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leadership and management
Questions and Answers of
Leadership And Management
The nurse manager’s staffing and scheduling goals:A. Are consistent with the Principles for Nurse Staffing of the American Nurses Association and other regulatory guidelines B. Do not have to be
Staffing, according to the Center for American Nurses, refers to:A. The monthly work schedule produced for a unit or clinic B. The nursing hours per patient per day C. The professional skills
The process of staffing involves:A. Assessment of the qualifications and competence of the staff available B. Formulation of a strategic staffing plan to meet future needs C. Creation of a budget of
Scheduling variables are defined as:A. The number of patients, complexity of patient condition, and nursing care required B. The nursing staff members’ competency levels, qualifications, skill
An appropriate staffing system incorporates:A. Patient needs B. Staff members’ degrees and credentials C. A specific ratio of RNs to LPNs D. The personnel budget
Acuity-adapted room models offer the following:A. Transfer of patients to different hospital units as their status improves or worsens B. Assistance with the continuity of care C. Decreased patient
Nurse staff scheduling factors include:A. Staff may work one shift or 8 hours prior to the starting time of a different shift or 16 hours straight B. 4-week schedules will be posted at least 1 week
The nurse staffing variables used to measure patient outcomes are:A. Nursing hours provided for a patient B. Ratios of RNs to Nurse Assistants C. Numbers of units to which a nurse may rotate D. Skill
Centralized staffing is:A. Cyclical B. A system in which workdays and time off for personnel are changed monthly C. Loose management control of the entire scheduling and staffing system D. A system
Flexible scheduling is:A. Difficult to accomplish because healthcare facilities are open 24 hours a day B. A schedule for health-care professionals that involves no work on holidays C. A means to
Describe staffing as a process with a relationship to scheduling.
Describe a care delivery model utilized by nursing services.
In most organizations, a current, valid job description should do all of the following except:A. Outline the duties, skills, and knowledge required for the job B. Describe how the person is to carry
Performance appraisals are primarily done for which purpose?A. Comparing the performance of employees on the unit B. Identifying employees with personal problems C. Recruiting new employees into the
A peer review may be done as part of the performance appraisal to:A. Compare the employee’s past and present performance B. Document a single outstanding observation C. Assess the level of a
The following statements about management by objectives are all true except:A. Employees have an opportunity to appraise their own performance B. The employee’s supervisor establishes the
Which of the following methods is likely to be most effective in motivating a new employee with poor performance?A. Coaching B. Counseling C. Disciplining D. Supervisor praise E. Additional training
In preparing for the yearly performance appraisal meetings, Ellen Jones’ new supervisor noted that Ellen had an unusual increase in the number of absences and reported late to work on at least six
Janet Smith is a new employee at the hospital. She graduated from nursing school 5 years ago, passed the NCLEX, and worked part-time in a skilled care facility for a year. Janet has been married and
During a performance appraisal report, the supervisor should focus on all of the following except:A. The employee’s current level of performance B. The employee’s career development plans C.
It is difficult for most supervisors to avoid bias when evaluating their subordinates, mainly because many of the tools lead to rater errors like the halo effect, which can best be defined as:A.
Which of the following is the last step in a progressive disciplinary procedure?A. Reprimand B. Counseling C. Transfer D. Termination
Culture is:A. Shared values, behaviors, and beliefs that are reinforced through social interactions B. Specific only to the individual C. Transmitted from one generation to the next D. A and C
Levels of culture that have been identified by Schein (1985) include:A. The visible level; this includes physical space and social environment; for example, the image that is projected at first
Leininger (1991) is credited with developing a theory of culture care that includes:A. The ideas that cultural constructs are embedded in each other and that their application is both broad and
Transculturism describes a nurse who:A. Is grounded in his or her own culture B. Has the skills to be able to work in a multicultural environment C. Works with more than one culture D. A and B
A cultural assessment involves:A. Asking people their preferences B. A detailed description of the patient’s ethnicity C. A description of the traditions to which a patient ascribes D. All of the
Leininger’s domains to review when conducting a cultural assessment include all of the following EXCEPT:A. Bowel and bladder patterns B. Cultural norms and values C. Cultural taboos and myths D.
Leininger describes a culturally competent nurse as one who demonstrates all of the following skills and attributes EXCEPT:A. Uses nursing concepts, principles, and available research findings to
Spirituality is defined as:A. One’s religious preference B. Each person’s unique life experience and one’s personal effort to find purpose and meaning in life C. Believing in a supreme being D.
