Leadership exam 2
The promise phase of career development typically reflects how many years of initial nursing employment? A) 1 B) 2 C) 5 D) 10
10
Since 2008 what is the legal minimum staffing radios for a medical-surgical nursing unit? A) 1:4 B) 1:5 C) 1:6 D) 1:7
1:5
In preparation for an appraisal conference, how many days of advanced notice will the manager give the employee? A) 1 B) 2 to 3 C) 4 to 5 D) 6 to 7
2 to 3
A nurse has asked a colleague for assistance with a complex wound dressing change. What response suggests that the colleague is at a novice level of nursing experience? A) "Sure. Can you give me directions and then I'll do what you say?" B) "I'm really busy right now. Can we do it sometime this afternoon?" C) "I can do it for you later, if that helps." D) "Definitely. I'll go and get the supplies and meet you at the bedside."
"Sure. Can you give me directions and then I'll do what you say?"
Which interview questions would be considered illegal? Select all that apply. A) "What is your current marital status?" B) "Which languages are you able to speak or write?" C) "What university did you attend?" D) "What city do you live in?" E) "In what year were you born?"
"What is your current marital status?" "In what year were you born?"
Which question asked during an interview is acceptable? A) "Are you married?" B) "Have you ever been arrested?" C) "What is your religious preference?" D) "What professional organizations do you belong to?"
"What professional organizations do you belong to?"
It is 2 PM and the nurse-manager is calculating the nursing care hours for the 3 to 11 PM shift. There are three RNs, three nursing assistants, and one ward clerk scheduled and there are 22 clients with the following acuity and nursing care hours allotted for the evening shift: Category I, 4 clients at 2.0 hours Category II, 2 clients at 2.3 hours Category III, 10 clients at 2.8 hours Category IV, 6 clients at 3.4 hours What are the needed hours of nursing care? A) 61 hours B) 52.6 hours C) 68.4 hours D) 48.4 hours
61 hours
A nurse is considering certification in an area of specialty. What potential benefits of certification should the nurse consider? Select all that apply. A) A personal sense of accomplishment B) Exemption from continuing education requirements C) Increased career options D) Increased potential for advancement and promotions E) Higher salaries
A personal sense of accomplishment Increased career options Increased potential for advancement and promotions Higher salaries
What are restraining forces for specialty certification in professional nursing? (SATA) 1. Decreased collaboration with other health-care providers 2. Cost 3. Lack of recognition 4. Increased retention
Cost Lack of recognition
In checking the background of a potential candidate for hire, which is the least frequently checked source? A) Academic credentials B) References of former employers C) References of recent teachers D) Verification of work history
Academic credentials
How can a nursing professional best demonstrate advanced achievement of competencies? A) Participating in career planning B) Achieving a new specialty certification C) Transfer to a new department D) Maintaining ethical standards of practice
Achieving a new specialty certification
Which action on the part of a manager demonstrates the mark of a great leader? A) Acknowledging the accomplishment of staff members at the unit's staff meeting B) Providing onsite in-services on new equipment for the staff C) Including funds in the unit's budget of staff development D) Stressing the importance of patient safety to all new employees Ans: A
Acknowledging the accomplishment of staff members at the unit's staff meeting
What activity is most likely to promote a nurse's continued competence? A) Working in a variety of clinical settings B) Meeting minimal standards for relicensing C) Acquiring new knowledge and skills on a regular basis D) Submitting to regular performance reviews
Acquiring new knowledge and skills on a regular basis
Health disparities in the client care population are likely to occur when the health-care workforce lacks diversity in which areas? Select all that apply. A) Age B) Gender C) Ethnicity D) Education E) Personality type
Age Gender Ethnicity
What should selectors do when processing employment applications? A) Reject applicants who have a criminal record. B) Require a physical examination before making a hiring decision. C) Always follow up on references and verify employment history. D) Use unsolicited personal information about an applicant in the decision-making process.
