front 1 In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees’ health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin’s planned change? a. Unfreeze | back 1 A |
front 2 One difference between a leader and a manager is that a:
| back 2 C |
front 3 The first step in the nursing process and in the problem-solving process is to:
| back 3 B |
front 4 An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation? a. Autocratic | back 4 A |
front 5 An RN with excellent assessment and psychomotor skills would derive power on the basis of which source? a. Rewards b. Coercion c. Expert | back 5 C |
front 6 Managers who exhibit an authoritative behavioral style are most likely to use which source of power? a. Informal b. Expert d. Reward | back 6 C |
front 7 Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society’s perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory? a. Trait d. Organizational | back 7 A |
front 8 A nurse manager is concerned with restocking the emergency cart,
creating the staff schedule, requesting floor stock from pharmacy, and
checking the orders on patient charts. Which type of leader accurately
describes this nurse? b. Situational d. Contemporary | back 8 A |
front 9 According to the unit’s policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, “You are unfair to me.” Which theory would disprove the nurse’s statement?
| back 9 A |
front 10 A nurse is reading about positive reinforcement with the goal of increasing staff motivation. Which action would demonstrate positive reinforcement?
| back 10 D |
front 11 Which action represents the key management function of strategic planning?
| back 11 D |
front 12 A hospital’s policy requires that all nurse managers must have a minimum of a bachelor’s degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, “The new nurse manager has book sense but no leadership abilities.” What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit?
| back 12 D |
front 13 A clinical nurse leader (CNL) enters the workforce and hopes to use her interdisciplinary skills to participate on a quality improvement committee. The coordinator of the quality group invites the CNL to join the group. Which type of power is demonstrated by the coordinator of the group? a. Coercive c. Laissez-fair | back 13 D |
front 14 A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to “provide quality patient care with attention to compassion and excellence.” An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?
| back 14 C |
front 15 A staff nurse provides care based on intuition and always seems to be
in control of her personal and professional life—serving on the board
of the state nurses association, serving as the nursing unit’s
representative on the ethics committee, and coaching her daughter’s
soft ball team. Many of the staff observes how she manages time and
provides care. This nurse’s power comes from which type of
power? | back 15 A |
front 16 A staff nurse states, “I really enjoyed having dinner with the Chief
of Medical Staff and the President of the hospital. We hope to meet
again soon.” Which source of power does this nurse possess? b. Legitimate c. Connection d. Reward | back 16 C |
front 17 A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to chair taskforces to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager’s approach to improve their own units. This nurse is which type of leader? a. Transformational b. Transactional | back 17 A |
front 18 A hospital recently learned that their scorecard did not meet the
national benchmark for patient satisfaction and brought in a
professional change agent to determine what their issues were and how
they could improve their score. The agent collected data and
recommended that nurses participate in interdisciplinary walking
rounds and allow the patient and family to be participants. Nurses now
round every shift and perform “huddles to update the team” as needed
throughout the shift as part of best practices. Random visits are made
to nursing units to ensure all nurses are participating and patients
are interviewed for their involvement. This stage of Lewin’s change
is: | back 18 C |
front 19 A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function? a. Directing b. Planning d. Controlling | back 19 D |
front 20 Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (select all that apply)
| back 20 A, C, D, E |
front 21 A nurse asks, “What is meant by ‘internal’ customers?” The correct response is: (select all that apply)
| back 21 C, D, E |