NURS 4067: Module B questions with correct answers
A nurse manager of a 20-bed medical unit finds that 80% of the patients
are older adults. She is asked to assess and adapt the unit to better meet
the unique needs of older adult patients. According to complexity
principles, what would be the best approach to take in making this
change? Correct Answer-Engage involved staff at all levels in the
decision-making process.
A unit manager of a 25-bed medical/surgical area receives a phone call
from a nurse who has called in sick five times in the past month. He tells
the manager that he very much wants to come to work when scheduled,
but must often care for his wife, who is undergoing treatment for breast
cancer. In the practice of a strengths-based nursing leader, what would
be the best approach to satisfying the needs of this nurse, other staff, and
patients? Correct Answer-Work with the nurse, staffing office, and other
nurses to arrange his scheduled days off around his wife's treatments.
A grievance brought by a staff nurse against the unit manager requires
mediation. At the first mediation session, the staff nurse repeatedly calls
the unit manager's actions unfair, and the unit manager continues to
reiterate the reasons for the actions. What would be the best course of
action at this time? Correct Answer-Ask each party to examine her own
motives and issues in the conflict.
Shortly after being informed of fetal death, a labouring woman asks why
she is not able to hear her baby's heartbeat on the monitor anymore.
Although the monitor volume had been turned off so that the patient
would be able to sleep between contractions, the nurse responded that
there was no heartbeat to hear because the baby had died in utero; then
,the nurse asked whether the patient would like to talk about how she was
feeling. This response demonstrates: Correct Answer-Ethical leadership.
The manager of a surgical area envisions a future that requires the
addition of registered nurse (RN) assistants or unlicensed persons to
feed, bathe, and walk patients. The RNs on the staff have always
practiced in a primary nursing-delivery system and are very resistant to
this idea. The best initial strategy in this situation would include: Correct
Answer-exploring the values of the RNs in relation to this change
As the charge nurse on the night shift in a small long-term care facility,
you have found that there is little turnover among your licensed practical
nurse and nursing assistant (NA) staff members, but they are not very
motivated to work beyond their job descriptions. Which of the following
strategies might motivate the staff and lead to greater job satisfaction?
Correct Answer-Allow the licensed practical nurses and NAs greater
decision-making power within the scope of their positions in the
institution.
As the nurse manager, you want to increase motivation by providing
motivating factors. Which action would you select? Correct Answer-
Implement a model of shared governance
A charge nurse on a busy 40-bed medical/surgical unit is approached by
a patient's son, who begins to complain loudly about the quality of care
his mother is receiving. His behaviour is so disruptive that it is
overheard by staff, physicians, and other visitors. The family member
rejects any attempt to intervene therapeutically to resolve the issue. He
leaves the unit abruptly, and the nurse is left feeling frustrated. Which
, behaviour by the charge nurse best illustrates refined leadership skills in
an emotionally intelligent practitioner? Correct Answer-Reflection to
obtain insight into how the situation could be handled differently in the
future
The chief nursing officer has asked the staff development coordinator to
facilitate the development of a clinical competency program for the
facility. While making rounds on the units, the staff development
coordinator overhears RN staff complaining that they believe it is
insulting to be required to participate in a competency program. Which
behaviour by the staff development coordinator is most appropriate in
this situation? Correct Answer-Facilitate a meeting so nurses can
articulate their values and concerns about a competency program.
Which category is unique to leadership but is not part of management?
Correct Answer-Developing people
You overhear a newly graduated RN telling one of your colleagues that
leadership and management belong to the unit manager and not to her.
Because you are a nursing colleague, your response demonstrates
understanding that the perception of the new graduate: Correct Answer-
Would benefit from further understanding of her role as a professional in
relation to decision-making.