Always follow up on references and verify employment history.
What is the most fiscally responsible method for determining staffing needs for a hospital unit? A) Maximum patient load capacity of the unit B) Numbers of patients present for an upcoming shift C) An agreed-upon staffing formula based on client acuity D) Total beds on the unit
An agreed-upon staffing formula based on client acuity
A nurse-manager is applying the facility's patient classification system (PCS) to the unit's staffing needs before the beginning of a shift. What task should the manager perform first? A) Identify the number of staff members scheduled for the shift. B) Create a preliminary work assignment based on the unit norms. C) Appraise the care needs of each client. D) Assign three clients to each nurse and then adjust according to client needs.
Appraise the care needs of each client.
The manager of a clinic is creating a system for career development for all employees. What should be included in this program? Select all that apply. A) Quarterly performance reviews for employees B) Appropriate use of transfers between work locations C) Policies and processes for handling promotions D) Long-term coaching E) Mandatory specialty certifications for all staff
Appropriate use of transfers between work locations Policies and processes for handling promotions Long-term coaching
A nurse-manager is required to make decisions about the proper placement of employees within the organization. What practice should the manager follow? A) Attempting to place employees in units where they have the greatest chance of success B) Avoiding overemphasizing the match between the employee and the unit in order to prevent discrimination suits C) Placing new employees on units that have the greatest need for new staff D) Helping employees modify their personal values and beliefs to coincide with that of the unit on which they are placed
Attempting to place employees in units where they have the greatest chance of success
A nurse is currently in the "momentum" career phase. What activity is most appropriate during this stage of the nurse's career? A) Adjusting from the student role to the professional role B) Avoiding obsolescence C) Beginning to participate in continuing education D) Being a role model to other nurses
Being a role model to other nurses
Research supports that which factor may lead nurses to become disengaged in their careers? A) They do not feel that nursing is valued as a career B) Boredom increases with time on the same job C) Many nurses interrupt their careers for childrearing D) Nursing is low paying compared with other careers
Boredom increases with time on the same job
Interviews at a large health-care organization are conducted by various individuals and groups, due to the high number of positions and applicants. What action will best ensure interrater reliability when different individuals are conducting interviews? A) Use a semistructured format and have interviewers practice with one another. B) Create a structured interview format and adhere to it closely. C) Have at least two, but not more than four, interviewers conduct each interview. D) Use yes-no questions whenever possible, rather than open-ended questions.
Create a structured interview format and adhere to it closely.
What action most directly addresses the projected nursing shortage? A) Increasing the number of unlicensed assistive personnel B) Increasing the number of nursing internships for recent graduates C) Expanding the nursing scope of practice D) Creating incentives for nurses to enter faculty roles
Creating incentives for nurses to enter faculty roles
A busy medical unit has been increasing the use of agency nurses. The nurse-manager should anticipate what consequence of this staffing alternative? A) Increased reliance on unlicensed assistive personnel by nurses B) A need for 8-hour rather than 12-hour shifts C) Short-term cost savings D) Decreased continuity of nursing care
Decreased continuity of nursing care
Which action is considered a leadership role associated with delegation? A) Creating job descriptions for all personnel B) Providing formal recognition or reward for completion of delegated tasks C) Demonstrating sensitivity to how cultural phenomena affect transcultural delegation D) Reprimanding employees who demonstrate overt resistance to the tasks they are delegated
Demonstrating sensitivity to how cultural phenomena affect transcultural delegation
A nurse has recently graduated from nursing school and is transitioning into a nursing career. Which activity is the nurse's personal responsibility for career management? A) Developing career ladders B) Establishing career paths C) Providing challenging assignments D) Developing career goals
Developing career goals
The nurse-manager responsible for personnel is checking the references of an applicant. The reference offers unsolicited information about the applicant's personal history. What should the nurse-manager do with this information? A) Contact the applicant to disclose this violation of confidentiality. B) Disregard the information unless it has a direct bearing on the applicant's ability to do the job. C) Document the information and note the fact that it was offered unsolicited. D) Corroborate the information with the applicant without mentioning the source of the information.
