Essentials of Nursing Leadership & Management - MINE
The role of the manager includes: A) Interpersonal, informational, and decisional actions B) Extroverted personality, hidden agenda, and personal gain C) Introversion, asking questions, and inability to take action D) Extreme prejudice, being unknowledgeable, and being uncaring
A
The structure of many organizations is the: A) Traditional approach B) Organic structure C) Decentralized approach D) Network structure
A
In Continuous Quality Improvement (CQI), data collection is:
A) Everyone's responsibility B) The means to lay blame to those who commit errors at the bedside. C) Limited to data available from a patient chart D) Limited by the CQI software limitations Answer: A
Which of the following would be considered an extrinsic value?
A) Food B) Water C) Money D) Shelter Answer: C
Nonmaleficence means:
A) Freedom to make decisions for oneself B) Doing no harm, either deliberately or unintentionally C) Doing good for the benefit of others D) Treating everyone equally, regardless of gender, race, religion, or disease Answer: B
Beneficence means:
A) Freedom to make decisions for oneself B) Doing no harm, either deliberately or unintentionally C) Doing good for the benefit of others D) Treating everyone equally, regardless of gender, race, religion, or disease Answer: C
Marie, an RN, accompanies the surgeon to Ms. Allen, a diabetic with gangrene of the lower left extremity. The surgeon explains to Ms. Allen that he will perform a below-the-knee amputation that will remove the infection. He will give her some antibiotics, and she will probably go home in a few days. After the surgeon leaves, Marie brings in the consent forms and asks Ms. Allen to tell her what the surgeon said. Ms. Allen states, "Oh, he is going to remove the infection and give me antibiotics and then I can go home. I feel so much better now because my other doctor told me they were going to cut off my leg!" Based on this information, Marie's next step should be to:
A) Have Ms. Allen sign the consent form B) Draw a picture of a below-the-knee amputation for Ms. Allen C) Tell Ms. Allen that she did not hear what her doctor told her D) Call the surgeon and explain the situation to him Answer: D
Historical, social, political, and economic trends and issues:
A) Have contributed to the complexity of today's health-care system B) Have had a limited impact on today's health-care delivery system C) Can be positively correlated with outcomes of care at the bedside D) Have been mitigated by the strong influence of professional organizations like the ANA and the AMA Answer: A
Individual staff members are likely to respond to change:
A) In ways that can be predicted consistently B) Consistently negatively C) In ways affected by personality and life experience D) Consistently positively Answer: C
A single-payer or National Health Coverage aims to
A) Increase the financial burden of health care on employers B) Increase the financial burden of health care on consumers C) Decrease the cost of care by eliminating third-party insurers D) Decrease the cost of care by decreasing quality and safety of care Answer: C
Ways to reduce risk of infection to yourself and others include:
A) Not going into the client's room B) Wearing gloves whenever you go into a client's room C) Placing all clients in isolation rooms D) Good hand-washing practices Answer: D
After administering an incorrect dosage of a medication the nurse realizes that too little medication was given to the client. The nurse then administers a second dose in order to give the correct dosage. Legally, the nurse must:
A) Not tell anyone about the error B) Document that the correct medication was administered C) Document the error in the nursing notes D) Both A and B Answer: C
Threats to the employee do NOT include:
A) Potentially lethal chemicals B) Exposure to infectious materials C) Recapping safety devices in each room D) Radioactive materials in open containers Answer: C
The Rhythm Model uses the anachronism PQRST. The letters stand for:
A) Prioritize, Question, Re-check, Self-reliance, Treat B) Plan, Quantify, Re-evaluate, Self-assurance, Treat C) Prioritize, Quantify, Re-check, Self assurance, Treat D) Plan, Question, Re-evaluate, Self-reliance, Treat Answer: A
Which of the following basic elements is NOT included in Lewin's Model of Change?
A) Refreezing B) Unfreezing C) Unchanging D) Change Answer: C
The role of ethics committees is to:
A) Resolve ethical dilemmas B) Prevent the physician from getting the institution into legal confrontations C) Establish guidelines to eliminate ethical dilemmas D) Provide appropriate guidance for the health-care team, family members, and the client Answer: D
Mrs. Chou has been suffering from senile dementia Alzheimer's type for over 5 years. Her family has kept her at home, and each member has participated in her care. The community health nurse has been supporting the family in this effort. Recently, Mrs. Chou has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to:
A) Say nothing; this is a family issue. B) Speak with the members individually and persuade them to do "what is best for their mother." C) Discuss the conflicting opinions with the physician. D) Persuade the family members to meet together to express their feelings to one another. Answer: D
Mr. Jeremy received the wrong dose of a narcotic, and the error was caught during the shift's narcotic count. The nurse performing the count was not the nurse who signed out the medication. The nurse's next action should be to:
A) Speak about the error with the nurse who gave the medication. B) Report the medication error without first consulting the nurse who signed out the medication. C) Call the nurse manager and ask her to handle the situation. D) Write out an incident report. Answer; A
Which of the following is FALSE regarding the three aspects of health-care evaluation?
