WGU Final Nursing Leadership
Certification Exa
. A functional résumé focuses on:
1) Positions held and specific roles in the positions.
2) Academic qualifications and achievements.
3) Experience and skills gained in positions.
4) Relating skills and experience to qualifications in a specific position. -
------------ANSWER: 3
. A number of changes are introduced to a unit, including changes to familiar clinical
procedures and the use of PDAs to enable bedside documentation. You, as unit
manager, anticipate which of the following will contribute most to complexity
compression?
1) Pace of changes
2) Meaning of the change
3) Previous experiences with change
4) Confidence of the leader in the value of the change - ------------ANSWER: 1
. A nurse is applying for a new position. This position is one in which she will serve
as a liaison
between a hospital and a school of nursing. The nurse has to update her résumé to
include her
teaching experience. The goal of creating a curriculum vitae is to:
1) Provide potential employers with information about where you are in your career.
2) Be certain you can recall facts for a prospective position.
3) Have a listing of facts about your professional life.
4) Respond quickly whenever a position becomes available. - ------------ANSWER: 1
. After several months of heavy patient loads in the Emergency Department and
inability to secure
sufficient and experienced staff, the department is especially taxed by a train
accident that brings in
many seriously injured individuals. You observe that Rama ignores the requests of
several of the injured,
even when time is available to care for them and is rude to two elderly patients. You
are concerned that
Rama is evidencing which state?
1) Role ambiguity
2) Depression
3) Depersonalization
,4) Hardiness - ------------ANSWER: 3
. As a nurse manager, you observe a staff nurse who over the past few weeks has
become withdrawn and has had several absences due to minor ailments. Your best
action would be to:
1) Write a note to the nurse advising her that her work attendance must improve.
2) Ask the nurse to meet with you for a few minutes before she leaves for the day.
3) Ask the nurse if she is okay during report.
4) Refer the nurse to the employee assistance program. - ------------ANSWER: 2
. As a unit manager, you chair the unit meetings. For each meeting, you consider
and establish the
purpose of the meeting. Second, you prepare an agenda. Arrange the following
steps in an order
that would make the meetings productive and successful.
1. Distribute an agenda.
2. Distribute minutes.
3. Select team members.
4. Start on time.
5. Keep the meeting focused and directed toward accomplishing the set objectives. -
------------ANSWER: 3,1,4,5,2
. High levels of work-related stress negatively affects which of the following? (Select
all that apply.)
1) Nurses' health
2) Absenteeism and turnover
3) Client welfare
4) Job satisfaction - ------------ANSWER: 1,2,3,4
. Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.
She has taken some
certificate courses in leadership and management and has considered beginning a
graduate degree
with this focus. She is excited about being able to use her knowledge and interest by
being hired as a
nurse manager. Before beginning her new position, Sarah spends time with her
nurse executive to
clarify the executive's expectations of her and of the unit that she has been hired to
manage. After a
year, Sarah successfully transitions into the nurse manager role and considers taking
the
examination to become a certified nurse executive. Amy advises her that this is not
possible because
Sarah will need:
,1) 5 years of successful experience.
2) At least a nursing diploma.
3) 24 months of experience.
4) A graduate degree. - ------------ANSWER: 3
. Social stressors are considered a major factor in the stress nurses experience in
the healthcare system. Which of the following is not considered to be a social
stressor?
1) Changes in the current healthcare system such as nursing strategies
2) Disruptive behavior coming from physicians and other healthcare workers
3) Stress triggers such as self-criticism and overanalyzing
4) High amounts of stress in the nursing home environment - ------------ANSWER: 3
. Sources of occupational stress in nursing include all except which of the following?
1) Authoritarian leadership
2) Multiple changes in a short time
3) Rotating shifts
4) Concern about moral wrongdoing by colleagues - ------------ANSWER: 1
. The education consultant at St. Joseph's Hospital is giving a workshop on cognitive
reframing. The
consultant explains that cognitive reframing reduces stress by:
1) Eliminating negative stressors.
2) Helping people realize that negative thinking causes emotional distress.
3) Replacing positive self-statements with negative irrational beliefs.
4) Aiding individuals in identifying positive stressors. - ------------ANSWER: 2
. Which of the following actions is most representative of how health care of the
future might be delivered? As a nurse leader, you:
1) Work together with a local agency to set up a free clinic in which addicts and the
homeless can receive free health care and prescriptions for immediate needs.
