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TEST BANK FOR PEDIATRIC NURSING THE
x
CRITICAL COMPONENTS OF NURSING C
x
ARE 2ND EDITION RUDD
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Chapter 07: Managing Self: Stress and Time
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE CHOICE
1. As a nurse manager, you observe a xstaffxnurse who overxthe pastxfewxweeks has become
withdrawn and has had several absences due xtoxminorxailments. Yourxbestxaction would be
to:
a. ask the nurse if she is okay duringxreport.
b. referxthexnursextoxthexemployeexassistancexprogram.
c. ask the nurse toxmeet with you for a few minutes before she leaves for the day.
d. write axnote to the nurse advising her that herxworkxattendance mustximprove.
ANS: C
Stress can leadxto emotional symptoms such as depression and axvariety ofxailments. Meeti ng
with the nurse privately may assist in identifying stress and possible solutions.
TOP: AONE competency: Business Skills
2. The nurse managerxof a unitxhas lost many staff members, and the unit is now staffedxwit
h ax large number of agency and traveling nurses. She xknows that the agency and traveling
nurses are all contracted to stayxon the unit xfor the next 3 months. One way to improve
moralexandx decrease xstressxinxthexunitxwouldxbexto:
a. plan a social event and include the agency andxtraveling nurse staff members.
b. plan unit-basedxsocial events forxyour remaining permanent staff members.
c. request hospital-based “floating”xnurses to substitute for the temporary staff.
d. implementxteam nursing.N R I G B.C M
U S N T O
ANS: A
Social support, in the form of positive work relationships, can be an important way to buff
er the effects of a stressful workxenvironment. Including all staff in the social eventxenable
s those who are notxnormally partxof the team to experiencexthis support andxprovides an o
pportunity for the staff as a wholextoxdevelop supportive relationships.
TOP: AONE competency: Communication and Relationship-Building
3. As a nurse manager, the one activity youxshouldxnot overlook is:
a. postingxthexyearlyxrotationxschedule.
b. .
c. scheduling staffingxfor holidays 6 months in advance.
d. anticipatingxstaff sick days.
ANS: B
Free time and vacation time are needed forxindividuals to recharge. If xtime for work is m
ore than 60% ofxwake time, or when self-
time is less than 10% of wake time, stress levels increase.
TOP: AONE competency: Business Skills
4. A nurse manager has decided that she must institute xsome personal time-
management steps to survivexworkxand home life. Her firstxstep should be to:
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,4/3/23, 8:59 PM Test-bank-for-leading-and-managing-in-nursing-7th-edition-by-yoder-wise-ch…
a. determine/ what/ takes/ upxso/ much/ of/ herxtime/ and/ energy.
b. organize/ her/ personal/ and/ work/ spaces.
c. purchase/ a/ handheld/ personal/ digital/ assistant/ toxhelp/ remindxher/ of/ importa/
ntx/ meetings.
d. determinexherxpersonalxandxprofessionalxgoals.
ANS:/ D
Personal/ time/ managementxrefers,/ in/ part,/ tox“the/ knowing/ of/ self.”/ Self-/
awareness/ is/ a/ critical / leadership/ skill,/ and/ being/ self-
aware/ andxsetting/ goals/ helps/ managers xdetermine/ howxtheir/ time/ is/ best/ spent.
TOP:/ AONE/ competency:/ Leadership
5. A/ hospice/ nurse/ has/ been/ feeling/ very/ stressed/ atxworkxbecause/ ofxboth/ the/ physical / strain/
andx/ the/ emotional/ drain/ of/ working/ with/ clients/ withxAIDS./ She/ tries/ to/ walk/ 1/ to/ 2/
milesx/ three / times/ axweek/ andxto/ talk/ regularly/ with/ herxhusband/ about xher/ work-
related/ feelings./ One/ reasonable/ stress-management/ strategy/ would/ be/ to:
a. start xtaking/ yoga/ lessons.
b. make/ an/ appointment / to/ meet/ with/ axpsychiatrist.
c. start/ jogging/ 5/ to/ 6/ miles/ every/ day.
d. plan/ toxgo/ out / forxa/ drinkxwith/ fellow/ nurses/ after/ work/ every/ day.
ANS:/ A
Stress/ relief/ techniques/ includex30/ minutes/ of/ exercisexfive/ times/ a/ week,/ as/ well/ as/ t /
echniques/ such/ as/ yoga/ that/ relievexmental/ stress.
TOP:/ AONE/ competency:/ Leadership
N
U RS ING TB.C OM
/ / / / /
6. The/ nurse/ managerxis/ implementing/ a/ shared/ governance/ model/ to/ help/ with/ communication
andxdecision/ making./ Although/ staff/ members/ like/ the/ concept,/ change/ is/ difficult./
Sta/ ff/ nurses/ feel:
a. more/ empowered.
b. more/ communicative.
c. less/ stressed.
d. morexpowerlessxandxdevalued.
