Midterm - Leadership, Function, Culture, Role development, Transition (Ch 1, 2, 3, 25)
A high-performance organization can be characterized by which of the following characteristics? a. Brings out the best in people b. Values knowledge and pays top salaries c. Continues to change with consumer demands d. Is job centered to guarantee efficiency of work
A
A nurse manager is assisting with the magnet application process when a staff nurse asks, "What is a gap analysis?" The most appropriate response by the nurse manager would be which of the following? a. The space between where the organization is and where it wants to be b. A research study of community needs that are not being met by the organization c. An audit of the organization's financial ability to undertake the magnet process d. A study of the community's need for a magnet-recognized organization
A
A nursing instructor is evaluating whether the nursing students understand the 3 fundamental qualities that leaders share. According to Bennis and Nanus, the fundamental qualities of effective leaders are: a. guided vision, passion, and integrity. b. knowledge of self, honesty, and maturity. c. intelligence, self-confidence, and determination. d. honesty, self-awareness, and sociability.
A
During a class on cultural beliefs, the instructor would most likely explain that these beliefs are: a. conscious and unconscious. b. hereditary. c. reality. d. genetic.
A
Nurses employed in organizations that follow a Custodial Model of organizational behavior would most likely observe which of the following related to performance outcomes? a. Passive cooperation b. Engagement c. Enthusiasm d. Drive and cooperation
A
Perceptions of the nurse's role in health care can vary according to culture. For example, In some Asian cultures, when a nurse assists with bathing or feeding, the family may perceive the nurse's actions as which of the following? a. Rude behavior b. Dedication to the pt c. Respect and an attempt to help the pt d. Demonstration of attentiveness to the pt's physical comfort needs
A
The nursing staff perceive the newly hired Chief Nurse Administrator as a leader who is committed to a vision that empowers others. The Chief Nurse Administrator is most likely employing which type of leader? a. Transformational leader b. Charismatic leader c. Transactional leader d. Autocratic leader
A
There are numerous factors that contribute to the rising number of uninsured in the US. Which is not necessarily a contributing factor? a. People being eligible for public programs b. Higher premiums c. People between jobs or unemployed d. Employers not offering health insurance
A
Which of the following was not identified as an area of health care disparities according to the 2008 National Healthcare Disparities Report? a. Age groups b. Socioeconomic groups c. Geographic areas d. Racial and ethnic populations
A
You are conducting an in-service on organizational culture. Which response regarding the important components of organizational culture would indicate that further clarification is needed? a. Vision statement b. Relative diversity c. Resource allocation and reward d. Degree of change
A
You notice that one of your nursing colleagues has an impaired ability to integrate meaning and purpose in life through her own connectedness with others, self, music, nature, or a higher power. Your colleague is most likely experiencing which of the following? a. Spiritual distress b. Philosophical distress c. Depression d. Schizoid personality disorder
A
You recently accepted a position on the Labor and Delivery unit at the local hospital. You recognize that infant mortality rates in 2005 were highest among babies born to: a. non-Hispanic Black mothers. b. Asian adolescent girls between the ages of 14-18. c. unmarried Caucasian women. d. Hispanic women between the ages of 19-24.
