Test-bank-for-leading-and-managing-in-nursing-
7th-edition-by
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Nursing Skills I (South Texas College)
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TEST BANK FOR PEDIATRIC NURSING THE CRITICAL COMPONENTS
OF
NURSING CARE 2ND EDITION RUDD
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 staff nurse who over the past few weeks
has become withdrawn and has had several absences due to minor ailments.
Your best action would be to: a. ask the nurse if she is okay during report.
b. refer the nurse to the employee assistance program.
c. ask the nurse to meet with you for a few minutes before she leaves for the
day.
d. write a note to the nurse advising her that her work attendance must
improve.
ANS: C
Stress can lead to emotional symptoms such as depression and a variety of
ailments. Meeting with the nurse privately may assist in identifying stress
and possible solutions.
TOP: AONE competency: Business Skills
2. The nurse manager of a unit has lost many staff members, and the unit is
now staffed with a large number of agency and traveling nurses. She knows
that the agency and traveling nurses are all contracted to stay on the unit for
the next 3 months. One way to improve morale and decrease stress in the
unit would be to:
a. plan a social event and include the agency and traveling nurse staff
members.
b. plan unit-based social events for your remaining permanent staff
members.
c. request hospital-based “floating” nurses to substitute for the temporary
staff.
d. implement team nursing.
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ANS: A
Social support, in the form of positive work relationships, can be an
important way to buffer the effects of a stressful work environment.
Including all staff in the social event enables those who are not normally part
of the team to experience this support and provides an opportunity for the
staff as a whole to develop supportive relationships.
TOP: AONE competency: Communication and Relationship-
Building
3. As a nurse manager, the one activity you should not overlook is:
a. posting the yearly rotation schedule.
b. reviewing vacation requests.
c. scheduling staffing for holidays 6 months in advance.
d. anticipating staff sick days.
ANS: B
Free time and vacation time are needed for individuals to recharge. If time for
work is more than 60% of wake 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 some personal time-
management steps to survive work and home life. Her first step should be to:
a. determine what takes up so much of her time and energy.
b. organize her personal and work spaces.
c. purchase a handheld personal digital assistant to help remind her of
important
meetings.
d. determine her personal and professional goals.
ANS: D
Personal time management refers, in part, to “the knowing of self.” Self-
awareness is a critical leadership skill, and being self-aware and setting goals
helps managers determine how their time is best spent.
TOP: AONE competency: Leadership
5. A hospice nurse has been feeling very stressed at work because of both the
physical strain and the emotional drain of working with clients with AIDS.
She tries to walk 1 to 2 miles three times a week and to talk regularly with
her husband about her work-related feelings. One reasonable stress-
management strategy would be to: a. start taking yoga lessons.
b. make an appointment to meet with a psychiatrist.
c. start jogging 5 to 6 miles every day.
d. plan to go out for a drink with fellow nurses after work every day.
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ANS: A
Stress relief techniques include 30 minutes of exercise five times a week, as
well as techniques such as yoga that relieve mental stress.
TOP: AONE competency: Leadership
The nurse manager is implementing a shared governance model to help with
communication
and decision making. Although staff members like the concept, change is
difficult. Staff nurses feel:
a. more empowered.
b. more communicative.
c. less stressed.
d. more powerless and devalued.
ANS: D
Change can lead to feelings of being overwhelmed and powerless, especially if
complexity compression or rapid, intense changes have been involved.
TOP: AONE competency: Business Skills
7. The chief nursing officer listens to nurse managers verbalize their feelings of
internal stress.
One common source of internal stress
seems to be: a. the death of a loved one.
b. perfectionism.
c. getting married.
d. losing a job.
ANS: B
Losing a job, the death of a loved one, and getting married are examples of
external stress.
TOP: AONE competency: Business Skills
8. The staff development educator presents a series of programs on stress
management to the nurse managers. Research has indicated that an
individual’s ability to deal with stress is moderated by psychological
hardiness. Psychological hardiness is a composite of: a. commitment,
control, and challenge.
b. commitment, powerlessness, and passivity.
c. commitment, control, and passivity.
d. decreased isolation, challenge, and passivity.
ANS: A
Some people have the capacity to accept changes in life with good humor
and resilience, which, in turn, influences behavior that prevents illness.
Hardiness involves the capacity to manage time and stress, to reframe
situations positively, and to commit.
TOP: AONE competency: Leadership
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