Professional Nursing Leadership Exam #2

In the functional nursing model, which of the following tasks is typically assigned to a licensed practical nurse (LPN)? A. Administering medications B. Conducting patient assessments C. Developing nursing care plans D. Performing surgical procedures

A. Administering medications You need to have an RN license in order to do assessments which is why B is incorrect. An RN needs to do assessments and needs to make care plans & take care of the complicated pts. But LPNs can do routine things like administering meds

What is the basic principle of responsibility accounting? A. An organization's revenues, expenses, assets, and liabilities are someone's concern B. Managers have a responsibility to submit their budgets on time C. The organization's financial officer works with department heads regarding budget approval D. Fiscal accounting should be honest and accurate.

A. An organization's revenues, expenses, assets, and liabilities are someone's concern Responsibility accounting requires that someone must be responsible for all revenue,expenses, assets, and liabilities. While true, the other options are not the basic principle

A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse take first? A. Ask what she will be assigned to do B. Determine if she has the skills to complete the assignment C. Identify her options D. Notify the nurse manager about her concerns for client safety

A. Ask what she will be assigned to do Before accepting the assignment, the nurse should clarify the complexity of the assignment, such as how many clients she will be assigned to care for, what skills are needed, and what resources are available to her.

Expenses that are uncontrollable: A. Cannot be changed by the manager B. Do not vary with volume C. Require managerial input D. Change when volume changes

A. Cannot be changed by the manager

Which of the following is a key feature of managed care organizations (MCOs)? A. Focus on preventive care and cost control B. Provision of unlimited patient choice of providers C. Lack of coordination among healthcare providers D. Emphasis on fee-for-service payments

A. Focus on preventive care and cost control

What is the most significant barrier to effective interpersonal communication A. Incongruence between verbal and nonverbal messages B. Incongruence between telephone and written messages C. Incongruence between verbal and written messages D. Incongruence between telephone and nonverbal messages

A. Incongruence between verbal and nonverbal messages The incongruence between verbal and nonverbal messages is the most significant barrier to effective interpersonal communication

What are the consequences of poor healthcare planning? A. Increased healthcare costs B. Decreased healthcare disparities C. Improved patient outcomes D. Enhanced communication between healthcare providers

A. Increased healthcare costs Poor healthcare planning can lead to inefficiencies and unnecessary expenses, resulting in increased healthcare costs.

When does communication have the greatest likelihood of being accurately interpreted? A. More than one mode is used B. Face-to-face communication is used C. Written communication is used D. The sender repeats the message using the same mode

A. More than one mode is used Using various communication methods in combination increases the likelihood that everyone in the organization who needs to hear the message actually will hear it. The other options are single methods.

A nursing instructor is developing a curriculum for a leadership course. Which activity best represents the concept of training rather than education? A. Facilitating a seminar on ethical decision-making in nursing practice B. Conducting a hands-on workshop on proper hand hygiene techniques C. Hosting a lecture series on the history and evolution of nursing theories D. Organizing a discussion panel on the impact of healthcare policy changes

B. Conducting a hands-on workshop on proper hand hygiene techniques

A nurse navigator is working with a newly diagnosed cancer patient. Which of the following actions by the nurse navigator best demonstrates their role in the patient's care? A. Administering chemotherapy treatments to the patient B. Coordinating appointments and providing resources for the patient C. Developing the patient's medical treatment plan D. Conducting physical assessments during follow-up visits

B. Coordinating appointments and providing resources for the patient

What changed the structure of Medicare payments from a retrospectively adjusted cost reimbursement system to a prospective, risk-based one? A. Zero-based budgets B. Diagnostic-related groupings (DRGs) C. Prospective payment system D. Incremental budgets

B. Diagnostic-related groupings (DRGs) The impetus of diagnosis-related groupings changed the structure of Medicare payments from a retrospectively adjusted cost reimbursement system to a prospective, risk-based one. None of the other options were involved in the change.

What is the traditional form of communication in organizations that helps to coordinate activities in various levels of the hierarchy? A. Upward B. Downward C. Horizontal D. Diagonal

B. Downward In downward communication, the manager relays information to subordinates. This is a traditional form of communication in organizations and helps to coordinate activities in various levels of the hierarchy. The other forms are not as effective as the various levels of an organization's hierarchy.

Which of the following factors is a key component of a positive organizational climate in a healthcare unit? A. High staff turnover rates B. Effective communication and collaboration among staff C. Strict adherence to hierarchical authority D. Limited opportunities for professional development

B. Effective communication and collaboration among staff

Expenses that are variable: A. Cannot be changed by the manager B. Require managerial input C. Change when volume changes D. Do not vary with volume

C. Change when volume changes

How can the Internet be best used as a means of improving one's personal nursing practice? A. Accessing the latest research and best practice information B. Communicating with other health-care team members C. Minimizing the need for paper documentation D. Securing patient information for confidentially

A. Accessing the latest research and best practice information As an information source, the Internet allows nurses to access the latest research and best practice information so that their care can be evidence based. The remaining options are not focused on personal nursing practice.

