Waddell/Walton: Yoder-Wise's Leading and
Managing in Canadian Nursing, Second
Edition UPDATED ACTUAL Exam
Questions and CORRECT Answers
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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT
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 - CORRECT 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 - CORRECT
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
Managing in Canadian Nursing, Second
Edition UPDATED ACTUAL Exam
Questions and CORRECT Answers
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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT
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 - CORRECT 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 - CORRECT
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
