one is in the lifespan when setting boundaries. C. Set boundaries even if it produces more stress than not having boundaries at all. D. Set rigid boundaries.

A. Set boundaries based on individual needs. Boundaries need not be exceedingly rigid and may change over time. Boundaries should be set based on individual needs, not gender, stereotypes, or even where someone is on the lifespan. The most important thing is that setting them should not induce more stress on the individual than not having them at all.

An example of a cyber disaster is a catastrophic event caused by: A. an attack initiated from one computer against another. B. an outbreak of a pathogen. C. the use of military weapons. D. an exposure to toxic materials.

A. an attack initiated from one computer against another. A cyber disaster is a catastrophic event that results from an attack initiated from one computer against another computer with the purpose of compromising the information stored on it.

An all-hazards command center usually: A. is located near the security department. B. is operated by an emergency department triage nurse. C. facilitates planning meetings. D. provides a place for the commander to sleep.

A. is located near the security department. The command center usually is located near the security department and is commanded by the administrator on call, along with the chief nurse officer, emergency department-air care medical director, and safety and security director.

Max is a nurse on the 7 PM to 7 AM shift on the orthopedic floor. He is the most experienced nurse on the unit during this shift, with 6 years of nursing experience. Max usually acts as charge nurse during his shift while caring for a group of patients. Recently there has been an influx of new graduates working on his shift. Some nights, he is expected to orient a new nurse, act as the charge nurse, and mentor other new nurses working on the floor. He is concerned that with all the new nurses, there are not enough mentors for all of them, resulting in less-than-optimal care delivery. Which factors have been shown to decrease stress for nurse leaders? (Select all that apply.) A. Transparency B. Support from others C. Autonomy D. Predictability

B, C, D High stress is experienced by nurse leaders and stems from the challenges of a multifaceted job with myriad sources of stress. Having support from others (e.g., supervisors, comanagers, and coworkers) is a factor that decreases stress (Kath et al., 2012; Shirey et al., 2010). The amount of autonomy and predictability in the job mitigates the negative effects of stress as well (Kath et al., 2012)

In a hospital's emergency operations plan, what would be the expected roles of the security department? (Select all that apply.) A. Being the primary source of communication to nursing staff B. Managing people entering and leaving the hospital C. Developing or refining the hospital's emergency operations plan D. Overseeing facility security E. Lockdown of the facility as necessary

B, C, D, E The primary responsibility for the safety and security department, in conjunction with nursing leadership, is to develop or refine the hospital's EOP for incidents based on the HVA. The safety and security department needs to have assigned oversight for facility security, quick lockdown or controlled access, and management of people flowing into and out of the hospital.

A staff nurse has a concern about a co-worker who may be diverting medications. The staff nurse would like to report the concern to a supervisor, but she is fearful of retaliation from her colleagues. The staff nurse knows that the ethical thing to do is report the concern for the sake of patient safety. This nurse is experiencing: A. stress. B. moral distress. C. procrastination. D. burnout.

B. moral distress. Moral distress occurs when clinicians know what is the ethical action to take, yet are prevented by either external or internal obstacles. Moral distress will contribute to stress and eventual burnout if the staff nurse does not take action

In a disaster, it is most important that the: A. clients are sent home quickly. B. nurses and their families feel safe. C. security department increases its workforce. D. medications and supplies are secure.

B. nurses and their families feel safe. It is most important that the staff members feel safe. In a disaster, the paradigm of keeping the patient safe first needs to change its focus so that staff members and their families feel as safe as possible. This way, staff members are best able to meet their patients' needs.

A disaster is a sudden event that can cause great destruction and human suffering and often requires external assistance. Which of the following statements are accurate depictions of various types of disasters or disaster-related definitions? (Select all that apply.) A. A chemical disaster occurs when there is deliberate or unintentional release of biological materials that may adversely affect the health of those exposed. B. A catastrophic event caused by the use of weapons is a radiological disaster. C. A hazard vulnerability analysis is an exercise that identifies an organization's potential emergencies. D. A biological disaster occurs when there is a deliberate or unintentional release of biological materials that may affect the health of those exposed. E. A cyber disaster is a catastrophic event that results from the use of information technology systems.