Disregard the information unless it has a direct bearing on the applicant's ability to do the job.
How is competency of an employee best determined? A) An examination of patient records by a review team B) Self-reporting on an administered skills checklist C) Evidence of attendance in continuing education classes D) Documentation of effectively meeting role demands
Documentation of effectively meeting role demands
An applicant has accepted a position in the health-care organization and has begun the indoctrination process. This process should include what activities? Select all that apply. A) Educating the employee about the policies and procedures B) Orienting the employee to the specifics of the job role C) Socializing the employee to the workplace culture D) Scheduling the employee's continuing education activities E) Verifying the employee's references and credentials
Educating the employee about the policies and procedures Orienting the employee to the specifics of the job role Socializing the employee to the workplace culture
A nurse-manager is arguing for the establishment of a formal career development program in the health-care facility. What potential benefits should the manager describe? Select all that apply. A) Employee attrition can be reduced. B) Personnel can be used more effectively. C) Employees can increase earning power. D) Employment benefits are increased. E) New skills are brought into the organization.
Employee attrition can be reduced. Personnel can be used more effectively. New skills are brought into the organization.
Which reason qualifies as organizational justification for a career development program? (SATA) A) Employee attrition can be reduced B) Personnel can be used more effectively C) Employees can increase earning power D) Employment benefits are increased
Employees can increase earning power Employment benefits are increased
A nurse-manager has proposed an expansion of the organization's indoctrination program to the organization's board of directors. What potential advantage of expanding the indoctrination program should the manager describe? A) Enhanced retention rates B) More efficient recruitment C) Higher proportion of internal applicants D) Reduced burden on unit managers
Enhanced retention rates
What goal should the nurse-manager prioritize when organizing staffing and scheduling? A) Schedule staff so there is a minimum of overtime. B) Ensure that there is adequate staff to meet the needs of each client. C) Develop trust in staff by seeing that staffing is carried out in a fair manner. D) Ensure that staff members achieve a healthy work-life balance.
Ensure that there is adequate staff to meet the needs of each client.
Which of the following factors is most likely to benefit a health-care organization's recruitment and retention efforts? A) Being located in a rural area distant from major urban centers B) Dedicating several weeks to induction for new employees C) Offering incentives to employees with more than 10 years of service D) Ensuring high levels of employee engagement and satisfaction
Ensuring high levels of employee engagement and satisfaction
A member of the team reports that they have been given too much to do and are not going to be able to complete the work on time. What action will the RN take to effectively manage this situation? A) Assign the work to another team member B) Take on the responsibility of the tasks C) Have the team member perform only the necessary tasks D) Examine the workload and assist the individual in reprioritizing
Examine the workload and assist the individual in reprioritizing
What term identifies a system that allows employees to select among variations in work start-time and end-time schedules to meet their personal needs? A) Self-scheduling B) Flextime C) Decentralized staffing D) Cyclical staffing
Flextime
A small health-care organization has had a static group of employees for almost 2 years. The manager should identify what potential advantage of having some staff turnover in the organization? A) Fresh ideas B) Younger staff C) Cost containment D) Increased groupthink
Fresh ideas
A nurse is currently in the "promise" phase of career development. What goal should the nurse prioritize during this stage? A) Acting as a role model to recent graduates B) Gaining exposure to a variety of experiences C) Avoiding obsolescence D) Graduating from nursing school
Gaining exposure to a variety of experiences
A health-care organization is transitioning from a centralized staffing system to a decentralized staffing system. A nurse-manager should anticipate what outcome of this change? A) Increased fairness to employees through consistent, objective, and impartial application B) Increased cost-effectiveness through better use of resources C) Greater manager autonomy, resulting in an increase in self-esteem and teamwork D) Increased availability of data for monitoring the effect of staffing size and composition, quality of care, and costs
Greater manager autonomy, resulting in an increase in self-esteem and teamwork
What should a nurse-manager do to reduce the potential for bias when interviewing candidates? A) Conduct single, rather than multiple, interviews. B) Trust his or her first impressions of an applicant. C) Avoid taking notes during the interview. D) Have at least one other colleague join in the interview.
