Leadership quiz2
30. A graduate nurse in an ICU has been assigned 10 acutely ill patients and feels she has an unsafe work load. When the nurse asks a peer for help the seasoned nurse replied "I have 2 of my own patients, suck it up new jack." What issue would be most appropriate to take to the union representative? (select all that apply) 1.Peer to peer bullying 2.Inappropriate patient to nurse ratio 3.Unfair distribution by patient acuity 4.Assigned unit for the new graduate
1.Peer to peer bullying 2.Inappropriate patient to nurse ratio
55.Why is it important to place a new-hire in an appropriate department? (select all) 1.To foster personal growth 2.To minimize productivity 3.To provide a motivating area 4.Decreases the chance of organizational goals to be met
1.To foster personal 3.To provide a motivating area
42. The nursing director of a cardiovascular surgical intensive care unit has received reports from staff members that one of the cardiovascular physician groups is not willing to follow some of the recently instituted procedures related to initial admission orders. This group is at odds with the unit staff. What attributes of negotiation must the director employ to foster a successful outcome between the two groups? (Select all that apply.) 1.Maintaining an aggressive speech pattern 2.Maintain neutral facial expressions 3.Maintaining a professional stance 4.Maintaining neutral body language Maintaining a strong closed posture
2.Maintain neutral facial expressions 3.Maintaining a professional stance 4.Maintaining neutral body
53.Which type of interview requires little planning because the goals for hiring may be unclear, questions are not prepared in advance, and the interviewer does more talking? 1.Structured 2.Unstructured 3.Semistructured 4.Incorrectly structured
2.Unstructured
54. Which of the following presents the steps of recruitment in the correct order? 1.interviewing , selection, indoctrination, placement 2.Interviewing, placement, indoctrination, selection 3.Indoctrination, interviewing, selection, placement 4.Interviewing, selection, placement, indoctrination
4.Interviewing, selection, placement, indoctrination
10. A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating? X A) A toddler playing with his 9-year-old brother's construction set B) A 4-year-old eating yogurt for lunch C) An infant covered with a small blanket and asleep in the crib D) A 3-year-old drinking a glass of juice
A) A toddler playing with his 9-year-old brother's construction set
9. A nurse is teaching parents in a parenting class about the use of car seats and restraints for infants and children. Which information is accurate and should be included in the teaching plan? A) Booster seats should be used for children until they are 4′9″ tall and weigh between 80 and 100 pounds. B) Most U.S. states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle. C) Infants and toddlers up to 2 years of age (or up to the maximum height and weight for the seat) should be in a front-facing safety seat. D) Children older than 6 years may be restrained using a car seat belt in the back seat.
A) Booster seats should be used for children until they are 4′9″ tall and weigh between 80 and 100 pounds.
15. A nurse manager is reviewing the budget for the nursing unit. Which budget covers the expenditures for the unit's workforce? A) Personnel B) Volume C) Capital D) Operating
A) Personnel
51. Coaching is defined as... A. A transfer of skills and knowledge by a coach to achieve agreed on outcomes. B. The action or process of carrying out or accomplishing an action, task or function. C.An act of assessing something or someone. D.The process of dealing with or controlling things or people.
A. A transfer of skills and knowledge by a coach to achieve agreed on outcomes.
23. A nurse manager is evaluating the effectiveness of staff development activities that have occurred in the past year. Which criteria should be included in this evaluation? (Select All That Apply) A. Behavior change B. Time utilized C. Learner's reaction D. Organizational impact E. Cost-effectiveness
A. Behavior change C. Learner's reaction D. Organizational impact E. Cost-effectiveness
22. The new nurse manager is learning about staff development. Which are characteristics of pedagogy? (Select All That Apply) A. Learners depend on the teacher B. Learners are self- directed C. The teacher sets the goals D. Competition is encouraged E. The teacher evaluates
A. Learners depend on the teacher C. The teacher sets the goals D. Competition is encouraged E. The teacher evaluates
41. The staff nurses and nursing administration are attempting to construct a method of scheduling that meets the needs of both the clients and the nursing personnel. Because nurses and nursing administration have experienced conflict about the issue, their intent is to arrive at an agreeable solution between both parties. Which option does this process best exemplify? A. Negotiation B. Accommodation C. Forcing D. Consensus
A. Negotiation
49. Performance appraisals consist of all the following activities except... A. Setting specific standards and activities for individual performance. B.Using agency standards as a guide. C. Determine areas of strengths and weaknesses. D. Focusing activity on the correction of identified behaviors.
