The failure or refusal to hire an individual on the basis of race, color, religion, sex, or national
origin is specifically prohibited by:
A. the Fair Labor Standards Act.
D. Title VII of the Civil Rights Act.
B. the Hill-Burton Act.
C. the National Labor Relations Act.
D. Title VII of the Civil Rights Act.
Union-organizing activities are occurring at an institution. According to National Labor Rela-
tions Board regulations, the institution's management may:
A. distribute information to workers about the union's record on dues, strikes, and other
A.distribute information to workers about the union's record on dues, strikes, and other
aspects of its performance.
aspects of its performance.
B. otter additional insurance coverage while the organizing activities are taking place.
C. provide an unscheduled wage increase while the organizing activities are occurring.
D. restrain the union-organizing committee from soliciting authorization cards.
A healthcare organization is the focus of a union-organizing campaign. The nurse executive
responds by:
A. attending the union's organizational meetings to better understand the employees' needs
D. providing factual information about the union, if an employee asks.
and concerns.
B. engaging statt in a discussion about the union campaign.
C. helping statt members who oppose unionization to determine their next actions.
D. providing factual information about the union, if an employee asks.
What type of budget assumes that no existing programs are entitled to automatic approval?
A. Forecast.
B. Static. D. Zero-based.
C. Variable.
D. Zero-based.
To identify the nursing statt needed for a new inpatient unit, the nurse executive:
A. determines the patient care needs and time required to meet those needs.
B. determines which staflng model will be used. A. determines the patient care needs and time required to meet those needs.
C. hires unlicensed assistive personnel to work with each registered nurse.
D. solicits internal statt who are challenged by new endeavors.
The Patient Self-Determination Act is intended to ensure that patients:
A. are asked questions about advance directives.
B. grant informed consent before undergoing surgery. A. are asked questions about advance directives.
C. have a recognized primary and secondary beneficiary.
D. will be informed if their conditions are deemed terminal.
A disease management model of care focuses on:
A. comprehensive monitoring of patient outcomes.
B. early disease prevention. A. comprehensive monitoring of patient outcomes.
C. end-of-life care decisions.
D. reimbursement factors.
8. The final step in a performance appraisal is to:
A. indicate specific areas for improvement.
B. reach consensus on future goals. B. reach consensus on future goals.
C. reinforce positive performance.
D. summarize the review to signify closure.
The first step in a remedial action program for an employee whose clinical performance does
not meet standards is to:
,A. determine whether the employee will be more receptive to self-learning modalities or
referral to a statt development educator.
B. determine whether the problem is related to a lack of competency or a lack of productivity. C. determine whether the problem is related to a lack of knowledge or a lack of skill.
C. determine whether the problem is related to a lack of knowledge or a lack of skill.
D. refer the employee to a statt development educator for further education and training.
Research suggests that the nurse executive most ettectively improves employee job satisfac-
tion by:
A. increasing employee salaries.
B. increasing statt autonomy.
B. increasing statt autonomy.
C. ottering more educational assistance.
D. providing a clinical advancement program.
When meeting with a statt nurse to discuss performance concerns, the nurse executive states,
"When you repeatedly avoid taking reports on a patient who transfers to our unit, it delays
care of the patient and can delay admissions to the transferring unit." What communication
style is the nurse executive demonstrating?
B. Assertive.
A. Aggressive.
B. Assertive.
C. Passive.
D. Passive-aggressive.
A committee in a large urban hospital is appointed to plan improvements in patient care. The
committee members include the:
A. chief nursing oflcer and the chief medical oflcer.
C. medical, nursing, and ancillary statt personnel.
B. institution's strategic planning committee members.
C. medical, nursing, and ancillary statt personnel.
D. senior management and the budget adviser.
Which statement is an outcome indicator?
A. The nurse working in a coronary care unit has successfully completed an advanced coronary
care course.
C. The patient names all medications to be taken after discharge.
B. The nursing care plan outlines a strategy for each patient problem.
C. The patient names all medications to be taken after discharge.
D. The patient who is newly diagnosed with diabetes receives 10 hours of instruction.
Three accepted determinants for measuring quality are structure, outcome, and:
A. acuity.
B. cost. D. process.
C. knowledge.
D. process.
Through the process of risk management, the nurse executive prevents patient care problems
by:
A. analyzing situations that mitigate the impact of adverse ettects.
A. analyzing situations that mitigate the impact of adverse ettects.
B. emphasizing customer satisfaction, innovation, and employee engagement.
C. examining process standards through chart audits related to clinical care.
D. focusing on processes related to education and statt development.
A high-volume, procedural-based unit experiences significant patient wait times. Leading the
team in a continuous quality improvement analysis, the nurse executive begins by construct-
ing a: B. fishbone diagram.
