- Study guides, Class notes & Summaries

The most important approach that a nurse manager can take with an emotionally troubled employee is to: a.Act as a therapist for the employee. b.Adjust the standard of care to assist the employee. c.Assist the employee in obtaining professional help. d.Adjust the employee's work schedule to decrease stress - Answer c. Assist the employee in obtaining professional help. The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that: a.Using replace...

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7 pages

Written in 2023/2024

Grade A+

TestSolver9

Because of rapid turnover and the ongoing hiring of new graduates, the skill levels of staff in a busy CCU are varied. Senior staff are becoming burned out with the need to provide mentorship and guidance to new staff. As the manager, you propose the addition of a nurse in advanced practice to provide consultation and education for staff. What is this position considered? A.Hierarchical position B. Ancillary C. Line position D. Staff position - Answer D A hospital is working toward beco...

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7 pages

Written in 2023/2024

Grade A+

TestSolver9

1. A nurse manager is experiencing conflicts between herself and staff members. She had tried to develop a team by using a shared leadership model to empower the staff. Staff members are functioning: a. as a team. b. independently. c. interdependently. d. as a group. - Answer ANS: D A group is a collection of interconnected individuals working together, with a high degree of interdependence, for the same purpose. A team is a unified group that is committed to a common purpose, performance...

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9 pages

Written in 2023/2024

Grade A+

TestSolver9

The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months. The unit leader is frustrated by how little time is available to work with clients and how few changes have been implemented in that time. The phase of role transition being experienced is the role of: a. Acceptance b. Negotiation c. Discrepancy d. Internalization - Answer c. Discrepancy Role discrepancy is an experience that includes a gap between what is expected and what is o...

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12 pages

Written in 2023/2024

Grade A+

TestSolver9

1. As a new nurse manager, you are aware of leadership, management, and followership principles. What is the first step to becoming an effective leader? a. Being an effective follower b. Taking a class on leadership c. Taking a class on management d. Getting an advanced degree - Answer ANS: A Being an effective follower is the first step in becoming an effective leader. A leader may take classes on leadership and classes on management and secure and advanced degree. The firststep to effec...

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8 pages

Written in 2023/2024

Grade A+

TestSolver9

The chief nursing officer decides to establish a client advocacy position in an oncology unit. Advocacy is best represented by: a.Establishing private and professional networking systems. b.Asking social services to handle clients' concerns. c.Identifying community support groups. d.Empowering others by promoting self-determination. - Answer D Advocacy involves empowering and promoting self-determination in others. As part of performance appraisal, the nurse manager designs strategi...

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11 pages

Written in 2023/2024

Grade A+

TestSolver9

1. A nurse manager was orienting new staff members to computerized charting. To understand computerized charting, staff members must understand informatics. The three core concepts in informatics are: a. hardware, software, and printers. b. data, information, and knowledge. c. decision making, data gathering, and reporting. d. wireless technology, voice recognition, and handheld devices. - Answer B Informatics is the application of technology to all fields of nursing to facilitate and ext...

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10 pages

Written in 2023/2024

Grade A+

TestSolver9

In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital reduced the number of its managers and increased the number of units for which each manager was responsible. Within a year, the number of adverse events on the units had doubled. This may be attributable to: a. The overload of staff nurses. b. Resistance to change by staff. c. A change in reporting systems. d. Fewer clinical leaders to remove barriers to care. - Answer d. Fewer clinical leaders t...

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10 pages

Written in 2023/2024

Grade A+

TestSolver9

1. The manager in the coronary care unit believes an important ethical consideration in performance evaluations is to include the employee's good qualities and give positive direction for professional growth. What ethical principle does this represent? a. Justice b. Fidelity c. Beneficence d. Nonmaleficence - Answer ANS: D Nonmaleficence refers to "doing no harm." For a nurse manager following this principle, performance evaluation should emphasize an employee's good qualities and giv...

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9 pages

Written in 2023/2024

Grade A+

TestSolver9

1. A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from: a. group decision-making options. b. perceptions of incompatibility. c. increases in group cohesiveness. d. debates, negotiations, and compromises. - Answer ANS: B Conflict involves disagreement in values or beliefs within oneself or between people that causes harm or has the potential to ...

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9 pages

Written in 2023/2024

Grade A+

TestSolver9

Complex care of acutely ill patients is required on a surgical unit, which utilizes differentiated nursing practice as its model of care delivery. On what is the concept of differentiated nursing practice is based? a. Licensure status b. Experience in the agency c. Leadership capabilities d. Education and expertise - Answer ANS: D Differentiated nursing practice models are models of clinical nursing practice that are defined or differentiated by level of education, expected clini...

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11 pages

Written in 2023/2024

Grade A+

TestSolver9

The staff members in a local Emergency Department are experiencing stress and burnout as the result of excessive overtime. The staff decides to unionize to negotiate for better working conditions. The increase in unionization within health care may be attributed to the: a. Movement from being "blue-collar workers" to being "knowledge workers." b. Excess profits in health care. c. Level of risk that exists for health care. d. Number of people who are involved in health care. - Answer AN...

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11 pages

Written in 2023/2024

Grade A+

TestSolver9

1. The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the best way to resolve the problem is to: a. use creativity. b. obtain support from the 7-3 shift. c. use institutional research. d. identify the problem. - Answer ANS: D Identification of a problem is the first step in problem solving and occurs before any other step. The most common caus...

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9 pages

Written in 2023/2024

Grade A+

TestSolver9

1. You are a member of a team assigned to care for 15 general medical/surgical clients. You have all worked well together in the past in this same type of care. If you are assigned to coordinate this team's work, your best strategy, based on the Hersey model, would be to: a. have a list of tasks to be accomplished and tell each member of the team what he or she must do. b. encourage people to discuss their frustrations in providing this care. c. ignore them—they've done it before. d. pro...

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10 pages

Written in 2023/2024

Grade A+

TestSolver9

1. The nurse manager schedules evaluations of staff members using a newly developed performance appraisal tool. The development of a performance appraisal tool should include: a. organizational mission, philosophy, and position requirements. b. a generalized overview of the duties of a position. c. a skills checklist and accreditation requirements. d. an ordinal scale that ranks all employees. - Answer ANS: A Performance appraisal tools and processes should reflect the organizational miss...

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9 pages

Written in 2023/2024

Grade A+

TestSolver9

1. The director of nursing has been observing staff interactions in a 20-bed coronary care unit. Based on her observations, which of the following staff members is an obvious leader? a. The unit secretary who knows everyone's business b. The chief nursing officer who is in charge and is responsible for nursing services c. The chief cardiologist who admits the largest number of patients and brings in more revenue than any other physician d. The staff nurse who persuades other staff membe...

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10 pages

Written in 2023/2024

Grade A+

TestSolver9

1. As the clinical director of 24 employees, you have been asked to explain to staff members why they are not getting a raise this year, even though they have been working short-handed for many months and patient satisfaction scores have never been higher. Because you believe yourself to be a transformational leader, you will approach this problem by: a. telling the assistant clinical director and asking her to share the bad news with the other staff members. b. posting a note on the bulletin ...

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10 pages

Written in 2023/2024

Grade A+

TestSolver9

A nurse manager is experiencing poor staff morale on her unit. While participating in a baccalaureate course, the nurse manager had learned that one of the reasons nurses lack power today is probably because of the past. In the early decades of the profession, nurses lacked power because: a. Nurses freely chose to defer to physicians and administrators with more education. b. Women lacked legal, social, and political power because of legal and cultural barriers. c. The first nursing licensure...

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8 pages

Written in 2023/2024

Grade A+

TestSolver9