lOMoAR cPSD| 47061011
Chapter 05: Managing Time and Stress
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. _____ is defined as the accomplishment of specified activities during the time available. a.
Stress
b. Mismanagement of resources
c. Time management
d. Self-management
ANS: C
Time management is defined as the accomplishment of specified activities during the time
available. It is the process of managing the things an individual does with his or her available
time. At its core, time management is self-management.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Nurses who are successful at time management:
a. display an ability to set measurable goals and objectives.
b. frequently volunteer for new and creative projects.
c. hesitate to delegate because of perfectionist characteristics.
d. tend to accomplish specific activities within a time frame.
ANS: D
Time management is accomplishing specific activities during the time available. It is a
process of managing the things an individual does with his or her available time.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Jay, a nurse in the intensive care unit, has been caring for a patient with end-stage renal disease,
congestive heart failure, and a stroke. The client has had four cardiac arrests in 4 days. Despite
the grave prognosis, the client’s family continues to want resuscitation at all cost. Jay knows
that further medical care is futile. Jay is at risk for: a. confrontational conflict.
b. resilience.
c. burnout.
d. moral distress.
, lOMoAR cPSD| 47061011
ANS: D
Moral distress is linked to issues related to patient care, including ethical dilemmas that can
put professionals in difficulty and give rise to feelings of unease. It occurs when an individual
knows what ethical action should occur but is prevented from doing so by either internal or
external barriers (Rushton, 2006).
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
4. Nurses who must manage unplanned and regular responsibilities simultaneously may
experience:
a. complexity compression.
b. resilience.
c. moral distress.
d. empowerment.
ANS: A
When unexpected conditions are added to regular responsibilities, nurses may experience
what experts call complexity compression, which has been linked to burnout, turnover, and
other types of work-related stress (Krichbaum et al., 2007). Nurses experience this when they
must manage unplanned (complexity) and regular responsibilities simultaneously
(compression).
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Creating a safe, empowering, and satisfying work environment can be accomplished through
implementation of:
a. Institute of Medicine Coalitions.
b. health care reform.
c. the Troubled Asset Relief Program.
d. Healthy Work Environment (HWE) standards.
ANS: D
A Healthy Work Environment (HWE) is one that is safe, empowering, and satisfying. The
American Association of Critical-Care Nurses (AACN) has established six standards that
support Healthy Work Environments (AACN, 2005). Although developed for nurses, they are
applicable for all types of employees.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
Chapter 05: Managing Time and Stress
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. _____ is defined as the accomplishment of specified activities during the time available. a.
Stress
b. Mismanagement of resources
c. Time management
d. Self-management
ANS: C
Time management is defined as the accomplishment of specified activities during the time
available. It is the process of managing the things an individual does with his or her available
time. At its core, time management is self-management.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Nurses who are successful at time management:
a. display an ability to set measurable goals and objectives.
b. frequently volunteer for new and creative projects.
c. hesitate to delegate because of perfectionist characteristics.
d. tend to accomplish specific activities within a time frame.
ANS: D
Time management is accomplishing specific activities during the time available. It is a
process of managing the things an individual does with his or her available time.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Jay, a nurse in the intensive care unit, has been caring for a patient with end-stage renal disease,
congestive heart failure, and a stroke. The client has had four cardiac arrests in 4 days. Despite
the grave prognosis, the client’s family continues to want resuscitation at all cost. Jay knows
that further medical care is futile. Jay is at risk for: a. confrontational conflict.
b. resilience.
c. burnout.
d. moral distress.
, lOMoAR cPSD| 47061011
ANS: D
Moral distress is linked to issues related to patient care, including ethical dilemmas that can
put professionals in difficulty and give rise to feelings of unease. It occurs when an individual
knows what ethical action should occur but is prevented from doing so by either internal or
external barriers (Rushton, 2006).
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
4. Nurses who must manage unplanned and regular responsibilities simultaneously may
experience:
a. complexity compression.
b. resilience.
c. moral distress.
d. empowerment.
ANS: A
When unexpected conditions are added to regular responsibilities, nurses may experience
what experts call complexity compression, which has been linked to burnout, turnover, and
other types of work-related stress (Krichbaum et al., 2007). Nurses experience this when they
must manage unplanned (complexity) and regular responsibilities simultaneously
(compression).
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Creating a safe, empowering, and satisfying work environment can be accomplished through
implementation of:
a. Institute of Medicine Coalitions.
b. health care reform.
c. the Troubled Asset Relief Program.
d. Healthy Work Environment (HWE) standards.
ANS: D
A Healthy Work Environment (HWE) is one that is safe, empowering, and satisfying. The
American Association of Critical-Care Nurses (AACN) has established six standards that
support Healthy Work Environments (AACN, 2005). Although developed for nurses, they are
applicable for all types of employees.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