An RN is orienting a new graduate nurse to the unit and has found this individual's charting to be inadequate. What is the most appropriate statement to initiate a discussion with the new RN? A. "Tell me in your own words what you intend your charting to convey." B. "Your charting is non-descriptive." C. "Do you think a refresher course in charting would help you?" D. "Are you having difficulty assessing your patient?"

A. "Tell me in your own words what you intend your charting to convey." Assertive communication is not rude or insensitive, nor is it passive-aggressive

Which statement concerning a budget is true? A. A budget's reliability is related to how far in advance it was created B. Budgets should be created as far in advance is possible C. A budget is revised every 3 months during a fiscal year D. Budgets are reliable only when expenses are fixed

A. A budget's reliability is related to how far in advance it was created A budget that is predicted too far in advance has greater probability for error. The otheroptions are incorrect statements regarding a budget.

What is fiscal planning? A. A learned skill that improves with practice B. A job role of the facility business manager C. Part of the organizing phase of the management process D. Reactive based on political, social, and economic forces

A. A learned skill that improves with practice Fiscal planning is a learned skill and must include nursing management input. It should never be reactive, and it is part of the planning process of management

Which statement describes the informal communication referred to as the grapevine? A. Most personnel engaging in the unofficial exchange of information B. Information exchange is initiated by subordinates and directed upward C. Information is conveyed unofficially by administration through department heads D. The exchange of information initiated by someone in a staff position to someone in a line position

A. Most personnel engaging in the unofficial exchange of information Informal communication through the grapevine occurs when most personnel are involved in the unofficial exchange of information. This process is not accurately described by any of the other options.

Which of the following best describes the total patient care model? A. One nurse is responsible for all aspects of care for one or more patients during their shift. B. Tasks are divided among various healthcare team members. C. A nurse oversees a group of patients while coordinating care with other nurses. D. A primary nurse is assigned to manage care from admission to discharge.

A. One nurse is responsible for all aspects of care for one or more patients during their shift.

What is the difference between operating and capital budget in healthcare? A. Operating budget includes costs of running the hospital, while capital budget includes costs of large equipment and building purchases B. Operating budget includes costs of large equipment and building purchases, while capital budget covers day-to-day expenses of running the hospital C. Operating budget and capital budget are interchangeable terms in healthcare D. Operating budget covers costs of staff needed for the patient census, while capital budget covers costs of running the hospital.

A. Operating budget includes costs of running the hospital, while capital budget includes costs of large equipment and building purchases The operating budget in healthcare covers the day-to-day expenses of running the hospital, such as electricity, maintenance, and supplies. On the other hand, the capital budget includes the costs of purchasing large equipment and buildings, generally those over $5,000

Which of the following best describes the concept of bundled payments in healthcare? A. Providers receive a single payment for all services related to a specific treatment or condition B. Providers are reimbursed based on the number of individual services provided C. Providers receive additional payments for achieving high patient satisfaction scores D. Providers are paid a fixed monthly amount for each enrolled patient

A. Providers receive a single payment for all services related to a specific treatment or condition

A nurse manager is evaluating the cost-effectiveness of care provided on their unit. Which action would best support the goal of delivering cost-effective care? A. Reducing the length of patient stays without compromising quality of care. B. Increasing the number of elective procedures performed. C. Eliminating continuing education programs for staff. D. Ignoring preventive care to focus on acute interventions.

A. Reducing the length of patient stays without compromising quality of care.

A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? (ATI question) Select all that apply. A. Skill proficiency B. Assignment to a preceptor C. Budgetary principles D. Computerized charting E. Socialization into unit culture F. Facility policies and procedures

A. Skill proficiency B. Assignment to a preceptor D. Computerized charting E. Socialization into unit culture F. Facility policies and procedures

What was the primary reason for the development of the prospective payment system? A. Skyrocketing health-care costs following the advent of Medicare and Medicaid B. The passage of the Health Maintenance Act of 1973 C. The introduction of the Health Security Act to Congress D. A coalition held by the three largest private insurers in 1975

A. Skyrocketing health-care costs following the advent of Medicare and Medicaid Prospective payment systems were the result of skyrocketing medical costs in theUnited States. That is not true of the other options

What is the largest budget expenditure for health-care organizations? A. The personnel budget B. Short-term capital acquisitions C. The operating budget D. Supplies and equipment

A. The personnel budget B/c healthcare is labor-intensive & therefore, the personnel budget makes up the largestexpense. The other options represent less expensive expenditures.