A. Setting specific standards and activities for individual
25. A new nurse manager is learning about staff development. Which statement about either training or education is most accurate? A. Training ensures knowledge and skills necessary for the job B.The words training and education are synonymous C. Education has immediate use and applicability D.Training is designed to develop individuals in the broader sense
A. Training ensures knowledge and skills necessary for the job
39. Common causes of organizational conflict are(select all): A. Unclear expectations B. Poor communication C. Diversity in the workplace D. Assertive communication E. Changes
A. Unclear expectations B. Poor communication C. Diversity in the workplace E. Changes
27. A nurse who has recently joined a union is searching for defined standards associated with unionization and collective bargaining. The nurse knows collective bargaining and other unionization standards are defined under what? A.National Labor Relations Act. B. Occupational Safety and Health Act. C. Civil Rights Act. D. Fair Labor Standards Act
A.National Labor Relations Act.
6. The nurse caring for patients in a long-term care facility knows that there are factors that place certain patients at a higher risk for falls. Which patients would the nurse consider to be in this category? Select all that apply. A) A patient who is older than 60 years B) A patient who has already fallen twice C) A patient who is taking antibiotics D) A patient who experiences postural hypotension E) A patient who is experiencing nausea from chemotherapy F) A 70-year old patient who is transferred to long-term care
B) A patient who has already fallen twice D) A patient who experiences postural hypotension F) A 70-year old patient who is transferred to long-term care
12. What area do consumers value the most when seeking health care? A) Low cost, ability to meet patient outcomes, and advanced technology B) High quality, low cost, and ability to meet patient outcomes C) Ability to meet patient outcomes, advanced technology, and proper staffing levels D) Advanced technology, staffing levels, and low cost
B) High quality, low cost, and ability to meet patient outcomes
26.The nurse is considering taking a job at a union hospital. Which statement by the nurse indicates that further education is necessary? A. "Nurses join unions to have control over their practice." B. "Nurses join unions to have more power than management." C. "Union affiliation is a highly complex process." D. "There are limits on what issues unions can bargain."
B. "Nurses join unions to have more power than management."
52. To increase the likelihood of a successful performance appraisal the manager should... (Select all that apply) A. Gather data about the employee using one source. B. Follow up on the employee's identified performance issues. C.Be objective when conducting the appraisal. D.Use established standards for the appraisal. E.Provide only negative feedback on the employee
B. Follow up on the employee's identified performance issues. C.Be objective when conducting the appraisal. D.Use established standards for the appraisal.
48. A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals? A. Appraisal objectives should be applicable to staff at every level. B. Performance appraisals should be written in measurable terms. C. Completed appraisals should be approved by a provider. D. Performance appraisals should be based on the nurse manager's preferences.
B. Performance appraisals should be written in measurable terms.
29. The nurse manager of a local hospital is looking to discourage unionization of the nurses through fair practice. Which action by the nurse manager would be appropriate? (select all that apply) A.Provide written warnings to nurses that verbalize support of unionization B.Provide competitive wages and benefits C.Hire a third-party agency to temporarily replace nurses who support unions D.Provide ease of communication between workers and management
B.Provide competitive wages and benefits D.Provide ease of communication between workers and management
28. A nurse has recently accepted a nursing job in a "right to work" state. Which statement by the nurse indicates and need for further teaching about unions? (select all that apply) A. I can leave my union at any time without consequence B.The nursing director is my union representative C.I have to join the union in order to remain employed at this facility D.I can choose to not pay union dues
B.The nursing director is my union representative C.I have to join the union in order to remain employed at this facility
13. Operational budgets are financial plans for the entire organization day-to-day operations. This type of budget includes which of the following: A) Supplies, expenses, and equipment purchases B) Expenses, equipment purchase, and payroll C) Payroll, supplies, and expenses D) Payroll, monthly expenses, and large purchase items
C) Payroll, supplies, and expenses
14. A Nurse manager is using a budgeting approach that requires justification for each budgetary need. What approach is being used? X A) Flexible B) Incremental C) Zero Based D)Performance
C) Zero Based
8. A nurse sees smoke emerging from the suction equipment being used. Which is the greatest priority in the event of a fire? A. Report the fire. B. Extinguish the fire. C. Protect the clients. D. Contain the fire
