NUR435 Leadership Week 8 Quiz

What are some methods that nursing staff can use to manage personal stress levels? (Select all that apply.) A. Have a strong support network of friends and family. B. Pay attention to diet and exercise. C. Get enough sleep. D. Take personal time each day. E. Take on extra shifts to keep the mind occupied.

A, B, C, D While stress management is unique to each person, some of the tools that may be effective include taking personal downtime each day, getting enough sleep, eating right, exercising, and having a strong network of friends and family for support

A staff RN is writing an article for a prestigious nursing journal. The deadline is in 1 week, and she is feeling overwhelmed about completing her work. She is unable to keep up with home management, and she is beginning to procrastinate on the project. She also has other responsibilities, such as taking her elderly mother grocery shopping and to health care appointments. She is married to a busy executive and has three children, all of whom are active in high school sports. Which of the following stress management strategies would be helpful? (Select all that apply.) A. Create a "getaway" place at work where she can spend a few minutes in silence and thought. B. Schedule "think time" appointments at least once a week for a block of time; get out of the office for these times. C. Cut extra activities out of her schedule, such as her morning walk. D. Bring a water bottle to work and refill as needed to keep hydrated.

A, B, D Scheduling "think time" appointments and spending a few minutes in silence can help her clear her mind and regroup. Keeping hydrated will help keep energy levels up. Exercise is important to help the nurse deal with stress and would not be wise to delete from her schedule, if possible

Nurse managers in patient care areas must manage staffing on a daily basis. The degree of work needed for any patient is known as nursing intensity and includes which of these other variables? (Select all that apply.)? A. Patient's dependency B. Complexity of care C. Complexity of patient's condition D. Severity of illness E. Amount of time needed with patient

A, B, D, E The degree of work needed for any patient is called nursing intensity and is a combination of the severity of illness, the patient's dependency, the complexity of care, and the amount of time needed. The need-severity (physical and psychological) is called patient acuity, which is a rating of the complexity of the patient's condition.

Nurses on the midnight shift are experiencing difficulty with receiving materials from the central supply department. Last night a patient was admitted to the unit from the emergency department with a heart dysrhythmia. The nurse requested that a temporary pacemaker kit be placed in the unit as a standby in case the patient required its use. The central supply unit did not comply until the patient required its emergent use. The nurse was stressed. This is an example of which type of stress? A. Job stress B. Role conflict C. Moral distress D. Overload of role

A. Job stress Job stress is a tension that arises related to the person-in-environment demands of a person's role or job. Job stress, or "disquieting influences," can accumulate into levels that are too high, reach the point of burnout, and manifest as emotional and/or physical exhaustion and lowered job productivity

Leadership is best defined as: A. inspiring people to accomplish goals through support and confidence building. B. delegation of authority and responsibility and the coordination of activities. C. an interpersonal process of participating by encouraging fellowship. D. the integration of resources through planning, organizing, and directing.

A. inspiring people to accomplish goals through support and confidence building. Leadership is the process of influencing people to accomplish goals by inspiring confidence and support among followers.

A mechanism for giving feedback related to progress to employees new and experienced is called: A. performance evaluation. B. counseling. C. mentoring. D. coaching.

A. performance evaluation. Performance evaluation is a mechanism for giving feedback to employees new and experienced.

Two cognitive processes that nurses use in clinical reasoning include: (Select all that apply.) A. acuity. B. experience. C. education. D. staffing ratios.

B, C Clinical reasoning is the process of analyzing and synthesizing both objective and subjective cues about patients (Johansen & O'Brien, 2015). The nurse's level of analysis is influenced byexperience and education.

Which of the following statements are true regarding job stress? (Select all that apply.) A. Job stress increases productivity. B. Job stress can lead to burnout. C. Levels of job stress that are too low or too high decrease individual productivity. D. Job stress is related more to external demands that are brought into the workplace. E. Job stress is manifested as emotional and/or physical exhaustion.

B, C, E Job stress is a tension that arises related to the environmental demands of a person's role or job. Job stress can accumulate to levels that are too high, reach the point of burnout, and manifest as emotional and/or physical exhaustion. Levels of job stress that are too low or too high decrease individual productivity

The impact of the recessionary decade on the nursing workforce included: (Select all that apply.) A. nursing schools increasing their capacities. B. RNs delaying retirement or returning to work from retirement. C. increasing the supply of nurses by motivating part-time RNs to work more hours or full time. D. licensed RNs working in non-traditional nursing jobs returning to traditional nursing. E. more young people enrolling in nursing programs.

B, C, E The impact of the recessionary decade increased the supply of nurses by motivating part-time RNs to work more hours or full time; RNs to delay retirement or return to work from retirement; licensed RNs working in non-nursing jobs to return to nursing; and young people to enroll in nursing programs, a demand occupation with future stability (Staiger et al., 2012).

A nurse manager has several complaints from her staff that she is inaccessible during the day. What is the best strategy the nurse manager takes to improve her staff satisfaction? A. Notify staff when she will be out of the office. B. Block time for daily rounds with staff. C. Ask the staff to communicate with her through their supervisors. D. Set realistic follow-up deadlines for staff issues, questions, and concerns.