A. decision-making chart.
B. fishbone diagram.
, C. force field diagram.
D. Pareto chart.
Referent power is based on:
A. admiration.
B. expertise. A. admiration.
C. fear.
D. position.
The nurse executive is newly appointed to a clinical service and notices that statt members
appear to deliver care in a disorganized, fragmented, superficial, and task-oriented manner.
The nurse executive:
A. gathers data about the nature of the problem and asks the chief nurse for advice.
B. reviews and distributes the organization's philosophy statement and meets with the statt C. schedules conferences with the statt members to discuss basic values and beliefs about
to discuss it. nursing and begins establishing mutual goals.
C. schedules conferences with the statt members to discuss basic values and beliefs about
nursing and begins establishing mutual goals.
D. schedules meetings with the statt members to share the observations and informs the statt
about the desired changes.
A patient has a terminal illness. Against the family's wishes, the patient requests a "do not
resuscitate (DNR)" order. Which ethical principle supports the patient's decision?
A. Autonomy.
A. Autonomy.
B. Beneficence.
C. Justice.
D. Nonmaleficence.
A 14-year-old female patient, a practicing Jehovah's Witness, is admitted for anemia. The
physician determines that blood transfusions are necessary, but the patient's parents refuse
to consent. The patient states that she wishes to be treated. The nurse executive's action is to:
A. contact local clergy for assistance in crisis intervention. D. request that the administration contact the hospital attorney for legal counsel.
B. inform the patient that her parents must consent before treatment can be administered.
C. inform the patient that she is a minor and incapable of such decisions under state law.
D. request that the administration contact the hospital attorney for legal counsel.
Quantitative research is appropriately used to:
A. gain insight into cultural practices.
B. investigate the why and how of decision making. C. predict future clinical outcomes.
C. predict future clinical outcomes.
D. understand the meaning of events.
A family practice clinic decides to develop a new care coordinator position. When evaluating
the role, the nurse executive:
A. determines the ettect on the clinic's financial productivity.
A. determines the ettect on the clinic's financial productivity.
B. evaluates the clinic's quality indicators.
C. obtains feedback from the clinic providers.
D. reviews the clinic's patient satisfaction surveys.
The five basic competencies of emotional intelligence include self-awareness, self-regulation,
empathy, social skills, and:
A. academic achievement.
C. motivation.
B. ettective communication.
C. motivation.
D. team-building skills.
origin is specifically prohibited by:
A. the Fair Labor Standards Act.
D. Title VII of the Civil Rights Act.
B. the Hill-Burton Act.
C. the National Labor Relations Act.
D. Title VII of the Civil Rights Act.
Union-organizing activities are occurring at an institution. According to National Labor Rela-
tions Board regulations, the institution's management may:
A. distribute information to workers about the union's record on dues, strikes, and other
A.distribute information to workers about the union's record on dues, strikes, and other
aspects of its performance.
aspects of its performance.
B. otter additional insurance coverage while the organizing activities are taking place.
C. provide an unscheduled wage increase while the organizing activities are occurring.
D. restrain the union-organizing committee from soliciting authorization cards.
A healthcare organization is the focus of a union-organizing campaign. The nurse executive
responds by:
A. attending the union's organizational meetings to better understand the employees' needs
D. providing factual information about the union, if an employee asks.
and concerns.
B. engaging statt in a discussion about the union campaign.
C. helping statt members who oppose unionization to determine their next actions.
D. providing factual information about the union, if an employee asks.
What type of budget assumes that no existing programs are entitled to automatic approval?
A. Forecast.
B. Static. D. Zero-based.
C. Variable.
D. Zero-based.
To identify the nursing statt needed for a new inpatient unit, the nurse executive:
A. determines the patient care needs and time required to meet those needs.
B. determines which staflng model will be used. A. determines the patient care needs and time required to meet those needs.
C. hires unlicensed assistive personnel to work with each registered nurse.
D. solicits internal statt who are challenged by new endeavors.
The Patient Self-Determination Act is intended to ensure that patients:
A. are asked questions about advance directives.
B. grant informed consent before undergoing surgery. A. are asked questions about advance directives.
C. have a recognized primary and secondary beneficiary.
D. will be informed if their conditions are deemed terminal.
A disease management model of care focuses on:
A. comprehensive monitoring of patient outcomes.
B. early disease prevention. A. comprehensive monitoring of patient outcomes.
C. end-of-life care decisions.
D. reimbursement factors.
8. The final step in a performance appraisal is to:
A. indicate specific areas for improvement.
B. reach consensus on future goals. B. reach consensus on future goals.
C. reinforce positive performance.
D. summarize the review to signify closure.
The first step in a remedial action program for an employee whose clinical performance does
not meet standards is to:
,A. determine whether the employee will be more receptive to self-learning modalities or
referral to a statt development educator.
