Leadership exam 1
Ch 13: Which of the following events should be reported? Select all that apply 1. A patient is placed in a broken wheelchair that tips over 2. A staff member tells a neighbor about the famous athlete who is a patient 3. An employee reports to work under the influence of alcohol 4. A patient spills her supplemental protein drink on the floor: the certified nursing assistant (CNA: aide) mops it up
A patient is placed in a broken wheelchair that tips over; A staff member tells a neighbor about the famous athlete who is a patient; An employee reports to work under the influence of alcohol
Ch 13: Factors found to increase nurses' joy at work include: Select all that apply 1. Ability to provide quality care 2. Consistently high workload 3. A pattern of conflict and disagreement 4. Civility and respect
Ability to provide quality care; Civility and respect
Ch 9: 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? 1. Provision of adequate resources to provide care and service 2. Use of interprofessional collaboration to solve problems and assess risk 3. Adherence to staffing ratios 4. Encourages the reporting of errors and near misses
Adherence to staffing ratios
Ch 10: When designing a technical change, which of the following should be considered? 1. Will it work better than the old way 2. Is this change needed 3. Is there a simple way to do this 4. All of the above
All of the above
Ch 11: Nursing standards of care and the organization's policies and procedures greatly decrease risk to patient safety. Which of the following steps can a nurse take to further reduce risk? 1. Submit event or incident reports for near misses 2. Follow medication administration policies and procedures 3. Always report significant data on care to patients and providers in a timely manner 4. All of the above
All of the above
Ch 11: Your new organization is committed to quality patient care. Which of these is considered characteristics of quality health care? 1. The nurses use evidence based research to guide care delivery 2. The nurses are respectful and responsive to their client's individual preferences 3. The nurses perform an independent double check when administering chemotherapy medication 4. All of the above
All of the above
Ch 9: 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? 1. Adequate staffing 2. Collegial relationships among staff 3. Emphasis on staff development 4. All of the above - -
All of the above
Ch 12: According to NIOSH, a common reaction to latex allergy is: 1. Increased appetite 2. Allergic contact dermatitis 3. increased falls 4. An increase in violent outbursts
Allergic contact dermatitis
Ch 12: A suburban hospital recently announced that staff nurses could no longer choose their shift. Instead, they would be assigned to either a 12 hour day shift or a 12 hour night shift on an as needed basis. An informal group of staff nurses met to discuss this new policy. They came up with several arguments against it. Which of the following suggestions would help to alleviate the deleterious effects of this new policy? 1. Allow self scheduling by staff nurses in each unit 2. Provide free dinner for nursing staff at the end of the night shift 3. Allow staff members to request consistent days off 4. End visiting hours before the day shift ends so that the night shift nurses do not have to deal with visitors
Allow self scheduling by staff nurses in each unit; Allow staff members to request consistent days off
Ch 9: Organizational culture is best defined as 1. The stated vision and mission of an organization 2. Policies and procedures 3. The type of decor that was chosen for the facility 4. An enduring set of shared values and beliefs
An enduring set of shared values and beliefs
Ch 15: Who may become a member of the NSNA? Select all that apply 1. Associate degree program students 2. Graduates of associate degree programs 3. Diploma school students 4. Baccalaureate degree students
Associate degree program students; Diploma school students; Baccalaureate degree students
Ch 9: There are numerous sources of power in an organization. Several are available to nurses. Which one is not? 1. Authority 2. Reward 3. Control of information 4. Coercion
Authority
Ch 12: A common ergonomic occupational related risk in the health care environment is: 1. Indoor pollution 2. Active shooters 3. Nosocomial infection 4. Back injuries
Back injuries
Ch 14: A nursing student is preparing for a first job interview. What should the nursing student research about the organization before going to the interview? 1. Review the salary scale 2. Research the benefits package offered to employees 3. Become familiar with the organization's mission and core values 4. Ask nurses who work at the agency how many patients they are assigned