A) Structural factors guarantee quality health care. B) Processes include evaluation of the care that nurses and respiratory therapists provide. C) Outcome measures evaluate the effectiveness of care provided by nursing and other health-care team members D) A comprehensive evaluation of health care includes structure, process, and outcomes. Answer: A
State and federal agencies oversee legislation, licensure, and reporting programs as well as administer quality and safety initiatives such as:
A) The Hospital Quality Initiative B) The National Database of Nursing Quality Indicators (NDNQI) C) The Health Effectiveness Data Information Set (HEDIS) D) The Magnet Recognition Program Answer: A
Effective methods for the RN to influence the health-care system include all of the following methods EXCEPT: A) Letter-writing regarding important topics to legislators and ANA leadership B) Verbalizing concerns to peers during a unit staff meeting C) Voting for candidates who support your views and those of your profession D) Volunteering on unit or hospital-based quality or safety initiative
B
Empowerment occurs more often with: A) Authoritarian management B) Shared governance C) Laissez-faire governance D) Autocratic management
B
Jeremy graduated from an associate degree nursing program 2 years ago. He is brought before the State Board of Nursing for offering to give physicals for summer camp for $25. Because Jeremy has violated the Nurse Practice Act in his state, he is charged with committing a: A) Misdemeanor B) Felony C) Civil law D) Common law
B
What is the "essence" of management? A) Providing close supervision B) Getting work done through others C) Constant monitoring of unit expenses D) Staff development
B
The most obvious aspect of organizational culture is/are: A) The unwritten rules B) The employee handbook C) The care environment D) The organizational climate
B
The skills lacked by most new nurses are in the area of: A) Personal management skills B) Time management skills C) Documentation D) Nursing task skills
B
The term "shared governance" describes: A) Informal ways in which access to opportunity is made available to staff B) Staff nurses' inclusion in decision-making through representation in governing practice and management issues C) Nurses' involvement in decision-making at the administrative level D) A shared staffing on various levels to serve the needs of the institution
B
To control costs and decrease the money lost from uncharged supplies, the hospital has decided to move to a controlled distribution system for supplies. This requires the nurses to attend several in-service sessions to learn how to work with the new system. The nurses are complaining that they do not have time to "learn another thing!" For change to be successful, it must be accepted by: A) The administration B) The persons who will be involved C) The persons who designed the change D) The managers
B
Which of the following is usually not part of a job evaluation? A) The job description B) Being compared with others C) The results of the employee's efforts D) What the evaluator has seen
B
In many states there is a legal requirement to report: A) Adverse events B) Skill-based errors C) Safety gaps D) Near misses
A
New nursing graduates may assist in implementing change by: A) Participating in staff meetings B) Maintaining current status of client data C) Using procedures suggested by the hospital D) Ignoring quality improvement issues
A
A common theme in both the ANA and the ICN code is: A) A focus on the importance of compassionate care B) Nurses making decisions for clients C) Promoting nursing practice acts D) Maintaining continuing education
A
A method for working smarter and not harder would be: A) Gathering all the equipment needed to help a physician perform a procedure in advance of the physician coming to the unit B) Trying to perform a task you are unsure about prior to asking for assistance or instructions C) Ignoring client statements such as, "I don't feel right," as assessing these issues at the time interrupt your routine D) Obtaining all your vital signs first thing in the morning so that you do not have to repeat them prior to giving medications
A
A new nurse manager plans to give a performance evaluation to a staff nurse who has worked on the unit for 15 years. The staff nurse has had multiple complaints regarding the delivery of client care from clients and other staff. The best statement by the nurse manager in beginning the performance appraisal would be: A) "Tell me how you view your delivery of client care?" B) "I have reviewed your past evaluations and cannot believe that you are still here!" C) "The other day I noticed how well you taught your client about his new medications." D) "I think that the acuity on this unit is too difficult for you."