ANS:/ D
Change/ can/ lead/ to/ feelings/ ofxbeing/ overwhelmed/ and/ powerless,/ especially/
ifxcomplexity/ compression/ orxrapid,/ intense/ changes/ have/ been/ involved.
TOP:/ AONE/ competency:/ Business/ Skills
7. The/ chief/ nursing/ officer/ listens/ toxnurse/ managers/ verbalize/ their/ feelings/ of/ internal/ stre
ss./ One/ common/ source/ ofxinternal/ stress/ seems/ to/ be:
a. the/ death/ of/ axloved/ one.
b. perfectionism.
c. getting/ married.
d. losing/ a/ job.
ANS:/ B
Losingxa/ job,/ the/ deathxofxaxloved/ one,/ and/ getting/ marriedxare/ examples / ofxexternal/ stress.
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TOP:/ AONE/ competency:/ Business/ Skills
8. The/ staff/ development xeducatorxpresents/ a/ series/ of/ programs/ on/ stress/ management/ to/ t/
he/ nurse xmanagers./ Research/ has/ indicated/ that/ an/ individual’s/ ability/ to/ deal/ with/
stres/ s/ is/ moderated/ by/ psychological/ hardiness./ Psychological/ hardiness/ is/
axcomposite xof:
a. commitment,xcontrol,xandxchallenge.
b. commitment,/ powerlessness,/ andxpassivity.
c. commitment,/ control,/ and/ passivity.
d. decreased/ isolation,/ challenge,/ and/ passivity.
ANS:/ A
Some/ people/ have/ the/ capacity/ to/ accept/ changes/ in/ life/ with/ goodxhumorxand/ resilience, /
which,/ in/ turn,/ influences/ behavior/ that/ prevents/ illness./ Hardiness/ involves/
thexcapacity
to/ manage/ time/ andxstress,/ to/ reframe xsituations/ positively,/ and/ to/ commit.
TOP:/ AONE/ competency:/ Leadership
9. The/ chiefxnursing/ officer/ understands/ that/ a/ nurse/ manager/ can/ exhibit / stress/ that/ is/
related/ to/ trying/ to/ keep/ upxwith/ the xnumberxof/ electronic/ messages/ that/ arrive,/ as/
well / as/ trying/ to/ remain/ accessible/ to/ staff./ What xis/ a/ strategy/ that/ would/
assist xthe xmanager/ to/ manage/ the/ information/ overload/ effectively?
a. Ignore/ messages/ unless/ theyxare/ labeledxas/ important.
b. Determinexwhoxisxmostxlikelyxtoxsendxuseful xorximportantxinformation/ or/ requests.
c. Checkxe-mail/ messages/ once/ a/ day.
d. Encourage/ face-to-face xmeetings/ rather/ than/ e-mail.
ANS:/ B
Reductionxofx/ stressxrelatedx/t/oNi/nUf/Ro/r/SmIa/t/Ni/oGn/ To/B
v e .r /loCa/d/Mrequ/ires/ thexdevelopmentx/ofx/ inf/
ormation-receiving/ andxinformation-sending/ skills./ Information-sending/ skills/ include
determining/ most/ common/ sources xof/ useful/ data,/ labeling/ files/ and/ folders/ to/ which/ e-/
mail/ messages/ can/ be/ directed,/ deletion/ of/ e-
mails,/ and/ focusing/ on/ the/ most/ important/ pieces./ Information-
/ sending/ skills/ include/ keeping/ e-
mail/ messages/ short/ (and/ callingxif/ the/ message/ needs/ to/ be/ long) xand/ considering/ the/
mo/ st/ appropriate/ mediumxforxmessages/ (telephone,/ fax,/ face-to-face).
TOP:/ AONE/ competency:/ Professionalism
10. In/ helping/ nurse xmanagers/ to/ manage/ theirxtime,/ thexchief/ nursingxofficer/ suggests/ that/ they:
a. maintain/ a/ perfectionistic/ attitude.
b. set/ up/ a/ complaint/ list.
c. have/ good/ negotiation/ skills.
d. have / good/ information/ literacy/ skills.
ANS:/ D
Time/ can/ be/ saved/ by/ using/ information/ technology/ effectively,/ asxit/ assists/ with/
effective/ dataxretrieval / and/ information/ gathering/ and/ with/ communication/ relatedxto/ a/
variety/ of/ n
eeds/ in/ the/ management/ setting.