Become familiar with the organization's mission and core values
Ch 12: A federal agency that partners with the other agencies throughout the nation investigate health problems, conduct research, implement prevention strategies, and promote safe and healthy environments is known as the: 1. FDA 2. IOM 3. ANA 4. CDC
CDC
Ch 15: What does the NSNA provide to its members? 1. Help in improving course grades 2. Guidance in choosing a good nursing school 3. Career development information 4. Opportunities for graduate school
Career development information
Ch 14: What type of resume is useful in showing stable employment without gaps or many job changes? 1. Standard 2. Chronological 3. Functional 4. Combination
Chronological
Ch 13: A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. What should she do? 1. Ignore it because it is not physical violence and will not hurt anyone 2. Model this bullying behavior so that the staff can see how it affects people 3. Keep a log of observed bullying behavior to discuss during the employee's annual evaluation 4. Confront the bullying behavior and discuss strategies for responding to it
Confront the bullying behavior and discuss strategies for responding to it
Ch 12: OSHA, a federal government agency, is responsible for: 1. Providing training to handle difficult clients and their families 2. Providing research and education training 3. Upholding the standards of nursing practice 4. Developing and enforcing workplace safety and health regulations
Developing and enforcing workplace safety and health regulations
Ch 13: The occurrence of sexual harassment may be reported to: 1. IHI 2. ANA 3. EEOC 4. CDC
EEOC
Ch 14: A nursing student who is graduating in a few weeks is preparing for a resume. What should the nursing student highlight first? Select all that apply 1. Family status 2. Educational degrees 3. Community service 4. Employment experience 5. Leadership experiences in school
Educational degrees; Employment experience
Ch 14: What is the STAR method of interviewing? 1. Focuses on communication 2. Emphasizes behaviors 3. Allows the employer to ask personal questions 4. Creates a relaxed interviewing environment
Emphasizes behaviors
Ch 13: Enhancing the quality of work life can be achieved by: 1. Encouraging critical thinking and new ideas 2. Discouraging a working relationship with one's peers 3. Being negative 4. Endangering a client's health and safety
Encouraging critical thinking and new ideas
Ch 13: New graduates usually experience a "honeymoon" period after their first job, which is characterized by: 1. Extreme criticism from colleagues 2. Long hours and low pay 3. Feeling undervalued 4. Excitement about new position
Excitement about new position
Ch 13: Burnout at work can be identified best by: 1. Expressions of frustration and powerlessness 2. Fatigue and refusal to work double shifts 3. Allergic reactions 4. A preference for efficiency
Expressions of frustration and powerlessness
Ch 14: Which of the following represents the "S" in a SWOT analysis? 1. Flexibility 2. Difficulty adapting to change 3. Nursing shortage 4. Competition among health care facilities
Flexibility
Ch. 9: If you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong to? 1. Publicly (government) supported 2. Voluntary, not for profit 3. For profit 4. All of the above
For profit
Ch 14: A new graduate plans on moving into nursing administration. What steps should the graduate take to ensure this goal is reached? Select all that apply 1. Further professional education 2. Meet the specific requirements for the entry level job position 3. Seek new experiences 4. Volunteer to work on committees 5. Find a mentor
Further professional education; Seek new experiences; Volunteer to work on committees; Find a mentor
Ch 10: How can you increase your staff's receptivity to an important change in procedures? 1. Assign the new procedure to a the newest staff member 2. Apologize for making their work more complicated 3. Provide them with a booklet on preparing for change 4. Give them time to learn the new procedure
Give them time to learn the new procedure
Ch 15: Professional careers typically go through several phases. Which of the following would be the final phase of a successful career? 1. Promise phase 2. Harvest phase 3. Transition phase 4. Momentum phase
Harvest phase
Ch 14: A nursing student is graduating in 3 months. The student is looking for a position. Where should the student begin the search? Select all that apply 1. Health care organizations 2. Online job boards 3. National Council of State Boards of Nursing 4. American Association of Colleges of Nursing 5. Recommendations from peers and professionals
