LEADERSHIP FINAL
Which factors are associated with the empowerment of staff? I . Allow 2. Develop 3. Enable 4.Lead A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
A) 1. Allow 2. Develop 3. Enable
What are the reasons for losing this power? 1. Being politically naive 2. Failure to use appropriate political strategies 3. The lack of a dynamic and powerful persona 4.Association with others who desire similar power A) 1, 2 B) 1, 3 C) 2,4 D) 3, 4
A) 1. Being politically naive 2. Failure to use appropriate political strategies
What is included in an MAP? 1. Critical path 2. Nursing care plan 3. Indication of times when nursing interventions occur 4. Nurses follow the care plan to facilitate expected outcomes A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
A) 1. Critical path 2. Nursing care plan 3. Indication of times when nursing interventions occur
What are necessary components of leadership and management? I . Power2. Authority 3.Empowerment 4. Authority power gap A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4
A) 1. Power 2. Authority
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."
Which statement made by the Director of Nursing demonstrates the value of internal promotion of nursing staff? A) This facility values the efforts made by its nursing staff to perform at their highest levels of knowledge and practice B) A facility thrives on the injection of fresh, new ideas from those in manager positions C) Our budget allows for monetary incentives directed towards the recruitment of management personnel D) We are willing to extend the recruitment search upon we have the best positive person for this management position
A) "This facility values the efforts made by its nursing staff to perform at their highest levels of knowledge and practice."
Which statement supports the manager's commitment to staff empowerment? Select all that apply. A) Unit goals include hiring an additional 2 nursing assistants B) A staff committee will be formed to address that unit issue C) We can arrange for you to s pend 2 months working on another unit. D) I'm got funding to support staff who are interested in earning certifications.
A) "Unit goals include hiring an additional 2 nursing assistants." B) "A staff committee will be formed to address that unit issue." C) "We can arrange for you to spend 2 months working on another unit." D) "I'm got funding to support staff who are interested in earning certifications."
Which statement demonstrates an understanding of the factors that are considered when a change in the care delivery system is being proposed? Select all that apply. A) We have determined that our level of care would improve if we provided it differently. B) It's questionable whether our current nursing staff is large enough to support the proposed change. C) We will discuss our proposed change with the multidisciplinary team members. D) Administration has been supportive of the planned change in our care delivery system.
A) "We have determined that our level of care would improve if we provided it differently." B) "It's questionable whether our current nursing staff is large enough to support the proposed change." C) "We will discuss our proposed change with the multidisciplinary team members." D) "Administration has been supportive of the planned change in our care delivery system."
What is the definition of a standard? A) A predetermined baseline condition or level of excellence that constitutes a model to be followed and practiced B) Diagnosis-based, step-by-step interventions for nurses to follow in an effort to promote evidence-based, high-quality care C) Process of measuring products, practices, and services against those of best- performing organizations D) Identify not only what and how an event happens but why it happens, with the end goal being to ensure that a preventable negative outcome does not recur
A) A predetermined baseline condition or level of excellence that constitutes a model to be followed and practiced
Which is a common feature of a learning organization? A) A tolerance of mistakes B) Hiring RNs with baccalaureate degrees C) Encouraging a variety of visions D) Stressing individual learning
A) A tolerance of mistakes
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
Which action on the part of a manager demonstrates the mark of a great leader? A) Acknowledging the accomplishment of staff members at the unit's staff meeting B) Providing onsite in-services on new equipment for the staff C) Including funds in the unit's budget of staff development D) Stressing the importance of patient safety to all new employees
A) Acknowledging the accomplishment of staff members at the unit's staff meeting
What is the result of arriving at a consensus? A) All involved parties agree to support the way a conflict has been resolved B) A conflict is resolved by meeting the goals of all involved parties C) It resolves a conflict by an initial unanimous decision D) Conflict is resolved through the mediation process
A) All involved parties agree to support the way a conflict has been resolved
What is the foundation of reference power? A) Association with others B) Ability to grant favors C) Personality D) Fear
A) Association with others
What does proactive political strategy include? A) Assuming authority to do something if it is not expressly prohibited B) Using competitive approaches to the decision-making process C) Attempting 10 appear as a victim so future gains can be made D) Verbalizing discontent with the politics of an organization
A) Assuming authority to do something if it is not expressly prohibited
Where did critical pathways originate from? A) Case management B) Functional nursing C) Team nursing D) Primary care nursing
A) Case management
What is the positive patient outcome during a single shift of case method nursing? Select all that apply. A) Clear lines of responsibility B) Nursing autonomy C) Holistic patient care D) Unfragmented care
A) Clear lines of responsibility B) Nursing autonomy C) Holistic patient care D) Unfragmented care
After a compromise has been made, what is the manager's initial action? A) Clearly restating the compromise's specific outcomes to all involved B) Thanking all involved for their cooperation on reaching the compromise C) Evaluating the compromise's outcomes for fairness to all involved parties D) Assuring all involved that the compromise will not cause a change in goals
A) Clearly restating the compromise's specific outcomes to all involved
Which statement best describes case management? A) Clinical outcomes should occur within a prescribed time frame B) Case managers do not provide direct patient care C) Managed care practice is a unit-based model of care D) The goal is outcome management for every patient
A) Clinical outcomes should occur within a prescribed time frame
What are the least common sources of organizational conflict? A) Communication problems B) Organizational structure C) Individual behavior within the organization D) Self-scheduling
A) Communication problems
Which practice has the U.S. Food and Drug Administration suggested in order to decrease the risk of medication errors? A) Computerized order entry with a drug bar code system B) Medications automatically dispensed to patients at predetermined times C) Use of medication nurses to administer all ordered medications D) Have patients' medications kept at the bedside for self-administration
A) Computerized order entry with a drug bar code system
What are the four evidence-based standards identified by the Leapfrog Group to reduce medical errors? A) Computerized physician-provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Practices scores B) Computerized physician-provider order entry, evidence-based visiting nurse referral, ED physician staffing, and the use of Leapfrog Safe Practices scores C) Computerized primary care provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Medication scores D) Computerized nurse practitioner-provider order entry, evidence-based outpatient referral, ED physician staffing, and the use of Leapfrog Safe Medication scores
A) Computerized physician-provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Practices scores
What is the goal of case management? A) Containing health-care costs B) Providing challenging work C) Enhancing professionalism D) Decreasing length of hospital stays
A) Containing health-care costs
Which action demonstrates the leadership role to the socialization and education of new nursing staff during their orientation? A) Discusses the value the unit places upon patient satisfaction B) Addresses all questions regarding the responsibilities of the RN C) Schedules orientation sessions at times when patient acuity is at its lowest D) Plans for budget constraints so that educational needs are minimally impacted