A
Personal change is best described as: A) Part of one's development as a leader B) An entirely different phenomenon from technical change C) Much more difficult to put into practice D) Something that happens within a person's comfort zone
A
Resistance to change has three major sources: A) Technical concerns, psychosocial needs, threats to a person's position B) Staffing concerns, physical needs, threats to hierarchy needs C) Prior concerns, social needs, threats to self-actualization D) Technology concerns, personal needs, threats to hospitalized clients
A
Staff members at the bottom of the organizational hierarchy have: A) No power B) No power and no authority C) High authority and high power D) Little authority, but some power
A
The IOM identified five Core Competencies for health professionals. As the RN you identify and plan to develop all of the following identified competencies EXCEPT: A) Implement quality and safety initiatives B) Employ evidence-based practice C) Work in interdisciplinary teams D) Utilize informatics
A
The RN knows that an example of a diagnostic error is: A) A failure to act on critical lab results reported B) The failure of an IV pump to infuse at the programmed rate C) Error in administering a PO medication D) Error in calculating an IV drug dose
A
The essence of leadership is the leader's ability to: A) Get people to work together B) Influence other people C) Help others meet their personal goals D) Influence the group to follow the leader's way of thinking
A
The phenomenon of change is best characterized as: A) A natural occurrence B) Artificially imposed by administration C) A man-made occurrence D) Unpredictable and unmanageable
A
Three nursing students are in the elevator and overhear Evan, one of the staff nurses, discussing his neighbor who was hospitalized last night for liver failure. Evan told his colleague that a mutual friend told him that the neighbor was "known for liking his brandy." A family member was in the elevator and also overheard the conversation. Evan may be charged with: A) Slander B) Libel C) Fraud D) Breach of confidentiality
A
When giving feedback it is important to include: A) Suggestions for change B) Only negative feedback C) Positive feedback followed by negative feedback D) A general opening statement comparing this person with others
A
Which of the following is a common goal for a health-care organization? A) Survival B) Limited existence C) Cooperation with the competition D) Downsizing
A
Yana and Jonathan carry the gene for a rare genetic disorder that causes severe mental retardation and physiological problems incompatible with life. Yana has conceived twice, however, both children had the disorder and died within 2 months after birth. Yana has come to the fertility clinic. While her history is being taken, Yana says to the nurse, "After you harvest my eggs and fertilize them with Jonathan's sperm, throw out all the bad ones, and give me only the good ones." The best response made by the nurse is:
A) "Now, that's not very nice." B) "We never implant bad embryos; we have a reputation to keep." C) "You have to take the good with the bad." D) "Let's talk about your concerns regarding the health of these embryos." Answer: D
A family insists that their father, Alvin Shure, 68 years old, not be told he is dying of lung cancer. While hanging his IV medication, Mr. Shure asks the nurse, "I never had a medication in a bag like that. What is it for?" The nurse knows that the medication is an antineoplastic agent. The best response by the nurse is:
A) "This is a new drug your physician ordered." B) "This medication is often used in the treatment of cancer." C) "This medication has more than one use, and I am not sure why you are receiving it." D) Request that the family tell him why he is getting the medication. Answer: B
Mrs. Brandon has breast cancer. She was diagnosed quite late in the illness and is terminal. She knows that she has breast cancer and has undergone a mastectomy, however, no one has told her the extent of her illness. The nurse comes in to change her dressings and hang her medication. Mrs. Brandon looks at the nurse and asks, "What is happening to me? Why won't anyone explain what is happening to me?" Her husband, Mike, and two daughters look at the nurse and shake their heads, "No." The best response by the nurse is:
A) "You seem distressed; let's talk about your concerns." B) "You know you are ill; let's talk about dying." C) "You seem concerned about your health; talk to the doctor when he comes in to see you." D) "Mike, you need to talk to your wife and tell her what is really happening." Answer: A
If more nursing unit management responsibilities were shifted to non-nursing personnel, nursing care for individual clients would be increased by approximately:
A) 15 minutes B) 30 minutes C) 45 minutes D) 60 minutes Answer: C
The health-care provider orders an injection for a pediatric client. The client's legal guardian refuses to allow the nurse to administer the medication, however, the nurse proceeds to administer the injection. Legally, the nurse has committed:
A) An assault B) A battery C) An invasion of privacy D) False imprisonment Answer: B
Which of the following is NOT accurate regarding the organization and agency efforts to support quality and safety in the health-care system?