Health care organizations; Online job boards; Recommendations from peers and professionals
Ch 12: Actions to address violence in the health care workplace include: Select all that apply 1. Identifying the factors that contribute to violence and controlling as many as possible 2. Allowing violence to escalate 3. Assessing staff attitudes and knowledge regarding response to violence 4. Providing weapons and training to those identified as having a potential for physical violence
Identifying the factors that contribute to violence and controlling as many as possible; Assessing staff attitudes and knowledge regarding response to violence
Ch 10: In which of the following situations would a personal change probably be the hardest to make? 1. When the need is immediate 2. If the benefits will be realized years from now 3. When the reward is immediate 4. If it is change that keeps you in your comfort zone
If the benefits will be realized years from now
Ch 12: A surprisingly dangerous job in the United States is working: 1. In a coal mine 2. As a window cleaner in New York City 3. In a health care facility 4. As a police officer
In a health care facility
Ch 10: When is it most appropriate to dictate (order) change? 1. When the change is very complicated 2. In an emergency 3. When resistance is very high 4. If the change is unimportant
In an emergency
Ch 15: Which of the following characterize the transition from nursing student to practicing nurse? Select all that apply 1. Increased number of assigned patients 2. Higher productivity expectations for the student compared to the practicing nurse 3. Greater emphasis on efficiency in practice 4. Shorter hours, fewer work days back to back in practice
Increased number of assigned patients; Greater emphasis on efficiency in practice
Ch 14: What is the purpose of a cover letter when applying for a position? 1. Introduces the applicant 2. States the employment goal 3. Outlines the applicant's position in the community 4. Describes the reason for entering nursing
Introduces the applicant
Ch 11: The purpose of QI is to continuously improve the capability of everyone involved to provide safe, high quality patient care. What is important to know about the QI process? 1. It is independent of teamwork 2. It is a data driven approach to improving process 3. Common safety indicators are not used to evaluate quality of care 4. Opportunities for QI are selected by organization leadership
It is a data driven approach to improving process
Ch 9: What is the best explanation of authority? 1. It is position dependent 2. It is based upon the ability to lead others 3. It is expertise driven 4. It resides primarily in the clients served
It is position dependent
Ch 15: What can the new graduate do to make a successful transition from student to practicing nurse? 1. Try to maintain one's student identity 2. Move into nursing management as soon as possible 3. Learn about the organization as a whole as well as about your assigned unit 4. Focus on the stress of making this difficult transition
Learn about the organization as a whole as well as about your assigned unit
Ch 15: As a new graduate, what features should you look for in a TPP program? 1. Match with an experienced nurse mentor 2. Shortest transition time possible 3. Rapid movement to full assignment 4. Opportunities to network with peers
Match with an experienced nurse mentor; Opportunities to network with peers
Ch 12: Which of the following are considered reasonable accommodations for an employee with a disability? Select all that apply 1. Modification of the work schedule 2. Salary reduction to reflect lower output 3. Additional days off and extended vacations 4. Adjustment of work procedures
Modification of the work schedule; Adjustment of work procedures
Ch 12: Which of the following procedures and modifications contributes to reducing indoor air pollution? 1. Windows that may be opened by staff as needed 2. More powerful ventilation systems and air filtration 3. Selecti ofon products with more polyvinyl chloride (PVC) 4. Increased use of medical waste incinerators
More powerful ventilation systems and air filtration
Ch 15: Which of the following organizations supports nursing education? 1. NINR 2. NLN 3. AMA 4. ANA
NLN
Ch 11: Studying errors and identifying how they occur helps organizations improve patient safety. Which category of errors is the most useful in identifying and remedying vulnerabilities in an organization? 1. Sentinel event 2. Adverse event 3. Near miss event 4. Wrong procedure count
Near miss event
