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 cultural sensitivity.

B lack of confidence.

C ethnicity.

D professional behavior.

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 Being able to use the same instrument for all clinical units

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

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 eventual resolution of the problem without further intervention.

B a good relationship with the maintenance department.

C decreased productivity on her part.

D decreased frustration between the maintenance worker and her.

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 Both New York and Pennsylvania

B Pennsylvania

C New York

D Neither New York nor 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 The need to understand and record all medications being taken.

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

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

D Following closely the directions and orders of healthcare providers.

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

B Neither man will experience any stress.

C The older man will feel more stress.

D The younger man will feel more stress.

Question #7

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

A Staff morale and budgets

B Infection rates

C Bed utilization

D Cost per hospital day

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

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

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

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

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 Formal leadership

B Informal leadership

C Favoritism

D No leadership displayed

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 Leadership behavior

B Management behavior

C Concern with placating Mr. Smith

D Lack of empathy and understanding for Miss Jones

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 privacy.

B protection against slander.

C confidentiality.

D undue authorization of treatment.

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 Managing the effects of fatigue and error

B An enhanced nursing work force

C The use of avoidance

D Accepting that some conflict is normal

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 All of these

B Joining professional organizations

C Reading books on leadership

D Connecting with other leaders in the organization

E Attending professional conferences

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 need to linear structures.

B Followers are submissive in nature.

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 Interprofessional collaboration

C Avoidance of the issue or concern

D Level of interdependence of the parties

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 includes nurses as part of an interdisciplinary and multidisciplinary team.

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

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

D cannot encompass nurses within this framework.

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 have been identified by the women and neighborhood advocates as necessary for their health care.

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

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

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, powerlessness, and passivity.

C decreased isolation, challenge, and passivity.

D commitment, control, 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 a social event and include the agency and traveling nurse staff members.

B plan unit-based social events for your remaining permanent 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 Accomplishment of goals

C Exploring others

D Organizational task

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 acculturation.

B circle of familiarity.

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 Intrapersonal

B Professional

C Organizational

D Interpersonal

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 escalation of conflict.

B similar conflict management strategies.

C competing and compromise strategies.

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 identify the conflicting facts.

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

C schedule a meeting time for resolution.

D be determined to resolve the conflict.

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

B Ensure that medication errors are consistently reported.

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

D Revisit reporting standards for medication errors in your organization.

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 Robert E. Kelley

B Patricia Benner

C Ida Jean Orlando

D Dorothea Orem

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 Empowering

C A management task

D A symbol

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 Veracity

B Nonmaleficence

C Beneficence

D Autonomy

Question #29

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

A All of these

B Job satisfaction

C Absenteeism and turnover

D Client welfare

E Nurses’ health

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 A positive self-concept

B Acquiescence

C Leadership

D Deepening self-awareness

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

B 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.

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

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 Leadership

B Reflection

C Knowledge

D Action

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 Ask the client if he has any questions.

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

D Draw a picture to show the incision.

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 The Four Agreements

B Challenge the Process

C Inspire a Shared Vision

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

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

D Facilitate a meeting so nurses can articulate their values and concerns about a competency 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 Input to the unit

C Working to improve patient care

D Leadership opportunity

Question #37

Which ethical principle is primarily involved in informed consent?

A Nonmaleficence

B Beneficence

C Veracity

D Autonomy

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 changes easily.

B develops over time.

C maintains a strong work ethic.

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 internal source

D burnout

Question #40

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

A reviewing vacation requests.

B anticipating staff sick days.

C posting the yearly rotation schedule.

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 compromised agency.

B moral distress.

C moral dilemma.

D moral sensitivity.

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 ethnocentricity.

C cultural diversity.

D acculturation.

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 Emotional intelligence

B Situated theory

C Complexity theory

D Trait theories

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

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 lack of communication between family members.

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 Emotional intelligence

B Comportment

C Management of conflict

D Compassion

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 Collaborating

B Compromising

C Avoiding

D Competing

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