Have at least one other colleague join in the interview.
A nurse-manager is appraising employees' competency levels during performance reviews. What goal should the manager set when performing competency assessments? A) Helping nurses identify ways to exceed minimal licensing requirements B) Fulfilling state requirements for minimal nursing practice C) Facilitating each nurse's advancement up the facility's career ladder D) Satisfying institutional employment requirements
Helping nurses identify ways to exceed minimal licensing requirements
What factor contributed significantly to the beginning of the acute RN shortage that originated in the late 1990s? A) Closing of nursing programs B) Lack of interest in nursing C) Hospital downsizing D) Poor nursing salaries
Hospital downsizing
A nurse-manager is preparing to interview an applicant for a position. What is the most appropriate strategy for planning, conducting, and controlling the interview? A) If the applicant clearly lacks qualifications for the position, the manager should promptly and tactfully tell this to the applicant. B) Personal questions should be asked early the interview so rapport can be established between the manager and the applicant. C) The manager should develop questions that can be answered with a yes or no answer. D) The manager should assess an applicant's perceptive skills by sending nonverbal cues to the applicant during his or her responses.
If the applicant clearly lacks qualifications for the position, the manager should promptly and tactfully tell this to the applicant.
What outcome is associated with a good PCS? A) It eliminates most staffing problems B) It decreases the amount of overtime C) It provides an understanding of staffing problems D) It eliminates the need for adjustment or review
It provides an understanding of staffing problems
Which factor has the greatest impact on the need for nurses to possess excellent delegation skills? A) Increase in patient acuity levels B) Decrease in patient hospitalization time C) Increase in the use of NAP D) Decrease in nurse-to-patient ratios
Increase in the use of NAP
The nurse-manager of a clinic has launched a career development program for nurses. The manager should anticipate what benefits? Select all that apply. A) Increased retention of staff B) Decreased staff turnover C) Increased skill level of nurses D) Enhanced quality of work life for nurses
Increased retention of staff Decreased staff turnover Increased skill level of nurses Enhanced quality of work life for nurses
What does indoctrination include for an employee? (SATA) 1. Induction 2. Orientation 3. Socialization 4. Continuing education
Induction Orientation Socialization
Which statement about patient classification systems (PCSs) is accurate? A) Classification systems are able to solve staffing problems if applied consistently. B) Nursing care hours assigned to a classification system should remain constant. C) A good classification system can resolve all staffing challenges. D) Internal and external forces may affect classification systems.
Internal and external forces may affect classification systems
A nurse is applying for a job and is now writing a cover letter. The nurse should integrate what characteristics of a cover letter? Select all that apply. A) Introduce the applicant. B) Briefly highlight key points of the resume. C) List the contact information for the nurse's references. D) Make a positive first impression. E) Always used when submitting a resume.
Introduce the applicant. Briefly highlight key points of the resume. Make a positive first impression. Always used when submitting a resume.
A nurse had made a renewed commitment to career planning. What activities should the nurse perform in order to meet this goal? Select all that apply. A) Accepting more overtime shifts B) Introducing evidence-based practice changes regarding wound dressings C) Discussing the health needs of the homeless with local politicians D) Earning a bachelor's degree in nursing E) Working with a seasoned mentor
Introducing evidence-based practice changes regarding wound dressings Discussing the health needs of the homeless with local politicians Earning a bachelor's degree in nursing Working with a seasoned mentor
A community health unit is transitioning from centralized staffing to decentralized staffing. The manager should recognize what possible consequence of this change? A) It carries risks that employees may be treated unequally or inconsistently. B) One individual or a computer will perform the staffing functions. C) The manager's role is that of making minor adjustments or providing input. D) The change will increase control over personnel by the organization.