C. Protect the clients.
43. Which of the following is false about time management? Select all that apply: A. Stress is decreased B. increased job satisfaction C. Quality of care suffers D. Able to achieve quality indicators E. Lose time
C. Quality of care suffers E. Lose time
11. A Nurse Manager is preparing a presentation to be delivered to a group of nurses in a nursing uit about the current U.S. healthcare system. Which statement about resource utilization is most correct? A) Currently, there is a scarcity of resources available in the U.S. healthcare system. B) Limiting spending for healthcare resources will improve the quality of U.S. health. C) Additional funding for healthcare resources would improve the status of U.S. health. D) The health care resources that are available in the U.S. are not used cost effectively
D) The health care resources that are available in the U.S. are not used cost effectively
24. A nurse instructor is teaching a student who often asks for thorough explanations of each new concept. What learning style does this student have? A. Tactile B. Kinesthetic C. Visual D. Auditory
D. Auditory
7. Which nursing intervention is the highest in priority for a client at risk for falls in a hospital setting? A. Keep all of the side rails up. B. Review prescribed medications. C. Complete the "get up and go" test. D. Place the bed in the lowest position.
D. Place the bed in the lowest position.
21. A nurse manager is reviewing current staff development activities. Which is critical to ensure that staff development activities are successful? X A. Management is responsible for education and training B. The education department identifies all needs for education and training C. Communicating shared responsibilities for education and training D. Scheduling education and training as non- paid time
D. Scheduling education and training as non- paid time
50. Which of the following statements is not true about performance appraisals? X A.Informing the staff about the specific impressions of their work will help improve their performance. B. A verbal appraisal is an acceptable substitute for a written report. C.Patients are the best source of information regarding personnel appraisal. D.The outcome of performance appraisal rests primarily with the staff.
D.The outcome of performance appraisal rests primarily with the staff.
1[1] [2] . In order for the nurse leader to be effective in his or her role, the leader does not need to identify the stages of the conflict but only acknowledge its existence to begin the resolution? True False
False
34.THE DIFFERENCE BETWEEN STAFFING AND SCHEDULING IS THAT STAFFING: a. PUTS THE RIGHT PERSON IN THE RIGHT POSITION b.PUTS THE RIGHT PERSON IN THE RIGHT TIME AND PLACE c.REFERS TO THE NUMBER OF NURSING HOURS PER PATIENT PER DAY d. LOOKS AFTER INTERPRETATION OF BENEFITS AND COMPENSATION
a. PUTS THE RIGHT PERSON IN THE RIGHT POSITION
18. All of the following are Quality improvement strategies except? a. Peer to Peer Report Cards b. Computerized Physician- Order Provider Entry (CPOE) c. Evidence Based Hospital Referrals d. National Quality Forum- Endorsed Safe Practices
a. Peer to Peer Report Cards
16. Which of the following options represent to the Nurse educator that the student nurse needs further teaching regarding Quality control? X a. Upper management and nurse leader are responsible for evaluating quality control b. Quality control requires evaluating the performance of all members of the multidisciplinary team. c.Patients should be actively involved in the determination of an organization's quality of care. d. Quality control gives employees feedback about their current quality of care and how the care they provide can be improved
a. Upper management and nurse leader are responsible for evaluating quality control
45. Which of the following is true about time management? a. adjust priorities throughout the day b. document only at the end of the shift to save time during the shift c. minimize delegation to ensure tasks are done appropriately d. do not take breaks because this will decrease your time
a. adjust priorities throughout the day
2. Nurse leaders understand that there are various stages of conflict, and the final stage known as the latent stage includes which two steps? a) Conflict management and resolution b) Conflict management and aftermath c)Conflict management and evaluation d)Conflict management and negation
b) Conflict management and aftermath
35. IN THE PAST YEAR, YOU HAVE NOTICED AN INCREASE IN PATIENT FALLS ON YOUR UNIT. IN READING STUDIES RELATED TO STAFFING AND PATIENT OUTCOMES, YOU REALIZE THAT YOU WILL NEED TO PLAN FOR: a.HIGHER PATIENT CARE HOURS b.SAFER FACILITIES c.THE INSTITUTION OF A PATIENT CLASSIFICATION SYSTEM d. AN INCREASE NUMBER OF RN POSITIONS
d. AN INCREASE NUMBER OF RN POSITIONS
31. What environment is a manager responsible for creating? a.Management support, collegial influence, and the interaction of persons in the workgroup. b.An environment where organizational and individual needs can be met. c.The praise should be: specific, come right after the act and reinforce small and large achievements. d.A high energy level and appositive attitude.