In the primary nursing model, which role does the primary nurse play in patient care? A. The primary nurse oversees the entire care process for a patient from admission to discharge. B. The primary nurse delegates all care tasks to other team members. C. The primary nurse only provides care during the night shifts. D. The primary nurse focuses on administrative tasks rather than direct patient care.

A. The primary nurse oversees the entire care process for a patient from admission to discharge.

What is the purpose of diagnosis-related groups (DRGs)? A. To establish a fixed payment system for health care services B. To determine the appropriate length of stay for clients C. To assign reimbursement rates based on age and sex D. To determine the appropriate fee for inpatient care

A. To establish a fixed payment system for health care services DRGs are used to establish a fixed payment system for health care services based on client diagnosis and procedures performed

Which of the following is a defining characteristic of a bureaucratic organizational structure in healthcare? A. Flexible decision-making processes B. Clear hierarchy and chain of command C. Informal communication channels D. Flat management structure

B. Clear hierarchy and chain of command

As a nurse manager, which of the following actions is most effective in promoting sound fiscal planning within a healthcare unit? A. Increasing the frequency of patient rounds B. Implementing a staff satisfaction survey C. Conducting a comprehensive budget review D. Encouraging staff to take additional training courses

C. Conducting a comprehensive budget review

A nurse is educating a patient with chronic obstructive pulmonary disease (COPD) about the goals of disease management. Which statement by the patient indicates an understanding of the primary goals of disease management? A. "The main goal is to completely cure my disease." B. "The goal is to manage symptoms, prevent complications, and improve my quality of life." C. "Disease management aims to minimize all physical activity to avoid symptoms." D. "The focus is on using medications only when symptoms are severe."

B. "The goal is to manage symptoms, prevent complications, and improve my quality of life."

Which of the following best describes the concept of shared governance in a healthcare organization? A. A hierarchical model where decisions are made solely by top management B. A collaborative model where clinical staff participate in decision-making processes C. A financial model focused on reducing operational costs D. A regulatory model that ensures compliance with healthcare laws

B. A collaborative model where clinical staff participate in decision-making processes

What is the difference between a mentor and a preceptor? A. There is no difference between a mentor and a preceptor B. A mentor is a more experienced nurse who provides guidance and support, while a preceptor is a nurse who provides hands-on training and supervision C. A mentor is a nurse who directly teaches and supervises a new nurse, while a preceptor is a more experienced nurse who provides guidance and support D. A mentor is a nurse who provides hands-on training and supervision, while a preceptor is a more experienced nurse who offers advice and support.

B. A mentor is a more experienced nurse who provides guidance and support, while a preceptor is a nurse who provides hands-on training and supervision This is the correct response because a mentor is someone who offers advice, support, and guidance based on their own experiences, while a preceptor is a nurse who directly teaches and supervises a new nurse in a clinical setting.

A team nursing approach is being used on a medical-surgical unit. Which responsibility is typically assigned to the team leader? A. Providing direct patient care to all patients B. Assigning tasks and supervising the nursing team C. Developing and updating care plans for each patient D. Administering all medications to the team's patients

B. Assigning tasks and supervising the nursing team

A nurse manager is implementing a new training program based on social learning theory. Which of the following actions by the nurse manager best reflects the principles of social learning theory? A. Providing individual reading assignments and self-study modules for staff B. Encouraging experienced nurses to demonstrate clinical skills to new nurses and allowing them to practice under supervision C. Assigning new nurses to complete online training courses independently D. Conducting formal lectures on theoretical concepts without interactive components

B. Encouraging experienced nurses to demonstrate clinical skills to new nurses and allowing them to practice under supervision

A nurse manager wants to implement the principles of a learning organization within their healthcare facility. Which action by the nurse manager best demonstrates the implementation of a learning organization? A. Providing mandatory annual training sessions for all staff B. Encouraging open communication and collaboration among staff to share knowledge and improve practices C. Emphasizing strict adherence to established protocols without room for feedback or innovation D. Assigning new staff members to work independently without mentorship

B. Encouraging open communication and collaboration among staff to share knowledge and improve practices

Which behaviors would be associated with a group in the norming stage? A. Group members actively attempt to impress each other with their credentials B. Group members establish short- and long-term goals for the group to accomplish C. Group members achieve stated goals D. The group terminates and celebrates its accomplishments

B. Group members establish short- and long-term goals for the group to accomplish In the norming stage, consensus evolves as group cohesion develops. This is the only option that describes a behavior associated with a group's norming stage.