A) Discusses the value the unit places upon patient satisfaction
What is one of the most politically serious errors one can make? A) Dispensing fictitious information B) Promoting the advancement of subordinates C) Withholding or refusing to divulge information D) Delaying decision making until there is additional information
A) Dispensing fictitious information
Which assessment must the RN do initially when assigning tasks to non-licensed personnel (NAP)? A) Evaluating the NAP's skills and knowledge level B) Assessing which tasks the NAP is interested in assuming C) Evaluating how patients rate the NAP's performance D) Assessing how team members like working with the NAP
A) Evaluating the NAP's skills and knowledge level
What term is used to identify previously acquired skills that are necessary for further learning? A) Experiential factors B) Transfer of learning C) Reinforcement D) Chunking
A) Experiential factors
Who is involved in quality control measurement functions? Select all that apply. A) Facility staff B) Consumers C) All levels management D) Health-care professionals
A) Facility staff B) Consumers C) All levels management D) Health-care professionals
What does readiness to learn imply for individuals? A) Have acquired the skills necessary for what is to be learned B) Have the necessary motivation to learn C) Are in an atmosphere that encourages learning D) Are mature students with much experience
A) Have acquired the skills necessary for what is to be learned
What is the most important criterion for success for health-care providers collaborate on patient care? A) Having mutual respect for one another's knowledge and expertise B) Having the skills to negotiate successfully C) Liking each other enough to want to collaborate D) Being willing to cooperate with each other
A) Having mutual respect for one another's knowledge and expertise
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
What was the focus historically for case management? A) Individual patient B) Care for populations C) Group of patients with same chronic illness D) Group of patients with same acute need for surgery
A) Individual patient
Which intervention is associated with the nursing leadership role? A) Inspiring staff to establish and maintain high standards regarding patient care B) Being aware of the changes in quality control regulations C) Reviewing research results upon which to base changes D) Identifying outcomes that support quality nursing care
A) Inspiring staff to establish and maintain high standards regarding patient care
Which statement reflects the contemporary thinking about conflict? A) It can lead to new ideas B) It leads to decreased motivation C) It should be avoided whenever possible D) It is neither qualitative nor quantitative
A) It can lead to new ideas
Considering dispute resolution, which statement is true regarding what occurs during mediation? A) It uses a neutral third party; is a confidential, legally nonbinding process designed to help bring the parties together to devise a solution to the conflict B) It asks questions to clarify the issues C) It makes a final decision for the parties in conflict D) It involves presentation of evidence including that of expert witnesses
A) It uses a neutral third party; is a confidential, legally nonbinding process designed to help bring the parties together to devise a solution to the conflict
What is the name given to the first stage in the conflict process? A) Latent B) Perceived C) Felt D) Manifest
A) Latent *which implies the existence of antecedent conditions. Latent conflict may proceed to perceived conflict or to felt conflict.*
Which power-building strategy would be the appropriate for a new employee? Select all that apply. A) Maintaining a sense of humor B) Gaining additional nursing certifications C) Learning the institution's organizational culture. D) Attending a training seminar on a new piece of unit equipment
A) Maintaining a sense of humor B) Gaining additional nursing certifications C) Learning the institution's organizational culture. D) Attending a training seminar on a new piece of unit equipment
What did Victor Vroom emphasize the importance of? A) Managers knowing each employee's expectation of reward B) Managers being honest with their employees C) Making sure that the employees' lower-level needs are met D) Understanding that individuals react in a stimulusñresponse mode
A) Managers knowing each employee's expectation of reward
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
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.
Which statement most accurately defines intrinsic motivation? A) Motivation that is directly related to a person's internal level of aspiration B) Motivation that is enhanced by the job's environmental conditions C) Motivation that is not shaped by personal values D) Motivation that is not related to achievement
A) Motivation that is directly related to a person's internal level of aspiration
The Omnibus Budget Reconciliation Act of 1987 established regulations for the education and certification of which health-care worker? A) Nurse aide (NA) B) NAP C) Licensed practical nurse (LPN) D) RN
A) Nurse aide (NA)
Primary care nursing is organized so that the patient is at the center of the structure. How many nurses have 24-hour responsibility for care planning and coordination? A) One B) Two C) Three D) Four
A) One
Which concept should a care delivery system support? Select all that apply. A) Organization B) Nursing process C) Cost effectiveness D) Patient satisfaction
A) Organization B) Nursing process C) Cost effectiveness D) Patient satisfaction
Which task is a management function associated with quality control? A) Periodic evaluation of unit mission and philosophy B) Making out the daily patient care assignments C) Creating a yearly budget D) Distributing holiday staffing policies
A) Periodic evaluation of unit mission and philosophy
What is the primary influence that shapes a person's response to authority? A) Power figures in the family unit B) Work experiences in each job held C) Administrative figures in the workplace D) Experiences in the spiritual dimension of life
A) Power figures in the family unit
Which statement regarding the view of power held by some women is true? Select all that apply. A) Power is inherently possessed by men B) Power is associated with personal attributes C) Power is viewed as dominance versus submission D) Power is associated with personal qualities not accomplishment
A) Power is inherently possessed by men B) Power is associated with personal attributes C) Power is viewed as dominance versus submission D) Power is associated with personal qualities not accomplishment
The nurse-manager facilitates a conflict that involves the delineation of staff job descriptions. What is this an example of? A) Responsibility charting B) Smoothing conflict C) Alternate dispute resolution D) Mediation counseling
A) Responsibility charting
What contributes to a nurse's difficult resocialization? Select all that apply. A) Role ambiguity B) Role overload C) Inability to meet job demands D) Past work experience
A) Role ambiguity B) Role overload C) Inability to meet job demands
Which strategy is most effective in empowering staff? A) Serving as a role model of an empowered nurse B) Following a rigid but consistent rule enforcement policy C) Providing g all employees with an annual cost-of-living raise D) Encouraging staff to establish a strong unit culture with turf boundaries
A) Serving as a role model of an empowered nurse
Which is the positive outcome for a manager perceived to possess manager power? A) Staff have trust in the manager B) Unit staffing tends to remain stable C) The manager will be a leader as well D) Administration supports the manager's decisions
A) Staff have trust in the manager
What occurs when there is very little conflict in an organization? A) Stasis B) Increased productivity C) Decreased effectiveness D) Employee immobilization
A) Stasis
What is the oldest form of organizing patient care that is still widely used today? A) Total patient care B) Functional nursing C) Team or modular nursing D) Primary care nursing
A) Total patient care
What occurs when a manager has the false assumption that delegation may be interpreted as a lack of ability on the subordinate's part to do the job correctly or completely? A) Underdelegating B) Overdelegating C) Improper delegating D) Inappropriate delegating
A) Underdelegating
Which statement demonstrates an intervention focused on the primary disadvantage of team nursing? A) We are working with 1 fewer team members today. B) The team will be meeting for a care report update in 5 minutes. C) Our patient assignment is comprised of both males and females D) We will be having a member of the float pool on our team today
B) "The team will be meeting for a care report update in 5 minutes."