It carries risks that employees may be treated unequally or inconsistently.
Which statement is correct concerning prenegotiated budget management? A) It is incompatible with ethical accountability B) It is only the responsibility of the centralized staffing office C) It is inappropriate with new practice models D) It is a critical responsibility of managers
It is a critical responsibility of managers
What is an advantage of centralized staffing? Select all that apply A) It is flexible B) It is staff focused C) It is cost-effective D) It is consistent and impartial
It is cost-effective It is consistent and impartial
Which statement describes the induction phase of employee indoctrination? A) It occurs after hiring but before performing the role. B) It includes the activities performed by the personnel department. C) It relates to the information included in the employee's handbook. D) It is the responsibility of the staff development department.
It occurs after hiring but before performing the role.
A nurse is interviewing for a position in a health-care facility. The interviewer identifies a long-term coaching program for career development as one of the benefits in the organization. The nurse should identify what characteristic of this program? A) It occurs annually at performance appraisal reviews. B) It focuses on employee performance deficits. C) It requires the same intensity as a mentoring relationship. D) It occurs over the entire employment tenure of an employee.
It occurs over the entire employment tenure of an employee.
A recent graduate's mentor is explaining the importance of career planning. What should the mentor teach the recent graduate about career planning? A) It is ultimately the employer's responsibility. B) It should begin once the nurse has at least 12 months of client care experience. C) It requires development and implementation of a long-term plan. D) It functions best when the planning is episodic in nature.
It requires development and implementation of a long-term plan.
Why have health-care organizations been slow to adopt peer review? A) It tends to be an inaccurate performance appraisal tool B) Colleagues generally have little data they can contribute regarding a peer's work performance C) It requires staff be oriented to the process effectively D) It works better for professionals such as physicians than for nurses
It requires staff be oriented to the process effectively
Which statement is true regarding career planning? A) It is the employer's responsibility B) It results in the spontaneous assessment of goals C) It requires the development of a long-term plan D) Functions best when the planning is episodic in nature
It requires the development of a long-term plan
Which factor is considered the greatest obstacle to solving the projected nursing shortage? A) Lack of nursing faculty B) Expense of nursing education C) Lack of interest in nursing as a career D) Poor social respect of the nursing profession
Lack of nursing faculty
A nurse is described by peers and colleagues as having expert knowledge, skills, abilities, credentials, and education base. What career stage is this nurse most likely in? A) Promise B) Momentum C) Harvest D) Legacy
Momentum
A nurse-manager is launching career coaching program in the workplace. What is the manager's best initial action? A) Observe employees to see who would most benefit from coaching. B) Publicize the program to elicit as many participants as possible. C) Arrange a meeting to present the learning objectives for the program. D) Link participation in the program to employees' performance appraisals.
Observe employees to see who would most benefit from coaching
A recent nursing graduate has begun working full-time and is committed to career planning. What action will be most likely to advance the nurse's career? A) Changing jobs every 12 to 18 months B) Obtaining professional certification C) Adhering to standards of ethical practice D) Participating actively in performance appraisals
Obtaining professional certification
What managerial action is important when supporting the delegation of a task to a subordinate? A) Always requiring a maximizing quality outcome B) Frequently reassuring the employee that if they are incapable of completing a delegated task, it will be reassigned C) Drafting a preliminary plan of how the task will be redone if the outcome does not meet stated expectations D) Occasionally providing learning or "stretching" opportunities for employees
Occasionally providing learning or "stretching" opportunities for employees
A nurse is preparing for a job interview. The nurse should prepare responses to what types of interview questions because they are difficult to respond to without advance thought? Select all that apply. A) Personal philosophy of nursing B) Professional organizations membership C) Individual strengths and weaknesses D) Career goals E) Days and times of availability
Personal philosophy of nursing Individual strengths and weaknesses Career goals
A nurse-manager is working with a team of colleagues to update the organization's staffing and scheduling policies. What principle should the manager follow during this process? A) It is more important to communicate policies verbally than in writing. B) Policies should be written in a way that allows some flexibility. C) Each employee should be given the right to opt into the type of system that he or she wishes. D) Each unit manager should be granted full control over scheduling and staffing.
