test 3
Two nurses were selected to learn about a new piece of technology that could improve the accuracy of patient assessments. This training was to be provided at a long distance from the hospital, and the nurses' employer could only afford travel expenses for one nurse. The hospital chose to send the nurse who had historically show more proficiency in teaching others about new technology. This displeased the nurse who was not selected, who was then unfriendly to the nurse who was selected. What is the likely source of conflict between these nurses? a. lack of resources b. personal/professional beliefs c. cultural d. professional competition
d
a new nurse leader asks for strategies to improve communication skills since there has been a large turnover of nursing staff. what suggestion from the director would be beneficial for the nurse leader? a. allow them to think you are listening to their complaints b. use aggressive communications to show the staff you are in charge c. restate messages using passive language d. be congruent in your verbal and nonverbal communication
d
a nurse working in a large, diverse university hospital informs the charge nurse, "I never know how far apart to stand from someone since we have patients from many cultures." what is the best response by the charge nurse? a. it doesnt really matter, people should just accept it b. about 14 inches is appropriate for a social interaction c. for personal interactions, you should stand at least 5 feet away d. the degree of space is going to vary with cultural norms
d
a nurse manager wants to increase the effectiveness of communication with a staff member since the staff member did not respond positively to the same message previously. what action by the manger would improve the communication? SATA a. make the message clear and concise b. use the previous technique with the staff member c. stay positive when sending the message d. have the staff member state understanding of the message e. use common terminology
a,c,d,e
.A nurse manager is faced with a conflict situation. One of the nurse managers team members is confused about their hospital responsibilities. This team member is shy and doesn't ask for direction, leading to a lack of communication that decreases the quality of patient care. What questions should the nurse manager ask to analyze the situation? SATA a. What individual factors are involved? b. Which individuals need to be fired? c. What environmental factors are involved? d. Who are the people involved? e. What learning opportunities can be introduced?
a,c,d
a nurse manager is conducting a meeting with staff. what factors may significantly influence how communication is received and perceived during the meeting? SATA a. stress levels b. the unit mission c. gender differences d. the level of the manager e. the age of the manager
a,c,d
A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process? SATA a. Communicate what the task is b. Ask for volunteers c. Train the person delegated for the task d. Monitor the person until the task is done e. Communicate the time frame in which the task should be completed
a,c,d,e
A charge nurse is delegating to a LPN/LVN. What would be considered IMPROPER delegation for the charge nurse to delegate? a. the employee is given highly detailed exact instructions to complete the task b. the charge nurse and the person to whom the task is delegated exchange regular updates on the task c. the person to whom a task is delegated considers it a challenge d. momentary authority is given to support completion of a delegated task
a
For a nurse leader, what is the optimal goal in resolving conflict between team members? a. create a win-win solution for all b. prevent violence c. demonstrate managerial skills d. prevent further conflict on the same issue
a
a charge nurse informs a staff nurse that they will be admitting the next patient that arrives on the unit. the staff nurse states acceptance and then proceeds to tell the other nurses that the charge nurse is unfair. what type of communication is the staff nurse displaying? a. passive-aggressive b. assertive c. aggressive d. passive
a
a nurse manager is using face-to-face communication when discussing a staff member's performance evaluation. what does the manger determine are the benefits of this method of communication in this situation? SATA a. the manager can determine if the staff member understands the evaluation b. it will strengthen the connection bw the manager and staff member c. it will combine verbal and non-verbal communication to convey messages d. the staff member will agree with all aspects of the evaluation e. it will prevent any misunderstandings from occurring
a,b,c
Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? Select all that apply. A. Past medical history B. Current medications C. Admitting diagnosis D. Issues identified for discussion E. Patient's name and room number
a,b,c,e
In the SBAR model, what should be conveyed when explaining the situation? (Select all that apply). A. Recommendations for treatment changes B. Assessment data collected C. Information in a narrative or story form D. Events currently happening E. Objective statement of the problem
a,b,d,e
The RN on a medical-surgical unit that has experienced several changes in its administrative structure due to conflicts with the mission of the hospital. The RN realizes that conflict should be managed to allow for what outcomes SATA a. growth within the organization b. enhanced productivity c. reduced employee satisfaction d. innovation e. diminished productivity
a,b,e
A new graduate RN has a desire to work in a trauma hospital facility located in Los Angeles but has an aging mother who lived in small town in Pennsylvania and is reluctant to leave her alone. What type of conflict is this? a. intergroup b. intrapersonal c. interfunctional d. interpersonal
b
A new graduate nurse has been assigned to an RN preceptor with a history of being tough, uncivil, and intimidating to new nurses. During the first day on the job, the graduate nurse has a harsh exchange with the RN. What type of conflict is this? a. intergroup b. interpersonal c. intrapersonal d. resolution
b