Which statement demonstrates understanding of the concept of the knowledge of results? A) These are the goals for today's lecture. B) Today each of you demonstrated an understanding of patient focused care. C) As RNs on this unit, you will need to be proficient in assessing for depression. D) There will be a short quiz on today's material to assure you understand the material.
B) "Today each of you demonstrated an understanding of patient focused care."
Which is a motivating factor identified in Herzberg's motivation-hygiene theory? A) Money B) A chance for promotion C) A well-lighted parking lot D) Free meals in the cafeteria
B) A chance for promotion
You overhear an experienced nurses say to a new nurse, "Sorry you won't be able to join us for our weekly get-together at the local yogurt shop. I see you are going to be here charting for a while yet." What is this an example of? A) Behavior that supports positive sanctions B) An application of a sanction regarding group norms C) Constructive feedback about expected group norms D) Role modeling desired behavior
B) An application of a sanction regarding group norms
A nurse has accepted a position as a staff nurse and will practice primary care nursing. The nurse will be the only RN on the team. What is an appropriate role expectation for role fulfillment? A) Planning nursing care independently of others B) Assigning work according to the expertise of group members C) Being responsible for care planning 24 hours a day D) Carrying out the majority of personal care for your patients
B) Assigning work according to the expertise of group members
Which action by the nursing manager will have the greatest impact on staff satisfaction regarding the filling of an assistant management position? A) Making the decision to fill the position with an internal recruitment search B) Assuring the staff that established recruitment polices will be followed consistently C) Publishing the promotion criteria where it can be viewed by all interested employees D) Encouraging staff that has the needed skills and knowledge to apply for the position
B) Assuring the staff that established recruitment polices will be followed consistently
What is the first step the manager takes when a subordinate is having difficulty carrying out a delegated task? A) Take over the task so the employee will not become demoralized B) Be available to the employee as a role model and resource for the task C) Assign another more experienced employee to help with the task D) Re-assign the employee a different, less complex task
B) Be available to the employee as a role model and resource for the task
Which personal characteristics will best help meet the psychological needs of conflict negotiation? A) Perseverance and assertiveness B) Calmness and self-assuredness C) Compassion and reflectiveness D) Organization and preparedness
B) Calmness and self-assuredness
What do clinical practice guidelines provide? A) A predetermined baseline condition or level of excellence that constitutes a model to be followed and practiced B) Diagnosis-based, step-by-step interventions for nurses to follow in an effort to promote evidence-based, high-quality care C) Process of measuring products, practices, and services against those of best- performing organizations D) Identify not only what and how an event happens but why it happens, with the end goal being to ensure that a preventable negative outcome does not recur
B) Diagnosis-based, step-by-step interventions for nurses to follow in an effort to promote evidence-based, high-quality care
What nursing model provides the foundation for matching patient needs with nursing competencies? A) Primary nursing practice B) Differentiated nursing practice C) Modular nursing D) Case management
B) Differentiated nursing practice
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
Which intervention by the unit supervisor best assist the RN who has just been promoted to charge nurse to adjust to the new role? A) Take the RN out to lunch to congratulate the nurse on the promotion B) Encourage the RN to meet with staff peers in the organization C) Explain to the RN on the need for underling respect D) Inform the RN of the past performance of new employees
B) Encourage the RN to meet with staff peers in the organization
What type of power does a professional nursing certification provide? A) Legitimate B) Expert C) Charismatic D) Organizational
B) Expert
A charge nurse assists a group of personnel to resolve their conflict, with the outcome being that the two opposing goals were discarded and new goals were adopted. What is this an example of? A) Smoothing of conflict by the leader B) Facilitating collaboration among personnel C) A majority rule approach D) A good lesson in compromising
B) Facilitating collaboration among personnel
What managerial characteristic is essential in assuring that employees will find joy at work? A) Attending to the organizational climate B) Forming respectful relationships C) Effectively supervising employee work D) Partitioning for salary increases
B) Forming respectful relationships
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
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
What is the first step to developing an educational program for an organization? A) Identifying the resources available to meet the needs B) Identifying the desired skills or knowledge the staff should have C) Explaining to the team that human resources should be doing this work D) Assessing the staff's willing to learn new skills
B) Identifying the desired skills or knowledge the staff should have
When working on clinical practice guidelines for a mental health unit, the nursing committee will implement which intervention initially? A) Assessing the medical psychiatric staff for practice suggestions B) Implementing a search of the literature for current related research results C) Reviewing patient satisfaction data to identify the unit's strengths and weaknesses D) In-servicing all unit nursing staff on the need to adhere to established guidelines
B) Implementing a search of the literature for current related research results
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
What did the interactionist theorists of the 1970s believe about organizational conflict? A) It should be dealt with immediately B) It should be encouraged C) It was an indication of poor management D) It should be avoided
B) It should be encouraged
What does social learning theory suggest? A) Mentors are not effective in social learning B) Most behavior is learned by direct experience and observation C) Individuals who make mistakes learn better than those who do not D) Individuals learn best when left on their own
