Examsrevision

1. The Omnibus Budget Reconciliation Act of 1987 established regulations for the education and training of which category of health-care worker? a. Certified nurse aide (CNA) b. Registered nurse (RN) c. Licensed practical nurse (LPN) d. Ward clerk ANS: A Feedback: Although the Omnibus Budget Reconciliation Act of 1987 established regulations for the education and certification of “nurse’s aides” (minimum of 75 hours of theory and practice and successful completion of an exami...

1. What is the best example of downward communication by a nurse-manager? a. The manager reports a nurse’s serious error to the chief nursing officer. b. The manager seeks advice from a colleague about how to deal with an employee who is chronically late. c. The manager contacts a client’s physician to confirm the client’s scheduled transfer. d. The manager reviews the results of a nurse’s performance appraisal with the nurse. ANS: D Feedback: In downward communication, th...

1. A nurse-manager wants to express appreciation to an employee. What statement is most effective? a. “You’re doing an excellent job of provided care for you clients.” b. “I really admire everything that you do on the unit.” c. “You did an exemplary job of handling a very heavy workload this shift.” d. “Your performance demonstrates a strong commitment to the profession.” ANS: C Feedback: Praise that is specific and evidence-based is generally more effective than...

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...

1. A manager has been experiencing challenges during a planning process and must implement strategies to overcome barriers that impede planning. What is the manager’s best action? a. Reevaluate whether the goals and objectives are appropriate and achievable. b. Establish a fixed goal that is unaffected by changes in the organization. c. Limit membership in the planning team to administrators, leaders, and executives. d. Make the goals of the plan more general so that they can be more easil...

1. The nurse-manager of a hospital unit has set a goal of increasing client advocacy. What activities are likely to help the manager attain this goal? Select all that apply. a. Staffing the unit with a sufficient number of care providers b. Orienting staff on the safe use of a new mechanical lift c. Providing an in-service on culturally meeting clients’ end-of-life needs d. Arranging for a client to have a meeting with a member of the financial office e. Organizing an equitable system for...

1. What management activity characterizes the priorities that existed during the human relations era of management? a. Collaborative decision making b. Punishing workers who were unproductive c. Granting equal rights to men and women d. Application of laissez-faire leadership ANS: A Feedback: The human relations era of management science emphasized concepts of participatory and humanistic management in which participative management was espoused. This included workers in decision ...

1. A nurse-manager is planning to apply a decision-making model to a clinical challenge. When using a decision-making tool, what should the manager do? a. Be aware that the tool cannot eliminate the risk of human error. b. Have an impartial colleague apply the tool, if possible. c. Apply the tool as quickly as possible. d. Recognize that the tool will negate the effect of the manager’s values. ANS: A Feedback: Management decision-making aids are subject to human error and do not ...

1. The nurse-manager has learned there is conflict between a nonresponsive client’s family members about the best plan of care. The manager recognizes the complex ethics of this situation. What is the manager’s best action? a. Base a decision on the most recent precedent in the organization. b. Make contact with the hospital’s ethics committee. c. Refer the family to the hospital’s spiritual care service. d. Ask an impartial staff member to mediate. ANS: B Feedback: An ethi...

1. A subordinate has accused a manager of favoritism after the manager created the work assignment for the day. How should the manager best apply the principles of emotional intelligence? a. Identify and reflect on the feelings that she experiences after being accused. b. Recognize that the subordinate’s statement was likely based on emotion rather than evidence. c. Involve a colleague in the situation who has no emotional investment in the situation. d. Choose a response that will diffuse...

Chapter 21: Managing Personal and Personnel Problems Chapter 22: Role Transition Chapter 23: Managing Your Career Chapter 24: Developing Leaders, Managers, and Followers Chapter 25: Thriving for the Future