A new nurse on a medical-surgical unit has an uncomfortable encounter with one of the RNs. Both the RN and the new nurse realize that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used? a. smoothing b. avoidance c. cooperating/accommodating d. competing
b
A nurse delegates a task to unlicensed assistive personnel (UAP). After the UAP informs the nurse that the task is complete, what is the appropriate action by the nurse? a. inform the UAP that you will confirm that the work is complete b. evaluate the outcome of the task c. redo the task if not acceptable d. no further action is required since the task is complete
b
A nurse manager believes that the nursing unit is experiencing too little conflict. What signs within the organization would indicate this is true? a. employees have become immobilized b. the organization has become static c. the organization has become less effective d. employees feel motivated
b
The members of a nursing staff claim that the lab department is not reporting patients' critical values fast enough, but the lab department claims that it is. The nursing manager and the lab department director are sent to conflict resolution to come to a solution that will be in the best interest of patient continuity. Based upon this scenario, which type of conflict exists? a. intrapersonal b. intergroup c. transpersonal d. interpersonal
b
The nurse manager on a busy unit that has recently been experiencing shift conflicts. As the staff can have different opinions on conflicts, what is the best first step to take to resolving conflict? a. assessing the extent of competition occurring within the workplace b. assessing what factors are affecting the judgement of the people involved in the conflict c. determining the difference between intrapersonal, interpersonal, and intergroup conflict d. showing preference to the day shift as this shift has more experienced staff
b
a nurse manager is relaying information about staffing changes to the staff on the night shift. What form of communication is the nurse manager using to deliver the changes? A. horizontal B. downward C. grapevine D. diagonal
b
Which aspects of creating a successful interprofessional team are addressed by SBAR? SATA a. determine leadership of the team b. communicating effectively and efficiently c. ensuring role clarity d. maintaining a shared vision e. offering a recommended plan of action or next steps
b,c,d,e
A charge nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP). What is the first action the nurse should do before delegating? a. ask which UAP are interested in the task b. determine who would be the best person for the task c. determine whether the task is within the scope of UAP d. determine whether there is enough time to adequately supervise the task
c
The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in a need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years, and this change will create conflict. At what stage does this conflict exist? a. Manifest conflict stage b. Perceived conflict stage c. Latent conflict stage d. Felt conflict stage
c
The unit manager of a medical-surgical unit undergoing restructuring changes realizes that to create a more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as "smoothing". Smoothing is best defined as: a. the transfer of an aggressive employee to another unit b. slang for avoiding c. looking toward something that the parties in conflict are in agreement about d. declaring a resolution to the strategy that may be perceived as lose-lose but is in the best interest of the unit
c
a health care provider is attempting to improve their connection with the nursing staff. what communication strategy would be appropriate for the health care provider to use to make this change? a. use touch as a nonverbal cue of acceptance b. hesitate prior to responding c. maintain eye contact and nod or visualize to show interest in conversation d. interrupt nurses going off on tangents in order to model keeping them focused
c
a nurse manager is assessing the internal climate of communication with a group of staff members prior to a meeting. what would the manager consider to be a part of the internal climate of communication? SATA a. feelings b. power c. status d. values e. stress
a, d, e
A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks were delegated to a UAP. What would be important for the nurse to consider? (SATA) a) what can and cant be delegated safely b) if the UAP wants to c) qualifications d) money e) whose turn it is
a,c
Why is conflict an expected occurrence on a large medical-surgical unit? SATA a. People who have different goals b. People of comparable beliefs c. People with different values d. People with shared interests e. People of similar backgrounds
a,c
A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this? SATA a.The right task b.The right time c.The right person d.The right communication e.The right level of supervision f. The right circumstance
a,c,d,e,f
In the SBAR model, when giving recommendations, what kinds of things should be communicated? Select all that apply. A. A concise evaluation of the situation in a couple of sentences B. Opinions for further action C. The background or context of the situation D. The patient's condition and state what you think the problem is E. Any new treatments or changes ordered
b,e
A nursing unit in a busy hospital is planning to undergo a major restructuring, and several staff members have expressed anxiety about the impending change. What type of conflict exists in this situations? a. latent b. manifest c. percieved d. felt
d
The nurse-manager of a surgical unit must hire travel RNs to work during busy times. Knowing that travel nurses typically receive higher hourly salaries as well as completion bonuses for the 13-week assignment, the manager anticipates regular staff will have animosity toward these nurses. The manager has a plan to allow the regular staff to have every weekend off (because part of the travel nurse's contract states that the nurse may be required to work each weekend during the contracted time frame). What type of conflict resolution strategy is the manager using? a. competing b. smoothing c. avoiding d. compromising
d
