Esmeralda Espitia
Quiz by , created more than 1 year ago

Leadership test 1 (Leadership test 1) Quiz on Chapter 29, created by Esmeralda Espitia on 09/02/2020.

163
0
0
Esmeralda Espitia
Created by Esmeralda Espitia over 4 years ago
Close

Chapter 29

Question 1 of 24

1

1. Role theory has its underpinnings in management theory. Management theories influence managers’ leadership styles. Which of the following styles would a nurse manager be most likely to follow when redesigning the staffing schedule?

Select one of the following:

  • a. Humanistic

  • b. Authoritarian

  • c. Flexibility

  • d. Participative

Explanation

Question 2 of 24

1

2. A nurse manager has worked to bring the staff to participate in and then accept changes in the unit’s mission, so that downsizing can be avoided. How is the nurse manager using change theory for this situation?

Select one of the following:

  • a. Focusing on past concerns related to the mission

  • b. Teaching staff members how to self-manage themselves

  • c. Determining accurately the direction of change in the institution

  • d. Requiring all staff members to review and reinforce their technological skills

Explanation

Question 3 of 24

1

3. The nurse manager, as the leader of the unit’s “customer (client) first” initiative, has asked the staff nurses to develop and administer a survey to every client before discharge. In asking the staff nurses to accomplish this task, the nurse manager is demonstrating:

Select one of the following:

  • a. accountability.

  • b. shared leadership.

  • c. a common purpose.

  • d. independence in the nursing manager’s role.

Explanation

Question 4 of 24

1

4. A nurse manager is experiencing considerable conflict among staff members because of weekend staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as a group and determine the best staffing practices. In doing this, the nurse manager is using the concept of collaboration to:

Select one of the following:

  • a. demonstrate interdependence.

  • b. depict flexibility and broadmindedness.

  • c. focus all energies of staff members on a best possible strategy.

  • d. defuse the possibility that staff members will escalate their discontent when
    staffing the unit on weekends.

Explanation

Question 5 of 24

1

5. A nurse manager’s responsibility for financial management involves making budgetary decisions. Budgets that allow the nurse manager to allocate resources at the unit level allow:

Select one of the following:

  • a. minimal nurse manager input.

  • b. limited rationale for budgetary requests.

  • c. budgetary allocations at the executive nurse level.

  • d. budgetary decision making at the point-of-service (POS).

Explanation

Question 6 of 24

1

6. The nurse manager is anticipating changes on the unit because of managed care. It is up to the manager to “sell” the staff on this care concept. A goal of managed care that the staff must understand is that managed care is:

Select one of the following:

  • a. grounded in business theory.

  • b. useful for long-term patients only.

  • c. designed to reduce unit resources and staff.

  • d. not concerned with the best interests of clients.

Explanation

Question 7 of 24

1

7. The hospital administrator approves a case management position for a new rehabilitation unit to help reduce costs. In developing the job description, the nurse manager understands that a key element of case management is:

Select one of the following:

  • a. managing of care by nurse managers.

  • b. coordination of resources for effective outcomes.

  • c. rapid discharge of clients to decrease costs.

  • d. managing of care for outpatient clients only.

Explanation

Question 8 of 24

1

8. In planning a new wing, the nurse manager complies with the workplace safety requirements of the Occupational Safety & Health Administration (OSHA). Which of the following groups is considered to be at high risk for violence in the workplace?

Select one of the following:

  • a. Pediatric staff

  • b. Postsurgical unit staff

  • c. Emergency Department staff

  • d. Medical oncology unit staff

Explanation

Question 9 of 24

1

9. Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital. Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills required is too time consuming. They question its value in patient care. The manager responds that:

Select one of the following:

  • a. the use of technology is inevitable in our technologically oriented society.

  • b. the hospital is no longer able to find the space to accommodate paper record-keeping.

  • c. the initiative is being driven by decision makers higher up in the hierarchy and there is no choice.

  • d. EHRs will increase effectiveness of care by enhancing coordination and improving patient outcomes.

Explanation

Question 10 of 24

1

10. Nurses in the CCU are unhappy and frustrated with their nurse manager. They complain that “nothing is ever good enough for him.” These statements suggest that the nurse manager’s goals may be:

Select one of the following:

  • a. measurable.

  • b. unrealistic.

  • c. attainable.

  • d. too low.

Explanation

Question 11 of 24

1

11. While interviewing for a nurse manager position, Ann is asked to give an example of a situation in which she demonstrated leadership. Which of the following examples exemplifies leadership?

Select one of the following:

  • a. Through research and investigation of best practice and practice-based evidence,
    she proposed a change in the management of incontinence in older adult patients.

  • b. She ensures that new policies related to parenteral infusions are implemented
    consistently within her team.

  • c. When asked by her students about institutional policies, she readily and patiently
    interprets policies to facilitate quality care.

  • d. She organizes the team and delegates responsibilities effectively in providing
    nursing care.

Explanation

Question 12 of 24

1

12. Budgeting and protection of revenues is a function of:

Select one of the following:

  • a. leadership.

  • b. management.

  • c. team leadership.

  • d. followers.

Explanation

Question 13 of 24

1

13. Which of the following is not important in a positive work environment, as defined by the AONE?

Select one of the following:

  • a. Clear, open, trustful communication

  • b. Accountability and clarity of roles and responsibilities

  • c. Participatory decision making

  • d. Challenge and striving for excellence

Explanation

Question 14 of 24

1

14. As a nurse manager on a urology unit, you note that there has been a marked increase in medication errors on the unit. Which of the following actions would be consistent with the National Database of Nursing Quality Indicators (NDNQI) measures?