A
A group of faculty members is overhauling the curriculum for the nursing program based on recommendations set forth by the Institute of Medicine. The nursing program would most likely include which of the following in the outcomes for students attending the program? Select all that apply. a. Ability to provide pt-centered care b. Ability to work effectively with teams c. Understanding evidence-based practice d. Understanding that only medial diagnoses are important e. Ability to use health information technology f. understanding that nursing is more important than other health care professions
A B C E
A nursing instructor determines that the nursing students understand the concept of "knowledge worker" if the students describe which of the following tasks of the knowledge worker? Select all that apply. a. Provide service b. Represent the organization c. Interact with the customer d. Focus on personal, life-long goals and achievement e. Bring expert knowledge f. Accomplish goals
A B C E F
You are a nurse manager who is attempting to develop generational diversity amongst your nursing workforce. Which of the following would be your key approaches? Select all that apply. a. Utilizing effective approaches that are specific to the applicable staff generation b. Continually exploring the workplace culture and conditions and maintaining the ability to be flexible in interventions and response mechanisms c. Addressing the needs of the older generations first since they have been with the agency the longest d. Working successfully with problems that arise due to generational differences e. Creating an organizational environment that connects with all staff, thereby increasing retention rates f. Addressing the needs of the younger generations because they have more years to contribute to the workforce
A B D E
You have a client who is experiencing a spiritual need. You refer to Carson and Koenig's (2008) spiritual assessment because it involves 5 broad questions that you can use. Which of the following would be included among the questions? Select all that apply. a. Does the medical care conflict with any of the patient's spiritual beliefs? b. Is the patient experiencing comfort or stress related to spiritual beliefs? c. Will the health care provider's spiritual beliefs negatively impact the patient? d. Is there involvement or support from any religious community? e. Do the patient's spiritual beliefs impact health care decision-making practices? f. Is there a need for additional referrals?
A B D E F
Which of the following may increase health services utilization? Select all that apply. a. Expanded use of existing drugs b. Growth in national population c. Better understanding of risk factors for disease d. Increase in chronic conditions e. Quality standards for food and water distribution f. More functional limitations associated with aging
A B D F
If a local hospital follows a Supportive Model of organizational behavior, which of the following would most likely be demonstrated? Select all that apply. a. Passion b. Passive cooperation c. Meeting employee's need for recognition d. The basis of the model is leadership e. The managerial orientation is authority f. An employee orientation of self-discipline
A C D
A nurse manager who follows Herzberg's Two-Factor Theory would recognize that which of the following are hygiene-maintenance factors? Select all that apply. a. Job security b. Advancement opportunities c. Working conditions d. Relationships with others e. Status f. Achievement
A C D E
As the nurse manager, you recognize that the elimination of disparities is a multifaceted challenge that includes interventions aimed at access to care as well as factors associated with prejudice and bias. Strategies to reduce health disparities would include which of the following? Select all that apply. a. Improving access and infrastructures at the public health and health care systems levels b. Encouraging all nursing staff members to return to school in order to be eligible for promotions c. Increasing the diversity of the nursing staff to enhance patient and provider relations and reduce problems in cross-cultural communication d. Examining the organization's culture, condition, and training needs and then advocating for changes that reduce disparities e. Only assigning nurses to patients who are members of the nurses' own ethnic group and age group f. Utilizing culturally and linguistically appropriate approaches to nursing care that can be flexible to patient needs while still identifying and addressing potential barriers that are specific to the individual patient
A C D F
A new graduate nurse asks what different generations that comprise the current workforce that the nurse managers supervise. The preceptor would recognize that clarification is needed if the new graduate identified which of the following as one of the generations? a. Baby Boomers b. Pre-millennials c. GenXers d. Echo Boomers
B
A nurse is appointed to a leadership position in the local hospital. The nurse's position would be considered which of the following? a. Informal leadership b. Formal leadership c. Leadership d. Management
B
A nurse is working in an environment where a large portion of the clients appear to be of the same race; however, the nurse is aware that within each broad category of race are numerous cultural groups. Why is this important for the nurse to recognize? a. For demographic data collection b. Different cultural groups have different views of health-related illness practices for care c. To prevent racism from occurring on the unit among the patients d. To provide the best care possible according to their heritage and traditions
B
A nurse manager who implements the bureaucratic management style will most likely do which of the following? a. Emphasize efficiency b. Use explicit rules and regulations for governing activities c. View the individual worker as the source of control, motivation, and productivity d. Expect unity of command and direction
B
A nurse manager who uses a leadership style that is participatory and where authority is delegated to others is most likely using which of the following leadership styles? a. Autocratic b. Democratic c. Laissez-faire d. Employee-centered
B
A nurse was recently promoted to a middle-level manager position. The nurse's title would most likely be which of the following? a. First-line manager b. Director c. Vice president of patient care services d. Chief nurse executive
B
A nursing instructor asks a student what discoveries are attributable to Florence Nightingale. The instructor determines that further teaching is needed if the student responds: a. the need to monitor health care practitioners. b. the importance of structuring hospitals around care. c. the importance of collecting and using data for quality assessment. d. the importance of being informed regarding the activities of government policymakers.
