Week 3 Reading Quiz

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Question #1

When interviewing a candidate for a nursing position who has an Aboriginal background, you recognize that the candidate’s lack of eye contact reflects the candidate’s:

A lack of confidence.

B cultural sensitivity.

C professional behavior.

D ethnicity.

Question #2

The nurse manager must develop a patient satisfaction survey. What is one of the critical elements in selecting a patient satisfaction instrument?

A Including items that are important from the patient’s perspective

B Being able to use the same instrument for all clinical units

C Being sure that the reading level is no higher than third grade

D Being able to administer the instrument before a patient’s discharge from the hospital

Question #3

Sarah is a nurse manager in a surgical unit. She is concerned about a conflict between Lucy (a staff nurse) and one of the maintenance personnel. Sarah explains to Lucy that unsatisfactory resolution of the conflict is typically destructive and will result in:

A a good relationship with the maintenance department.

B eventual resolution of the problem without further intervention.

C decreased frustration between the maintenance worker and her.

D decreased productivity on her part.

Question #4

In a telehealth organization, a nurse who is licensed in New York and Pennsylvania provides teaching to a patient who resides in Pennsylvania. The patient charges that the teaching failed to provide significant information about a potential side effect, which led to delay in seeking treatment and untoward harm. Under which state nurse practice act and standards would this situation be considered?

A Neither New York nor Pennsylvania

B Pennsylvania

C New York

D Both New York and Pennsylvania

Question #5

The nurse is educating older adult patients on staying safe in the healthcare system. What information does the nurse include in the teaching?

A Following closely the directions and orders of healthcare providers.

B The need to understand and record all medications being taken.

C Washing hands frequently while in a healthcare environment and using a hand sanitizer.

D Bringing their own linens and other personal items to the hospital.

Question #6

Jeff, an RN in his 30s, has lost a parent, just purchased a new home, and is laid off with 6 months’ severance pay. At the same time, Jerry, an RN in his 50s, is financially secure and is asked to take early retirement with a buyout. How will the two men react to the emotional and physical influences and the sequence of stress?

A The younger man will feel more stress.

B The older man will feel more stress.

C Neither man will experience any stress.

D The two men may or may not feel the same amount of stress.

Question #7

According to the complexity theory, what would be the focus of measurement?

A Cost per hospital day

B Infection rates

C Staff morale and budgets

D Bed utilization

Question #8

During managers’ meetings, Lindsay is surprised by the forthrightness of male managers. She finds that, during discussions, she would be more likely to say:

A “The system that has been developed needs to be implemented. We have already spent enough time in discussion.”

B “Forget about change in this policy. It is fine as it is.”

C “Sean, your approach to appraisal is completely off track and does not reflect available evidence.”

D “I wonder if we should consider changing our policy on performance appraisals? What do you think?”

Question #9

The charge nurse of a unit is asking the staff what patients they had the day before to make assignments for the day. A new nurse complains about having the same patients every day. The charge nurse considers the new nurse request at an assigned to different patient for today. What type of leadership is the charge nurse displaying?

A Favoritism

B Formal leadership

C No leadership displayed

D Informal leadership

Question #10

The charge nurse walks into Mr. Smith’s room and finds him yelling at the LPN. He is obviously very upset. The charge nurse determines that he has not slept for three nights because of unrelieved pain levels. The LPN is very upset and calls Mr. Smith an “ugly, old man.” The charge nurse acknowledges the LPN’s feelings and concerns and then suggests that Mr. Smith’s behavior was aggressive but was related to lack of sleep and to pain. The charge nurse asks, “Can you, together with Mr. Smith, determine triggers for the pain and effective approaches to controlling his pain?” This situation is an example of what?

A Concern with placating Mr. Smith

B Leadership behavior

C Lack of empathy and understanding for Miss Jones

D Management behavior

Question #11

A colleague asks you to give her your password access so that she can view her partner’s healthcare record without using her login. This request violates the patient’s right to:

A confidentiality.