A) The U.S. Department of Health and Human Services is the primary agency responsible for protecting health in America. B) The American Nurses Association manages a database of unit-specific nurse-sensitive data known as NDNQI. C) Nonprofit organizations such as the Robert Wood Johnson Foundation and Leapfrog Group all have the singular focus to improve health-care outcomes for the underserved. D) The purpose of the Joint Commission is to provide voluntary accreditation of hospitals and health-care organizations. Answer: C
According to OSHA, employers must provide all of the following EXCEPT:
A) Tuberculosis testing and hepatitis B vaccine B) Client rooms that are painted with pleasant colors C) Protective equipment, such as gloves, gowns, and masks D) Immediate treatment after exposure to bloodborne pathogens Answer: B
A nurse working in the critical care unit is described as being an excellent friend and critical thinker. This would be considered an example of:
A) Virtue ethics B) Moral ethics C) Nursing ethics D) Power ethics Answer: A
The Institute of Medicine (IOM):
A) Was unable to quantify the prevalence or significance of health-care quality issues B) Was organized after efforts of the AMA failed to improve health-care system quality C) Was given authority to legislate health-care system quality and safety deficits D) Authored a series of reports that provided the foundation for health-care system reform Answer: D
Creativity is especially important in which phase of problem-solving? A) Identifying the issue B) Generating possible solutions C) Evaluating the solutions D) Implementing the solution
B
A positive aspect of hierarchy is: A) Few policies or practices B) Consistent operation C) Flexibility D) Promotion of creativity
B
A problem-solving process used in the nurse-client relationship is known as: A) Case management B) Nursing process C) Evaluation techniques D) Remediation theory
B
Change is best implemented when: A) The reason for the change is least understood. B) Individuals participate in the change. C) Management insists on the change. D) The change causes stress.
B
Lorena, an RN, is flying from Los Angeles to New York. The flight attendant requests the help of a nurse or physician if one is on board. Lorena approaches the flight attendant and asks if she can assist. Lorena is protected by the Good Samaritan Act because the act states that a licensed health-care provider can: A) Administer care any time B) Provide care that any other prudent individual with the same education would provide C) Provide the same care as a paramedic D) Provide care outside the scope of her practice as long as she knows how to perform the required procedure
B
Mr. Phillipe has suffered a stroke. His daughter brings DNR and power of attorney documents to the hospital. The purpose of the DNR is to: A) Document the terminal nature of the client's condition B) Allow an alternative to the universal standing order to provide cardiopulmonary resuscitation to all clients C) Provide an opportunity for the client, family, and caregivers to discuss the nature of the client's condition and the best possible course of action if the client has a cardiac arrest D) Provide legal protection for nurses who believe a client should not be resuscitated
B
Providing psychological safety is accomplished by: A) Designing the change to be technically of high quality B) Allowing time for learning a new procedure C) Delaying change implementation as long as possible D) Putting the changes into effect as fast as possible
B
The RN identifies a treatment error when: A) An RN fails to communicate to the health-care provider a change in condition. B) An RN incorrectly administers an IV drug dose. C) A health-care provider fails to order an indicated serum lab exam. D) A nursing assistant uses an automatic sphygmomanometer that fails to deflate.
B
The RN knows that adherence to standards of care and hospital policies and procedures, as well as exercising care that a reasonable nurse would demonstrate in similar circumstances, will limit risk for common areas of risk in all of the following EXCEPT: A) Documentation errors B) Attendance errors C) Medication errors D) Patient falls
B
The employer is responsible for providing a safe working environment by: A) Driving all employees to work B) Following the OSHA guidelines C) Teaching employees to use their back muscles for lifting clients D) Allowing the recapping of contaminated needles
B
The existing health-care delivery system is influenced by trends and issues beyond the health-care system, including: A) Globalization, standard precautions, and technology B) Societal demographics, economics, and legislation C) Core measures, diversity, and regulation D) Evidence-based practice, system errors, and environment
B
The health-care institution where Cori is a nurse manager has moved to e-mail as a method of communication. When using this communication method, it is important to remember that: A) Professional e-mail must use formal headings. B) Professional e-mail may remain informal. C) E-mail does not require the same level of courtesy as a formally written communication. D) Professional e-mail should be written in all capital letters.
B
While working as the charge nurse on the 7:00 p.m. to 7:00 a.m. shift, the nurse overhears the UAP speaking harshly to Mr. Hernandez, who has an expressive aphasia and a left hemiparesis from a stroke. When the UAP leaves the room, the nurse decides to speak with her. Which of the following would be the most appropriate approach? A) "I have decided to change your assignment from Mr. Hernandez to Mrs. Hopkins." B) "I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez." C) "You need to watch your tone of voice as it sounded very harsh." D) "Perhaps you need to consider attending a training session on communication skills."
