the point modules test 1

The members of a nursing staff claim that the lab department is not reporting patients' critical values fast enough, but the lab department claims that it is. The nursing manager and the lab department director are sent to conflict resolution to come to a solution that will be in the best interest of patient continuity. Based upon this scenario, which type of conflict exists? Interpersonal conflict Transpersonal conflict Intergroup conflict Intrapersonal conflict

Intergroup conflict

Which of the following are behaviors associated with effective leaders? Priority setting, critical thinking, skillful communication Critical thinking, fostering self-improvement, tentative Problem solving, priority setting, self-development Priority setting, skillful communication, passive listening

Priority setting, critical thinking, skillful communication

Conflicts resulting from differing or contradictory beliefs among two or more individuals are known as _____. Interpersonal conflicts Intergroup conflicts Organizational conflicts External conflicts

Intergroup conflicts

A new graduate nurse has been assigned to a RN preceptor with a history of being tough, uncivil, and intimidating to new nurses. During the first day on the job, the graduate nurse has a harsh exchange with the RN. What type of conflict is this? Intergroup conflict Intrapersonal conflict Resolution conflict Interpersonal conflict

Interpersonal conflict

The nurse manager of an acute care unit determines the increase in the incidence of medication errors over the last six months and identifies this as a focus area for improvement. What is the next action by the nurse manager? Organize a total quality management (TQM) meeting Assess results Implement action plan Identify variations

Organize a total quality management (TQM) meeting

Why is conflict an expected occurrence on a large medical-surgical unit? (Select all that apply.) People who have different goals People of comparable beliefs People with shared interests People of similar backgrounds People with different values

People who have different goals People with different values

A nurse manager is considering revising the budget cycle for the nursing unit. Which budget cycle has the greatest probability for error? Planning for the distant future Fiscal year budget Short-sighted planning Calendar year budget

Planning for the distant future

A health care team is implementing the Toyota Production System (TPS) because the facility is having financial difficulty and may have to consider minimizing its workforce. Prior to implementing TPS, what should the team consider? (Select all that apply.) The commitment of time and resources from the facility's leadership How it will allow for problem solving The ease with which the transition will take place How it will change the organization's culture, values, and roles The level of staff preparation and involvement that will be required

The commitment of time and resources from the facility's leadership How it will change the organization's culture, values, and roles The level of staff preparation and involvement that will be required

A nursing manager is considering the budget for a nursing unit as compared with the overall institutional budget. Which is the most negative outcome of multiple nursing units "padding" or inflating their department budgets to cushion against administrative cuts? Some units may not have access to adequate resources. All units will inflate their department budgets as a result. The entire institution's budget may be ineffective. It will come out okay at the end of the budget period.

The entire institution's budget may be ineffective

A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which statement by the team member demonstrates the greatest problem for the leader? "Your plans for the changes will be difficult to implement." "I don't think you heard what the rest of us had to say." "Can you tell me why my suggestion will not work?" "Do you have an idea what direction we need to go?"

"I don't think you heard what the rest of us had to say."

Conflict can have a negative or positive influence on those involved. FALSE TRUE

TRUE

Choose one of the following words to complete this statement: "Effective leadership in nursing requires the individual to be self-aware in order to ________ the motivation of others." Limit Inhibit Discourage Understand

Understand

A nursing unit in a busy hospital is planning to undergo a major restructuring, and several staff members have expressed anxiety about the impending change. What type of conflict exists in this situation? Latent conflict Manifest conflict Perceived conflict Felt conflict

Felt conflict

Nurse leaders need to understand that in order to be effective, the quality control process must be _______.

Reflective

The unit manager of a medical-surgical unit undergoing restructuring changes realizes that to create a more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as "smoothing". Smoothing is best defined as: the transfer of an aggressive employee to another unit. looking toward something that the parties in conflict are in agreement about. slang for avoiding. declaring a resolution to the strategy that may be perceived as lose-lose but is in the best interest of the unit.

looking toward something that the parties in conflict are in agreement about.

