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The RN overhears the nurses' aide speaking in a harsh tone to Mrs.
Smith, who has some early Alzheimer's memory loss. Which statement
will the RN make to begin addressing this issue?
A) "You must remember to watch your tone of voice with patients.
Someone might overhear."
B) "Do you think it would be a good idea to have an in-service on
dealing with Alzheimer's patients?"
C) "I am concerned about your conversation with Mrs. Smith. It seemed
short and impatient."
D) "I have decided to reassign Mrs. Smith to another aide."
Ans: C
Feedback: Assertive communication effectively identifies and addresses
an issue without being rude, insensitive, or passive-aggressive. None
of the remaining options actually identifies the communication
problem.
,Which statement describes the informal communication referred to as
ìthe grapevine?
A) Most personnel engaging in the unofficial exchange of information.
B) Information exchange is initiated by subordinates and directed
upward C) Information is conveyed unofficially by administration
through department heads
D) The exchange of information initiated by someone in a staff position
to someone in a line position
Ans: A
Feedback: Informal communication through the ìgrapevineî occurs when
most personnel are involved in the unofficial exchange of information.
This process is not accurately described by any of the other options.
,According to Skinner, how should rewards used as a way to reinforce
behavior be given?
A) At established intervals
B) Specific to a particular performance
C) Sometime after the event for maximum reinforcement
D) Very sparingly to make them more valuable
Ans: B
Feedback: If rewards are to succeed as motivational strategies, they
should represent genuine accomplishment on the part of the employee.
Rewards can be spontaneous, as long as they are truly deserved. The
other options are not supportive of Skinner's thoughts on rewards.
Which statement best describes andragogy?
A) Andragogy techniques are usually ineffective for mature learners
B) Andragogy relies on structure and direction
C) Andragogy works well with people who have had life experiences
D) Andragogy works best with teacher-led activities
Ans: C
Feedback: Andragogy works well with those who have had life
experiences, because they are mature and can take part in their own
learning experiences. In this type of learning the learner is self-directed
rather than dependent. None of the remaining options accurately
describes andragogy.
, Research supports that which factor may lead nurses to become
disengated in their careers?
A. They do not feel that nursing is valued as a career
B. Boredom increases with time on the same job
C. Many nurses interrupt their careers for childrearing
D. Nursing is low paying compared with other careers
Ans: B
Feeback: research has shown that boredome and job indifference
leading to disengaement increase with time on the same job. While the
other options may be factors they are not research supported.
Which term is used to identify having official power to act?
A) Responsibility
B) Authority
C) Accountability
D) Leadership
Ans: B
Feedback: Authority means having the official power to act. None of the
other terms is used to identify having official power to act.
10. Which technique will help the manager prioritize?
A. Doing "trivial" items first to get them out of the way
B. Putting some items in the "don't do" category
C. "Breaking of" overwhelming tasks
D. "Delegating" the most important things to someone else
Ans: B
Feedback: The "don't do" list contains items that will take care of
themselves, are already outdated, or are best accomplished by
someone else. In the case of items that are best done by someone else,
the manager should pass these along in a timely fashion. None of the
remaining options address prioritization.