The hospital is facing low census and downsizing. However, the RNs have been assured that everyone on the unit will keep their jobs and downsizing will occur through normal attrition and voluntary absences without pay. Today, the evening charge nurse reported that last evening the staff was discussing various rumors about mass layoffs. What is the best approach to take? A. Tell an informal leader on the evening shift the truth and let the leader spread the news informally B. Hold a meeting for all staff members and tell them that the rumor is not true C. Ignore the rumor because it will soon pass D. Find out who started the rumor and correct the information

B. Hold a meeting for all staff members and tell them that the rumor is not true Nurse-leaders should intervene appropriately when communication problems (in this case, rumors) arise. The remaining options fail to fulfill that responsibility as effectively as the correct option does.

A nurse leader is using the GRRRR listening tool to facilitate effective communication during a team debriefing session. Which action best represents the "G" for "Greeting" in the GRRRR listening tool? A. Listening attentively and acknowledging the speaker's message B. Introducing oneself and starting the conversation with a positive tone C. Reflecting on the information shared and summarizing key points D. Taking responsibility for clarifying any misunderstandings

B. Introducing oneself and starting the conversation with a positive tone

A new nurse manager is reviewing the unit's budget and notices a significant variance in supply costs. Which action should the nurse manager take first to address this issue? A. Eliminate the use of certain supplies. B. Investigate the reason for the variance. C. Ignore the variance and continue with current spending. D. Increase the budget to cover the variance.

B. Investigate the reason for the variance.

Which statement concerning nonverbal communication is true? A. It is consistent across cultures B. It is given more credence than verbal communication when the two are incongruent C. It should be minimized because it confuses the receiver regarding the true intent of the message D. It is a significant part of the communication exchange only when it is not congruent with the verbal exchange

B. It is given more credence than verbal communication when the two are incongruent Because nonverbal communication indicates the emotional component of the message, it is generally considered more reliable than verbal communication. None of the remaining options present true statements regarding nonverbal communication

What is inferred if an item is cost-effective? A. It is the least expensive product available B. It is worth the cost C. It is reimbursable D. Its cost was anticipated

B. It is worth the cost Cost-effective does not necessarily imply the cheapest, but it requires that theexpenditure be worth the cost. The other options are not characteristic of the term costeffective.

Which of the following expenses is classified as a fixed expense in a healthcare organization? A. Salaries of per diem nursing staff B. Monthly lease payments for the facility C. Costs of medical supplies and equipment D. Utility bills that fluctuate with usage

B. Monthly lease payments for the facility

Which type of budget is primarily used by nurse managers to plan and control expenses related to staffing, supplies, and patient care activities? A. Capital budget B. Operating budget C. Cash budget D. Strategic budget

B. Operating budget

Which nursing action demonstrates compliance with the American Nurses Association (ANA) principles for social networking by nurses? A. Strictly avoiding the use of social networking in a professional setting B. Participating in the development of institutional policies governing online conduct C. Ignoring any information that appears to have the potential to harm a patient's welfare D. Realizing that social networking is not related to a nurse's professional boundaries

B. Participating in the development of institutional policies governing online conduct The ANA has developed principles for social networking that include participation in policy development, nurseñpatient boundaries, separating personal and professional online information, and reporting to authorities when patient welfare has been potentially harmed.

A nurse is assigned to provide total patient care for four patients. Which nursing action should the nurse prioritize to ensure effective care delivery? A. Delegating tasks to nursing assistants B. Prioritizing care based on patient acuity C. Completing documentation first D. Coordinating care with other healthcare professionals

B. Prioritizing care based on patient acuity Answer is B b/c remember the nurse is responsible for the complete care of a number of pts

Which of the following is considered a controllable expense for a nurse manager in a healthcare organization? A. Depreciation on medical equipment B. Salaries of permanent nursing staff C. Cost of disposable medical supplies D. Annual property taxes for the facility

C. Cost of disposable medical supplies

A nurse is resistant to change because they are afraid of losing their job. What is the best course of action for the nurse educator to address this resistance?A. Fire the nurse and hire someone who is more open to change B. Provide education and support to help the nurse understand the benefits of the proposed change C. Punish the nurse for their resistance to change D. Ignore the nurse's resistance and hope it goes away on its own

B. Provide education and support to help the nurse understand the benefits of the proposed change Providing education and support can help the nurse understand the reasons for the change and how it can benefit them and the organization.