B. Block time for daily rounds with staff. Blocking time to round with staff is the best way the nurse manager can be on the unit and visible to her staff. Notifying staff when she is out of the office, setting realistic deadlines for following up with issues, and delegating certain activities to the supervisors are good time management strategies, however they don't address the staff's issue of not seeing her

The personal leadership skill for nurses that consists of self-awareness, discipline, motivation, social awareness, and relationship management is known as what? A. Management. B. Emotional intelligence C. Vision D. Leadership.

B. Emotional intelligence Among the important personal leadership skills for nurses is emotional intelligence (EI). EI traits are emotional factors consisting of five defining attributes: self-awareness,self-regulation or discipline, motivation, social awareness, and relationship management.

Marcy, the medical surgical unit manager, has promised her staff a pizza party if they reduce their patient fall rates by 10%. Which factor does Marcy consider when developing staff rewards? A. Budget B. Generational diversity C. Staff mix D. Unit culture

B. Generational diversity With four generational groups now in the workplace, it is important that managers and staff consider differences when developing strategies for change or rewards. Each generation has its own perspective, and diversity exists even within each generation. Therefore it is imperative that generational groups have representation or opportunity for input in planning and decision making.

A nursing unit has demonstrated lower patient satisfaction scores during the last quarter. The manager of the unit has formed a small team to set long- and short-term goals for the unit with action plans to increase patient satisfaction. This is an example of which management process? A. Controlling B. Planning C. Coordinating D. Organizing

B. Planning Planning is the managerial function of selecting priorities, results, and methods to achieve results.

Jay, a nurse in the intensive care unit, has been caring for a patient with end-stage renal disease, congestive heart failure, and a stroke. The client has had four cardiac arrests in 4 days. Despite the grave prognosis, the client's family continues to want resuscitation at all cost. Jay knows that further medical care is futile. Jay is at risk for: A. confrontational conflict. B. moral distress. C. burnout. D. resilience.

B. moral distress. Moral distress is linked to issues related to patient care, including ethical dilemmas that can put professionals in difficulty and give rise to feelings of unease. It occurs when an individual knows what ethical action should occur but is prevented from doing so by either internal or external barriers (Rushton, 2006)

A quality improvement team is working to enhance teamwork among the staff in a newly developed Alzheimer's program. Which of the following statements would be an expected behavior that illustrates quantum leadership? A. "After the meeting today, each member on this team will be a role model of good communication techniques to other staff members." B. "What do you think about sharing our opinions today in a mutually respectful manner as we move around the table?" C. "How would you describe an ideal collaborative practice environment?" D. "You folks are highly motivated and smart enough to develop a plan on your own. I'll support you as needed."

C. "How would you describe an ideal collaborative practice environment?" Quantum leadership fosters an environment of curiosity, questioning, and exploration. Answer A depicts an authoritarian leadership style.

Which of these clinical decisions poses the greatest risk for committing an error? A. Verifying medication dose prior to administration B. Charting by exception C. Independent interpretation of a medication order D. Prioritizing patient care activities

C. Independent interpretation of a medication order Medication administration involves many decisions. In order to protect the patient, the nurse must deliver medications safely while managing the environment in order to preserve safe medication administration (Dickson & Flynn, 2012). According to Dickson and Flynn's study, medication administration involves decisions regarding managing distractions, interpreting orders, and documenting errors and near-misses. In addition, Sitterding and colleagues (2012) found that work-flow interruptions can interrupt the cognitive processes necessary for decision making.

Which of the following is true of management activities? A. Inspiring a vision is a management function. B. Management is more important than leadership. C. Management is focused on task accomplishment. D. Management is more focused on human relationships.

C. Management is focused on task accomplishment. Management is focused on task accomplishment.

How is decision making at the staff nurse level exemplified? A. The staff nurse questions current practice and refers to unit leadership for change. B. The staff nurse refers issues to the performance improvement committee. C. The staff nurse adapts to a challenging patient assignment. D. The staff nurse accepts the status quo.

C. The staff nurse adapts to a challenging patient assignment. Decision making is the process of making choices from several courses of action in order to solve problems. The process of selecting one course of action from alternatives forms the basic core of the definition of decision making. The staff nurse who adapts to a challenging patient assignment is using decision making to affect the quality of patient care delivered.

Nurses who must manage unplanned and regular responsibilities simultaneously may experience: A. resilience. B. moral distress. C. complexity compression. D. empowerment.

C. complexity compression. When unexpected conditions are added to regular responsibilities, nurses may experience what experts call complexity compression, which has been linked to burnout, turnover, and other types of work-related stress (Krichbaum et al., 2007). Nurses experience this when they must manage unplanned (complexity) and regular responsibilities simultaneously (compression)

_____ is defined as the accomplishment of specified activities during the time available. A. Stress B. Self-management C. Mismanagement of resources D. Time management

D. Time management Time management is defined as the accomplishment of specified activities during the time available. It is the process of managing the things an individual does with his or her available time. At its core, time management is self-management