B
Wilhelmina, an RN for over 6 years, had her license suspended because an audit of her continuing education credits showed that she had not met the mandatory course requirements. The Board of Nursing has the ability to do this based on: A) Case law B) Administrative law C) Civil law D) Statutory law
B
A client's husband recently died. During her doctor's appointment, what would be the most appropriate statement by the nurse to the client at this time? A) "At least your husband didn't have to suffer." B) "It's better to go quickly as your husband did." C) "Your husband's loss must be very painful for you." D) "You'll begin to feel better after you get over the shock."
C
A sentinel event occurs at a hospital. Which of the following is NOT an end result of the Continuous Quality Improvement Process? A) Identification of the factors contributing to the event. B) Improving the system to prevent future sentinel events. C) Termination of all health-care professionals involved. D) Reporting to Risk Management the potential for similar events.
C
Anne wanted to simplify the current method of ordering missing medications. She devised what she thought was an excellent idea and presented her plan to the nurse manager on the unit. Her idea was rejected. What step in the process of change did Anne forget to follow? A) Threatening others B) Provoking resistance C) Unfreezing D) Refreezing
C
Collective bargaining is best described as: A) An informal problem-solving process B) A generally informal process involving all staff members C) A formal procedure governed by labor laws D) Focused on interpersonal relationships
C
Empowerment is psychological and includes a feeling of: A) Control B) Loss C) Effectiveness D) Quantity
C
For registered nurses to enhance their expertise and sense of empowerment, certain activities are necessary. Which of the following will least prepare registered nurses for enhancing their competence? A) Actively participating in interdisciplinary team conferences B) Attending professional organization meetings C) Refraining from participating in research projects in a clinical specialty D) Returning to school to earn a higher degree in nursing
C
Glenn is an RN on a busy medical-surgical unit. He comes to work today for his usual shift after working a double shift yesterday. At the end of this day, two RNs call in, and the nurse manager tells Glenn he needs to stay and cover the next shift. Glenn may refuse to accept an assignment if: A) He is being asked to care for too many difficult clients B) He believes his assignment is unsafe C) He is being asked to work overtime D) He believes there are not enough nurses to work with him
C
In dealing with conflict, it is important to approach it in a(n): A) Competitive manner B) Destructive manner C) Cooperative manner D) Ambivalent manner
C
In order to manage time effectively it is important to: A) Do the tasks that take the least amount of time first B) Do the tasks that take the most amount of time first C) Prioritize tasks according to importance D) Alternate shorter tasks with longer tasks
C
Jose has switched to the night shift from the evening shift so that he has more time to spend with his family. However, he is finding it difficult to sleep during the day. His wife asks him to do numerous tasks around the house while he is at home. The lack of sleep is beginning to affect his job performance, and he has made several medication errors over the past month. His evaluation is a month away. The best approach for the nurse manager to take in this situation would be to: A) Wait until his evaluation in a month B) Ask the night supervisor to speak with him C) Schedule a meeting with Jose for the next morning D) Ignore the situation because the manager knows Jose will improve
C
Larry was brought to the hospital by two police officers. He was combative and verbally abusive. After waiting for over an hour, Larry tells the nurse he is leaving. The nurse removes Larry's clothes from the room, leaving him only in his underwear. The nurse may be charged with: A) Cruel and unusual punishment B) Slander and libel C) False imprisonment D) Assault and battery
C
Once resistance to change is recognized, it must be: A) Ignored B) Pacified C) Addressed D) Justified
C
One way to lower the resistance to change would include: A) Centralization of information B) Confirmation of currently held beliefs C) Provision of psychological safety D) Ensuring the involvement of few people to reduce confusion
C
The nurse manager is examining factors contributing to the nursing shortage affecting her unit. Her unit is most likely feeling the effects of the nursing shortage for all of the following reasons EXCEPT: A) Increased age of the RN workforce B) Increased demand for RNs from competing employers C) Decreased hiring of foreign nurses D) Decreased job satisfactions of the RN workforce
C
To promote safe, quality health care, the American Nurses Association (ANA): A) Mandates safe RN staffing levels to health-care agencies B) Regulates RN competency to practice at the bedside C) Maintains oversight of the National Database of Nursing Quality Indicators D) Funds research promoting consumer protection from RN mistakes and errors
C