2) Address the health of those who are overweight and obese on your unit by
ensuring that hospital meals offer nutritious, healthy food choices that are satisfying.
3) Ensure that individuals who are admitted to your unit are asked about their
smoking history and that preoperative and postoperative planning takes into account
how smoking will affect status during and after surgery.
4) Refer families who require immediate help to a local food bank. You also work with
local agencies and families to establish a mothers collective in which mothers learn
about nutrition and prepare low cost, nutritious meals that are shared with th -
------------ANSWER: 4
. Your organization is in the middle of re-designing patient care units, with decisions
based on best practices and various other sources of evidence. In the middle of the
transition, there is a temporary halt called to the transition because of a re-design of
, the health care system and greater emphasis on primary care. As a manager in this
situation, your staff experience a gap between what they expected the original
re-design of the units) and what is actually happening (a need to integrate primary
care in some way). According to Selye, the nurses on your nursing team are likely
experiencing what?
1) Distress
2) Stress
3) Compression
4) Eustress - ------------ANSWER: 2
1.
Your healthcare organization places a high value on workplace safety and integrates
this into all aspects of administrative and patient care processes. As a unit manager,
you thoroughly endorse this direction, and during the selection and hiring of new
staff, you consistently:
A. Refuse to hire applicants who are pushy during interviews.
B. Thoroughly follow up with all references before offering a position.
C. Ask applicants during the interview if drug or alcohol abuse is a problem.
D. Refuse to interview applicants with sporadic work histories. - ------------ANSWER:
B
1. A nurse manager has been employed in the same facility for 20 years and has
held the same
position. This career style is known as:
1) Entrepreneurial/transient.
2) Steady state.
3) Spiral.
4) Linear. - ------------ANSWER: 2
1. A nurse manager in one hospital values a colleague who is a few years older and
has more
experience in nursing management. The colleague works in another hospital, but
they meet for lunch
once a month. In these meetings, they share their feelings about nursing
management and their
lives. The function of a mentor that is missing in the relationship is:
1) Social interaction
2) Mutual positive regard
3) Role modeling
4) Sponsorship - ------------ANSWER: 4
1. Melissa is a nursing graduate of 5 years who is very confident in her clinical skills.
She has taken some certificate courses in leadership and management and has
considered beginning a graduate degree with this focus. She is excited about being
Certification Exa
. A functional résumé focuses on:
1) Positions held and specific roles in the positions.
2) Academic qualifications and achievements.
3) Experience and skills gained in positions.
4) Relating skills and experience to qualifications in a specific position. -
------------ANSWER: 3
. A number of changes are introduced to a unit, including changes to familiar clinical
procedures and the use of PDAs to enable bedside documentation. You, as unit
manager, anticipate which of the following will contribute most to complexity
compression?
1) Pace of changes
2) Meaning of the change
3) Previous experiences with change
4) Confidence of the leader in the value of the change - ------------ANSWER: 1
. A nurse is applying for a new position. This position is one in which she will serve
as a liaison
between a hospital and a school of nursing. The nurse has to update her résumé to
include her
teaching experience. The goal of creating a curriculum vitae is to:
1) Provide potential employers with information about where you are in your career.
2) Be certain you can recall facts for a prospective position.
3) Have a listing of facts about your professional life.
4) Respond quickly whenever a position becomes available. - ------------ANSWER: 1
. After several months of heavy patient loads in the Emergency Department and
inability to secure
sufficient and experienced staff, the department is especially taxed by a train
accident that brings in
many seriously injured individuals. You observe that Rama ignores the requests of
several of the injured,
even when time is available to care for them and is rude to two elderly patients. You
are concerned that
Rama is evidencing which state?
1) Role ambiguity
2) Depression
3) Depersonalization
,4) Hardiness - ------------ANSWER: 3
. As a nurse manager, you observe a staff nurse who over the past few weeks has
become withdrawn and has had several absences due to minor ailments. Your best
action would be to:
1) Write a note to the nurse advising her that her work attendance must improve.
2) Ask the nurse to meet with you for a few minutes before she leaves for the day.
3) Ask the nurse if she is okay during report.
4) Refer the nurse to the employee assistance program. - ------------ANSWER: 2
. As a unit manager, you chair the unit meetings. For each meeting, you consider
and establish the
purpose of the meeting. Second, you prepare an agenda. Arrange the following
steps in an order
that would make the meetings productive and successful.