B) Most behavior is learned by direct experience and observation
What is the greatest limitation of the Health Plan Employer Data Information Set (HEDIS)? A) Findings are not released to the public B) Only about half of managed care organizations have chosen to participate C) Performance indicators are process focused rather than outcome focused D) There are only 15 performance measures
B) Only about half of managed care organizations have chosen to participate
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
Nursing students who scored in the top 5% on the examination studied in small groups, attended class 100% of the time, took frequent rest breaks during study sessions, and ate a balanced diet for 1 week before the examination. What type of audit provided this type of data? A) Structure B) Process C) Outcome D) Concurrent
B) Process
What results from the development of plan of correction associated with health-care delivery errors? A) Sentinel event B) Root cause analysis C) Quality assessment (QA) program D) Failure mode and effects analysis (FMEA)
B) Root cause analysis
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
What does empowerment encourage? A) Delegation of responsibility B) Sharing authority with others C) Relinquishing informal power D) Successful authoritarian leadership
B) Sharing authority with others
According to Skinner, how should rewards used as a way to reinforce behavior be given? A) At established intervals B) Specific to a particular performance C) Sometime after the event for maximum reinforcement D) Very sparingly to make them more valuable
B) Specific to a particular performance
Which statement best describes mentorship? A) The intensity and duration of relationships are similar in mentorship and preceptorship B) Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor C) Mentees must be willing to put aside their personal goals and beliefs in an effort to identify more closely with their mentor D) Most nurses will have the opportunity for many mentor relationships during their careers
B) Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor
Which course of action would be most apt to help a demotivated RN with personal and professional renewal? A) Begin job hunting in a new field B) Start practicing self-care C) Take a management class D) Start leaving work early
B) Start practicing self-care
A nurse-manager is engaged in a negotiation with staff representatives when the discussion becomes controlled by a particularly aggressive member. Which action will the nurse-manager take to assure that the process is successful? A) Asks that the aggressive individual recognize the rights of all the other members B) States, "I need to have time to think over all that we have discussed." C) Halts any discussion until new representatives can be appointed D) Shares with the members that aggressiveness negatively impacts the negotiations
B) States, "I need to have time to think over all that we have discussed."
What is coercive power based on? A) The ability to grant rewards to others B) The power of fear and of punishment C) The power inherent in one's position D) The gaining of knowledge and skills
B) The power of fear and of punishment
What is the most important consideration for the manager when identifying the appropriate person to whom to delegate a specific task? A) Whose turn it is to delegate a task B) The qualifications of the person regarding the task C) The fiscal cost of delegating the task D) Whether the person has experience with similar tasks
B) The qualifications of the person regarding the task
What is "Consensus" in negotiation referring to? A) One party wins at the expense of another B) The willingness by all parties to accept agreed-on conditions C) The most rapid conflict resolution strategies D) An unanimous decision has been reached
B) The willingness by all parties to accept agreed-on conditions
Which statement is true regarding adverse drug events (ADEs)? A) They occur infrequently in accredited hospitals B) They are responsible for about 20% of hospitalized disabilities C) They usually involve either prescribing or pharmacy errors D) They occur because of individual recklessness
B) They are responsible for about 20% of hospitalized disabilities
What is the implication in a hierarchy of needs? A) All needs have equal power in motivation B) Unsatisfied needs trigger behavior C) Lower level needs are less valued D) Some individuals have hereditary needs
B) Unsatisfied needs trigger behavior
What is necessary when implementing care multidisciplinary action plans (MAPs)? A) Caregivers alter the plan as they deem necessary B) Variances be indicated for patient deviations C) Time frames for implementation be left open D) Critical paths not be considered in care planning
B) Variances be indicated for patient deviations
When is the competing approach to resolving conflict used? A) When fair play is important to all involved parties B) When one party wins at the expense of the others C) When managers need to control a volatile situation D) When an appropriate political strategy is necessary
B) When one party wins at the expense of the others
Which characteristic is most important when the nurse-manager is considering staff for a delegated role? A) Years of experience B) Willingness to grow professionally C) Aversion to risk taking D) Pervious experience with similar tasks
B) Willingness to grow professionally
Which statement concerning women's views of power is true? A) Women view power as a male right B) Women view power differently than men do C) Gender views regarding power differ only slightly D) Gender views regarding power are rapidly changing
B) Women view power differently than men do
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."
Which statement by the nurse-manager demonstrates an understanding of the need to provide effective guidance to those a project has been delegated? A) Don't be afraid to let me know if you feel the project is overwhelming you. B) What do you suggest we do to address the problems that exist with the project? C) I can give you a few solutions for the issues you have been having with the project. D) Do you want more time to complete the project?
C) "I can give you a few solutions for the issues you have been having with the project."
A staff member asks the manger for a particular day off on the next schedule. Which response demonstrates the concept of underpromising and help the manager retain the staff's trust? A) I will do my best to give you the time off. B) Be sure to get the written request in early C) If staffing stays the same, I will arrange for your request. D) If you don't take any sick time before then, I'll give it to you
C) "If staffing stays the same, I will arrange for your request."