Policies should be written in a way that allows some flexibility.
What must be completed before a position is offered? A) Physical examination B) Preemployment testing C) Reference check D) Personal interview
Reference check
A nurse will soon be creating a plan for continuing competence. What activity should the nurse prioritize when making this plan? A) Reflecting on his or her own practice B) Eliciting input from trusted nursing colleagues C) Eliciting input from members of other health disciplines D) Setting 3-year and 5-year career goals
Reflecting on his or her own practice
Which statement about the role of unit managers in recruitment and selection is accurate? A) The more centralized nursing management is and the more complex the personnel department, the greater the involvement of the unit manager. B) Unit managers should always leave such decisions to a centralized personnel department so consistency can be maintained. C) Regardless of the extent of their involvement, all managers must be aware of recruitment and selection constraints within their organization. D) Unit managers should assume total responsibility for recruitment and selection of personnel on their units.
Regardless of the extent of their involvement, all managers must be aware of recruitment and selection constraints within their organization.
A self-scheduling system has been proposed at a health-care facility. What potential benefit of this system should the manager recognize? A) Self-scheduling increases employees' autonomy over their work lives. B) The manager no longer has to participate directly in staff scheduling. C) Self-scheduling ensures an equitable distribution of benefits to employees who participate. D) Self-scheduling can be more easily implemented and sustained than other alternative systems.
Self-scheduling increases employees' autonomy (& accountability) over their work lives.
The manager may be greatly or minimally involved with recruiting, interviewing, and selecting personnel. What factors can determine to the extent of the manager's involvement? Select all that apply. A) Size of the institution B) Existence of a separate personnel department C) Presence of a nurse recruiter within the organization D) Centralization or decentralization of nursing management in the organization E) The preferences of subordinates
Size of the institution Existence of a separate personnel department Presence of a nurse recruiter within the organization. Centralization or decentralization of nursing management in the organization
What is the focus of the entry job stage? A) Skill development B) Job esteem C) Sense of purpose D) Indifference
Skill development
What type of interview is the best predictor of job performance and overall effectiveness? A) Unstructured B) Semistructured C) Structured D) Informal
Structured
From an economic perspective, what is driving the current nursing shortage? A) Supply side of the supply/demand equation B) Demand side of the supply/demand equation C) Both the supply and demand sides of the supply/demand equation D) Short-term rise in demand in nursing services
Supply side of the supply/demand equation
The nurse-manager is designing a transition program for new nursing graduates. When planning this program, the manager should aim to address what issues? Select all that apply. A) Supporting practice autonomy B) Strengthening new clinical skills C) Introducing time management skills D) Socializing nurses to the clinical environment E) Enforcing adherence to institutional policies and procedures
Supporting practice autonomy Strengthening new clinical skills Introducing time management skills Socializing nurses to the clinical environment
The personnel department at a health-care organization has recently mandated preemployment personality testing for all applicants. How should a nurse-manager best interpret the results of this testing when making hiring decisions? A) Testing results should be disregarded until their legal status becomes more clear. B) Testing results should be prioritized over subjective data such as interviews and references. C) Testing results should be considered alongside interview results and reference checking. D) The applicant should be invited to review the results of the testing with the interviewers.
Testing results should be considered alongside interview results and reference checking
An experienced nurse-manager is organizing management development classes for some of the nurses in the organization. What principle should the manager follow when planning the classes? A) They should be offered to every employee in the organization. B) They should be limited to employees with university degrees. C) The classes should include social learning activities. D) The classes should be offered in an online format.