Which of the following describes fee-for-service (FFS) payment model in healthcare? A. Providers share savings if they reduce healthcare costs B. Providers are paid a set amount for each service performed C. Providers receive payments based on patient outcomes D. Providers receive a fixed monthly payment for each patient enrolled

B. Providers are paid a set amount for each service performed

Which of the following statements best describes a prospective payment system (PPS)? A. Payments are made based on the actual cost of care provided B. Providers receive a lump sum payment for each episode of care C. Providers bill for each service separately as it is provided D. Payments are adjusted retrospectively based on patient outcomes

B. Providers receive a lump sum payment for each episode of care

A nurse manager is designing a professional development program for nursing staff. Which activity best exemplifies the concept of coaching rather than training? A. Conducting a skills demonstration on proper wound care techniques B. Providing individualized guidance and feedback to help a nurse develop leadership skills C. Organizing a mandatory in-service on infection control protocols D. Assigning online modules for nurses to complete at their own pace

B. Providing individualized guidance and feedback to help a nurse develop leadership skills

Which method best provides a structured orderly approach to communicating accurate, relevant information, in emergent patient situations as well as routine handoffs? A. GRRRR listening model B. SBAR tool C. Hospital information system D. Wireless, local area networking

B. SBAR tool SBAR provides a structured, orderly approach to provide accurate, relevant information, in emergent patient situations as well as routine handoffs. The other options are not as focused on providing information in all the described situations.

A nurse leader is evaluating factors that impact the work environment and staff performance. Which of the following is an example of an internal climate factor? A. Economic conditions affecting the healthcare industry B. Staff morale within the hospital C. Regulatory changes imposed by government agencies D. Technological advancements in medical equipment

B. Staff morale within the hospital

A nurse leader is facilitating the development of a new healthcare team. During the "storming" stage, which behavior is most likely to occur? A. Team members are unclear about their roles and responsibilities. B. Team members experience conflicts and power struggles as they begin to assert their opinions. C. Team members develop strong, cohesive relationships and establish trust. D. Team members focus on achieving team goals with high efficiency and collaboration.

B. Team members experience conflicts and power struggles as they begin to assert their opinions.

Which of the following best describes organizational culture in a healthcare setting? A. The formal policies and procedures established by the organization B. The shared values, beliefs, and norms that influence the behavior of staff C. The hierarchical structure of management and staff roles D. The physical environment and layout of the healthcare facility

B. The shared values, beliefs, and norms that influence the behavior of staff

Which of the following is a primary benefit of having well-structured committees within a healthcare organization? A. They reduce the need for staff collaboration B. They streamline decision-making processes and improve outcomes C. They limit the involvement of frontline staff in organizational decisions D. They eliminate the need for regular staff meetings

B. They streamline decision-making processes and improve outcomes

What is the goal of case management in healthcare? A. To reduce the cost of care by limiting services B. To ensure that patients receive comprehensive, coordinated care across different settings C. To focus on delivering task-oriented care D. To assign specific tasks to different team members

B. To ensure that patients receive comprehensive, coordinated care across different settings

Which of the following best describes the purpose of an ad hoc committee within a healthcare organization? A. To address ongoing operational issues B. To focus on specific, temporary projects or issues C. To provide permanent oversight for all departments D. To replace standing committees when needed

B. To focus on specific, temporary projects or issues

Which activity is a responsibility of the unit manager regarding fiscal planning?A. To assume responsibility for achieving budgetary planning goals B. To monitor and evaluate all aspects of the unit's budget control C. To streamline the number of subordinates involved in the budgetary process D. To control unpredictable census variations that may undermine the personnelbudget

B. To monitor and evaluate all aspects of the unit's budget control The manager's responsibility is to monitor all aspects of the unit's budget. The otheroptions fail to identify a manager's responsibility

What is the name for a provision of health care in an organized system to subscribing members in a geographical area with an agreed-on set of basic and preventive supplemental health maintenance and treatment services for a fixed, prepaid charge? A. Preferred provider organizations (PPOs) B. A traditional third-party payer indemnity plan C. A health maintenance organization (HMO) D. Diagnostic-related groupings (DRGs)

C. A health maintenance organization (HMO) HMOs provide health care in an organized system to subscribing members in a geographical area with an agreed-on set of basic and preventive supplemental health maintenance and treatment services for a fixed, prepaid charge. That definition does not apply to the other options.

A nurse leader is identifying effective communication strategies within a multidisciplinary team. Which example best illustrates the use of diagonal communication? A. A nurse giving feedback to the nurse manager about a new policy B. A charge nurse assigning patient care tasks to staff nurses C. A staff nurse discussing a patient care plan with a nurse practitioner in a different department D. Nurses sharing information informally during lunch breaks

C. A staff nurse discussing a patient care plan with a nurse practitioner in a different department

An RN is a team leader for a small module of patients. While listening to a taperecorded report on Mr. Smith, one of your team members remarks, "My mother lives near him and she says his wife is a terrible housekeeper." As the leader of the team, what will the RN do? A. Ask the informant to be quiet B. Include the information in report for the next shift C. Ask the team member what the purpose was in sharing the information D. Ignore the comment

C. Ask the team member what the purpose was in sharing the information The role of the leader is to encourage communication that is appropriate and discourage communication that is inappropriate among staff. The other options fail to convey that responsibility

The RN overhears the nurses' aide speaking in a harsh tone to Mrs. Smith, who has some early Alzheimer's memory loss. Which statement will the RN make to begin addressing this issue? A. "You must remember to watch your tone of voice with patients. Someone might overhear." B. "Do you think it would be a good idea to have an in-service on dealing with Alzheimer's patients?" C. "I am concerned about your conversation with Mrs. Smith. It seemed short and impatient." D. "I have decided to reassign Mrs. Smith to another aide."