1. Distribute an agenda.
2. Distribute minutes.
3. Select team members.
4. Start on time.
5. Keep the meeting focused and directed toward accomplishing the set objectives. -
------------ANSWER: 3,1,4,5,2
. High levels of work-related stress negatively affects which of the following? (Select
all that apply.)
1) Nurses' health
2) Absenteeism and turnover
3) Client welfare
4) Job satisfaction - ------------ANSWER: 1,2,3,4
. Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.
She has taken some
certificate courses in leadership and management and has considered beginning a
graduate degree
with this focus. She is excited about being able to use her knowledge and interest by
being hired as a
nurse manager. Before beginning her new position, Sarah spends time with her
nurse executive to
clarify the executive's expectations of her and of the unit that she has been hired to
manage. After a
year, Sarah successfully transitions into the nurse manager role and considers taking
the
examination to become a certified nurse executive. Amy advises her that this is not
possible because
Sarah will need:
,1) 5 years of successful experience.
2) At least a nursing diploma.
3) 24 months of experience.
4) A graduate degree. - ------------ANSWER: 3
. Social stressors are considered a major factor in the stress nurses experience in
the healthcare system. Which of the following is not considered to be a social
stressor?
1) Changes in the current healthcare system such as nursing strategies
2) Disruptive behavior coming from physicians and other healthcare workers
3) Stress triggers such as self-criticism and overanalyzing
4) High amounts of stress in the nursing home environment - ------------ANSWER: 3
. Sources of occupational stress in nursing include all except which of the following?
1) Authoritarian leadership
2) Multiple changes in a short time
3) Rotating shifts
4) Concern about moral wrongdoing by colleagues - ------------ANSWER: 1
. The education consultant at St. Joseph's Hospital is giving a workshop on cognitive
reframing. The
consultant explains that cognitive reframing reduces stress by:
1) Eliminating negative stressors.
2) Helping people realize that negative thinking causes emotional distress.
3) Replacing positive self-statements with negative irrational beliefs.
4) Aiding individuals in identifying positive stressors. - ------------ANSWER: 2
. Which of the following actions is most representative of how health care of the
future might be delivered? As a nurse leader, you:
1) Work together with a local agency to set up a free clinic in which addicts and the
homeless can receive free health care and prescriptions for immediate needs.
2) Address the health of those who are overweight and obese on your unit by
ensuring that hospital meals offer nutritious, healthy food choices that are satisfying.
3) Ensure that individuals who are admitted to your unit are asked about their
smoking history and that preoperative and postoperative planning takes into account
how smoking will affect status during and after surgery.
4) Refer families who require immediate help to a local food bank. You also work with
local agencies and families to establish a mothers collective in which mothers learn
about nutrition and prepare low cost, nutritious meals that are shared with th -
------------ANSWER: 4
. Your organization is in the middle of re-designing patient care units, with decisions
based on best practices and various other sources of evidence. In the middle of the
transition, there is a temporary halt called to the transition because of a re-design of
, the health care system and greater emphasis on primary care. As a manager in this
situation, your staff experience a gap between what they expected the original
re-design of the units) and what is actually happening (a need to integrate primary
care in some way). According to Selye, the nurses on your nursing team are likely
experiencing what?
1) Distress
2) Stress
3) Compression
4) Eustress - ------------ANSWER: 2
1.
Your healthcare organization places a high value on workplace safety and integrates
this into all aspects of administrative and patient care processes. As a unit manager,
you thoroughly endorse this direction, and during the selection and hiring of new
staff, you consistently:
A. Refuse to hire applicants who are pushy during interviews.
B. Thoroughly follow up with all references before offering a position.
C. Ask applicants during the interview if drug or alcohol abuse is a problem.
D. Refuse to interview applicants with sporadic work histories. - ------------ANSWER:
B
1. A nurse manager has been employed in the same facility for 20 years and has
held the same
position. This career style is known as:
1) Entrepreneurial/transient.
2) Steady state.
3) Spiral.
4) Linear. - ------------ANSWER: 2
1. A nurse manager in one hospital values a colleague who is a few years older and
has more
experience in nursing management. The colleague works in another hospital, but
they meet for lunch
once a month. In these meetings, they share their feelings about nursing
management and their
lives. The function of a mentor that is missing in the relationship is:
1) Social interaction
2) Mutual positive regard
3) Role modeling
4) Sponsorship - ------------ANSWER: 4
1. Melissa is a nursing graduate of 5 years who is very confident in her clinical skills.
She has taken some certificate courses in leadership and management and has
considered beginning a graduate degree with this focus. She is excited about being