Which statement is true regarding criteria for assuring that a quality control program will be effective? A) The primary purpose of the program is to satisfy various federal and state standards B) Developed standards should reflect minimally acceptable levels so the organization will score well on self-assessment audits C) A belief in the importance of quality control must be integrated through all levels of the organizational hierarchy D) The process should be reactive; in other words, quality improvement efforts should be initiated after problems are identified
C) A belief in the importance of quality control must be integrated through all levels of the organizational hierarchy
The nurse-manager is negotiating for the funds necessary to purchase several new isolettes for the facility's newborn nursery. The Chief Financial Officer (CFO) states, "I've always been curious about that piece of equipment; how does it actually work?" What negotiation action has the CFO engaged in? A) Collaborating B) Smoothing C) A diversionary tactic D) Appropriate fact finding
C) A diversionary tactic
What is a common cause of a manager to underdelegation? A) A high degree of trust in subordinates B) A democratic leadership style C) A need for perfectionism D) Sufficient time to accomplish unit goals alone
C) A need for perfectionism
What is employee behavior best reinforced by? A) Praise from a supervisor B) An increase in their pay C) A personally valued reward D) Threat of punishment
C) A personally valued reward
What is the most important component in being well organized and increasing productivity on the unit? A) Adequate resources B) A well-trained staff C) A well-thought-out plan D) Time to carry out your duties
C) A well-thought-out plan
McClelland's studies state that all people are motivated by three basic needs. What are these needs? A) Physiological, security, esteem B) Safety, social, self-actualization C) Achievement, affiliation, power D) Responsibility, supervision, job security
C) Achievement, affiliation, power
What results from effective benchmarking? A) Two organizations become financially integrated under a capitated model B) Organizations compete for a best practices label from the National Committee for Quality Assurance (NCQA) C) An organization compares its performance with that of best-performing institutions D) Minimum practice guidelines are established for each health-care organization
C) An organization compares its performance with that of "best-performing institutions"
What is the primary outcome resulting from the implementation of the functional nursing care delivery system? A) A cost-effective method of care delivery B) Another permanent care delivery option C) Ancillary staff with varying levels of training and education D) A care delivery system addressing the needs of the baby boom patient
C) Ancillary staff with varying levels of training and education
Which statement best describes andragogy? A) Andragogy techniques are usually ineffective for mature learners B) Andragogy relies on structure and direction C) Andragogy works well with people who have had life experiences D) Andragogy works best with teacher-led activities
C) Andragogy works well with people who have had life experiences
Several RNs on the unit want to address the possibility of initiating flextime on the unit. What is the manager's initial response? A) Assuring the RNs that their suggestion will be taking under consideration B) Asking the RNs to circulate a partition to be signed by employees who support the change C) Arranging for the RNs to air their views at the next staff meeting. D) Sharing with the RNs that they need to address the issue with upper management
C) Arranging for the RNs to air their views at the next staff meeting.
An RN is a team leader for a small module of patients. While listening to a tape-recorded 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
What location of the SBAR charting tool states the patient's problem? A) Situation B) Background C) Assessment D) Recommendation
C) Assessment
What must managers delegate to another RN in order to assure completion of a task? A) Time and space B) Leadership and creativity C) Authority and responsibility D) Personnel and knowledge
C) Authority and responsibility
Which action is considered a leadership role associated with delegation? A) Creating job descriptions for all personnel B) Providing formal recognition or reward for completion of delegated tasks C) Demonstrating sensitivity to how cultural phenomena affect transcultural delegation D) Reprimanding employees who demonstrate overt resistance to the tasks they are delegated
C) Demonstrating sensitivity to how cultural phenomena affect transcultural delegation
What is the function of an ombudsperson? A) Providing expert testimony in conflict cases B) Mediating disputes between an organization and its employees C) Educating individuals involved in a grievance situation of their right D) Monitoring the implementation of the terms of a conflict's compromise
C) Educating individuals involved in a grievance situation of their rights
Periodically during the day the RN checked with the team members to determine whether they are having difficulty completing their assigned tasks. This describes which manager role? A) Skills evaluation B) Patient safety C) Effective delegation D) Micromanagement
C) Effective delegation
Which statement best describes functional nursing care delivery? A) Nursing care is holistic and patient centered B) The nurse must be a licensed person C) Emphasis is on getting work done through tasks D) It is also known as total patient care
C) Emphasis is on getting work done through tasks
Regarding group building, what is the responsibility of the gatekeeper? A) Mediating, harmonizing, and resolving conflict B) Accepting and praising the contributions and viewpoints of group members C) Facilitating and promoting open communication of all group members D) Recording the group's process and providing feedback to the group
C) Facilitating and promoting open communication of all group members
What is the emphasis for the manager in the coaching role? A) Solving problems for the employee B) Showing employees how to work within the system C) Helping employees reach an optimum level of performance D) Redirecting employees to meet organizational goals
C) Helping employees reach an optimum level of performance
What is one of the most important differences between case management and disease management? A) Disease management referrals begin in the hospital inpatient setting B) Disease management is a collaborative process to meet patient needs C) High-cost population groups are targeted in disease management D) Disease management treatment is episodic
C) High-cost population groups are targeted in disease management
What determines the size of the authority-power gap between a manager and an employee? A) The organizational philosophy B) Th e degree of rigidity in the corporate chart C) How credible the manager is perceived to be D) How much informal power the manager possesses
C) How credible the manager is perceived to be
Which factor has the greatest impact on the need for nurses to possess excellent delegation skills? A) Increase in patient acuity levels B) Decrease in patient hospitalization time C) Increase in the use of NAP D) Decrease in nurse-to-patient ratios
C) Increase in the use of NAP
What negative outcome can result from the decentralization of the responsibilities of staff development? A) Poor staff retention B) Deficient nursing care C) Increased role ambiguity D) Decreased nursing autonomy
C) Increased role ambiguity *Definition for role ambiguity--> Difficulties with resocialization usually center on unclear role expectations*
Two of the organizational goals are to increase physician satisfaction and reduce costs. A unit goal is to increase professional RN staffing. Which statement best supports all the stated goals? A) Increasing the RN staff will cut down on nursing errors, prevent burn out, and decrease the cos t associated with staff turnover B) Increasing the RN staff will result in increased patient safety and quality care, and thus improve physician sat is faction C) Increasing the RN s ta ff will free more nurses to be available to answer doctors' concerns during their rounds and will reduce our costly use of overtime D) Increasing the RN staff will lead to improved patient education and a reduction in costly patient stays
C) Increasing the RN staff will free more nurses to be available to answer doctors' concerns during their rounds and will reduce our costly use of overtime
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
Which statement best defines conflict? A) It involves an internal struggle resulting from value-related discord B) Its basis is the violation of personal rights or values C) It centers on either internal or external discord between individuals D) It is the outcome of a visible struggle between individuals
C) It centers on either internal or external discord between individuals
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
Which is a true statement regarding TQM? A) It is based on the premise that the organization knows what is best for the consumer B) Its guiding purpose is to save the organization money C) It is based on the premise that the customer is the focal element on which production and service depend D) It assumes that inspection and removal of errors lead to the delivery of quality services