C. "I am concerned about your conversation with Mrs. Smith. It seemed short and impatient." Assertive communication effectively identifies and addresses an issue without being rude, insensitive, or passive-aggressive. None of the remaining options actually identifies the communication problem

A nurse manager observes different communication styles among the staff. Which statement best exemplifies assertive communication? A. "I don't care what you think; this is the way it has to be done." B. "I guess it doesn't matter what I want; I'll just do whatever you decide." C. "I feel frustrated when my suggestions are ignored. Can we discuss this further?" D. "It's fine, do whatever you want, but don't expect me to be happy about it."

C. "I feel frustrated when my suggestions are ignored. Can we discuss this further?"

A nurse manager is explaining the concept of shared governance to a group of new graduate nurses. Which of the following statements by the new nurses indicates an understanding of shared governance? A. "Shared governance means that only the nurse manager makes all the decisions for the unit." B. "Shared governance focuses solely on financial aspects of healthcare management." C. "Shared governance empowers nurses at all levels to participate in decision-making processes." D. "Shared governance eliminates the need for interprofessional collaboration."

C. "Shared governance empowers nurses at all levels to participate in decision-making processes."

What location of the SBAR charting tool states the patient's problem? A. Situation B. Background C. Assessment D. Recommendation

C. Assessment Assessment is where the nurse states the patient's problem. The problem is not documented in any of the other SBAR locations Ex: inadequate pain control

A nurse educator is conducting an evaluation of a recent staff development workshop on evidence-based practice. Which method would be most effective in assessing the learners' reactions to the workshop? A. Observing the nurses' performance during clinical rounds B. Administering a pre-test and post-test on evidence-based practice knowledge C. Distributing an anonymous survey to gather feedback on the workshop D. Reviewing patient outcomes related to evidence-based interventions

C. Distributing an anonymous survey to gather feedback on the workshop Learners reaction is their perception of how their education went and if you want an honest rxn, you give them anonymous surveys

Which of the following factors contributes most significantly to the higher healthcare costs in the United States compared to other countries? A. Integrated healthcare systems B. Lower salaries for healthcare professionals C. Fee-for-service payment models D. Government-controlled drug pricing

C. Fee-for-service payment models Fee for service model is where the HCPs are paid for each test, procedure, office visit they give and it incentivizes providers to do more b/c they get paid more & this leads to overtreatment, excessive testing, overutilization (other countries that have integrated HC systems don't do this) One of the biggest issues in US why the prices are higher is the overutilization of services (huge factor in our increased costs in comparison to other countries)

Which type of organizational structure is characterized by a clear chain of command and a centralized decision-making process? A. Flat structure B. Matrix structure C. Hierarchical/Bureaucratic structure D. Team-based structure

C. Hierarchical/Bureaucratic structure

Subunit or __ power refers to relationships across departments. A. Vertical B. Organizational C. Horizontal D. Exertional

C. Horizontal

What is important to remember about gender differences in communication A. Men are more collaborative communicators B. It rarely impacts nursing care C. It affects the quality of organization communication D. Women are more competitive communicators

C. It affects the quality of organization communication Men are usually more competitive and less collaborative than women in their communication patterns, and differences often impact the quality of organization communication.

What is a major disadvantage of the functional nursing model? A. It promotes effective teamwork and communication. B. It allows for specialized care from different team members. C. It can lead to fragmentation of care and lack of continuity. D. It focuses on holistic, patient-centered care.

C. It can lead to fragmentation of care and lack of continuity.

Which statement describes assertive communication? A. It makes you respect yourself and allows you to get what you want B. Although it is unfeminine, it is a necessary communication skill for female managers C. It involves rights and responsibilities for all parties in the communication D. Assertive communication will never offend anyone

C. It involves rights and responsibilities for all parties in the communication Assertive communication allows people to express themselves in direct, honest, and appropriate ways that do not infringe on another's rights. The remaining statements do not correctly describe assertive communication

What communication mode is considered most reliable in conveying the emotional component of the message? A. Written B. Verbal C. Nonverbal D. Telephone

C. Nonverbal Nonverbal communication is considered more reliable because it conveys the emotional part of the message. The other modes are not as effective with conveying emotion

Which of the following actions should a nurse manager take to effectively address the impact of the grapevine on a healthcare unit? A. Ignore the grapevine and hope it resolves on its own B. Confront employees involved in spreading rumors C. Provide transparent and timely communication to staff D. Discourage any informal conversations among staff