Conflict is needed to promote organizational growth. FALSE TRUE

TRUE

A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership? "Would you be willing to help on another unit? They need a shift leader for a couple weeks." "Would you be willing to work with one of the senior nurses for a while, until you learn how we operate here?" "I would like you to be a preceptor for the new nurse that was just hired." "Getting broader experience isn't as valuable as specializing."

"Would you be willing to help on another unit? They need a shift leader for a couple weeks.

Nurse leaders need to understand that in order to be effective, the quality control process must be _______. Formative Cyclical Ongoing Formative

Ongoing

A nurse manager is making a decision based on a problem with a staff member. What would be the optimal end product of the decision? An alternative problem A chosen course of action A restatement of the solution An action that guarantees success

A chosen course of action

A nurse leader at a long-term care facility wants to determine if vital signs are being checked according to policy. What can the leader do to measure this process of care? Benchmarking Patient outcome evaluation A critical event analysis A process audit

A process audit

A health care team has been challenged to determine what other facilities are doing to decrease the number of hospital-acquired infections so that an action plan can be created to decrease the rate in their facility. What will the health care team do to achieve this challenge? Patient outcome evaluation Benchmarking Root cause analysis Best practices

Benchmarking

Nurse leaders understand that there are various stages of conflict. What is the final stage? Conflict resolution Latent conflict Conflict aftermath Manifest conflict

Conflict aftermath

A new graduate RN has a desire to work in a trauma hospital facility located in Los Angeles but has an aging mother who lives in small town in Pennsylvania and is reluctant to leave her alone. What type of conflict is this? Intrapersonal Interpersonal Intergroup Interfunctional

Intrapersonal

A staff nurse is having difficulty with problem solving in patient care and the nurse manager is counseling the nurse. What suggestions by the nurse manager may assist the staff nurse in improving problem solving skills? (Select all that apply.) Ask closed-ended questions Systematize data collection Slow down thinking Combine personal and professional feelings Override bias

Systematize data collection Slow down thinking Override bias

Health care is not only financed by private insurance, government funding, and private donations but also by individual out-of-pocket expenses. TRUE FALSE

TRUE

Health care shifted focus from patient care to issues of cost and quality. FALSE TRUE

TRUE

The negotiation strategies mirror that of the nursing process. FALSE TRUE

TRUE

A nurse manager is considering how to gain more staff involvement in meeting budgetary goals. Which activity is most likely to result in staff understanding and participating in budgetary goals? Comparing actual expenses with budgeted expenses Communicating budgetary planning goals to staff Forecasting or estimating needs using current data Being held accountable for the unit's financial results

Communicating budgetary planning goals to staff

The nurse-manager of a surgical unit must hire travel RNs to work during busy times. Knowing that travel nurses typically receive higher hourly salaries as well as completion bonuses for the 13-week assignment, the manager anticipates regular staff will have animosity toward these nurses. The manager has a plan to allow the regular staff to have every weekend off (because part of the travel nurse's contract states that the nurse may be required to work each weekend during the contracted time frame). What type of conflict resolution strategy is the manager using? Avoiding Competing Compromising Smoothing

Compromising

An experienced nurse using contingency theory is orienting a new graduate to the unit. What needs will the nurse meet with the new graduate using this theory? (Select all that apply.) Team-building Discipline Developing Counseling Coaching

Developing, Counseling, Coaching

What area do consumers value the most when seeking health care? High quality, low cost, and ability to meet patient outcomes Low cost, ability to meet patient outcomes, and advanced technology Advanced technology, staffing levels, and low cost Ability to meet patient outcomes, advanced technology, and staffing levels

High quality, low cost, and ability to meet patient outcomes

A nurse manager is considering the reasons for the current problems with the health care system. Which are negative consequences of higher spending in health care? (Select all that apply.) Higher spending guarantees a higher quality of care. Higher spending may result in higher quality of care. Higher spending may result in overutilization of services. Higher spending may result in overuse of technology. Higher spending may result in duplication of services.

Higher spending may result in overutilization of services. Higher spending may result in overuse of technology. Higher spending may result in duplication of services.