The classes should include social learning activities.
A health-care organization is changing from a functional nursing model to a team nursing model. How should the nurse-manager best address the impact on staffing and scheduling? A) More unlicensed assistive personnel will need to be hired. B) A self-scheduling system will need to be adopted. C) No changes in scheduling policies will likely be necessary. D) The client assignment method will need to be adjusted.
The client assignment method will need to be adjusted.
When evaluating the risk of a nursing shortage, the nurse-manager should prioritize which of the following variables? A) The economy B) Infectious disease prevalence C) Continuing education offerings D) Political climate
The economy
What characteristic of a nurse best indicates the attainment of an "expert" level of nursing experience? A) The nurse has more than 3 years of clinical experience. B) The nurse is learning from experience how best to react in clinical situations. C) The nurse identifies long-term goals for career advancement. D) The nurse possesses an intuitive grasp of complex clinical situations.
The nurse possesses an intuitive grasp of complex clinical situations.
A health-care organization has advertised a position that requires a doctoral degree and several years of experience. These high standards for education and experience may have what unintended consequence? A) The position may remain unfilled for longer than desired. B) Applicants may lack applicable skills. C) Applicants' credentials may be difficult to verify. D) Applicants may find it difficult to collaborate with subordinates.
The position may remain unfilled for longer than desired.
Who bears the ultimate responsibility for ensuring that the nursing care provided by team members meets or exceeds minimum safety standards? A) The patient's primary healthcare provider B) The facility's Director of Nursing C) The unit's nursing manager D) The team's RN
The team's RN
An applicant has disclosed a criminal record during an interview. When considering the implications of this disclosure on the hiring decision, the manager should consider what factors? Select all that apply. A) The time that has elapsed since the offense B) The geographic location where the offense occurred C) The severity or gravity of the criminal offense D) The relationship of the offense to the job duties E) The applicant's collaboration with other persons during the offense
The time that has elapsed since the offense The severity or gravity of the criminal offense The relationship of the offense to the job duties
The manager of a busy medical-surgical wants to establish a transition-to-practice program. The manager should cite what benefit of the proposed program to the hospital's administrators? A) More experienced nurses will be likely to apply for jobs. B) Nurses on the unit will be more motivated. C) Staffing costs will be reduced. D) Turnover of new staff will likely be reduced.
Turnover of new staff will likely be reduced.
A nurse who has transferred to a new workplace setting self-identifies as "competent" on Benner's continuum from novice to expert. What characteristic does this nurse most likely possess? A) A Bachelor of Science in Nursing degree B) Two to 3 years of clinical experience C) Basic health-care management skills D) A well-defined career plan
Two to 3 years of clinical experience
What is the advantage of decentralized scheduling? A) Unit manager understands the needs of the unit and staff intimately B) Employees will be treated equally and consistently C) Manager role is limited to making minor adjustments and providing input D) It allows the most efficient use of resources
Unit manager understands the needs of the unit and staff intimately
A nurse-manager is implementing strategies to maintain adequate staff in the health-care organization. What action by the manager will best achieve this goal? A) Proactively plan to hire two RNs for each unit each year. B) Use knowledge of turnover rates on their units for planning and hiring. C) Look at staff-to-client ratios at other health-care organizations in the area. D) Hire consultants to study national turnover rates to determine recruitment needs.
Use knowledge of turnover rates on their units for planning and hiring.
What is the relationship between the national and local economy and an organization's ability to maintain an adequate workforce? A) When the economy is on an upswing, many unemployed nurses return to work and recruitment becomes easier. B) When a recession occurs, it causes many part-time nurses to return to full-time employment and others to delay their retirement. C) Although the economy tends to affect the size of the blue-collar workforce, professions such as nursing remain fairly stable regardless of economic changes. D) When there is an economic downturn, many nurses reduce their work hours from full time to part time.
When a recession occurs, it causes many part-time nurses to return to full-time employment and others to delay their retirement.