C. Provide transparent and timely communication to staff

Which of the following expenses would be categorized under a capital budget in a healthcare organization? A. Overtime pay for nursing staff B. Routine maintenance of medical equipment C. Purchasing new MRI machines D. Office supplies and administrative costs

C. Purchasing new MRI machines

Which of the following is a primary characteristic of a Magnet Hospital? A. High staff turnover rates B. Limited professional development opportunities C. Recognition for nursing excellence and quality patient care D. Reduced focus on patient-centered care

C. Recognition for nursing excellence and quality patient care

What portion of GRRRR (greeting, respectful listening, review, recommend or request more information, and reward) is being used when the speaker summarizes the information conveyed to make sure the message was understood correctly? A. Greeting B. Respectful listening C. Review D. Recommend or request more information

C. Review Review occurs when the speaker summarizes the information he/she has conveyed to make sure the message was understood correctly. Once the speaker is finished conveying this summary and the other party has validated or clarified it, the listener has enough information to recommend or request more information. This does not occur in any of the other portions of the model.

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? A. Provide an inservice on medication administration to all the nurses B. Require staff nurses to demonstrate competency by passing a medication administration examination C. Review the events leading up to each medication administration error D. Develop a quality improvement program for nurses involved in medication administration errors

C. Review the events leading up to each medication administration error After a sentinel event, the first step the committee should plan to take is to use root cause analysis to identify the underlying cause or causes that led to the medication errors.

Which statement accurately differentiates the roles of role models, preceptors, and mentors in nursing leadership? A. Role models provide direct supervision, preceptors offer long-term career guidance, and mentors demonstrate daily clinical skills. B. Role models set performance goals, preceptors assign clinical tasks, and mentors offer ethical behavior examples. C. Role models exhibit admirable qualities, preceptors provide hands-on instruction, and mentors offer career development support. D. Role models conduct evaluations, preceptors supervise independent study, and mentors focus on daily patient care.

C. Role models exhibit admirable qualities, preceptors provide hands-on instruction, and mentors offer career development support.

Which of the following is a primary limitation of organizational charts in a healthcare setting? A. They clearly define the chain of command B. They provide a visual representation of the structure C. They fail to capture informal communication channels and relationships D. They outline the roles and responsibilities of each position

C. They fail to capture informal communication channels and relationships

Why is cultural fit important when hiring new staff members in a healthcare organization? A. To ensure all employees have identical backgrounds and experiences B. To promote a homogeneous work environment C. To align new employees' values and behaviors with the organization's culture D. To reduce the need for orientation and training programs

C. To align new employees' values and behaviors with the organization's culture

What is the purpose of using the SBAR communication tool in nursing? A. To provide a summary of the nurse's assessment of the client's current condition B. To provide a brief overview of the current situation or problem C. To facilitate clear and concise communication between healthcare providers D. To provide relevant background information about the client

C. To facilitate clear and concise communication between healthcare providers The purpose of using the SBAR communication tool in nursing is to facilitate clear and concise communication between healthcare providers. It helps ensure important information is communicated accurately and efficiently, reducing the risk of errors and improving patient outcomes

Which of the following is a primary goal of value-based purchasing programs in healthcare? A. To increase the number of services provided to patients B. To achieve higher reimbursement rates for all healthcare providers C. To link payment to the quality of care and patient outcomes D. To shift the financial risk entirely to insurance companies

C. To link payment to the quality of care and patient outcomes

Why is it essential for nurse managers to understand the components of organizational structure within a healthcare organization? A. To accurately diagnose patient conditions B. To effectively administer medications C. To optimize resource allocation and improve communication D. To perform surgical procedures independently

C. To optimize resource allocation and improve communication

Which of the following best describes the purpose of critical pathways in healthcare? A. To provide detailed patient-specific care plans B. To ensure the highest quality of care is delivered to all patients C. To standardize and streamline care for specific patient populations D. To document individual patient responses to treatment

C. To standardize and streamline care for specific patient populations

What type of budget requires rejustification for yearly fiscal needs? A. Incremental budgeting B. Perpetual budgeting C. Zero-based budgeting D. Managed care

C. Zero-based budgeting Zero-based budgeting begins each year with zero and requires rejustification. This is nottrue of the other options

A nurse needs to communicate a patient's deteriorating condition to the on-call physician. Using the SBAR format, which statement should be included in the Recommendation section? A. "The patient has a history of chronic obstructive pulmonary disease (COPD) and is currently on oxygen therapy." B. "The patient is experiencing increased shortness of breath and decreased oxygen saturation levels." C. "The patient's respiratory rate is 30 breaths per minute, and oxygen saturation is 85% on 4 liters of oxygen." D. "I recommend increasing the oxygen flow rate and obtaining a chest X-ray."