B. determine whether the problem is related to a lack of competency or a lack of productivity. C. determine whether the problem is related to a lack of knowledge or a lack of skill.
C. determine whether the problem is related to a lack of knowledge or a lack of skill.
D. refer the employee to a statt development educator for further education and training.
Research suggests that the nurse executive most ettectively improves employee job satisfac-
tion by:
A. increasing employee salaries.
B. increasing statt autonomy.
B. increasing statt autonomy.
C. ottering more educational assistance.
D. providing a clinical advancement program.
When meeting with a statt nurse to discuss performance concerns, the nurse executive states,
"When you repeatedly avoid taking reports on a patient who transfers to our unit, it delays
care of the patient and can delay admissions to the transferring unit." What communication
style is the nurse executive demonstrating?
B. Assertive.
A. Aggressive.
B. Assertive.
C. Passive.
D. Passive-aggressive.
A committee in a large urban hospital is appointed to plan improvements in patient care. The
committee members include the:
A. chief nursing oflcer and the chief medical oflcer.
C. medical, nursing, and ancillary statt personnel.
B. institution's strategic planning committee members.
C. medical, nursing, and ancillary statt personnel.
D. senior management and the budget adviser.
Which statement is an outcome indicator?
A. The nurse working in a coronary care unit has successfully completed an advanced coronary
care course.
C. The patient names all medications to be taken after discharge.
B. The nursing care plan outlines a strategy for each patient problem.
C. The patient names all medications to be taken after discharge.
D. The patient who is newly diagnosed with diabetes receives 10 hours of instruction.
Three accepted determinants for measuring quality are structure, outcome, and:
A. acuity.
B. cost. D. process.
C. knowledge.
D. process.
Through the process of risk management, the nurse executive prevents patient care problems
by:
A. analyzing situations that mitigate the impact of adverse ettects.
A. analyzing situations that mitigate the impact of adverse ettects.
B. emphasizing customer satisfaction, innovation, and employee engagement.
C. examining process standards through chart audits related to clinical care.
D. focusing on processes related to education and statt development.
A high-volume, procedural-based unit experiences significant patient wait times. Leading the
team in a continuous quality improvement analysis, the nurse executive begins by construct-
ing a: B. fishbone diagram.
A. decision-making chart.
B. fishbone diagram.
, C. force field diagram.
D. Pareto chart.
Referent power is based on:
A. admiration.
B. expertise. A. admiration.
C. fear.
D. position.
The nurse executive is newly appointed to a clinical service and notices that statt members
appear to deliver care in a disorganized, fragmented, superficial, and task-oriented manner.
The nurse executive:
A. gathers data about the nature of the problem and asks the chief nurse for advice.
B. reviews and distributes the organization's philosophy statement and meets with the statt C. schedules conferences with the statt members to discuss basic values and beliefs about
to discuss it. nursing and begins establishing mutual goals.
C. schedules conferences with the statt members to discuss basic values and beliefs about
nursing and begins establishing mutual goals.
D. schedules meetings with the statt members to share the observations and informs the statt
about the desired changes.
A patient has a terminal illness. Against the family's wishes, the patient requests a "do not
resuscitate (DNR)" order. Which ethical principle supports the patient's decision?
A. Autonomy.
A. Autonomy.
B. Beneficence.
C. Justice.
D. Nonmaleficence.
A 14-year-old female patient, a practicing Jehovah's Witness, is admitted for anemia. The
physician determines that blood transfusions are necessary, but the patient's parents refuse
to consent. The patient states that she wishes to be treated. The nurse executive's action is to:
A. contact local clergy for assistance in crisis intervention. D. request that the administration contact the hospital attorney for legal counsel.
B. inform the patient that her parents must consent before treatment can be administered.
C. inform the patient that she is a minor and incapable of such decisions under state law.
D. request that the administration contact the hospital attorney for legal counsel.
Quantitative research is appropriately used to:
A. gain insight into cultural practices.
B. investigate the why and how of decision making. C. predict future clinical outcomes.
C. predict future clinical outcomes.
D. understand the meaning of events.
A family practice clinic decides to develop a new care coordinator position. When evaluating
the role, the nurse executive:
A. determines the ettect on the clinic's financial productivity.
A. determines the ettect on the clinic's financial productivity.
B. evaluates the clinic's quality indicators.
C. obtains feedback from the clinic providers.
D. reviews the clinic's patient satisfaction surveys.
The five basic competencies of emotional intelligence include self-awareness, self-regulation,
empathy, social skills, and:
A. academic achievement.
C. motivation.
B. ettective communication.
C. motivation.
D. team-building skills.