B
A nursing instructor teaches students that according to DeRosa and Kochura's (2006) article entitled "Implement Culturally Competent Health Care in your Workplace," cultures have different patterns of verbal and nonverbal communication. Which response by a student, when tested on this material, will indicate to the instructor that further teaching is necessary? a. Conversational style b. Personal behavior c. Eye contact d. Subject matter
B
According to Henri Fayol, the functions of planning, organizing, coordinating, and controlling are considered which aspect of management? a. Roles b. Process c. Functions d. Taxonomy
B
According to Vroom's Theory of Motivation, force: a. is the perceived possibility that the goal will be achieved. b. describes the amount of effort one will exert to reach one's goal. c. describes people who have free will but choose to comply with orders they are given. d. is a naturally forming social group that can become a contributor to an organization.
B
In situational theory, a telling leadership style is considered: a. high task, high relationship behavior. b. high task, low relationship behavior. c. low task, high relationship behavior. d. low task, low relationship behavior.
B
Intellectual capital can be defined as: a. work created by an individual but owned solely by the organization. b. an individual's knowledge, skills, and abilities that have value and portability. c. ideas and creations formulated at work and sold for profit by the organization. d. an organization's collective information, which is in written, electronic, or cryptic format.
B
One of the nurses on your unit tells you that his grandmother, who speaks no English, was recently admitted to the hospital with a heart condition. The nurses caring for the grandmother have labeled her a difficult patient. The nurse further explains that the grandmother immigrated from China just 6 months ago and generally only interacts with family members and close family friends. You hypothesize that the grandmother is most likely experiencing which of the following? a. Cultural intensity b. Culture shock c. Cultural stereotyping d. Cultural incompetence
B
Organizational behavior has impacted the autocratic model of behavior by moving from: a. dependence on the organization to responsibility for self. b. dependence on the boss to empowering the individual. c. passive cooperation by the employee to active participation. d. motivation by money, security and benefits to motivation by job performance.
B
Registered nurses can be identified as which of the following within health care professionals? a. Culture b. Subculture c. Group d. Organization
B
Supplementing clinical expertise with judicious implementation of the most current evidence along with patient preferences and values is called: a. evidence-based nursing practice. b. evidence-based practice. c. disease optimization. d. evidence-based care.
B
The nurse manager on one of the hospital units views the staff as basically lazy and only motivated by threats and coercion. Which theory of motivation would support the manager's beliefs? a. Theory W b. Theory X c. Theory Y d. Theory Z
B
The nurse manager wants to motivate a 55-year-old staff nurse. Taking the nurse's age into consideration, which type of motivation would be most effective for this nurse? a. Sending the nurse a letter on a job well done b. Giving public acknowledgement and reward for good performance c. Telling the nurse of opportunities for growth and development d. Emphasizing the importance and significance of the nurse's work
B
The nursing supervisor has traditionally made rounds at the same time each day. When the supervisor visits each unit, the staff appear to be extremely busy even when the census is very low. Today the supervisor visited a unit two hours early and found several staff members watching television and drinking coffee in the visitor's lounge. The supervisor recognizes that the staff's previous behavior have been a result of which of the following? a. Coincidence b. Hawthorn effect c. Diligence of staff d. Time management
B
The theory that includes maintenance and motivation factors is: a. Maslow's hierarchy of needs. b. Herzberg's two-factor theory. c. McGregor's theory X and theory Y. d. Ouchi's theory Z
B
Which of the following individuals observed that noise, food, rest, light, fresh air, and cleanliness were instrumental in health and illness patterns? a. W. Edwards Deming b. Florence Nightingale c. Isabel Hampton Robb d. Dorothea Dix
B
You are working with staff from different cultures and are aware of the importance of realizing that there may be different perceptions of a variety of aspects inherent in the health care regime. Which of the following is not one of these potential areas of differing perception? a. Staff responsibilities b. Role of the health care practitioner c. Locus of control d. Time orientation
B
A new graduate wants to explore the three components of each heath care system before applying for a position. The graduate would plan to explore which of the following? a. Strategy, outcome, and performance b. Process, strategy, and opportunity c. Structure, process, and outcome d. Outcome, procedure, and structure
C
A nurse manager finds two employees arguing about the assigned schedule. Which role would be appropriate for the nurse manager to implement at this time? a. Advocate role b. Interpersonal role c. Decision-making role d. Information-processing role
C
A nurse manager who uses Frederick Taylor's scientific management approach, would most likely focus on which of the following? a. General principles b. Positional authority c. Labor productivity d. Impersonal relations
C
A nurse working in an immigrant community is aware that different racial, religious, and social groups have their own integrated patterns of human behavior that include language, thoughts, communication, action, values, and institutions. This is known as the group's: a. values. b. morals. c. culture. d. tradition.