C) It is based on the premise that the customer is the focal element on which production and service depend
Which statement is true regarding the general delegation liability of the registered nurse (RN)? A) It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification B) It is great because the RN is automatically held liable for the tasks delegated to all recognized subordinates C) It is reduced when the RN appropriately assesses what and to whom delegation is appropriate and supervises the completion of the tasks D) It is avoided entirely by delegating tasks to only other licensed personnel
C) It is reduced when the RN appropriately assesses what and to whom delegation is appropriate and supervises the completion of the tasks
Which statement is true concerning perceived conflict? A) It develops during the first stage of the conflict process B) It is sometimes referred to as antecedent conflict C) It occurs if the conflict is intellectualized D) It occurs when the conflict is emotionalized
C) It occurs if the conflict is intellectualized
Which statement concerning the queen bee syndrome is true? A} It occurs more often with women than with men B) It encourages the empowerment of subordinates C) It prevents the sharing of power D) It is an informal leadership role
C) It prevents the sharing of power
Which task would the director of a home health agency not delegate another staff RN? A) Assigning home health aides to specific patient care B) Serving on a diabetic study committee of community resources C) Meeting with the agency's administration regarding budget cuts D) Reviewing staff time cards for completion and accuracy
C) Meeting with the agency's administration regarding budget cuts
What type of nursing uses mini teams, typically an RN and unlicensed health-care workers, to provide care to a small group of patients who are centralized geographically? A) Total patient care B) Functional nursing C) Modular nursing D) Primary care nursing
C) Modular nursing
Which is a true statement about negotiation tactics? A) Ridicule often takes the form of ambiguous or inappropriate questioning and is a diversionary tactic B) Most managers successfully resist the illness/wellness tactic because of their nursing preparation. C) Negotiation tactics can be manipulative; thus, managers should know how to identify and counter destructive tactics D) The tactic of paternalism allows both parties in the negotiation to reach a consensus of opinion
C) Negotiation tactics can be manipulative; thus, managers should know how to identify and counter destructive tactics
What statement concerning the delegating of tasks by the nurse to unlicensed assistive personnel (NAP) is true? A) One can safely assume that the NAP has at least a high school diploma as a minimum hiring criterion B) All unlicensed assistive personnel have achieved at least minimum standardized training pursuant to the Omnibus Budget Reconciliation Act of 1987 C) No federal or community standards have been established for training the broad classification of NAP D) The nurse is protected from liability when allowing the NAP to perform only those tasks the employee includes in the job description
C) No federal or community standards have been established for training the broad classification of NAP
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
Thirty-eight percent of the people who attended a smoking cessation clinic were not smoking 1 year after the clinic closed. What type of audit provided this type of data? A) Structure B) Process C) Outcome D) Concurrent
C) Outcome
What is intrinsic motivation directly related to? A) Work environment B) External rewards C) Personal aspiration D) Completion of work
C) Personal aspiration
When a manager appropriately recognizes the successful completion of a delegated team task, what is the primary reward for the manager? A) Less involvement in uncomplicated tasks B) A staff that is familiar with team-related delegated tasks C) Professional recognition as a leader D) Staff that is growing as professional caregivers
C) Professional recognition as a leader
What is the best course of action to stimulate staff nurses' involvement in quality control research on a nursing unit? A) Hire a well-qualified researcher to help staff design studies B) Create a joint medical/nursing staff research committee C) Provide staff with paid release time for research activities D) Ensure that research designs are well grounded and scientific
C) Provide staff with paid release time for research activities
Which statement is correct concerning primary nursing care? A) Requires minimal RN staffing B) Is easy to implement C) Provides challenging work D) Has proved to be a failure
C) Provides challenging work
Which statement about education is the accurate? A) Education generally has an immediate use B) Managers have a responsibility to see that their staff is well educated C) Recognizing and encouraging educational pursuits are a leadership role D) Education always results in increased productivity
C) Recognizing and encouraging educational pursuits are a leadership role
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
Which is an example of a hygiene factor according to Herzberg? A) Achievement B) Recognition C) Salary D) Work
C) Salary
What is the best combination that characterizes the communication process? A) Sender receiver message B) Receiver message sender C) Sender message receiver D) Message sender receiver
C) Sender-message-receiver
What is the function of a nursing minimum data set? A) Compares the quality of nursing care and medical care B) Identifies minimal levels of quality necessary for nurses to maintain licensure C) Standardizes the collection of nursing data for use by multiple data users D) Identifies only nursing-sensitive patient outcome measures
C) Standardizes the collection of nursing data for use by multiple data users
What role has the Joint Commission assumed in ensuring quality at the organizational level? A) Establishing clinical practice guidelines B) Reducing diagnosis-related group reimbursement levels C) Standardizing clinical outcome data collection D) Assessing monetary fines for hospitals that fail to meet standards
C) Standardizing clinical outcome data collection
Which restraining force occurs when a subordinate "tests the water" to determine what the consequences are of not completing a delegated task? A) Failure of delegator to see subordinate perspective B) Subordinate incapable of completing the task C) Subordinate inherent resistance to authority D) Overdelegation of specificity of the task
C) Subordinate inherent resistance to authority
The nurse-manager stresses the importance of learning a new skill to achieving the unit's goal of patient satisfaction. This demonstrates understanding of which concept of learning? A) Readiness B) Motivation C) Task learning D) Transfer of learning
C) Task learning
Which is a true statement about the patterns of patient care management? A) Functional nursing is organized according to the desires of the worker B) Primary nursing and total patient care are synonymous C) Team leading includes the concept of patient care conferences D) Case load nursing provides little autonomy for nurses
C) Team leading includes the concept of patient care conferences
Which vocal delivery suggests that a person is asking a question rather than making a statement? A) Loudness B) Slurred words C) Tentativeness D) Rapid delivery
C) Tentativeness
Which situation presents an example of inappropriate delegation? A) Temporary authority is given to support completion of a delegated task B) The person to whom a task is delegated considers it a challenge C) The employee is given exact instructions on completing the task D) Regular updates on the task are exchanged with the manager and the employee
C) The employee is given exact instructions on completing the task
With modular nursing, who checks the completion of tasks assigned to a team member? A) The charge nurse B) The area manager C) The team leader D) Another team member
C) The team leader
Which statement is typically true of job satisfaction levels? A) They are higher for subordinates than for management staff B) They decline as the level of participation in unit decision making increases C) They are related to the degree of work life control subordinates perceive they have D) They are fairly static given that unit cultures are traditionally very difficult to change
C) They are related to the degree of work life control subordinates perceive they have
What is the first step in quality control? A) To take corrective action when standards have not been met B) To collect data to determine whether standards have been met C) To determine criteria and standards D) To determine who will measure the standard
C) To determine criteria and standards
What is the purpose for a manager to engage in "networking"? A) To bolster self-esteem B) To unwind from work C) To further professional goals D) To meet altruistic needs
C) To further professional goals
A nursing administrator believes that the organization supports an inadequate distribution of power. What is the administrator's initial action to combat this situation? A) To form a coalition to extend administrative networking B) To pose a plan for organizational restructuring. C) To gain entry in to an informal power group. D) To improve one's personal power base
C) To gain entry into an informal power group.