TOP:/ AONE/ competency:/ Business/ Skills
11. Which/ of/ the/ followingxstatements/ would/ best/ define/ stress?/ Stress/ is:
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TEST BANK FOR PEDIATRIC NURSING THE
x
CRITICAL COMPONENTS OF NURSING C
x
ARE 2ND EDITION RUDD
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,4/3/23, 8:59 PM Test-bank-for-leading-and-managing-in-nursing-7th-edition-by-yoder-wise-ch…
Chapter 07: Managing Self: Stress and Time
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE CHOICE
1. As a nurse manager, you observe a xstaffxnurse who overxthe pastxfewxweeks has become
withdrawn and has had several absences due xtoxminorxailments. Yourxbestxaction would be
to:
a. ask the nurse if she is okay duringxreport.
b. referxthexnursextoxthexemployeexassistancexprogram.
c. ask the nurse toxmeet with you for a few minutes before she leaves for the day.
d. write axnote to the nurse advising her that herxworkxattendance mustximprove.
ANS: C
Stress can leadxto emotional symptoms such as depression and axvariety ofxailments. Meeti ng
with the nurse privately may assist in identifying stress and possible solutions.
TOP: AONE competency: Business Skills
2. The nurse managerxof a unitxhas lost many staff members, and the unit is now staffedxwit
h ax large number of agency and traveling nurses. She xknows that the agency and traveling
nurses are all contracted to stayxon the unit xfor the next 3 months. One way to improve
moralexandx decrease xstressxinxthexunitxwouldxbexto:
a. plan a social event and include the agency andxtraveling nurse staff members.
b. plan unit-basedxsocial events forxyour remaining permanent staff members.
c. request hospital-based “floating”xnurses to substitute for the temporary staff.
d. implementxteam nursing.N R I G B.C M
U S N T O
ANS: A
Social support, in the form of positive work relationships, can be an important way to buff
er the effects of a stressful workxenvironment. Including all staff in the social eventxenable
s those who are notxnormally partxof the team to experiencexthis support andxprovides an o
pportunity for the staff as a wholextoxdevelop supportive relationships.
TOP: AONE competency: Communication and Relationship-Building
3. As a nurse manager, the one activity youxshouldxnot overlook is:
a. postingxthexyearlyxrotationxschedule.
b. .
c. scheduling staffingxfor holidays 6 months in advance.
d. anticipatingxstaff sick days.
ANS: B
Free time and vacation time are needed forxindividuals to recharge. If xtime for work is m
ore than 60% ofxwake time, or when self-
time is less than 10% of wake time, stress levels increase.
TOP: AONE competency: Business Skills
4. A nurse manager has decided that she must institute xsome personal time-
management steps to survivexworkxand home life. Her firstxstep should be to:
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,4/3/23, 8:59 PM Test-bank-for-leading-and-managing-in-nursing-7th-edition-by-yoder-wise-ch…
a. determine/ what/ takes/ upxso/ much/ of/ herxtime/ and/ energy.
b. organize/ her/ personal/ and/ work/ spaces.
c. purchase/ a/ handheld/ personal/ digital/ assistant/ toxhelp/ remindxher/ of/ importa/
ntx/ meetings.
d. determinexherxpersonalxandxprofessionalxgoals.
ANS:/ D
Personal/ time/ managementxrefers,/ in/ part,/ tox“the/ knowing/ of/ self.”/ Self-/
awareness/ is/ a/ critical / leadership/ skill,/ and/ being/ self-
aware/ andxsetting/ goals/ helps/ managers xdetermine/ howxtheir/ time/ is/ best/ spent.
TOP:/ AONE/ competency:/ Leadership
5. A/ hospice/ nurse/ has/ been/ feeling/ very/ stressed/ atxworkxbecause/ ofxboth/ the/ physical / strain/
andx/ the/ emotional/ drain/ of/ working/ with/ clients/ withxAIDS./ She/ tries/ to/ walk/ 1/ to/ 2/
milesx/ three / times/ axweek/ andxto/ talk/ regularly/ with/ herxhusband/ about xher/ work-
related/ feelings./ One/ reasonable/ stress-management/ strategy/ would/ be/ to:
a. start xtaking/ yoga/ lessons.
b. make/ an/ appointment / to/ meet/ with/ axpsychiatrist.
c. start/ jogging/ 5/ to/ 6/ miles/ every/ day.
d. plan/ toxgo/ out / forxa/ drinkxwith/ fellow/ nurses/ after/ work/ every/ day.
ANS:/ A
Stress/ relief/ techniques/ includex30/ minutes/ of/ exercisexfive/ times/ a/ week,/ as/ well/ as/ t /
echniques/ such/ as/ yoga/ that/ relievexmental/ stress.
TOP:/ AONE/ competency:/ Leadership
N
U RS ING TB.C OM
/ / / / /
6. The/ nurse/ managerxis/ implementing/ a/ shared/ governance/ model/ to/ help/ with/ communication
andxdecision/ making./ Although/ staff/ members/ like/ the/ concept,/ change/ is/ difficult./
Sta/ ff/ nurses/ feel:
a. more/ empowered.
b. more/ communicative.
c. less/ stressed.
d. morexpowerlessxandxdevalued.