A nurse manager is performing a daily assessment of staffing needs. Which types of nursing units can successfully use a predetermined standard of nursing staffing for the patient census? (Select all that apply.) Home care Specialty care units Emergency department Operating room General medical-surgical unit

Home care Specialty care units Emergency department General medical-surgical unit

Which of the options below correctly correlate the decision-making model to the nursing process? (Select all that apply.) Assess: Identify criteria for decision, identify alternatives Implement: Choose alternative, implement alternative Plan: Identify the decision, collect data Evaluate: Evaluate decision-making step

Implement: Choose alternative, implement alternative Evaluate: Evaluate decision-making step

A nurse leader is trying to bring about change on the unit. Which intervention is associated with the nurse leader role? Identifying outcomes that support quality nursing care Being aware of the changes in quality control regulations Inspiring staff to maintain high standards regarding patient care Reviewing research results upon which to base changes

Inspiring staff to maintain high standards regarding patient care

The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in the need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years, and this change will create conflict. At what stage does this conflict exist? Perceived conflict stage Latent conflict stage Felt conflict stage Manifest conflict stage

Latent conflict stage

A new nurse manager is learning about fiscal planning. Which are barriers for nurse managers' participation in fiscal planning? (Select all that apply.) Nurses are directly involved in fiscal planning. Many nurses perceive that fiscal planning is difficult. Nurses lack the intuition necessary for fiscal planning. Nursing education lacks preparation in fiscal planning. Nursing input in fiscal planning is undervalued.

Many nurses perceive that fiscal planning is difficult. Nursing education lacks preparation in fiscal planning

Two nurses were selected to learn about a new piece of technology that could improve the accuracy of patient assessments. This training was to be provided at a long distance from the hospital, and the nurses' employer could only afford travel expenses for one nurse. The hospital chose to send the nurse who had historically shown more proficiency in teaching others about new technology. This displeased the nurse who was not selected, who was then unfriendly to the nurse who was selected. What is the likely source of conflict between these nurses? Lack of resources Professional competition Personal/professional beliefs Cultural

Professional competition

A nurse leader works at a facility that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. Which activity reflects how the leader can practice TQM on their unit? Promote teamwork rather than individual accomplishments. Encourage employees to think of a unit slogan. Develop a quota system for number of patients cared for. Explain to the staff that "if it's not broke, don't fix it."

Promote teamwork rather than individual accomplishments.

An older adult patient recently had a hip replacement with an indwelling catheter inserted. The patient developed symptoms of a urinary tract infection (UTI) postoperatively, and the nurse placing the catheter was reeducated by the nurse leader regarding avoidance of UTIs when inserting catheters. Which quality approach did the nurse leader use? Continuous quality management techniques Quality assurance techniques Total quality management techniques Continuous quality improvement techniques

Quality assurance techniques

A nurse on the acute care unit demonstrates the positive traits of a good leader when working with new employees. What trait does the nurse manager cite when performing the nurse's evaluation? The assigned position Decides daily patient assignments Role modeling Planning a unit's goals

Role modeling

Using first impressions to guide the decision-making process is a common flaw and considered a pitfall in using decision-making tools. TRUE FALSE

TRUE

A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current U.S. health care system. Which statement about resource utilization is most accurate? Additional funding for health care resources would improve the status of U.S. health. Currently, there is a scarcity of resources available in the U.S. health care system. The health care resources that are available in the United States are not used cost-effectively. Limiting spending for health care resources will improve the quality of U.S. health.

The health care resources that are available in the United States are not used cost-effectively.

A nurse manager believes that the nursing unit is experiencing too little conflict. What signs within the organization would indicate that this is true? Employees have become immobilized. The organization has become less effective. Employees feel motivated. The organization has become static.

The organization has become static.

A nurse manager is considering the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate? They reduce the need for utilization review. They accurately predict patient progress. They can be used to monitor quality of care. They reduce the need for documentation.

They can be used to monitor quality of care.