C
A nursing instructor has just completed a lecture on how Jamieson and O'Mara (1991) established a program to help nurse managers manage a diverse staff. The instructor then asked the group to identify the steps put forth by Jamieson and O'Mara. Which comment by an individual would indicate that further teaching is needed? a. Determine which cultural groups are represented on staff. b. Understand the organization's values and goals. c. Decide how to manage conflict. d. Analyze present conditions within the organization
C
A nursing instructor tests students on their understanding of the concept of values. Which response by a student indicates that further teaching is needed? a. Values provide a set of rules by which to live. b. Values guide actions and decisions. c. Values hinder problem solving and give direction to life. d. Values influence how people react to others.
C
In order to increase productivity, the nurse manager of the surgical unit removes obstacles for motivated and empowered individuals. This behavior is common in which type of organizational model? a. Autocratic b. Custodial c. Collegial d. Technological
C
Maintaining high quality-of-work-life environments requires the commitment of: a. owners and stockholders of a company. b. human and financial resource departments. c. leaders and employees of the organization. d. maintenance, housekeeping, and other service departments.
C
Several nurses from outside the United States were recently hired at your hospital because they had passed the NCLEX-RN. According to Mattson (2009), many of these nurses would be astonished by which of the following? a. Number of medications each patient receives b. Amount of supplies nurses waste on each patient. c. Amount of documentation and the focus on cost-effective care d. Number of languages spoken fluently by the staff.
C
The leadership theory that considers follower readiness as a factor in determining leadership style is: a. contingency. b. path goal. c. situational. d. charismatic.
C
The new nurse manager of a medical unit focuses on day-to-day operations and short-term goals, while the nurse manager of the mental health unit is committed to the vision that empowers the staff. The manager of the medical unit would most likely be considered which type of leader? a. Transformational leader b. Charismatic leader c. Transactional leader d. Autocratic leader
C
You are completing a survey which poses questions regarding your genetic traits and physical characteristics. The information that is being asked is related to which of the following? a. Culture b. Acculturation c. Race d. Cultural ethnicity
C
You are working in a clinic with a culturally diverse client base and wish to provide culturally competent care. Which is not necessarily a component in the process of culturally competent care? a. Cultural awareness b. Cultural knowledge c. Cultural organizations d. Cultural desire
C
You attend a conference on health disparities. You learn different techniques for assisting victims of health disparities using problem-solving activities. Which problem-solving activity identified by one of the conference participants would indicate that further clarification is necessary? a. Increasing health care knowledge of the community b. Seeking health care access c. Breaking down barriers and traditions to western medicine d. Serving as a role model for new nurses
C
A RN volunteered to work on the hospital's Quality Insurance Committee. As part of the training, the RN would be taught that tracking the rate of medication errors is a clinical: a. outcome. b. practice. c. structure. d. process.