ANS:/ D
Change/ can/ lead/ to/ feelings/ ofxbeing/ overwhelmed/ and/ powerless,/ especially/
ifxcomplexity/ compression/ orxrapid,/ intense/ changes/ have/ been/ involved.
TOP:/ AONE/ competency:/ Business/ Skills
7. The/ chief/ nursing/ officer/ listens/ toxnurse/ managers/ verbalize/ their/ feelings/ of/ internal/ stre
ss./ One/ common/ source/ ofxinternal/ stress/ seems/ to/ be:
a. the/ death/ of/ axloved/ one.
b. perfectionism.
c. getting/ married.
d. losing/ a/ job.
ANS:/ B
Losingxa/ job,/ the/ deathxofxaxloved/ one,/ and/ getting/ marriedxare/ examples / ofxexternal/ stress.
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TOP:/ AONE/ competency:/ Business/ Skills
8. The/ staff/ development xeducatorxpresents/ a/ series/ of/ programs/ on/ stress/ management/ to/ t/
he/ nurse xmanagers./ Research/ has/ indicated/ that/ an/ individual’s/ ability/ to/ deal/ with/
stres/ s/ is/ moderated/ by/ psychological/ hardiness./ Psychological/ hardiness/ is/
axcomposite xof:
a. commitment,xcontrol,xandxchallenge.
b. commitment,/ powerlessness,/ andxpassivity.
c. commitment,/ control,/ and/ passivity.
d. decreased/ isolation,/ challenge,/ and/ passivity.
ANS:/ A
Some/ people/ have/ the/ capacity/ to/ accept/ changes/ in/ life/ with/ goodxhumorxand/ resilience, /
which,/ in/ turn,/ influences/ behavior/ that/ prevents/ illness./ Hardiness/ involves/
thexcapacity
to/ manage/ time/ andxstress,/ to/ reframe xsituations/ positively,/ and/ to/ commit.
TOP:/ AONE/ competency:/ Leadership
9. The/ chiefxnursing/ officer/ understands/ that/ a/ nurse/ manager/ can/ exhibit / stress/ that/ is/
related/ to/ trying/ to/ keep/ upxwith/ the xnumberxof/ electronic/ messages/ that/ arrive,/ as/
well / as/ trying/ to/ remain/ accessible/ to/ staff./ What xis/ a/ strategy/ that/ would/
assist xthe xmanager/ to/ manage/ the/ information/ overload/ effectively?
a. Ignore/ messages/ unless/ theyxare/ labeledxas/ important.
b. Determinexwhoxisxmostxlikelyxtoxsendxuseful xorximportantxinformation/ or/ requests.
c. Checkxe-mail/ messages/ once/ a/ day.
d. Encourage/ face-to-face xmeetings/ rather/ than/ e-mail.
ANS:/ B
Reductionxofx/ stressxrelatedx/t/oNi/nUf/Ro/r/SmIa/t/Ni/oGn/ To/B
v e .r /loCa/d/Mrequ/ires/ thexdevelopmentx/ofx/ inf/
ormation-receiving/ andxinformation-sending/ skills./ Information-sending/ skills/ include
determining/ most/ common/ sources xof/ useful/ data,/ labeling/ files/ and/ folders/ to/ which/ e-/
mail/ messages/ can/ be/ directed,/ deletion/ of/ e-
mails,/ and/ focusing/ on/ the/ most/ important/ pieces./ Information-
/ sending/ skills/ include/ keeping/ e-
mail/ messages/ short/ (and/ callingxif/ the/ message/ needs/ to/ be/ long) xand/ considering/ the/
mo/ st/ appropriate/ mediumxforxmessages/ (telephone,/ fax,/ face-to-face).
TOP:/ AONE/ competency:/ Professionalism
10. In/ helping/ nurse xmanagers/ to/ manage/ theirxtime,/ thexchief/ nursingxofficer/ suggests/ that/ they:
a. maintain/ a/ perfectionistic/ attitude.
b. set/ up/ a/ complaint/ list.
c. have/ good/ negotiation/ skills.
d. have / good/ information/ literacy/ skills.
ANS:/ D
Time/ can/ be/ saved/ by/ using/ information/ technology/ effectively,/ asxit/ assists/ with/
effective/ dataxretrieval / and/ information/ gathering/ and/ with/ communication/ relatedxto/ a/
variety/ of/ n
eeds/ in/ the/ management/ setting.
TOP:/ AONE/ competency:/ Business/ Skills
11. Which/ of/ the/ followingxstatements/ would/ best/ define/ stress?/ Stress/ is:
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