B privacy.

C undue authorization of treatment.

D protection against slander.

Question #12

The nurse manager is aware that conflict is occurring on her unit; however, she is focused on preparing for a state health department visit, so she ignores the problem. What factor can increase stress and escalate conflict?

A An enhanced nursing work force

B Accepting that some conflict is normal

C The use of avoidance

D Managing the effects of fatigue and error

Question #13

As a nurse manager and the leader of the unit, you are aware of multiple avenues for learning leadership traits. Which avenues would you pursue for learning leadership traits?

A Connecting with other leaders in the organization

B Reading books on leadership

C Attending professional conferences

D All of these

E Joining professional organizations

Question #14

A staff nurse is taking leadership classes in an advanced degree program with a goal to become a nurse manager. The nurse is studying the leader-follower relationship. What has the nurse discovered as accurate part of the leader-follower relationship?

A Followers are submissive in nature.

B Followers need to linear structures.

C Leaders should dictate to the group.

D Leaders are also followers.

Question #15

Factors that influence the ease with which conflict is resolved include all except which of the following?

A Expression of one’s own needs and ideas

B Level of interdependence of the parties

C Avoidance of the issue or concern

D Interprofessional collaboration

Question #16

As a nurse manager, you see an opportunity for patients to be well serviced through the medical home concept. You recognize that the concept of medical homes:

A cannot encompass nurses within this framework.

B includes nurses as part of an interdisciplinary and multidisciplinary team.

C restricts nurses to services related to direct care and procedures.

D currently does not include nurses in its vision of multifaceted primary care.

Question #17

You are involved in designing a clinic for women in an inner-city neighborhood. A goal of this clinic might be:

A partnership with area city councilors and health professionals to provide services that are consistent with their vision and funding sources.

B development of services that are identified in various studies as important for this target group.

C provision of immunization and addictions services and health screening services for women in the area.

D development of services that have been identified by the women and neighborhood advocates as necessary for their health care.

Question #18

The staff development educator presents a series of programs on stress management to the nurse managers. Research has indicated that an individual’s ability to deal with stress is moderated by psychological hardiness. Psychological hardiness is a composite of:

A commitment, control, and challenge.

B commitment, control, and passivity.

C commitment, powerlessness, and passivity.

D decreased isolation, challenge, and passivity.

Question #19

The nurse manager of a unit has lost many staff members, and the unit is now staffed with a large number of agency and traveling nurses. She knows that the agency and traveling nurses are all contracted to stay on the unit for the next 3 months. One way to improve morale and decrease stress in the unit would be to:

A plan unit-based social events for your remaining permanent staff members.

B plan a social event and include the agency and traveling nurse staff members.

C implement team nursing.

D request hospital-based “floating” nurses to substitute for the temporary staff.

Question #20

In developing leadership skills, one should focus on authentic leadership. The theory of authentic leadership focuses on various factors. What is the top priority in development of authentic leadership?

A Honest relationships

B Organizational task

C Exploring others

D Accomplishment of goals

Question #21

Sarah, one of your RNs, tells you that she can’t understand why Jim, an Aboriginal patient, wants to do a smudge. Sarah’s response is based on her:

A circle of familiarity.

B acculturation.

C cultural marginality.

D cultural understanding.

Question #22

Sarah, a staff nurse on your unit, witnesses another nurse striking a patient. Sarah wants to remain friends with her colleague and worries that confrontation with her colleague or reporting her colleague will destroy their relationship. Sarah is experiencing which type of conflict?

A Professional

B Intrapersonal

C Interpersonal

D Organizational

Question #23

Lee, the head nurse in ER, has attempted to meet Jillian, one of her staff RNs, for several days to discuss concerns about Jillian’s relationships with her team members. Lee hopes to offer Jillian coaching so that Jillian’s relationships can be more satisfying for Jillian and her team members. Each time Lee and Jillian set a time to meet, Jillian phones in sick. In this situation, Lee and Jillian are demonstrating:

A similar conflict management strategies.

