NURS-4803 TESTBANK Exam 1 new Leading, Managing, and Following Yoder-Wise: Leading and Managing in Nursing, 7th Edition(2023/2024 REVISED EXAM PRACTICE GUIDE) (CONTAINS COMPLETE QUESTIONS WITH ANSWERS)

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 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 give positive direction for growth. Destroying the employee’s self-esteem and self-worth would be considered doing harm under this principle. TOP: AONE competency: Professionalism 2. A staff nurse in the area that you manage has excelled in the delivery of patient education. You are considering implementing a new job description that would broaden her opportunity to teach patients and orient new staff members to the value of patient education. What ethical principle is being reinforced? a. Justice b. Fidelity c. Paternalism d. Respect for others ANS: C The principle of paternalism allows one person to make partial decisions for another and is most frequently deemed to be a negative or undesirable principle. Paternalism, however, may be used to assist persons to make decisions when they do not have sufficient data or expertise. Paternalism becomes undesirable when the entire decision is taken away from the employee. TOP: AONE competency: Professionalism 3. A patient refuses a simple procedure that you believe is in the patient’s best interest. What two ethical principles are in conflict in this situation? a. Fidelity and justice b. Veracity and fidelity c. Autonomy and beneficence d. Paternalism and respect for others ANS: C Autonomy refers to the freedom to make a choice (e.g., refuse a procedure), and beneficence to doing good (performing a procedure that will benefit the patient). TOP: AONE competency: Professionalism 4. An individual in a wheelchair is applying for the position of receptionist in an outpatient clinic. What does the nurse manager understand based on The Americans with Disabilities Act of 1990 requirements for employers? a. Make reasonable accommodations for persons who are disabled. b. Allow modified job expectations for persons recovering from alcoholism. c. Hire disabled individuals before hiring other qualified, non-disabled persons. d. Treat, for purposes of employment, homosexuals and bisexuals as disabled. ANS: A The purposes of the ADA are to eliminate discrimination against persons with disabilities and to provide consistent, enforceable standards to address discrimination in the workplace. TOP: AONE competency: Business Skills 5. A staff nurse, who was fired for reporting patient abuse to the appropriate state agency, files a whistleblower lawsuit against the former employer. What reason would the court provide to uphold a valid whistleblower suit claiming retaliation by the nurse? a. Previously reported the complaint, in writing, to hospital administration. b. Threatened to give full details of the patient abuse to local media sources. c. Was discharged after three unsuccessful attempts at progressive discipline had failed. d. Had organized, before filing the complaint, a work stoppage action by fellow employees. ANS: A An employer is unable to fire an employee who, in good faith, reports what is believed to be a violation of a law, rule, or staNteUoRr SfeIdeNraGl TlaBw.. COM TOP: AONE competency: Knowledge of the Health Care Environment 6. In keeping with standards of The Joint Commission (TJC), the nurse manager organizes an orientation for new staff members. As part of the orientation, the nurse manager reviews the employee handbook. What is the basis that binds employers to statements in the employee handbook? a. Under the doctrine of apparent agency b. Under the doctrine of respondent agency c. Based on the employee’s or the employer’s expectations d. Based on the theory that the handbook creates an explicit contract ANS: C The handbook is an implied contract and frames the employment contract. This contract binds the employer to meeting the handbook statements. TOP: AONE competency: Knowledge of the Health Care Environment 7. To reduce the incidence of falls in a skilled nursing unit, the nurse manager contacts the risk manager. Risk management is a process that attempts to identify potential hazards and: a. compensate for previous injuries. b. eliminate these risks before anyone else is harmed. c. supersede the need for staff members to file incident reports. d. discipline staff members who have been involved in previous incident reports. ANS: B Risk management involves taking proactive steps to identify and eliminate risks and liability.