C, D, E A cyber disaster is a catastrophic event that results from the use of information technology systems to control or disrupt critical infrastructure systems. A biological disaster occurs when there is a deliberate or unintentional release of biological materials that may affect the health of those exposed. A hazard vulnerability analysis is an exercise that identifies an organization's potential emergencies, the likelihood of the event occurring, and the impact it would have on the organization.

Which combination of leadership is recommended for chairing an emergency management committee? A. Chief executive officer and internal medicine physician B. Representative chief information technology officer and critical care physician C. Representative chief nurse officer and emergency care physician D. Chief financial officer and emergency care nurse liaison

C. Representative chief nurse officer and emergency care physician In health care systems, system-wide executive administrators need to be part of the emergency management committee. Having a senior executive administrator of the health care system serve as the chairperson of the committee will provide the leadership needed to communicate the importance of emergency preparedness as a system priority. A representative CNO and emergency medicine physician, serving as co-chairs with the senior executive administrator, can create a dynamic team that is uniquely prepared to tackle any issues that arise.

There is evidence of a link between _____ employees with higher productivity and more satisfied customers. A. stressed B. financially focused C. empowered D. creative

C. empowered Employees who are empowered in their jobs are also more engaged and satisfied. Research indicates that structural empowerment leads to higher productivity and satisfaction for the employee, which translates to more satisfied customers

An internal obstacle that may contribute to moral distress is: A. lack of resources. B. lack of structure. C. lack of confidence. D. lack of processes.

C. lack of confidence. Moral distress occurs when an individual knows what ethical action should occur but is prevented from doing so by either internal or external barriers (Rushton, 2006). Internal obstacles include personal characteristics such as fear or lack of confidence. External obstacles include a lack of resources, structures, or processes that prevent taking the desired and right action

Which of the following warnings is used to alert the American people about credible terrorist threats? A. Unlikely threat B. Imminent threat C. Likely threat D. Elevated threat

D. Elevated threat In April 2011, the federal government implemented a new alert system, the National Terrorism Advisory System (NTAS), which replaced the color-coded system implemented by Homeland Security. The new two-level system will warn the American public about elevated threats, which warns of a credible terrorist threat, or imminent threat, warning the public that a credible and specific terrorist threat is imminent (U.S. Department of Homeland Security, 2012).

A new nurse manager is provided with a smartphone in order to efficiently manage her time. What is the most effective method of managing stress related to e-mail? A. Set aside time during meetings to read and respond to messages. B. Create an auditory cue that alerts the manager to incoming messages so they can be processed immediately. C. Delete e-mails that require a lengthier response. D. Schedule blocks of time to tackle e-mail.

D. Schedule blocks of time to tackle e-mail. Time management will not be effective if the manager is expected to respond to messages as soon as they arrive. Managers can set a rule to check e-mails two to three times per day rather than constantly and should use a sorting a flagging methodology to effectively manage the need for follow-up. Managers should not utilize meetings in order to read and respond to messages

All-hazards disaster is best defined as: A. any type of biological, chemical, radiological, or nuclear event. B. an unforeseen and often unplanned event causing great damage. C. an event involving floods, tornadoes, hurricanes, and earthquakes. D. all types of natural and human terrorist events.

D. all types of natural and human terrorist events. An all-hazards disaster includes all types of natural acts such as earthquakes, forest fires, floods, and hurricanes, or terrorist events such as biological, chemical, radiological, and nuclear attacks. A disaster is an unforeseen and often sudden event that causes great damage, destruction, and human suffering.

A health care system's ability to rapidly expand beyond normal capacity to meet an increased demand for qualified personnel, beds, and medical care services in the event of a large-scale emergency or disaster is known as: A. mass casualty. B. natural disaster. C. acuity. D. surge capacity.

D. surge capacity. Surge capacity is a measurable representation of the ability to manage a sudden influx of patients (American College of Emergency Physicians [ACEP], 2011). In addition to the overall all-hazards preparedness plans, the hospital will need to define procedures regarding what will be done in any biological, chemical, nuclear/radiological, or conventional disaster, and the surge capacity needs related to any of the events