B competing and compromise strategies.

C escalation of conflict.

D avoidance and compromise strategies.

Question #24

The nurse manager decides to use a mediator to help resolve the staff’s conflict. A basic strategy for truly addressing this conflict is to:

A schedule a meeting time for resolution.

B be determined to resolve the conflict.

C have a clear understanding of the differences between the parties in conflict.

D identify the conflicting facts.

Question #25

As the manager on an acute care medical unit, you note that the incidence of medication errors has increased since the implementation of staffing changes. What is an important stratagem to reduce errors?

A Revisit reporting standards for medication errors in your organization.

B Provide staff with additional education related to safe practice in medication administration.

C Ensure that medication errors are consistently reported.

D Involve RN staff in determining reasons for errors and practice solutions to increase the safety of medication administration.

Question #26

In nursing theory, one theorist developed the idea of new nurses progressing to experienced nurses and playing an important role in patient care in all stages. The new nurses follow their role and progress through stages to advanced nurse. Who was this theorist?

A Ida Jean Orlando

B Dorothea Orem

C Patricia Benner

D Robert E. Kelley

Question #27

During a staff meeting held to discuss developing a mission statement for the unit, the idea of placing patient needs first is discussed. What is considered when the suggestion by the manager is for the unit mission to be derived from the organization mission?

A A leadership tag

B A symbol

C A management task

D Empowering

Question #28

Three gravely ill patients are candidates for the only available bed in the ICU. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles?

A Nonmaleficence

B Autonomy

C Beneficence

D Veracity

Question #29

High levels of work-related stress affect all but which of the following?

A Absenteeism and turnover

B Client welfare

C All of these

D Nurses’ health

E Job satisfaction

Question #30

The manager of a unit is finding it difficult to work with a new graduate nurse. The new nurse has many ideas; however, his manner of presenting them irritates the manager. After reflection and discussion with others, the manager recognizes that she feels threatened by his behavior. She comes to understand that the new nurse is trying to establish his own role on the unit; is not trying to challenge her; and needs guidance, coaching, and affirmation. What is the nurse manager demonstrating in this situation?

A Acquiescence

B Deepening self-awareness

C A positive self-concept

D Leadership

Question #31

As a nurse manager, you have hired two new staff members who have recently come to the United States from other countries. Which of the following strategies might indicate your efforts to assist these staff members with acculturation to your unit?

A Expect them to behave in ways that are expected of staff who have grown up and been educated in the United States.

B Analyze a recent situation with them in which an order with a physician was not clarified and explore their beliefs about nurse-physician relationships.

C Stress to these new staff that your unit is a “family” and that staff members take pride in saying that they are from Unit 4.

D Recognize that culture develops over time and leave them alone to figure out differences between their culture and that of the unit.

Question #32

The manager of a nursing unit is having difficulty working with a new graduate nurse. The new graduate nurse is excited and full of ideas she wants to try. The manager decides to journal her feelings regarding the new nurse and her feelings. What is the nurse manager practicing in this situation?

A Reflection

B Leadership

C Action

D Knowledge

Question #33

A client requires an appendectomy. The surgeon explains the procedure and asks the client to sign the consent. The patient speaks very little English and looks worried. What is the appropriate action by the nurse?

A Not intervene.

B Draw a picture to show the incision.

C Suggest that an interpreter explain the procedure to the client and answer any questions.

D Ask the client if he has any questions.

Question #34

A nurse manager when in the formal leadership position attempts to translate the picture or vision of her facility across for the staff nurses. The manager is faced with a staff who is resistant to the vision of the facility. What is the theory the manger needs to incorporate to be effective?

A Inspire a Shared Vision

B Challenge the Process

C The Four Agreements

D Model the Way

Question #35

The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility. While making rounds on the units, the staff development coordinator overhears RN staff complaining that they feel it is insulting to be required to participate in a competency program. What behavior by the staff development coordinator is most appropriate in this situation?

A Inform the nurses that this program is a requirement for JCAHO accreditation.