D. "I recommend increasing the oxygen flow rate and obtaining a chest X-ray."

A newly hired nurse asks the nurse manager about the benefits of working in a Magnet hospital. Which of the following statements by the nurse manager accurately describes a Magnet hospital? A. "Magnet hospitals are required to have the latest medical technology." B. "Magnet hospitals focus mainly on specialized surgical procedures." C. "Magnet hospitals are recognized for their excellence in nursing leadership and high-quality patient care." D. "Magnet hospitals prioritize cost-saving measures over patient care quality."

D. "Magnet hospitals prioritize cost-saving measures over patient care quality."

What is capitation? A. A reimbursement schema whereby health-care organizations receive a predetermined amount (based on a patient's diagnosis for services provided) B. The limited availability of services to patients in managed care organizations C. The use of a gatekeeper to ensure appropriate utilization of services D. A predetermined, negotiated payment to providers, per patient, regardless of whether services are used

D. A predetermined, negotiated payment to providers, per patient, regardless of whether services are used Capitation is a predetermined, negotiated payment to providers, per patient, regardless of whether services are used. None of the other options correctly describe capitation.

What is the goal of a budget? A. To predict an organization's activities B. To maximize the use of resources C. To help with planning and control D. All of the above

D. All of the above

Which of the following statements best describes the difference between assertive and aggressive communication between nursing colleagues? A. Assertive communication involves avoiding conflict and expressing feelings indirectly, while aggressive communication addresses conflict directly and assertively B. Assertive communication involves passive behavior and lack of self-confidence, while aggressive communication displays confidence and self-assurance C. Assertive communication involves blaming others and using 'you' statements, while aggressive communication focuses on 'I' statements and self-expression D. Assertive communication involves expressing opinions and needs without violating the rights of others, while aggressive communication is verbally and sometimes physically abusive.

D. Assertive communication involves expressing opinions and needs without violating the rights of others, while aggressive communication is verbally and sometimes physically abusive. This statement accurately describes the difference between assertive and aggressive communication. Assertive communication allows for the expression of opinions and needs in a respectful manner, while aggressive communication is characterized by abusive behavior.

Which is a leadership role in fiscal planning? A. Coordinating the monitoring aspects of budget control B. Accurately assessing personnel needs using agreed-on standards or an established patient classification system C. Assessing the internal and external environment of the organization in forecasting to identify driving forces and barriers to fiscal planning D. Being visionary in identifying short- and long-term unit fiscal needs

D. Being visionary in identifying short- and long-term unit fiscal needs Leaders are visionary; the other roles are management related.

What is an example of a fixed expense? A. Cost of gauze B. Cost of IV tubing C. Per diem nurse salary D. Full time RN salary

D. Full time RN salary

How does a strategic plan impact healthcare for nurses? A. It increases the workload for nurses and leads to burnout B. It restricts nurses' autonomy and decision-making abilities C. It has no impact on healthcare for nurses D. It promotes collaboration and empowers nurses to work towards organizational goals

D. It promotes collaboration and empowers nurses to work towards organizational goals A strategic plan provides a framework for nurses to collaborate and work towards organizational goals, which can improve healthcare for nurses and their patients

Equipment depreciation, the number and type of supplies needed by patients, and overtime that occurs in response to an emergency are all examples of what type of expenses? A. Controllable B. Fixed C. Capital budget D. Noncontrollable

D. Noncontrollable The items mentioned are noncontrollable as these cannot be controlled or fixed and arenot parts of capital costs

A nurse sits at the foot of a patient's bed during an admission interview. This positioning supports the proxemics concept of which psychological comfort zone? A. Intimate relationships B. Personal interactions C. Social exchange D. Public distance

D. Public distance The study of how space and territory affect communication is called proxemics. In the United States, between 0 and 18 inches of space is typically considered appropriate only for intimate relationships; between 18 inches and 4 feet is appropriate for personal interactions; between 4 and 12 feet is common for social exchanges; and more than 12 feet is a public distance (Loo). Most Americans claim a territorial personal space of about 4 feet

Which statement best describes critical pathways? A. They determine justifiable differences among clients B. They decrease the amount of paperwork required for reimbursement C. They reduce administrative costs D. They provide a means of standardizing care for clients with similar diagnoses

D. They provide a means of standardizing care for clients with similar diagnoses Critical pathways are one means of standardizing care for clients with similar diagnoses.The other options are not true statements regarding critical pathways.

Why is stakeholder analysis important for nurse managers when implementing a new policy or program in a healthcare organization? A. To identify and manage potential conflicts of interest B. To ensure compliance with regulatory requirements C. To increase transparency in financial reporting D. To engage and gain support from individuals and groups affected by the change

D. To engage and gain support from individuals and groups affected by the change