Test Bank For Yoder-Wise's Leading
and Managing in Canadian Nursing,
3rd Edition by Nancy Walton, Janice
Waddell
Chapter 2: As the nurse manager, you want to increase motivation by providing
motivating factors. Which action would you select?
a.
Collaborate with the human resources/personnel department to develop on-site day
b.
Provide a hierarchical organizational structure.
c.
Implement a model of shared governance.
Promote the development of a flexible benefits package - answer- C
Complexity theory suggests that systems interact and adapt and that decision-
making occurs throughout systems, as opposed to being made unilaterally by
different levels of the organizational hierarchy. In complexity theory, every
person's opinion counts, and therefore all levels of staff would be involved in
decision-making. This principle underlies shared governance. Shared
governance is an example of nurse decision-making in which nurses at
different organizational levels engage in shaping policy and practices
Chapter 05: In an effort to control costs and maximize revenues, the Rehabilitation Unit
at Cross Hospital reduces the number of its nursing
managers. Within a year the number of adverse events on the units has doubled. This
may be attributable to:
a. . The overload of work for staff nurses.
b. Inability of staff at the bedside to make good choices.
c. A change in reporting systems.
d. Fewer clinical leaders and advocates for necessary resources - answer- d. Fewer
clinical leaders and advocates for necessary resources
Strong leadership across the nursing profession is essential to ensure the delivery of
safe care. Reducing nursing managers who
provide support, consultation, and leadership in securing resources and in inspiring
standards of excellence may increase the
number of adverse events related to lack of leadership
,Chapter 05: Traditional approaches to ensuring patient safety have focused on:
a. Assigning blame.
b. Finding solutions to systems issues.
c. Instituting best practices in response to errors.
d. Hiding errors from potential litigation. - answer- A
When health care facilities create a culture of safety, their staff are more willing to report
adverse events because the focus is on
addressing issues in the system and not blaming individuals
Chapter 05: What is the primary purpose of nursing standards?
a. To inform performance appraisals at the unit level.
b. To identify the desired level of performance.
c. To inform the courts in relation to negligence and malpractice cases.
d. To educate other health care professionals about the role of the nurse - answer- B
The primary purpose of standards is to identify for nurses, the public, government, and
other stakeholders the desired and
achievable level of performance expected of nurses in their practice, against which
actual performance can be measured.
Chapter 05: During review of back injuries, it is determined that mechanical lifts and
transfer belts are not being properly used. In addressing
this concern, the unit manager:
a. Meets individually with nurses, who are observed using the lifts incorrectly, to
review the correct procedure.
b. Consults with the staff about the review to determine how best to proceed.
c. Blames the system for inadequate funding for resources.
d. Reviews the system of reporting adverse events to ensure that appropriate
reporting is occurring - answer- B
Consulting with the staff enables the nurse manager to ascertain the root of the
problem, inasmuch as the equipment may be
faulty or unsafe because of its age and needs to be replaced. Client-focused provision
of care requires the nurse administrator to
communicate, collaborate, and consult with nurses and other members of the health
care team about the provision of health care
services
Chapter 05: The nursing manager changed the current model of implementing nursing
rounds of patients each day at 1200 hours to
implementing interdisciplinary rounds of patients at 1000 hours. This change reflects:
a. A patient-centred care initiative.
b. Delegation of responsibility from nursing to other health care professionals.
c. Lack of consultation among the nursing staff.
d. An inappropriate time to complete patient rounds and will probably not work - answer-
A
Patient-centred care is a priority in two main roles for nursing managers: making
policies and ensuring system accountability. A
, number of activities can be implemented to enact these two roles, and nurses can
support or implement many of them. For
example, nurses can lead changes that promote team-based and collaborative care, as
demonstrated in this question
Chapter 05: Which of the following represents an activity that supports patient-centred
care?
a. Posting of visiting hours on the entrance way to each hospital unit
b. Regular staff surveys to monitor organizational satisfaction
c. Reserved parking spots at the main hospital entrance for physicians
d. Creating e-health stations on each inpatient unit - answer- D
Governance and management activities that support patient-centred care include e-
health stations and other technologic devices
that facilitate communication, efficiency, and convenience
Chapter 05: What is the focus in a culture of safety?
a. Employee safety.
b. Investigating who is making health care errors.
c. Effective systems and team work
d. Professional nursing standards and ethical codes - answer- C
In a culture of safety, the focus is on effective systems and teamwork to accomplish the
mutual goal of safe, high-quality
performance. When something goes wrong, the focus is on what the problem is, rather
than who. The intent is to expose process
failures and system issues and to solve them in a nonbiased, nonthreatening way
Chapter 05: Having team "huddles" each day on the nursing unit is a reflection of:
a. Nurses' need to socialize.
b. Creating a culture of safety.
c. Ensuring distribution of equal workloads.
d. The manager`s need to talk with staff nurses on a daily basis - answer- B
Some examples of activities that health care organizations can implement to support a
culture of safety include establishing
Quality Improvement (QI) teams, having regular team "huddles" on the unit, debriefing
with regard to adverse events, and
requiring completion of a surgical safety checklist
Chapter 01: As the head of a nursing program, you consistently invite your team to
develop ideas about innovations in teaching, community
partnerships, and curriculum design and invite participation in decisions. Many of these
ideas have been implemented successfully,
and your staff members are keen to try other ideas. You are employing _____
leadership
a. Situational
b. Trait-based
c. Contingency-based
and Managing in Canadian Nursing,
3rd Edition by Nancy Walton, Janice
Waddell
Chapter 2: As the nurse manager, you want to increase motivation by providing
motivating factors. Which action would you select?
a.