Select one of the following:

  • a. Staff are consulted regarding improvements in interprofessional approaches to
    patient care.

  • b. Nursing staff are asked for input regarding the purchase of new medication carts.

  • c. A recognition program is developed to acknowledge nurses who have provided
    safe and exemplary care utilizing skills in the staffing mix to optimize the delivery
    of patient care.

  • d. Recent changes in staffing mixes are examined to determine if the timing of
    changes coincides with the increase in errors.

Explanation

Question 15 of 24

1

15. A nurse manager in a hospital is deeply concerned that senior administration makes decisions about budgetary directions that affect staffing and other resources without sharing the rationale for changes or demonstrating concern as to how these changes may affect patients or staff. She says she does not feel respected and is emotionally tired as a result. This situation represents:

Select one of the following:

  • a. bureaucratic organization.

  • b. realities of current health care.

  • c. negative organizational culture.

  • d. lack of engagement by administration.

Explanation

Question 16 of 24

1

16. As a nurse manager, you identify that a shift in nursing care models might increase patient and staff satisfaction and avoid downsizing. Administration is reluctant to adopt this approach because downsizing is seen as critical to reduction of costs. To leverage your ideas, you:

Select one of the following:

  • a. ask staff to send e-mails to administration encouraging consideration of your
    option.

  • b. invite a senior member of administration to your staff meeting, so you can tell him
    what you are planning.

  • c. write a letter of complaint to a member of the institutional board about the lack of
    openness of the administration.

  • d. identify influential members of your nurse manager group with similar ideas and
    request an opportunity to meet with administration to discuss options.

Explanation

Question 17 of 24

1

7. Nurses on Unit 17 complain that their manager frequently “checks up on them” and encourages little involvement in decision making and yet, during performance reviews, praises them for their outstanding performance. Nurses on Unit 18 indicate that their experience is different from that of nurses on Unit 17. The manager on Unit 18 encourages active involvement in decision making and provides authentic, growth-promoting feedback. The practices on Units 17 and 18 reflect.

Select one of the following:

  • a. differences in the managers’ expectations of their role.

  • b. shaping of the workplace behavior of employees.

  • c. different approaches to cooperation and collaboration.

  • d. recognition of institutional priorities.

Explanation

Question 18 of 24

1

18. The successful integration of informatics into healthcare settings is key to:

Select one of the following:

  • a. quality decision making related to management of resources and patient care.

  • b. accessing current information about business practices.

  • c. meeting the modern-day expectations of staff regarding technology use.

  • d. speeding up calculations and decisions in budget development.

Explanation

Question 19 of 24

1

19. As a nurse manager, you embrace the usefulness of resources such as Smart Bed. This behavior is important to:

Select one of the following:

  • a. budget development.

  • b. a manager’s role.

  • c. succession planning.

  • d. encouragement of staff utilization of technology.

Explanation

Question 20 of 24

1

20. A manager who is concerned with ensuring that patients on her surgical unit have the necessary information to make informed choices is:

Select one of the following:

  • a. practicing legal nursing care.

  • b. demonstrating respect for patient rights.

  • c. avoiding risks.

  • d. likely experiencing staff issues with informed consent.

Explanation

Question 21 of 24

1

21. The nurse manager plays a unique role in institutional management in that the nurse manager:

Select one of the following:

  • a. encourages shared decision making.

  • b. models professional nursing behavior.

  • c. interprets healthcare trends and their impact on revenues.

  • d. coordinates care and allocates resources.

Explanation

Question 22 of 24

1

22. In developing an orientation program, the hospital educator breaks essential organizational information down into chunks, which she develops as online modules. This is an application of which of Drucker’s functions of management?

Select one of the following:

  • a. Establishment of goals and objectives

  • b. Motivation and communication

  • c. Analysis and interpretation of performance

  • d. Organization of activities into manageable tasks

Explanation

Question 23 of 24

1

23. Nancy is a staff nurse who works on a rehabilitation unit. Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts are on organizing an in-service training. Nancy is exhibiting which trait of a follower?

Select one of the following:

  • a. Provides a vision for safety that is communicated.

  • b. Thrives on taking risks in identifying the problem with safety.

  • c. Coordinates the development of knowledge and skills necessary to use the lift.

  • d. Assumes responsibility for identifying a safety concern and concedes authority for
    solution to you.

Explanation

Question 24 of 24

1

1. A nurse manager is discussing with unit staff the repeated lack of staff compliance in documenting exercise activity for post–cardiac surgery clients. The unit’s licensed practical/vocational nurses are responsible for ensuring that clients carry out the prescribed exercise regimen and that the activity is documented. Using Drucker’s five basic functions of a manager, identify appropriate functions for the nurse manager to use when addressing this situation: (Select all that apply.)

Select one or more of the following:

  • a. divide the necessary activities into manageable tasks, so clients adhere to the exercise regimen.

  • b. establish objectives and goals for each area and decide who is accountable for them.

  • c. allow clients to organize the activities.

  • d. engage in activities that motivate the team and communicate effectively with the
    responsible staff members.

  • e. analyze, appraise, and interpret the performance of responsible staff, and
    communicate these findings to staff management.

  • f. allow clients to establish objectives and goals.

Explanation