Leadership Roles and Management Functions

1. Primary care nursing is organized so that the patient is at the center of the structure. How many nurses have 24-hour responsibility for care planning and coordination for the patient? a. One b. Two c. Three d. Four ANS: A Feedback: Primary care nursing is organized so that the patient is at the center of the structure. One nurse has 24-hour responsibility for care planning and coordination. PTS: 1 DIF: Easy REF: Page: 361 OBJ: 3 NAT: Client Needs: Safe and Effective Care E...

1. A manager has issued a directive to nursing staff about improving the timeliness of their documentation. Most nurses have failed to make a change in their practice, however. The manager should consider what potential cause of this failure to act? a. Leadership–subordinate conflict b. Manager–subordinate gap c. Administrator–power differential d. Authority–power gap ANS: D Feedback: The gap that sometimes exists between a position of authority and subordinate response is...

1. The nurse-manager needs to determine the effectiveness of a staff workshop on establishing IV access. What is the manager’s best method for determining this? a. Having class participants evaluate the instructor and the class b. Giving participants an examination or test at the conclusion of the course c. Having a documented decrease in the unit’s IV site infections d. Observing staff perform and document the practice ANS: D Feedback: Instructor evaluation supports effective...

1. The manager may be greatly or minimally involved with recruiting, interviewing, and selecting personnel. What factors can determine to the extent of the manager’s involvement? Select all that apply. a. Size of the institution b. Existence of a separate personnel department c. Presence of a nurse recruiter within the organization d. Centralization or decentralization of nursing management in the organization e. The preferences of subordinates ANS: A, B, C, D Feedback: The man...

1. A manager has identified the need to spend more time planning in order to accomplished each day’s tasks. When should the manager do this planning? a. Whenever a block of time is available b. At the beginning of each day c. In the middle of the day, after high-priority tasks have been completed d. At the end of the day, in preparation for the next day ANS: B Feedback: Setting aside time at the beginning of each day to plan the day allows the manager to spend appropriate time o...

1. A nurse-manager is chairing a workplace committee. What should the manager prioritize in this role? a. Keeping members on task and promoting productivity b. Promoting members’ career development c. Resolving interpersonal conflicts and preventing groupthink d. Providing information on each agenda item ANS: A Feedback: Although all the items may be something the chairperson does, the primary responsibility is to keep members on task so that committee work gets completed. This i...

1. A nurse is considering certification in an area of specialty. What potential benefits of certification should the nurse consider? Select all that apply. a. A personal sense of accomplishment b. Exemption from continuing education requirements c. Increased career options d. Increased potential for advancement and promotions e. Higher salaries ANS: A, C, D, E Feedback: The certified nurse often finds many personal benefits related to the attainment of such status, including more...

1. The manager is using a decision package to set funding priorities for a hospital unit. What type of budgeting is the manager most likely using? a. Flexible b. Operating c. Capital d. Zero based ANS: D Feedback: Managers must re-justify their program or needs every budgeting cycle in zero-based budgeting. Using a decision package to set funding priorities is a key feature of only zero-based budgeting, not flexible, operating, or capital budgets. PTS: 1 DIF: Easy REF: Page: 24...

1. What initiative is most likely to promote open communication between clients and practitioners? a. Involving health-care consumers as active members of the health-care team b. Promoting the creation of cultures of client safety in health-care organizations c. Establishing a federal leadership locus for advocacy of client safety and health-care quality d. Building an evidence-based information and technology system that impacts client safety ANS: A Feedback: One way to promote op...

1. A change in the skills mix has been proposed at a care facility. What action by the nurse-manager would best support a rational–empirical change strategy? a. Presenting the research evidence that supports the change b. Publicizing the change to generate enthusiasm c. Appointing “champions” to ensure communication throughout the change process d. Ensuring that employees know the consequences of resisting ANS: A Feedback: Rational–empirical change strategies assume that r...