b.An environment where organizational and individual needs can be met.
20. The National Database of Nursing Quality Indicators examines the relationship between.... a. Upper management and nurse leadership b.Nurses and patient outcomes c. Doctors and nurse communication d. Patient outcomes and positive feedback
b.Nurses and patient outcomes
17. All of the following are associated quality improvement issues except? X a. Ineffective Handoffs b. Diagnostic Errors c. Magnet Status d. Documentation Errors
c. Magnet Status
44. Which of the following is true about not having enough time? a. quality of care increases b. decrease stress c. errors increase d. errors decrease
c. errors increase
37). IN A JOB INTERVIEW FOR A STAFF POSITION, WHICH OF THE FOLLOING INDICATES YOUR KNOWLEDGE OF PATENT SAFETY? a."WILL I BE ABLE TO GET OVERTIME HOURS ON YOUR UNIT?" b."IF THERE IS AN OPPORTUNITY TO WORK EXTRA SHIFTS, I WOULD REALLY LIKE THAT." c."IS THERE A STRATEGY IN PLACE TO REDUCE THE NUMBER OF OVERTIME HOURS ON THE UNIT?" d."I SEE NO REASON WHY I WOULDN'T BE ABLE TO WORK OVERTIME."
c."IS THERE A STRATEGY IN PLACE TO REDUCE THE NUMBER OF OVERTIME HOURS ON THE UNIT?"
32.Which of the following is the most important retention motivator? X a.Hygiene factors b.Recognition and achievement c.Recognition pathways d.Connection pathways
c.Recognition pathways
4. Conflict resulting from differing or contradictory beliefs among two or more individuals are known as a) Interpersonal conflicts b) External conflict c) Organizational conflict d) Intergroup conflict
d) Intergroup conflict
36.)A STRATEGY TO INCREASE RN STAFF RETENTION IN HOSPITALS INCLUDES: a. BETTER COMPENSATION AND BENEFITS b. CLEARER POSITION DESCRIPTIONS c.LAY-OFFS OF NURSING ASSISTANTS d. ADEQUATE STAFFING TO MEET ACUITY LEVELS
d. ADEQUATE STAFFING TO MEET ACUITY LEVELS
19. What organization mandated that all hospitals have Quality Assurance(QA) programs in place by 1982? a. American Nursing Association (ANA) b. American Academy of Nursing (AAN) c. American Nursing Credentialing Center (ANCC) d. The Joint Commission
d. The Joint Commission
33. Intrinsic motivation is the greatest motivators that a manager can use. True or False
false
47. True or False In order to have good time management skills, nurses should primarily use their left side of their brain vs the right side
false
3. Conflict can have a negative or positive influence on those involved? True False
true
38). Nurse leaders should encourage or establish an appropriate amount of conflict in the workplace?
true
40. The nurse leader's optimal goal in conflict resolution is to create a win-win situation. A. True B. False
true
46. True or False: Personal reflection of your own time management style can help you feel more in control at work and balanced overall
true
5. The nurse leader's optimal goal in conflict resolution is to create a win-win situation? X True False
true