Training to other units for the purpose of increasing productivity. What form of leadership does this manager demonstrate? Transactional Laissez-faire Contingency theory Transformational

Transactional

A nurse in a leadership role is committed to a vision for retention in the medical-surgical unit and is able to empower others with this vision. What form of leadership is this nurse demonstrating? Transactional Transformational Bureaucratic Interactional

Transformational

A nurse manager is faced with a conflict situation. One of the nurse manager's team members is confused about their hospital responsibilities. This team member is shy and doesn't ask for direction, leading to a lack of communication that decreases the quality of patient care. What questions should the nurse manager ask to analyze the situation? (Select all that apply.) Who are the people involved? What environmental factors are involved? What individual factors are involved? What learning opportunities can be introduced? Which individuals need to be fired?

Who are the people involved? What environmental factors are involved? What individual factors are involved?

What is the final step of the quality improvement process that the nurse leader must complete in order to improve patient care?

Evaluation

Negotiation closure ends with restating the final decision in order to assess individual understanding of the resolution. FALSE TRUE

FALSE

Workplace violence is decreasing among health care workers. FALSE TRUE

FALSE

A nurse educator in a college setting has developed leadership skills as a result of attaining further education and sharing positive change within the department. What transformational leadership characteristic is this nurse educator demonstrating? Empowering others Directing others Influencing others Guiding others

Empowering others

Choose the method of reimbursement that includes the cost of providing the service plus a markup for profit. Flat-rate Charge Rate based on services rendered Cost-based

Charge

A nurse manager must make an important decision regarding a staff member's continued employment on the unit. In order to avoid the pitfalls involved in decision-making, what should the nurse manager do? Base the decision on the first impression of the staff member. Choose a decision-making style that will best fit the situation. Make the decision based on past history. Involve several staff members on the unit to assist with the decision.

Choose a decision-making style that will best fit the situation.

For a nurse leader, what is the optimal goal in resolving conflict between team members? Demonstrate managerial skills Prevent violence Prevent further conflict on the same issue Create a win-win solution for all

Create a win-win solution for all

The six aims for improving quality health care as directed by the Institute of Medicine include safe, effective, patient-centered, timely, efficient, and _____. Equitable Naturalistic Holistic Alternative

Equitable

Which of the following competencies are important for the nurse leader to develop? Ability to diagnose a situation, adapt, and communicate Ability to tolerate a situation, influence, and communicate Ability to control a situation, adapt, and communicate Ability to influence a situation, suggest, and communicate

Ability to diagnose a situation, adapt, and communicate

Which of the following qualities do nurse leaders possess that makes them obtain excellence in their role? Ability to be a reactive communicator Ability to provide clear visions, goals, and expectations Ability to provide occasional constructive feedback Ability to act in a positive and reactive manner

Ability to provide clear visions, goals, and expectations

An older adult patient fell out of bed 2 days after a hip replacement and had to return to surgery. What process should be done in order to prevent future negative outcomes such as this? Benchmarking An audit Critical event analysis Patient outcome evaluations

Critical event analysis

Which of the following are sources conflicts that nurse leaders might face? (Select all that apply.) Cultural differences Between members of the health care team Patient's support system Novice and seasoned nurses Multigenerational nurses

Cultural differences Between members of the health care team Patient's support system Novice and seasoned nurses Multigenerational nurses

A nurse manager is preparing the annual budget for the coming fiscal year, and is considering what the goal is of using the allocated funds. What stage of the budgetary process is this? Evaluation Assessment Diagnosis Planning

Diagnosis

Nurse leaders make use of quality control tools to identify various types of errors as outlined by the IOM report. What are some of the most common types of errors reported in today's health care system? Select all that apply. Diagnostic errors Spelling errors Medication errors Communication errors Equipment errors

Diagnostic errors Medication errors Communication errors Equipment errors

Which of the following is considered a nursing leadership role with regard to quality control? Uses findings to determine educational staff needs Selects and uses quality control tools Establishes measurable patient outcomes Embraces, supports, and champions the quality improvement process

Embraces, supports, and champions the quality improvement process

A nurse manager is evaluating the current fiscal year budget. Which statement regarding the evaluation stage of the budgetary process is most accurate? Most units will have no variation from the projected budget. Budgets are usually created at the beginning and unchanged. Large variations from the projected budget must be examined. The CEO is accountable for individual unit budgetary outcome.

Large variations from the projected budget must be examined.