Which of the following methods uses technology to decrease the time spent on paperwork? A) Scanning in nurses' notes B) Using multidisciplinary charting sheets C) Bar-coding certain types of client data D) Keeping charts at the beside
C
Which of the following would not be considered one of the elements for a negligence claim? A) Duty B) Breach of duty C) Spontaneous duty D) Harm
C
You have used the S-BAR method of communication and your patient needs immediate attention and has not received it. Your best response would be to: A) Keep calling the same practitioner until you get results B) Hope the practitioner will act soon C) Go up the chain of command D) Ask the next shift to follow-up
C
Behaviors of an effective leader include: A) Denying the exchange of information B) Inability to communicate effectively C) Giving only negative feedback D) Developing oneself and others
D
Crossing the Quality Chasm identified six aims of health care. Health care should be safe, effective, timely,: A) Efficient, cost effective, and government-managed B) Equitable, free, and decisive C) Accessible, efficient, and equitable D) Patient-centered, efficient, and equitable
D
A new graduate is considering working at a health-care institution that focuses on core values. It is important for the new graduate to: A) Read the organization's mission and philosophy B) Develop a new set of values that blend with the organization C) Speak with other nurses who work in the institution D) Both A and C
D
An action that can lead to a malpractice suit would be: A) Assessing a client more than once per shift. B) Listening to the physician explain the benefits and risks of a procedure as they are being explained to the client. C) Reporting that he or she has witnessed a coworker using controlled substances when working. D) Altering a client's record.
D
Germaine, an RN for 6 months, has just finished orientation and is placed on the 7:00 p.m. to 7:00 a.m. shift. She is responsible for eight clients. She never leaves before 9:00 a.m. of the morning following her shift. She comes to the associate nurse manager on nights and says, "I don't think I am cut out for this. I just can't seem to get organized!" A method designed to assist Germaine organize her client care is referred to as a(n): A) Assignment sheet B) Care plan. C) Flow sheet D) Worksheet
D
Jose and his girlfriend are driving on the highway and witness a motor vehicle accident. He calls 911 and pulls over to the side of the road. He immediately begins to assess the victim to determine what he can do until the paramedics arrive. His girlfriend says, "This guy can't give you permission to help him; maybe you should just leave him alone." Jose explains that he has implied consent. Implied consent is assumed when a client: A) Sees a physician or nurse by appointment in the office or clinic setting B) Arrives in the operating suite C) Is admitted to the hospital D) Is treated at the scene of an accident
D
Juliana, an RN, is caring for Mary Lewis, 80 years old. Ms. Lewis falls and injures herself. Which of the following actions should Juliana take to decrease her liability? A) Document the incident carefully on an incident report form. B) Chart the facts surrounding the client's fall, condition, and follow-up care. C) Do not document anything about the fall. D) Just tell the on-coming nurse that Mary fell.
D
Linda believes she should begin demonstrating leadership skills on her unit. She speaks with her nurse manager about how to do this. The nurse manager, who wants to encourage Linda's leadership development, responds by saying: A) "Just watch me closely—it will come to you eventually." B) "Develop perseverance—just hang in there and do your work well—someone higher than I will notice you." C) "It takes a lot of energy to be a leader. You might want to sign up at the local gym." D) "Understand yourself first—what leadership skills do you want to develop?"
D
Negative feedback should be given: A) In the nursing station B) During report C) With a yearly evaluation D) Privately
D
Sharing decision-making responsibilities may be difficult for some managers for which of the following reasons? A) They believe that empowered staff members have higher levels of job-related tension. B) There is inadequate staffing on the unit. C) There is a lack of time and situational support. D) They may be reluctant to give up their control.
D
State and federal governments have attempted to restrain the cost of health care through all of the following EXCEPT: A) Mandated nurse staffing ratios B) Regulation and competition C) Employer incentives D) Bedside nursing responsibilities
D
The stages of change described by Lewin include: A) Change, change, and more change B) Change and refreezing C) Comfort, discomfort, and recomforting D) Unfreezing, change, and refreezing
D
Which of the following is an example of the decisional activities of a manager? A) Providing leadership B) Encouraging continuing education C) Coaching employees D) Completing staff evaluations
D
Which of the following is least effective when giving evaluation feedback? When it is given: A) Immediately B) Frequently C) Privately D) Negatively
D
Which of the following non-profit agency or organization completed the report that now serves as the foundation and strategy for health system reform? A) The Joint Commission B) The U.S. Senate C) The American Medical Association D) The Institute of Medicine
D