Collaborate with the human resources/personnel department to develop on-site day
b.
Provide a hierarchical organizational structure.
c.
Implement a model of shared governance.
Promote the development of a flexible benefits package - answer- C
Complexity theory suggests that systems interact and adapt and that decision-
making occurs throughout systems, as opposed to being made unilaterally by
different levels of the organizational hierarchy. In complexity theory, every
person's opinion counts, and therefore all levels of staff would be involved in
decision-making. This principle underlies shared governance. Shared
governance is an example of nurse decision-making in which nurses at
different organizational levels engage in shaping policy and practices
Chapter 05: In an effort to control costs and maximize revenues, the Rehabilitation Unit
at Cross Hospital reduces the number of its nursing
managers. Within a year the number of adverse events on the units has doubled. This
may be attributable to:
a. . The overload of work for staff nurses.
b. Inability of staff at the bedside to make good choices.
c. A change in reporting systems.
d. Fewer clinical leaders and advocates for necessary resources - answer- d. Fewer
clinical leaders and advocates for necessary resources
Strong leadership across the nursing profession is essential to ensure the delivery of
safe care. Reducing nursing managers who
provide support, consultation, and leadership in securing resources and in inspiring
standards of excellence may increase the
number of adverse events related to lack of leadership
,Chapter 05: Traditional approaches to ensuring patient safety have focused on:
a. Assigning blame.
b. Finding solutions to systems issues.
c. Instituting best practices in response to errors.
d. Hiding errors from potential litigation. - answer- A
When health care facilities create a culture of safety, their staff are more willing to report
adverse events because the focus is on
addressing issues in the system and not blaming individuals
Chapter 05: What is the primary purpose of nursing standards?
a. To inform performance appraisals at the unit level.
b. To identify the desired level of performance.
c. To inform the courts in relation to negligence and malpractice cases.
d. To educate other health care professionals about the role of the nurse - answer- B
The primary purpose of standards is to identify for nurses, the public, government, and
other stakeholders the desired and
achievable level of performance expected of nurses in their practice, against which
actual performance can be measured.
Chapter 05: During review of back injuries, it is determined that mechanical lifts and
transfer belts are not being properly used. In addressing
this concern, the unit manager:
a. Meets individually with nurses, who are observed using the lifts incorrectly, to
review the correct procedure.
b. Consults with the staff about the review to determine how best to proceed.
c. Blames the system for inadequate funding for resources.
d. Reviews the system of reporting adverse events to ensure that appropriate
reporting is occurring - answer- B
Consulting with the staff enables the nurse manager to ascertain the root of the
problem, inasmuch as the equipment may be
faulty or unsafe because of its age and needs to be replaced. Client-focused provision
of care requires the nurse administrator to
communicate, collaborate, and consult with nurses and other members of the health
care team about the provision of health care
services
Chapter 05: The nursing manager changed the current model of implementing nursing
rounds of patients each day at 1200 hours to
implementing interdisciplinary rounds of patients at 1000 hours. This change reflects:
a. A patient-centred care initiative.
b. Delegation of responsibility from nursing to other health care professionals.
c. Lack of consultation among the nursing staff.
d. An inappropriate time to complete patient rounds and will probably not work - answer-
A
Patient-centred care is a priority in two main roles for nursing managers: making
policies and ensuring system accountability. A
, number of activities can be implemented to enact these two roles, and nurses can
support or implement many of them. For
example, nurses can lead changes that promote team-based and collaborative care, as
demonstrated in this question
Chapter 05: Which of the following represents an activity that supports patient-centred
care?
a. Posting of visiting hours on the entrance way to each hospital unit
b. Regular staff surveys to monitor organizational satisfaction
c. Reserved parking spots at the main hospital entrance for physicians
d. Creating e-health stations on each inpatient unit - answer- D
Governance and management activities that support patient-centred care include e-
health stations and other technologic devices
that facilitate communication, efficiency, and convenience
Chapter 05: What is the focus in a culture of safety?
a. Employee safety.
b. Investigating who is making health care errors.
c. Effective systems and team work
d. Professional nursing standards and ethical codes - answer- C
In a culture of safety, the focus is on effective systems and teamwork to accomplish the
mutual goal of safe, high-quality
performance. When something goes wrong, the focus is on what the problem is, rather
than who. The intent is to expose process
failures and system issues and to solve them in a nonbiased, nonthreatening way
Chapter 05: Having team "huddles" each day on the nursing unit is a reflection of:
a. Nurses' need to socialize.
b. Creating a culture of safety.
c. Ensuring distribution of equal workloads.
d. The manager`s need to talk with staff nurses on a daily basis - answer- B
Some examples of activities that health care organizations can implement to support a
culture of safety include establishing
Quality Improvement (QI) teams, having regular team "huddles" on the unit, debriefing
with regard to adverse events, and
requiring completion of a surgical safety checklist
Chapter 01: As the head of a nursing program, you consistently invite your team to
develop ideas about innovations in teaching, community
partnerships, and curriculum design and invite participation in decisions. Many of these
ideas have been implemented successfully,
and your staff members are keen to try other ideas. You are employing _____
leadership
a. Situational
b. Trait-based
c. Contingency-based