Cultural diversity is defined as:A. When a nurse cares for patients from different backgrounds B. A hospital with patient demographics from different ethnicities C. Differences in race, ethnicity,
Taboos and beliefs are:A. Truths held by some cultures to be actual or true, based on a specific rationale B. morally wrong Beliefs C. Taboos that describe what one should not do D. Beliefs about
Think of a patient you have cared for from another culture. Did you perceive you were able to communicate effectively with the patient? Did you believe the patient understood all aspects of the care
Think of a foreign nurse with whom you have worked. Did you and your coworkers accept this nurse? Was this nurse incorporated into the“team” willingly? Did you have trouble understanding the
Think of the nurse manager on this unit. How did the manager help the foreign nurse assimilate into the unit’s culture? Were workshops conducted to assist the staff in understanding some of the
Factors that influence the ease with which a conflict is resolved include all of the following EXCEPT:A. The level of interdependence of the parties B. The importance of the outcome C. The perceived
An example of a role conflict is:A. When the director of respiratory care and the nursing director of the ICU both want to hire a new employee in their discipline to work in the ICU B. When the
Which of the following is true regarding power in conflict?A. Some participants have no power in the conflict B. An individual’s power in a conflict tends to remain constant C. The perception of
Value conflicts are likely to occur when:A. Parties in conflict share values not held by the general population B. Parties in conflict hold opposing values C. Parties in a conflict disagree about the
Which of the following questions assist in the identification of identity or face-saving goals in a conflict?A. What do I want?B. Who are we in this relationship, and how does this affect what I
The most effective conflict management style:A. Is collaboration B. Is competition C. Is compromise D. Depends on the situation E. Depends upon the participant’s core personality traits.
Research over the last 15 years suggests that nurses are most likely to use which of the conflict management styles?A. Competition, compromise B. Avoidance, accommodation, compromise C. Competition,
Which of the following communication behaviors used in a conflict do NOT point to a destructive outcome?A. Criticism B. Defensiveness C. Stonewalling D. Anger E. Contempt
Which of the following is likely to be found in integrative (collaborative) negotiation?A. Hiding information B. Exaggerating one’s concessions C. Compromising D. Using confrontation to make points
Which of the following is true of distributive (Competitive) negotiation?A. Competition is typically used by the “winner”B. The ongoing relationship between the two parties is an important
What conflict management style(s) do you use most frequently? How has this affected the outcomes of conflicts you have been involved in?
Consider a conflict you have observed in a clinical setting. What was its impact on the primary participants of the conflict? the patients being cared for by these participants? the work environment?
Delegation is a primary function of:A. Evaluation B. Management C. Mentoring D. Training
Aspects of professional nursing practice that CANNOT be delegated are:A. Monitoring and recording B. Implementation and planning C. Assessment and evaluation D. Reporting and recording
Effective delegation:A. Gets something done by someone else B. Permits an agency to operate with fewer RN staff C. Provides licensed nurses with recognition for heavy patient loads D. Uses skills of
The transfer of authority to perform a selected nursing task in a selected situation to a competent individual is called:A. Assignment B. Buck passing C. Delegation D. Transference
Nancy Nurse, RN, completes an assessment on Patti Patient and delegates bathing, mobility, and nutrition care to a newly hired certified nurse assistant. Nancy Nurse, RN, is then able to admit
The licensed nurse delegator can delegate only tasks:A. Approved by the nursing standards committee in each state or province B. That were included in training programs for assistive personnel
With each task delegated, accountability and responsibility for the skillful completion of the task remain A. Part of the physician’s oversight B. With the delegator C. With the delegatee D. With
The Right Person to receive a delegated task is:A. A licensed or unlicensed delegatee with training in the delegated tasks B. Always UAP C. Available with sufficient time to complete the task D. One
The Right Circumstance for delegation by the licensed nurse:A. Is a routine and recurring event for a specific client B. May change from situation to situation C. Occurs with the patient approval and
The agency that determines the scope of practice for a licensed nurse, and therefore determines what can and cannot be delegated, is:A. American Nurses Association B. Council of State Boards of
Obtain the nurse practice act for your state, including the sections on RN, LPN, LVN, and nurse aide/HHA. Compare the sections on scope of practice and delegation. Discuss the tasks and level of
Obtain a copy of the manual used to teach nurse aide/HHA candidates in your community.List the skills that are taught in a recognized program. Select 10 skills, and explain how these skills are
Discuss the implications for the nurse of the directive pertaining to UAP delegation “any other task that the HHA may choose to have the home health aide perform.”
