NUR 190 Final Exam
Nursing Leadership and Management
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100 QUESTIONS
CHOOSE ONE ANSWER
TIME : 1 HOUR
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NUR 190 Final Exam
1. The risk manager informs the nurse manager of an orthopedic unit that her
unit has had an increase in incident reports about patients falling during the
11-7 shift. The nurse manager knows that the best way to resolve the problem
is to:
a. Use creativity.
b. Obtain support from the 7-3 shift.
c. Use institutional research.
d. Identify the problem.
ANS: D. Identify the problem.
Identification of a problem is the first step in problem solving and occurs before any
other step. The most common cause for failure to resolve problems is the improper
identification of the problem/issue; therefore, problem recognition and identification
are considered the most vital steps.
REF: Page 109 | Page 110
TOP: AONE competency: Knowledge of the Health Care Environment
2. The nurse manager of a rehab unit wants to purchase a new anti-embolic
stocking. To make a high-quality decision, the nurse manager would:
a. Involve the rehab staff in the decision.
b. Involve the sales representative.
c. Make the decision alone.
d. Involve administration in the decision.
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ANS: A. Involve the rehab staff in the decision.
In a shared decision model, the decisions are made through an interactive,
deliberate process and the staff may express and discuss options and preferences.
The shared decision model has been shown to increase work performance and
productivity, decrease employee turnover, and enhance employee satisfaction.
REF: Page 103 TOP: AONE competency: Communication and Relationship-Building
3. Several nurses on an adolescent psychiatric unit complain that the teens are
becoming unmanageable on the 0700-1900 shift. To resolve this problem, the
nurse manager decides that the staff should have a brainstorming session.
The goal of brainstorming is to:
a. Evaluate problem solutions.
b. Critique the ideas of others.
c. Generate as many solutions as possible.
d. Identify only practical and realistic ideas.
ANS: C. Generate as many solutions as possible.
Brainstorming encourages creativity when one is beginning to problem-solve and
avoids premature shutting down of ideas through early evaluation. The goal is to
generate ideas, no matter how seemingly unrealistic or absurd.
REF: Page 106 | Page 107
TOP: AONE competency: Communication and Relationship-Building
4. During a fire drill, several psychiatric patients become agitated. The nurse
manager quickly assigns a staff member to each patient. This autocratic
decision style is most appropriate for:
a. Routine problems.
b. Crisis situations.
c. Managers who prefer a "telling" style.
d. Followers who cannot agree on a solution.
ANS: B. Crisis situations.
An autocratic style is appropriate when rapid decision making is required, such as in
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a crisis situation.
REF: Page 103 | Page 104 TOP: AONE competency: Leadership
5. After the nurses who work on an adolescent psychiatric unit have had a
brainstorming session, they are ready to resolve the problem of teenagers who
are unmanageable. To maximize group effectiveness in decision making and
problem solving, the nurse manager has:
a. Prevented conflict.
b. Formed highly cohesive groups.
c. Used majority rule to arrive at decisions.
d. Encouraged equal participation among members.
ANS: D. Encouraged equal participation among members.
Groups are more likely to be effective if members are involved, the group is
cohesive, communication is encouraged, and members demonstrate some
understanding of the group process. The nurse leader or manager should provide a
nonthreatening and positive environment in which group members are encouraged
to participate actively.
REF: Page 105 TOP: AONE competency: Communication and Relationship-Building
6. To solve a problem, the nurse manager understands that the most important
problem-solving step is:
a. The implementation phase.
b. Identification of numerous solutions.
c. Accurate identification of the problem.
d. Evaluation of the effectiveness of problem resolution.
ANS: C. Accurate identification of the problem.
To proceed effectively, it is important to determine if a problem exists and to
accurately identify a problem. Failure to resolve problems is most often linked to
improper identification of the problem.
REF: Page 109 | Page 110
TOP: AONE competency: Knowledge of the Health Care Environment