CLINICAL MANAGEMENT EXAM 3
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
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Clinical Management Exam 3
The unit manager discusses absenteeism with the unit clerk. She indicates
that it is a
serious problem on the unit. Which of the following points would they have
likely
discussed?
a. Employee morale is at a high level.
b. Patient care will be jeopardized and possibility below standards.
c. Existing staff have experienced little effect from the absenteeism.
d. Cost for the unit remains the same when new staff are hired
b. Patient care will be jeopardized and possibility below standards.
Clinical incompetence is one of the more serious problems facing a nurse
manager.
Joyce, the nurse manager, is not aware of the problems of Sarah, a novice
nurse. After she investigates, it is obvious that Sarah's peers are covering for
her. Which of the following might Joyce include in her meeting with the
nurses? (Select all that apply.)
a. "It is a nurse's professional responsibility to maintain quality control."
b. "All instances of clinical incompetence are to be reported."
c. "It is not considered being disloyal when one nurse reports another for
poor care."
d. "Patient care is the number one concern. Meeting standards is
mandatory and necessary."
A,b,c,d
A nurse manager is experiencing poor staff morale on her unit. While
participating in a baccalaureate course, the nurse manager had learned that
one of the reasons nurses lack power today is related to the past. In the early
decades of the profession, nurses lacked power because:
a. nurses freely chose to defer to physicians and administrators with more
education.
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b. women lacked legal, social, and political power because of legal and cultural
barriers.
c. the first nursing licensure laws prohibited nurses from making most
decisions.
d. nurses astutely recognized the risks of grabbing too much power too soon.
b. women lacked legal, social, and political power because of legal and cultural
barriers.
Nurses who engage in infighting, seek physician support against nursing
colleagues, and avoid political advocacy through membership in nursing
organizations:
a. refuse to believe that they are acting like members of groups that suffer
socioeconomic oppression.
b. do not understand how their failure to exercise power can limit the power of
the
whole profession.
c. purposefully choose to exercise their power in the workplace through
indirect
means.
d. suffer from learned helplessness as a result of abuse by powerful nurse
executives.
b. do not understand how their failure to exercise power can limit the power of the
whole profession.
A nurse belongs to several professional organizations, serving on a state-level
committee of one group and on two task forces at work. The nurse is
committed to a range of health issues and knows the state senator from the
nurse's district, as well as the name of the representative in Washington, DC.
This nurse exemplifies which level of political activism in nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political astutenes
d. Political astutenes
A manager relies on his director (immediate supervisor) for advice about
enrolling in graduate school to prepare for a career as a nurse executive. The
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director may exercise what kinds of power in the relationship with the manager
in this advisory situation?
a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information
c. Referent, expert, and information
A nurse manager must implement a 2% budget cut on the nursing unit. What
approach would the manager use to most effectively empower the staff of the
unit?
a. Discuss the guidelines for the budget cuts with the staff, making the
decisions
with those who participate.
b. Inform the staff of the budget cuts in a series of small group meetings and
accept
their ideas in writing only.
c. Provide the staff with handouts about the budget cuts and let them make
recommendations in writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for
ideas on
the cuts
a. Discuss the guidelines for the budget cuts with the staff, making the decisions
with those who participate.
During orientation of new nurse managers, the chief nursing officer stresses
strategies that help nurse managers to achieve a
powerful image. What behaviors best contribute to a powerful image for the
nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile;
listening carefully when problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always
wearing
a suit and high-heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye
contact