What is an inappropriate reason for delegation? A) To empower subordinates by stretching them in their work assignment B) To free the manager to address more complex, higher-level unit needs C) When the task is not a challenge for the manager D) Because someone else is better qualified to do the task that needs to be done
C) When the task is not a challenge for the manager
When attempting to create a work environment that includes appropriate and effective monetary incentives, the nurse-manager will initially address which issue? A) Whether the incentives are allowed by the policies of the institution B) Whether the budget will allow for monetary rewards large enough to create incentive C) Whether the staff views monetary incentives as having the greatest value D) Whether other nurse-managers feel that monetary incentives are appropriate
C) Whether the staff views monetary incentives as having the greatest value
According to McGregor, what do Theory X assumptions hold? A) Putting forth effort is natural B) Workers are diligent, responsible, and helpful C) Workers are lazy, uncreative, and indifferent toward work D) Increased rewards will motivate workers
C) Workers are lazy, uncreative, and indifferent toward work
When work is redesigned, it frequently has consequences for employees that must be considered. What consequences must be considered? 1. Professional interactions 2.Degree of autonomy 3. Employee evaluation 4. Communication patterns A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
D) 2. Degree of autonomy 3. Employee evaluation 4. Communication patterns
What are often neglected areas of the indoctrination process? 1. Induction 2. Orientation 3.Socialization 4. Resocialization A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4
D) 3. Socialization 4. Re-socialization
Which statement represents a powerful image of a team leader? A) I'm in charge here, and so all requests need to come to me. B) I'm too tired to deal with Dr. Jones today. When he gets here, tell him I've gone to lunch C) Is it okay with the rest of you if I do all the charting and you do the direct patient care? D) We have a great deal to accomplish h today, but I am confident that, by working together, we can do it and do it well.
D) "We have a great deal to accomplish today, but I am confident that, by working together, we can do it and do it well."
Which reward is an example of intrinsic motivation? A) The prized locker is awarded to the staff member voted most helpful by their peers B) An extra vacation day is awarded for every 6 months a staff member is call off free. C) The entire staff is treated to a pizza party each time the unit earns a patient satisfaction award D) A staff member is awarded a trip to a nursing conference based on the written request that was submitted
D) A staff member is awarded a trip to a nursing conference based on the written request that was submitted
What is the name of the gap that sometimes exists between a position of authority and subordinate response? A) Leadership subordinate B) Manager subordinate C) Administrator power D) Authority power
D) Authority-power
What would be the most helpful intervention to take to help a new RN adjust to the professional nursing role? A) Advise the new RN to avoid confrontations with doctors whenever possible B) Advise the new RN that this is the real world not the textbook one C) Be alert to signs and symptoms of the shock phase of role transition D) Be alert to signs that the new RN has not shed nursing school values
D) Be alert to signs and symptoms of the shock phase of role transition
Which action is an accepted tactic when engaged in a negotiation? A) Being willing to win at any cost B) Communicating only when asked direct questions C) Compromising only as a last resort D) Beginning with a high but realistic expectation
D) Beginning with a high but realistic expectation
What cultural phenomena must be considered for the biopsychosocial differences between racial and ethnic groups that have susceptibility to disease and physiologic differences? A) Space B) Social organization C) Environmental control D) Biologic variations
D) Biologic variations
What did the motivational theorist Saul Gellerman argue? A) Individuals should be stretched on a regular basis to increase their productivity and motivation levels B) Stretching should be used as a motivational strategy only for affiliation-oriented individuals C) Stretching should be used as a motivational strategy only when an individual is already demotivated D) Employees should be stretched intermittently to complete tasks more difficult than what they are used to doing
D) Employees should be "stretched" intermittently to complete tasks more difficult than what they are used to doing
What did motivational theorist Victor Vroom state? A) Personal motivators could be separated from job satisfiers B) People are motivated by three basic needs: achievement, affiliation, and power C) A manager's assumptions about workers directly affect the intrinsic motivation of the workers D) Employees' expectations about their work environment or a certain event will affect their behavior
D) Employees' expectations about their work environment or a certain event will affect their behavior
What is the guiding principle when attempting to address errors made in the delivery of health care? A) Reporting of errors must be both mandatory and voluntary B) Errors are a result of faulty organizational processes C) People are the root cause of health delivery errors D) Errors are either unavoidable or result from reckless behavior
D) Errors are either unavoidable or result from reckless behavior
A member of the team reports that they have been given too much to do and are not going to be able to complete the work on time. What action will the RN take to effectively manage this situation? A) Assign the work to another team member B) Take on the responsibility of the tasks C) Have the team member perform only the necessary tasks D) Examine the workload and assist the individual in reprioritizing
D) Examine the workload and assist the individual in reprioritizing
A registered nurse reports to the nurse-manager that the team's nursing assistant regularly fails to complete assigned tasks. The nurse-manager responds that it is the nurse's responsibility to talk with the nursing assistant about this problem. The manager is engaged in what aspect of conflict? A) Conflict avoidance B) Conflict smoothing C) Encouraging competitive conflict D) Facilitating conflict resolution
D) Facilitating conflict resolution
The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of? A) Team nursing B) Case method nursing C) Primary care delivery D) Functional nursing care
D) Functional nursing care
Which statement about power is correct? A} It is a finite quality and, once gained, is very difficult to lose B) It is destructively manipulative but is necessary for effective management C) Women generally view power more positively than do men D) Having power generally results in the gain of additional power
D) Having power generally results in the gain of additional power
What is the initial task when organizing a class to prepare nurses to function in the new neonatal ICU? A) Identifying possible learning resources B) Identifying any difference between current and needed skills C) Identifying current level of knowledge D) Identifying the knowledge or skill needed
D) Identifying the knowledge or skill needed
What term is used when two or more people have conflict about values or goals? A) Intergroup conflict B) Common control C) Intrapersonal conflict D) Interpersonal conflict
D) Interpersonal conflict
What statement about the maintenance of confidentiality is true? A) It must never be breached B) It is made easier with electronic technology C) It is primarily the duty of the medical records staff D) It can be breached when necessary for legitimate professional need
