DEVELOPING THE ROLE OF MANAGER
YODER-WISE: LEADING AND
MANAGING IN NURSING, 7TH EDITION
CHAPTER 29: EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
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:
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. - Answer-ANS: A
Managed care combines delivery of needed care with business principles of efficiency
and cost. Nurse managers who know business principles become conduits for ensuring
safe, effective, affordable care.
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:
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. - Answer-ANS: B
The key to effective case management is proactive coordination of care from the point
of admission to accomplish appropriate and effective outcomes. Case management
involves components such as case selection, multidisciplinary assessment, collective
planning, coordination of events, negotiation, and evaluation and documentation of the
outcomes of patient status in measures of cost. Case management is employed in a
variety of settings.
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?
a. Pediatric staff
b. Postsurgical unit staff
c. Emergency Department staff
d. Medical oncology unit staff - Answer-ANS: C
Nurse managers have responsibility for both patient and staff safety. High-risk areas,
such as the Emergency Department, require special attention.
, 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:
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. - Answer-ANS: D
As technology improves, informatics must be integrated with budget and personnel as a
critical resource element. Basing practice on evidence-based care can assist in making
solid decisions about resources and in leading and encouraging staff toward positive
changes in patient outcomes. EHRs, for example, are expected to enhance coordination
of care, improve health outcomes, and increase accuracy of diagnoses.
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:
a. measurable.
b. unrealistic.
c. attainable.
d. too low. - Answer-ANS: B
Nurse managers who are successful in motivating staff often provide an inclusive
environment that facilitates clearly set, achievable goals that can result in both team and
personal satisfaction.
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?
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. - Answer-ANS: A
Nurse managers have the responsibility of day-to-day decisions for their units and
interpret established policy, procedures, and mandates. They meet their goals by
organizing, staffing, controlling, and solving problems. By contrast, leaders develop a
vision and translate that direction into action.
YODER-WISE: LEADING AND
MANAGING IN NURSING, 7TH EDITION
CHAPTER 29: EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
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:
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. - Answer-ANS: A
Managed care combines delivery of needed care with business principles of efficiency
and cost. Nurse managers who know business principles become conduits for ensuring
safe, effective, affordable care.
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:
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. - Answer-ANS: B
The key to effective case management is proactive coordination of care from the point
of admission to accomplish appropriate and effective outcomes. Case management
involves components such as case selection, multidisciplinary assessment, collective
planning, coordination of events, negotiation, and evaluation and documentation of the
outcomes of patient status in measures of cost. Case management is employed in a
variety of settings.
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?
a. Pediatric staff
b. Postsurgical unit staff
c. Emergency Department staff
d. Medical oncology unit staff - Answer-ANS: C
Nurse managers have responsibility for both patient and staff safety. High-risk areas,
such as the Emergency Department, require special attention.
, 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:
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. - Answer-ANS: D
As technology improves, informatics must be integrated with budget and personnel as a
critical resource element. Basing practice on evidence-based care can assist in making
solid decisions about resources and in leading and encouraging staff toward positive
changes in patient outcomes. EHRs, for example, are expected to enhance coordination
of care, improve health outcomes, and increase accuracy of diagnoses.
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:
a. measurable.
b. unrealistic.
c. attainable.
d. too low. - Answer-ANS: B
Nurse managers who are successful in motivating staff often provide an inclusive
environment that facilitates clearly set, achievable goals that can result in both team and
personal satisfaction.
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?
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. - Answer-ANS: A
Nurse managers have the responsibility of day-to-day decisions for their units and
interpret established policy, procedures, and mandates. They meet their goals by
organizing, staffing, controlling, and solving problems. By contrast, leaders develop a
vision and translate that direction into action.