Which of the following best describes the nurse leader in the role of negotiator? Resolves internal conflict with all team members Mediates internal or external conflict with various stakeholders Focus is primarily resolving conflict between patient support system and staff Focuses on external conflicts that negatively impact the health care delivery system

Mediates internal or external conflict with various stakeholders

The nurse leader must be aware of barriers that can prevent effective mediation. These include which of the following? (Select all that apply.) Negative body language Manipulation Intimidation Ridicule Active listening

Negative body language Manipulation Intimidation Ridicule

A nurse manager is reviewing the budget for the nursing unit. Which budget covers the expenditures for the unit's workforce? Personnel Capital Volume Operating

Personnel

The nurse manager on a busy unit that has recently been experiencing shift conflicts. As the staff can have different opinions on conflicts, what is the best first step to take to resolving conflict? Assessing what factors are affecting the judgment of the people involved in the conflict Showing preference to the day shift as this shift has more experienced staff Assessing the extent of competition occurring within the workplace Determining the difference between intrapersonal, interpersonal, and intergroup conflict

Assessing what factors are affecting the judgment of the people involved in the conflict

A new nurse on a medical-surgical unit has an uncomfortable encounter with one of the RNs. Both the RN and the new nurse realize that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used? Cooperating/Accommodating Smoothing Avoidance Competing

Avoidance

A nurse leader is considering using transformational leadership. What information would the nurse leader need to keep in mind? Employees are expected to lead from their organizational position. The locus of power rests with the employees. Empowerment of both the leader and follower occurs. Informal leadership is highly recognized.

Empowerment of both the leader and follower occurs.

The RN on a medical-surgical unit that has experienced several changes in its administrative structure due to conflicts with the mission of the hospital. The RN realizes that conflict should be managed to allow for what outcomes? (Select all that apply.) Enhanced productivity Reduced employee satisfaction Innovation Diminished productivity Growth within the organization

Enhanced productivity Innovation Growth within the organization

A nurse exhibits leadership traits associated with the role of nurse leader. What activities demonstrated by the nurse would demonstrate these leadership traits? (Select all that apply.) Establishing goals for the coming year Mentoring two new managers Appointing a successor Providing a motivational speech at the new employee orientation Providing feedback about job performance Advocating for an employee regarding personnel policies

Establishing goals for the coming year Mentoring two new managers Providing a motivational speech at the new employee orientation Providing feedback about job performance Advocating for an employee regarding personnel policies

For the nurse leader to be effective in their role, the leader does not need to identify the stages of conflict but only acknowledge its existence to begin the resolution. FALSE TRUE

FALSE

Which statement about total quality management is correct? It emphasizes that profit should be considered before quality. It is a process with a definitive endpoint. It involves only a select few employees in an organization. It considers the individual as the focal element on which production and service depend.

It considers the individual as the focal element on which production and service depend.

A nursing instructor is discussing ways to improve critical thinking during a clinical rotation with a student. The student asks the nurse what critical thinking is. What is the best response by the nursing instructor? It is a synonym for the problem-solving process. It is a simple approach to decision making. It is narrower in scope than decision making. It requires reasoning and creative analysis.

It requires reasoning and creative analysis.

According to Marquis and Huston (2021), there are other critical elements that nurse managers/leaders use to complete the decision-making process. From the following choices, select those that are considered crucial to problem solving and decision making. Generate an alternative solution Objectives clearly define Develop realistic timeline Think logically Delay making a decision as long as possible Carefully gather pertinent data

Objectives clearly define Develop realistic timeline Think logically Carefully gather pertinent data

A nurse educator determines that the present classroom environment is ineffective in promoting critical thinking. What methods could the educator employ in the classroom to improve critical thinking? (Select all that apply.) Simulation Lecture Case studies Problem-based learning exercises Study guides

Simulation Case studies Problem-based learning exercises

A nurse has a difficult decision to make regarding patient care. What should the nurse due to influence a positive outcome? (Select all that apply.) Slow down the thinking process Understand the repercussions of each option. Identify a number of different options. Make a quick decision and act on it immediately Gather data and input from a variety of sources.

Slow down the thinking process Understand the repercussions of each option. Identify a number of different options. Gather data and input from a variety of sources.