Leadership Week/Module 3

Creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety?

adherence to staffing ratios

Organizational culture is best defined as:

an enduring set of shared values and beliefs

There are numerous sources of power in an organization. Several are available to nurses. Which one is not?

authority

TJC attributes 80% of all medical errors to: A - poor hygiene and hand washing B - poor hand-off communication C - poor work environment D - lack of care

poor hand-off communication

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? A - the charge nurse is unavailable to help the nurses when they have questions about policies B - some staff are afraid to ask particular charge nurses for help for fear of retribution C - the use of acronyms is confusing to new staff members D - all of the above

All of the above

The EMR has many advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new pt for the very first time who informs her that he was recently hospitalized. Jane pulls up the pts EMR and sees no information regarding his recent hospital stay. How could this have happened? A - the pts discharge was so recent that it is not available yet B - EMRs are usually practice or hospital specific, so the pts info would not be accessible to Jane C - the pt was hospitalized out of state D - the pt has not signed the necessary consents to give Jane assess

EMRs are usually practice or hospital specific, so the pts info would not be accessible to Jane

ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for:

Introduce, Situation, Better, Advise, Refer with Recommendations

Which of the following issues may be addressed in a collective bargaining agreement? A - shift differentials B - safe working environment C - grievance procedures D- all of the above

all of the above

If an informal negotiation session becomes too highly emotional, what should the nurse manager do?

deal with the feeling first

Differences in status and authority within the healthcare team can generate conflict. What is the most common cause of conflict?

disrespect and incivility

Florence has two team members who continually criticize each other despite being told to stop. Which approach is the most appropriate for this situation?

engage is problem resolution

What is the best explanation of authority?

it is position dependent

Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the least important to share with the oncoming nurse? A - telling the oncoming nurse what happened on the unit during the shift B - introducing the client and his/her diagnosis to the oncoming nurse C - sharing the nurse's personal opinion of the client D - reviewing new medication orders and the MAR

sharing the nurse's personal opinion of the client

Several of your colleagues are going to join the American Nurse Association (ANA). You know the annual dues are a little more than you can afford right now, but you want to learn more. Your friends think that joining the ANA will empower them. How do professional organizations empower nurses?

they represent nurses in the political arena

What is the most desirable result of a problem resolution?

win-win

Nursing and respiratory departments both experience job cuts. The nurse manager notices that members of his staff are having more trouble getting a fast response from a respiratory therapist. What source of conflict is probably operating here?

work intensification

What is brainwriting?

a strategy to encourage the free flow of ideas

Communities and regulatory agencies continually challenge hospitals, skilled nursing facilities, and home health companies to enhance, improve, or change care delivery and the care environment to ensure safe, high-quality care. Which factors are important in improving a hospital's care environment? A - adequate staffing B - collegial relationships among staff C - emphasis on staff development D - all of the above

all of the above

Nursing management and the nursing union are having differences on several issues. There may be a need for negotiation. Which of the following is a serious disadvantage to using collective bargaining to resolve this conflict?

creating an adversarial relationship between staff and management

You are working on the trauma unit today, and your new pt with a femur fracture complains of leg pain and seems a little diaphoretic and SOB. You assess the pt and prepare to contact the surgeon. In preparation for contacting the physician, you: A - immediately page the MD; it could be a pulmonary embolism, and time is of the essence. You will give him the particulars when the MD arrives. B - wait for the MD to round on his pt because it should be within the next hour or so C - medicate the pt for pain and plan to contact the MD when he rounds D - jot down notes about the situation as it is presented to you, review the pts history, focus your assessment, and determine what you need for the pt

jot down notes about the situation as it is presented to you, review the pts history, focus your assessment, and determine what you need for the pt

If you are employed at the hospital owned by a corporation listed on the stock market, in which category does your facility belong?

For-profit

Implicit bias affects our understanding in an unconscious manner. A person's ability to recognize these biases can improve communication with pts and colleagues alike. Which of the following statements is true about the implicit bias? A - implicit bias forms during a lifetime B - implicit bias can influence clinical decision making and treatment C - implicit bias contributes to an individual's social behavior D - all of the above

all of the above

Jane is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at the meeting? A - talking to the staff B - laughing with them C - listening D - crying

Listening

The hospital has recently reorganized; therefore, several departments were closed. The pt census on the unit has increased. The staff have always had a strong team spirit, but the nurse manager knows that workflow changes can cause conflict. What can the nurse manager do to reduce the possibility of conflict among her team? A - monitor the quality of pt care B - ensure that supplies and equipment are readily available C - assess the equity of nursing assignments D - all of the above

all of the above

You have been asked to serve on your unit practice council. This is an important role and one that you are excited to perform. What should you know about professional governance so that you are prepared for this work? Professional governance in nursing involves:

nurses setting nursing standards for daily practice

Social media is commonly used to update friends and groups on things we have going on in out lives. Health-care organizations routinely use social media to promote medical facts, services, and recognitions. What is important for nurses to remember when deciding to post something work related on a social media site? A - nurses should never post protected health info on a social media site B - stories with good outcomes can be posted C - stories and photos can always be shared is the pts name or face is not visible D - posting stories on personal time is OK because the nurse is not working

nurses should never post protected health info on a social media site

Nurses who feel empowered can make significant contributions to a health-care organization. Feeling empowered includes feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. Which is essential to nurse empowerment?

participating on a unit practice council

Who is responsible for accepting, transcribing, and implementing physician order?

professional nurse

The purpose of learning how to negotiate conflict is to:

resolve conflicts more effectively

Which of the following is a characteristic of a bureaucratic organization?

rigid unit structures