Self-management is all of the following EXCEPT:A. Knowing who you are B. Knowing what you want and where you want to go C. Taking charge of the process of gathering the resources and positioning
Self-concept is an overall term that is used to describe all of the following EXCEPT:A. Thoughts and evaluations regarding specific aspects of self, such as gender, racial identity, and social class
In order to be useful, goals need to follow the following guidelines:A. Be broad and cover a 10-year period B. Be measurable C. Be attainable within 30 days D. Cover the social and work aspects of
Strategies for dealing with challenges to achieving personal goals include all of the following EXCEPT:A. Positive self-talk B. Developing emotional intelligence C. Stress, sleep, and time management
Some common sources of stress include:A. Problems with weight management B. Substance abuse issues such as alcohol, drugs, and cigarette smoking C. Mental disorders such as untreated depression or
Strategies for time management include all of the following EXCEPT:A. Use a planner or electronic calendar for your appointments B. Always schedule projects for completion as the last thing on your
Role transition from student nurse to staff nurse involves:A. Letting go of old ways and old identities B. Psychological realignments and repatterning of behavior C. Emerging from transition when the
Social competence involves the following social awareness capability that determines how one manages relationships:A. Sympathy: showing sorrow for another’s losses B. Organizational awareness:
Social competence involves the following relationship management capability:A. Transformational leadership: guiding and motivating by transforming followers B. Influence others via monetary rewards
Strategies to promote a good night’s sleep include:A. Maintain a regular waking time, even on days off work and weekends B. Try to go to bed only when you are drowsy C. Establish pre-sleep rituals
Write a personal mission statement to meet the following criteria: What you want to be(character); what you want to do (contributions and achievements); what values and principles you will use to
Based on the mission statement, develop a longterm goal (something that will take more than a year to achieve), and then develop some shortterm goals to operationalize the long-term goal.Evaluate the
Develop a list of things that are within your control, that are outside of your control, and the things that you may be able to influence. How does this realization of the ability to control, have no
Review the characteristics of emotional intelligence. Identify someone you think is emotionally intelligent. Describe the behaviors that this person exhibits that demonstrate emotional intelligence.
Identify a time when you experienced a great amount of stress, but others around you did not perceive the situation as stressful. What factors made the situation stressful for you? Why did other
As this chapter is about self-management, what stressors do you anticipate, and how do you plan to manage your stress response?
The chronological résumé includes:A. Education section B. Listing of jobs starting with most recent job C. Objective statement D. All of the above
A functional résumé is:A. Used only in the nursing profession B. Used when you want to emphasize skills and abilities C. Used when you are changing careers D. B and C 386 Skills for a Successful
A career planning specialist can help you:A. Determine the jobs for which you are a good fit B. Develop a winning résuméC. Prepare for an interview D. All of the above
You need a two-page resume when:A. You have extensive experience in the job for which you are applying B. You have had more than four jobs C. You are older than 40 years D. You have a master’s
Each bullet statement in your résumé should begin with:A. The pronoun “I”B. An action verb C. The words “responsible for”D. None of the above
The key to a successful interview is:A. Who you know B. Preparation C. Wearing a black suit D. A cordial relationship between you and the interviewer
Your references should:A. Be included on your résuméB. Call the employer before the interview C. Be listed on a separate page D. Be provided only if you are asked
You should take the following to an interview:A. Extra copies of your résuméB. A list of questions to ask the interviewer C. Pen and paper to take notes D. All of the above
You prepare for an interview by:A. Researching the company B. Knowing industry standard salary for the position C. Writing out and practicing answers to typical interview questions D. All of the above
According to experts, what percentage of jobs are gained through networking?A. 50%B. 80%C. 10%D. 100%
What are your priorities regarding your career?
What do you believe is most important to accomplish immediately upon completing nursing school?
As a new graduate, who or what do you consider to be your greatest resource as you start your journey into the workforce?
How important is it to gain technical skills that become second nature on your first job?
What professional organizations would be most helpful for you to join and where perhaps you could meet a mentor?
What are your beliefs about returning to school for an advanced degree? Do you believe it is necessary?
A nurse entrepreneur attends a national nursing convention and hears from a colleague that her hospital is in need of educational consulting Career Development 409 services that the entrepreneur can
The term “marketing” is best defined as:A. The process or technique of promoting, selling, and distributing a product or service B. Counseling related to products and services C. Using advanced
A beginning nurse entrepreneur lists the phases of career development. One phase that is not in accord with most theories is:A. Integrating the self with the environment B. Opportunity-seeking and
A quality that may only pertain to the role of nurse entrepreneur is:A. Working within an established organization B. Establishing an organizational niche C. Being financially responsible for
A new nurse intrapreneur consults with a nurse from another facility who occupies a role to which the intrapreneur aspires. The second nurse agrees to coach and evaluate her progress in moving into
The term “niche” is often associated with the position of a nurse intrapreneur. The best description of this word is:A. A place, employment status, or activity for which a person or thing is best
“Innovator” is a word that:A. Applies only to a nurse intrapreneur B. Applies only to a nurse entrepreneur C. Could apply to both a nurse intrapreneur and entrepreneur D. Is not a requirement for
The best definition of “networking” as it is used by a nurse entrepreneur is:A. A group of networks B. Using people for fiscal gain C. Meeting people to establish links or contacts D. A group
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