A team of nurse-managers are attempting to make accurate predictions about variables that will impact future staffing decisions. What pieces of data should the team seek to identify? Select all that apply. A) Client satisfaction levels B) When staff resignations historically occur C) How long new hires usually stay employed D) Education of current nursing staff members E) Third-party insurer reimbursement levels
When staff resignations historically occur How long new hires usually stay employed Education of current nursing staff members Third-party insurer reimbursement levels
When do nursing shortages historically occur? A) When the economy is on an upswing B) When the economy is in recession C) When nursing salaries decline D) When client acuity increases
When the economy is on an upswing
An increasingly common staffing and scheduling alternative is the use of supplemental nursing staff such as agency nurses or travel nurses. Which statement is correct about agency nurses or travel nurses? A) Work for premium pay B) Employed directly by the health-care agency C) Result in increased continuity of nursing care D) They receive the standard facility benefits
Work for premium pay
What is the manager's initial progressive initial response when a staff member is caught stealing $3.00 from a patient's bedside stand? A) Dismissal B) Suspension C) Written notice D) Verbal notice
Written notice
A team of nurse-managers have finished interviewing qualified candidates for a position and have now begun the selection process. During this process, the managers should: A) review the results of the applicants' physical examinations. B) schedule times for induction and orientation. C) carefully verifying the chosen applicant's references and credentials. D) reflect on the overall efficiency of the hiring process.
carefully verifying the chosen applicant's references and credentials.
A nurse has more than four decades of experience. In order to ensure that the nurse is not seen as obsolete by peers and colleagues, the nurse should: A) seek a leadership position. B) offer to mentor newly graduated nurses. C) change jobs as frequently as possible. D) continually seek new knowledge and experience.
continually seek new knowledge and experience.
A nurse is selecting areas to focus on for continuing education and personal growth over the next year. During this process, the nurse should: A) prioritize learning that can take place in a college or university setting. B) ask the manager to perform this task, if possible. C) prioritize areas of study that are new to the nurse. D) engage in reflective practice.
engage in reflective practice.
A nurse is constructing a resumé before beginning to search for a new job. When creating a resumé, the nurse should: A) give equal weight to strong and weak points. B) aim for at least four to five pages in length. C) use complex, scholarly language to demonstrate competence. D) ensure that the document is concise and easy to read.
ensure that the document is concise and easy to read.
A nurse has applied for a new position and has presented a nursing portfolio to the human resources department. This portfolio will allow the nurse to: A) present his or her specific career goals. B) justify salary expectations. C) give examples of professional growth. D) showcase his or her academic credentials.
give examples of professional growth.
A nurse-manager has made a selection to fill a staff opening. When finalizing this selection, the manager should: A) identify the successful applicant's long-term career goals. B) inform the unsuccessful applicants that the position has been filled. C) negotiate the successful applicant's salary. D) inform the successful applicant about when he or she will be given promotions.
inform the unsuccessful applicants that the position has been filled.
A nurse has been transferred to another unit in the hospital to perform the same type of duties. What type of transfer is this called? A) Accommodating B) Lateral C) Diagonal D) Downward
lateral
A manager is conducting career coaching for an employee who is new to the organization. When coaching this employee, the manager should: A) conduct the coaching in a group of no more than six to eight nurses. B) encourage the nurse to share his or her plans with the other nurses in the organization. C) help the nurse establish goals and make the attainment of the goals a condition of employment. D) make sure not to intimidate the employee during questioning.
make sure not to intimidate the employee during questioning.
An experienced nurse-manager describes a recently hired nurse as "very promising." The manager can best promote this nurse's career development by: A) asking other nurses to model their behavior on the new nurse's behavior. B) providing the nurse with increasingly challenging work assignments. C) removing the nurse from client care responsibilities and assigning management tasks. D) providing the nurse with positive feedback.
providing the nurse with increasingly challenging work assignments.