D
A group of nurses have recently been hired at your hospital. Because the nurses are from a different country, they would most likely experience which of the following? a. Ambivalence b. Improved lifestyle c. Hoarding of tradition in ethnic groups d. Culture shock
D
A new graduate has accepted a position at a hospital that is considered a high-performance organization. The hospital most likely has which of the following characteristics? a. Discourages the use of technology b. Refuses release time to all nurses for continuing education c. Focuses only on the hospital's internal environment d. Empowers nurses to use self-directive and personal initiative
D
A nurse manager conducts an in-service on techniques to facilitate multicultural communication. Which technique suggested by one of the nurses would indicate to the nurse manager that further clarification is needed? a. Avoiding the use of slang terms b. Recognizing that educational backgrounds in nursing may be vastly different c. Providing your coworker with resources that may help to reinforce verbal communication d. Avoiding using "I" statements when offering constructive criticism
D
A nurse manager meets regularly with other nurse managers, participates on the organization's committees, and attends meetings sponsored by professional organizations in order to manage relationships. These activities are considered which function of a manager? a. Informing b. Problem solving c. Monitoring d. Networking
D
A nursing group has been very successful in achieving its goals even though the group has lacked leadership. Which of the following factors is probably most responsible for the group's success in goal achievement? a. Life experience b. Extrinsic satisfaction c. Informal organizational structures d. Cohesive groups
D
A nursing instructor asks a group of students if they can identify some nursing theories and models that have been developed to assist nurses in the delivery of culturally competent care. Which response by a student would indicate that further teaching is needed? a. Leininger's Transcultural Nursing b. Purnell's Model for Cultural Competence c. Campinha-Bacote's Process of Cultural Competence d. Giger and Morrison's Model for Transcultural Awareness
D
A nursing instructor wants to determine whether the nursing students understand the principles that scientific management emphasizes. Which response by the students would indicate that they understand scientific management? a. Products, sales, and revenue generation b. Job satisfaction, loyalty, and productivity c. Economic constraints, customer base, and sales d. Machine-like or assembly line work processes
D
According to R. N. Lussier, motivation: a. is unconsciously demonstrated by people. b. occurs externally to influence behavior. c. is determined by others' choices. d. occurs internally to influence behavior.
D
During a Community Health clinical, a students asks the instructor, "What is meant by health disparities?" The instructor would be correct in responding that health disparities refer to: a. differences in each individual's response to illness and disease states, which is reflective of cultural beliefs. b. differences in types of care an individual receives based on whether the individual pays for health care with personal funds, private insurance, or federal assistance. c. the different beliefs and values that individuals express based on age and ethnicity. d. differences in health risks and health status measures that reflect the poorer health status that is found disproportionately in certain population groups.
D
During preparation of the application for magnet status, a nurse asks the supervisor, "What is meant by nursing sensitive indicators?" The supervisor would be correct in responding: a. Indicators that a nurse is vulnerable to depression b. Indications as to whether a nurse is sensitive to stress c. Nurses working with sensitive and confidential information d. Measures that reflect the outcomes of nursing actions and care
D
In contingency theory, the feelings and attitudes of followers regarding acceptance, trust, and credibility of the leader are called: a. task structure. b. position power. c. low task structure. d. leader-member relations.
D
The six traits identified by Kirkpatrick and Locke that separate leaders from non-leaders were: a. respectability, trustworthiness, flexibility, self-confidence, intelligence, sociability. b. self-confidence, progression of experiences, influence of others, personal life factors, honesty, drive. c. intelligence, self-confidence, determination, integrity, sociability, honesty. d. drive, desire to lead, honesty, self-confidence, cognitive ability, knowledge of business.
D
Thorpe, Woodruff, and Ginsburg (2005) have noted a variety of key elements that have contributed to the rising costs of health care. Which of these elements does not belong? a. Aging of the population b. Increased use of new technologies c. Practitioner behavior d. Nursing shortage
D
Which of the following is considered a decisional managerial role? a. Disseminator b. Figurehead c. Leader d. Entrepreneur
D