You walk into a patient's room and find him yelling at the licensed
practical nurse. The patient is obviously very upset, and after you speak
with him regarding his behaviour, you determine that he has not
sleptUforSthreNe niTghts beOcause of unrelieved pain levels. The
licensed practical nurse is very upset with him and calls him an "ugly,
A nurse manager of a 20-bed medical unit finds that 80% of the patients
are older adults. She is asked to assess and adapt the unit to better meet
the unique needs of older adult patients. According to complexity
principles, what would be the best approach to take in making this
change? Correct Answer-Engage involved staff at all levels in the
decision-making process.
A unit manager of a 25-bed medical/surgical area receives a phone call
from a nurse who has called in sick five times in the past month. He tells
the manager that he very much wants to come to work when scheduled,
but must often care for his wife, who is undergoing treatment for breast
cancer. In the practice of a strengths-based nursing leader, what would
be the best approach to satisfying the needs of this nurse, other staff, and
patients? Correct Answer-Work with the nurse, staffing office, and other
nurses to arrange his scheduled days off around his wife's treatments.
A grievance brought by a staff nurse against the unit manager requires
mediation. At the first mediation session, the staff nurse repeatedly calls
the unit manager's actions unfair, and the unit manager continues to
reiterate the reasons for the actions. What would be the best course of
action at this time? Correct Answer-Ask each party to examine her own
motives and issues in the conflict.
Shortly after being informed of fetal death, a labouring woman asks why
she is not able to hear her baby's heartbeat on the monitor anymore.
Although the monitor volume had been turned off so that the patient
would be able to sleep between contractions, the nurse responded that
there was no heartbeat to hear because the baby had died in utero; then
,the nurse asked whether the patient would like to talk about how she was
feeling. This response demonstrates: Correct Answer-Ethical leadership.
The manager of a surgical area envisions a future that requires the
addition of registered nurse (RN) assistants or unlicensed persons to
feed, bathe, and walk patients. The RNs on the staff have always
practiced in a primary nursing-delivery system and are very resistant to
this idea. The best initial strategy in this situation would include: Correct
Answer-exploring the values of the RNs in relation to this change
As the charge nurse on the night shift in a small long-term care facility,
you have found that there is little turnover among your licensed practical
nurse and nursing assistant (NA) staff members, but they are not very
motivated to work beyond their job descriptions. Which of the following
strategies might motivate the staff and lead to greater job satisfaction?
Correct Answer-Allow the licensed practical nurses and NAs greater
decision-making power within the scope of their positions in the
institution.
As the nurse manager, you want to increase motivation by providing
motivating factors. Which action would you select? Correct Answer-
Implement a model of shared governance
A charge nurse on a busy 40-bed medical/surgical unit is approached by
a patient's son, who begins to complain loudly about the quality of care
his mother is receiving. His behaviour is so disruptive that it is
overheard by staff, physicians, and other visitors. The family member
rejects any attempt to intervene therapeutically to resolve the issue. He
leaves the unit abruptly, and the nurse is left feeling frustrated. Which
, behaviour by the charge nurse best illustrates refined leadership skills in
an emotionally intelligent practitioner? Correct Answer-Reflection to
obtain insight into how the situation could be handled differently in the
future
The chief nursing officer has asked the staff development coordinator to
facilitate the development of a clinical competency program for the
facility. While making rounds on the units, the staff development
coordinator overhears RN staff complaining that they believe it is
insulting to be required to participate in a competency program. Which
behaviour by the staff development coordinator is most appropriate in
this situation? Correct Answer-Facilitate a meeting so nurses can
articulate their values and concerns about a competency program.
Which category is unique to leadership but is not part of management?
Correct Answer-Developing people
You overhear a newly graduated RN telling one of your colleagues that
leadership and management belong to the unit manager and not to her.
Because you are a nursing colleague, your response demonstrates
understanding that the perception of the new graduate: Correct Answer-
Would benefit from further understanding of her role as a professional in
relation to decision-making.
You walk into a patient's room and find him yelling at the licensed
practical nurse. The patient is obviously very upset, and after you speak
with him regarding his behaviour, you determine that he has not
sleptUforSthreNe niTghts beOcause of unrelieved pain levels. The
licensed practical nurse is very upset with him and calls him an "ugly,
