NSG 340 Exam 1 WITH complete verified solutions

he staff members in a local ER are experiencing stress/burnout as a result of excessive overtime. The staff decides to unionize to negotiate for better working conditions. The increase in unionization within healthcare may be attributed to? Number of people involved in healthcare A manager of a nursing unit is having difficulty working with a new grad nurse. What is the nurse manager practicing in this situation? The nurse manager decides to journal her feelings regarding the new nurse and her feelings. What is the nurse manager practicing in this situation? Reflection At a second negotiation session the unit manager and staff nurse are unable to reach a resolution. What is the appropriate next step? Elevate the next negation session to the next manager one level above. A nurse manager of a 20 bed medical unit finds that 80% of the pt's are older adults, she is asked to assess and adapt the unit to better meet the unique needs of the older adult pts. Using the complexity principles, what is the best approach to make implementation of this change? Engage involved staff at all levels in the decision-making processes In the early decades of the profession, nurses lacked power because...? Women lacked legal, social, and political power because of legal and cultural barriers. As a nurse manager, you are the leader and follower in health care and on the unit you manage. Looking at the large picture of healthcare and patient environment on the unit, what is the primary role of the followers of the unit, as defined in nursing? Direct care provider The manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff have always practiced the primary nursing-delivery system and are very resistant to this idea. What would be the best initial strategy for implementation of change? Exploring the values and feelings of the RN group in relationship to this change The definition of leader refers to a person who has the ability to guide people. IN nursing, the leader does more. What is NOT a role of a leader in nursing? (The role of leaders in nursing is accountability in decisions, active listening, open communication). Tight control of decisions A grievance (complaint) brought by staff against the unit manager requires mediation. At the first mediation session, the staff nurse repeatedly calls the unit manager's actions unfair, and the unit manager continues to reiterate the reasons for her actions. What would be the best course of action at this time? Ask each party to examine their own motives in the conflict When interviewing an applicant for an RN position, the nurse manager describes the unit's care delivery system as one in which nursing assistants are cross trained to perform specific tasks; RNs all complete treatment, medication administration and discharge teaching. The nurse applicant knows this nursing care delivery strategy to be ...? Functional nursing The ER nurses' decision to organize for the purpose of collecting bargaining is being driven by a desire to...? (NOT PERSONAL!) Create professional practice environment Your CNO listens to nurse managers verbalize their feelings of internal stress. One common source of internal stress seems to be...? Perfectionism As a new nurse manager, you are aware of leadership, management, and followership principles. The concept of followership is rather new as relating to leadership. What is the role of the follower in followership? Person who may influence team The nurse manager is having difficulty working with a new grad nurse. The new grad nurse is excited and full of ideas and is pushing the manager to want to make changes. The manager decides to provide the new RN with an opportunity to present an idea to the staff at the next meeting. What is the manager providing the new RN? ALL OF THE ABOVE !!! (Leadership opportunity, working to improve patient care, and input to the unit) 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 pts and orient new staff members to the value of patient education. What ethical principle is being reinforced? Paternalism Paternalism involves making a partial decision for someone when they do not have sufficient data/expertise. What is the first step to becoming an effective leader? Being an effective follower The nurse manager is aware that conflict is occuring on her unit; however, she is focused on preparing for the state health department visit, so she is ignores the problem. A factor that can increase stress and escalate conflict is...? The use of avoidance