Ch 9: 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 your professional governance so that you are prepared for this work? Professional governance in nursing involves? 1. Working longer hours 2. Attending a lot of meetings 3. Nurses setting nursing standards for daily practice 4. Changing the organization's culture
Nurses setting nursing standards for daily practice
Ch 15: Jean Paul has practiced nursing for 5 years and wants to continue his education. He has an associate degree and is trying to decide whether to pursue a nursing degree or a non-nursing degree. Which of the following is an advantage of choosing a nursing degree? 1. Higher time demand of the non-nursing degree 2. Opportunity to learn about other professions outside of nursing 3. Broader focus of the non-nursing degree 4. Opportunity to have advance knowledge and skills in his profession
Opportunity to have advance knowledge and skills in his profession
Ch 9: 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. What is essential to nurse empowerment? 1. Belonging to a professional organization 2. Participating on a unit council 3. Reasonable work assignments 4. A rewards and recognition program
Participating on a unit council
Ch 11: The HHS is charged with protecting the health of all Americans and providing essential health services. Which of the following HHS quality initiatives is currently underway? 1. Post acute care reform initiative 2. National health care research and quality indicators aimed at helping improve access to care 3. NDNQI 4. Health IT
Post acute care reform initiative
Ch 11: When evaluating the quality of care, a health care organization must consider structures, processes, and outcomes of care delivery. Which of the following is a good example of an organizational process? 1. Budgeting adequate money for nursing salaries 2. Preparing a patient for discharge 3. Monitoring for infections 4. Increasing time between clinic visits
Preparing a patient for discharge
Ch 13: An effective way to help a diverse staff work together is to: 1. Provide equal opportunities for advancement 2. Pretend there are no cultural differences 3. Promote uniformity in communication styles 4. Establish an english only policy institution wide
Provide equal opportunities for advancement
Ch 15: Benefits of membership in the ANA include all but which of the following? 1. Advocacy for nurses' rights 2. Provision of lower cost health insurance 3. Work toward a safer workplace 4. Improvement of patient safety
Provision of lower cost health insurance
Ch 12: Stephanie Beals was a little nervous during her first week of work as a licensed nurse. Distracted by a lead nurse behind her, her hand slipped, and she was struck by the needle she had just used. What is the most important for Stephanie to do? 1. Disinfect the site of the needlestick 2. Apologize to the patient, clean the site, and properly dispose of the needle 3. Update her hepatitis B immunization 4. Report the incident and obtain post exposure prophylaxis (PEP) within 2 hours
Report the incident and obtain post exposure prophylaxis (PEP) within 2 hours
Ch 10: What type of resistance to a change is the hardest to overcome? 1. The resistance that comes from inertia: "We always do it this way." 2. Active resistance to changing a preferred procedure 3. Passive resistance to an unpopular change 4. Resistance based upon fear of losing one's job
Resistance based upon fear of losing one's job
Ch 14: A nursing student is preparing a resume to send to prospective employees. What qualities should the nursing student emphasize? Select all that apply 1. Responsibility and accountability 2. Integrity 3. Interpersonal skills 4. Social skills 5. Family values
Responsibility and accountability; Integrity; Interpersonal skills
Ch 11: Medical errors account for 250,000 deaths per year. It is estimated that as many as 50% of those errors may be preventable. What steps would you take to avoid a medication error? 1. Review the patient's medication administration record during bedside shift report 2. Ask your colleagues to get your medication so that you can give it on time 3. Call the pharmacist 4. Review the medication administration policy
Review the patient's medication administration record during bedside shift report
Ch 9: Which of the following is a characteristic of a bureaucratic organization? 1. Organic structure 2. Flexible teams 3. Rigid unit structures 4. Self correction and self control
Rigid unit structures
Ch 15: What is an important contribution of the nursing specialty organizations? 1. Setting standards for specialty practice 2. Improving nursings' image on television 3. Supporting the associate's degree in nursing education 4. Providing collective bargaining agreements
Setting standards for specialty practice