B Facilitate a meeting so nurses can articulate their values and concerns about a competency program.

C Schedule a meeting with the chief nurse executive to apprise her of the situation.

D Disregard staff concerns and continue with development of the program.

Question #36

The manager of a nursing unit is having difficulty working with a new graduate nurse. The new graduate nurse is excited and full of ideas she wants to try keeps pushing the manager to make changes. The manager decides to provide the new nurse with an opportunity to present an idea to the staff at the next meeting. What is the manager providing the new nurse?

A All of these

B Leadership opportunity

C Working to improve patient care

D Input to the unit

Question #37

Which ethical principle is primarily involved in informed consent?

A Nonmaleficence

B Beneficence

C Autonomy

D Veracity

Question #38

The nurse manager for a unit’s culturally diverse staff creates a staff-development program so the professional nursing staff members can enhance their understanding of cultures on the basis of published literature. The literature reveals that the following characteristic is inherent in a culture. It:

A develops over time.

B maintains a strong work ethic.

C changes easily.

D develops quickly.

Question #39

A staff nurse approaches the unit manager and indicates to her that because of her father’s death in the previous month, she is now finding it very difficult to do her work effectively. This would be considered a(n) ________ stress.

A familial

B external

C burnout

D internal source

Question #40

As a nurse manager, the one activity you should not overlook is:

A posting the yearly rotation schedule.

B reviewing vacation requests.

C anticipating staff sick days.

D scheduling staffing for holidays 6 months in advance.

Question #41

A member of a patient’s family calls the nurse manager of the palliative care unit to express concern that a member of the family, who died on the weekend, had requested analgesics from the RNs on duty. An RN came with the analgesic nearly 45 minutes later, just after the patient had died. The manager is aware that the unit was especially busy that weekend because many patients were seriously ill, staff had called in ill, and the staffing manager was unable to completely replace staff who were absent. The manager is deeply troubled that the family member had to die in pain because it violates what she knows should have been done. This manager is experiencing:

A moral distress.

B moral sensitivity.

C moral dilemma.

D compromised agency.

Question #42

The nurse manager of a unit is asked by a family member of a dying Native American patient if it is possible to have the patient’s eight-member family recite the rosary by the bedside. The manager responds affirmatively. The nurse manager is most likely exhibiting behavior related to:

A cultural sensitivity.

B acculturation.

C ethnocentricity.

D cultural diversity.

Question #43

As a leader on a rehab unit, the manager encourages all staff members to see themselves as having a role in decision making and quality care. The manager sees their role as involving particular responsibilities in decision making but not as a hierarchal role. What is this view of the role consistent with in this situation?

A Trait theories

B Situated theory

C Emotional intelligence

D Complexity theory

Question #44

The principle that requires nurses to uphold a professional code of ethics, to practice within the code of ethics, and to remain competent is which of the following?

A Honesty

B Fidelity

C Autonomy

D Veracity

Question #45

In caring for a patient from an East Indian culture, the staff expresses frustration that many people are in the room at any one time, which interferes with care. As the nurse manager, you provide leadership in understanding that this behavior of the family and friend network reflects:

A lack of communication between family members.

B lack of caring about the hospital environment by the friends and family.

C lack of understanding of the seriousness of the patient’s illness.

D the social organization of friendships and family networks in East Indian culture.

Question #46

At the end of a shift, the charge nurse shares with the new nurse she had done an excellent job with a difficult patient that day. The new nurse was upset by the way the family of the patient had treated her. She shared her feeling with the charge nurse. The charge nurse offered to change the assignment the following day. What is the charge nurse displaying?

A Management of conflict

B Emotional intelligence

C Compassion

D Comportment

Question #47

Jill is the head nurse on a unit in a large hospital. Two of the staff nurses are constantly arguing and blaming each other, and a resolution has not occurred in months. To solve the existing conflict, which is the most creative conflict resolution?

A Avoiding

B Competing

C Collaborating

D Compromising

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