D) It can be breached when necessary for legitimate professional need
Training and education are important parts of staff development. Who is responsible for the education and training of staff? A) Preceptor B) Education department C) Manager and preceptor D) Manager and education department
D) Manager and education department
What is the best method for determining the effectiveness of a staff development program for managing IV puncture sites? A) Having class participants evaluate the instructor and the class B) Giving participants an examination or test at the conclusion of the course C) Having a documented decrease in the unit's IV site infections D) Observing staff implement and document the changes recommended
D) Observing staff implement and document the changes recommended
What managerial action is important when supporting the delegation of a task to a subordinate? A) Always requiring a maximizing quality outcome B) Frequently reassuring the employee that if they are incapable of completing a delegated task, it will be reassigned C) Drafting a preliminary plan of how the task will be redone if the outcome does not meet stated expectations D) Occasionally providing learning or stretching opportunities for employees
D) Occasionally providing learning or "stretching" opportunities for employees
What do the critics of prospective payment system argue? A) Diagnosis-related groups have not helped to contain rising health care costs B) The system has increased the length of hospital stay C) Services provided under this system have only slightly increased D) On the whole quality of care has declines since its implementation
D) On the whole quality of care has declines since its implementation
Which statement regarding a memo is true? A) A memo makes it main point at least twice B) A memo is written using an authoritative format C) Headings are not used in a memo to avoid confusing the reader D) Only essential information is included in a memo
D) Only essential information is included in a memo
What is the relationship between an employee and a role model? A) Active B) Nonverbal C) Encouraged by the role model D) Passive
D) Passive
What is the best qualitative measurement in determining quality control for marketing? A) Morbidity and mortality rates B) Nursing care hours per patient day C) Average length of stay D) Patient surveys of general satisfaction
D) Patient surveys of general satisfaction
Which statement describes both self-power and feminist power? A) The militant express ion of power by assertive women B) The power gained from knowing other powerful people C) The narrowing of the authority gap between nurses and physicians D) Personal awareness that is demonstrated by having power over one's life
D) Personal awareness that is demonstrated by having power over one's life
An RN is a supervisor in an organization that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. How does the RN practice TQM on the unit? A) Encouraging employees to think of a unit slogan B) Developing a quota system for number of patients cared for C) Explaining to the staff that if it's not broke, don't fix it D) Promoting teamwork rather than individual accomplishments
D) Promoting teamwork rather than individual accomplishments
Which action would be the most likely to result in encouraging evidence-based practice? A) Stress the need to base practice on research findings during orientation of new graduates. B) Include a statement of the need for evidence-based practice in the philosophy. C) Reprimand nurses who do not use research during the annual evaluations. D) Provide a computer program to nurses for access to the latest nursing research.
D) Provide a computer program to nurses for access to the latest nursing research.
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 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 *Most Americans claim a territorial personal space of about 4 feet.*
What is the most important strategy for avoiding burnout and maintaining a high motivation level? A) Intrinsic motivation B) External motivation C) Positive reinforcement D) Self-care
D) Self-care
Which statement best describes the manager's role in socialization? A) Providing the employee with organizational rules and regulations B) Providing the new employee with a good preceptor C) Ensuring that there are sufficient numbers of good role models D) Sharing organizational values, expected attitudes, and history
D) Sharing organizational values, expected attitudes, and history
Which organization is actively engaged in clarifying the delegation parameters for RNs? A) American Hospital Association (AMA) B) The federal government C) National League for Nursing (NLN) D) State Boards of Nursing Licensure
D) State Boards of Nursing Licensure
How can the RN best teach a patient how to self-administer insulin? A) Schedule a long, uninterrupted session B) Explain the most complicated part first C) Use a dynamic lecture technique D) Teach in short, frequent sessions
D) Teach in short, frequent sessions
What is a critical goal in negotiation? A) That gains for each party are different but equal B) That the hidden agendas of all parties be exposed C) That each party willingly reveals their negotiated limits D) That both parties perceive that they have won something they value
D) That both parties perceive that they have won something they value
According to McClelland, what does achievement motivation focus on? A) The extrinsic rewards to be acquired B) A need to nurture others C) A need to have legitimate power over others D) The intrinsic need to be successful
D) The intrinsic need to be successful
Which statement is true regarding the factors that impact patient satisfaction with a hospitalization? A) The quality of care delivered is the primary factor related to B) The patient's understanding of his/her condition influences satisfaction C) The length of the hospital stay is the deciding influence on satisfaction D) The patient's satisfaction has little to do with actual health improvement
D) The patient's satisfaction has little to do with actual health improvement *It is important to remember that quality care, length of stay, and patient perception do not always equate with patient satisfaction.*
Which is the basic factor involving staff motivation and its relationship with the achievement of unit-oriented goals? A) The autonomy the staff has to achieve the stated goals B) The input the staff has in establishing the unit goals C) The value the staff places on the stated unit goals D) The relationship staff has with their management
D) The relationship staff has with their management
Who bears the ultimate responsibility for ensuring that the nursing care provided by team members meets or exceeds minimum safety standards? A) The patient's primary healthcare provider B) The facility's Director of Nursing C) The unit's nursing manager D) The team's RN
D) The team's RN
What did Gellerman state about most managers in organizations? A) They undermanage subordinates B) They define responsibilities too broadly C) They stretch employees' comfort levels too much D) They fail to give employees sufficient decision-making power
D) They fail to give employees sufficient decision-making power
Which behavior by a team member is demonstrated through cynicism and a nonchalance attitude about the group's work? A) Blocker B) Playboy C) Dominator D) Recognition
Playboy
What is one of the most powerful yet frequently overlooked or underused motivators that the manager can use to create a motivating climate? A) Intrinsic motivation B) External motivation C) Positive reinforcement D) Self-care
Positive reinforcement