Ch 10: A new nurse manager plans to implement a new scheduling process. This was met with resistance from the staff who were very happy with the current scheduling process. How can the nurse manager lower their resistance to change? 1. Tell the staff that their concerns about the new schedule are unfounded and plan to post the new schedule 2. Share information about the new schedule and discuss its impact on the unit 3. Post the schedule and deal with staff on an individual basis 4. Ask the staff to come up with an alternative for the nurse manager's consideration
Share information about the new schedule and discuss its impact on the unit
Ch 10: Which of the following is a macro level change? 1. Shift in Medicare payment policies 2. Change in shift differentials 3. Opening a new unit 4. Changing visiting hours
Shift in Medicare payment policies
Ch 10: Which of the following best describes what is most likely within a nurse's comfort zone? 1. A new assignment 2. Tasks she's done many times 3. Change to a different shift 4. Addition of several new tasks
Tasks she's done many times
Ch 10: There has been a sudden increase in catheter associated urinary tract infections that must be addressed on Jane's unit. What is the best way for Jane to persuade the staff to implement a new foley catheter care protocol? 1. Tell them the change has been ordered by the administration 2. Present statistics proving the need to change 3. Tell a compelling story about why change is needed 4. Explain the importance of the change in simple terms
Tell a compelling story about why change is needed
Ch 13: A colleague tells you, "I'm so burned out, I think its time for me to resign." What can you tell your colleague? 1. You probably need a break from work. Why don't you ask for a 6 month leave of absence? 2. Why don't you apply for a position at our rival hospital? 3. Tell me how you take care of yourself and what you like about your work? 4. We're all burned out. Welcome to the club.
Tell me how you take care of yourself and what you like about your work?
Ch 13: An incident of sexual harassment as identified by the EEOC is : Select all that apply 1. Telling jokes about sexual identity issues 2. Separate restrooms 3. Providing coffee and doughnuts to the nursing staff 4. Demanding a daily kiss for writing a favorable evaluation
Telling jokes about sexual identity issues; Demanding a daily kiss for writing a favorable evaluation
Ch 11: You are a new nurse. The hospital where you work is committed to providing safe, high quality care. Which of the following activities would let you know that your organization is committed to improving patient safety? 1. The hospital has a good catch program for staff who recognize errors and near misses 2. The hospital subscribes to TJC safety publications 3. The hospital measures performance every month, monitors quality indicators, and regularly reports on quality 4. All of the above
The hospital has a good catch program for staff who recognize errors and near misses
Ch 9: Several of your colleagues are going to join the American Nurses 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 help empower them. How do professional organizations empower nurses? 1. They represent nurses in the political area 2. They equalize power between employees and staff 3. They provide opportunities for promotion 4. They provide health insurance
They represent nurses in the political area
Ch 14: When creating a SWOT analysis, the "T" represents? 1. Time spent on education 2. Threats to obtaining a position 3. Terminal degree expectations 4. Talking points for the interview
Threats to obtaining a position
Ch 11: To achieve safe patient care, a culture of safety must exist. What are characteristics of an organization with a culture of safety? 1. Transparency, openness, reporting of errors is rewarded, blame free environment 2. Honesty. studying of serious events 3. Privacy, reporting of errors appreciated 4. Blame free environment, openness, error reporting is encouraged
Transparency, openness, reporting of errors is rewarded, blame free environment
Ch 11: Structured care methodologies (SCM) are? 1. Nursing tools designed to identify best practices and facilitate standards of care 2. Used to create a stable set of performance indicators to measure outcomes 3. Used to assist employees with wellness and injury prevention 4. Helpful when making staffing assignments
Used to create a stable set of performance indicators to measure outcomes
Ch 10: Which of the following is the best indication that a change has been integrated? 1. When no one talks about it anymore 2. If adoption occurred rapidly 3. When resistance turns from active to passive 4. When a full year has passed since the change was introduced
When no one talks about it anymore
