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EVELOPING THE ROLE OF MANAGER YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION, CHAPTER 30: THE STRATEGIC PLANNING PROCESS, CHAPTER 28: DEVELOPING THE ROLE OF LEADER YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION EXAM QUESTIONS AND ANSWE$17.49
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EVELOPING THE ROLE OF MANAGER YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION, CHAPTER 30: THE STRATEGIC PLANNING PROCESS, CHAPTER 28: DEVELOPING THE ROLE OF LEADER YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION EXAM QUESTIONS AND ANSWE
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EVELOPING THE ROLE OF MANAGER YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION, CHAPTER 30: THE STRATEGIC PLANNING PROCESS, CHAPTER 28: DEVELOPING THE ROLE OF LEADER YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION EXAM QUESTIONS AND ANSWERS
DEVELOPING THE ROLE OF MANAGER
YODER-WISE: LEADING AND
MANAGING IN NURSING, 7TH EDITION,
CHAPTER 30: THE STRATEGIC
PLANNING PROCESS, CHAPTER 28:
DEVELOPING THE ROLE OF LEADER
YODER-WISE: LEADING AND
MANAGING IN NURSING, 7TH EDITION
EXAM QUESTIONS AND ANSWERS
1. Role theory has its underpinnings in management theory. Management theories
influence managers' leadership styles. Which of the following styles would a nurse
manager be mostlikely to follow when redesigning the staffing schedule?
a. Humanistic
b. Authoritarian
c. Flexibility
d. Participative - Answer-ANS: D
Participative style of leadership allows for the input by the participants involved to have
input to the decision process. This assists in making change easier and is one way a
manager uses this leadership to lead the unit.
2. A nurse manager has worked to bring the staff to participate in and then accept
changes in the unit's mission, so that downsizing can be avoided. How is the nurse
manager using change theory for this situation?
a. Focusing on past concerns related to the mission
b. Teaching staff members how to self-manage themselves
c. Determining accurately the direction of change in the institution
d. Requiring all staff members to review and reinforce their technological skills -
Answer-ANS: C
The manager is using change theory to have the staff develop and therefore buy into
the changes. Determining the direction of change for the institution allows the manager
to work using change theory to guide staff for changes.
3. The nurse manager, as the leader of the unit's "customer (client) first" initiative, has
asked the staff nurses to develop and administer a survey to every client before
discharge. In asking the staff nurses to accomplish this task, the nurse manager is
demonstrating:
,a. accountability.
b. shared leadership.
c. a common purpose.
d. independence in the nursing manager's role. - Answer-ANS: B
Healthy work environments are facilitated by involving staff and others in decision
making; gaining access to information is one characteristic of shared decision making.
Shared decision making enables staff to feel valued in policy development and in
directing and leading.
4. A nurse manager is experiencing considerable conflict among staff members
because of weekend staffing coverage. During a called staff meeting, the nurse
manager asks the disgruntled staff to meet as a group and determine the best staffing
practices. In doing this, the nurse manager is using the concept of collaboration to:
a. demonstrate interdependence.
b. depict flexibility and broadmindedness.
c. focus all energies of staff members on a best possible strategy.
d. defuse the possibility that staff members will escalate their discontent when
staffing the unit on weekends. - Answer-ANS: C
When collaboration is used to solve a conflict or to create new directions, the energies
of all parties are focused on solving the problem versus defeating the opposing party
and creating the "best possible" versus an "okay" direction. When groups come together
and mutual expectations are discussed and fostered, communication and collaboration
are enhanced, which results in a more structurally empowered work force.
5. A nurse manager's responsibility for financial management involves making
budgetary decisions. Budgets that allow the nurse manager to allocate resources at the
unit level allow:
a. minimal nurse manager input.
b. limited rationale for budgetary requests.
c. budgetary allocations at the executive nurse level.
d. budgetary decision making at the point-of-service (POS). - Answer-ANS: D
In organizational structures where decision making occurs at the POS, nurse managers
are given some self-control, which includes preparing and implementing a budget that
meets the long- and short-term needs of their unit without requiring hierarchical
approval.
6. The nurse manager is anticipating changes on the unit because of managed care. It
is up to the manager to "sell" the staff on this care concept. A goal of managed care that
the staff must understand is that managed care is:
a. grounded in business theory.
b. useful for long-term patients only.
c. designed to reduce unit resources and staff.
d. not concerned with the best interests of clients. - Answer-ANS: A
Managed care combines delivery of needed care with business principles of efficiency
and cost. Nurse managers who know business principles become conduits for ensuring
safe, effective, affordable care.
, 7. The hospital administrator approves a case management position for a new
rehabilitation unit to help reduce costs. In developing the job description, the nurse
manager understands that a key element of case management is:
a. managing of care by nurse managers.
b. coordination of resources for effective outcomes.
c. rapid discharge of clients to decrease costs.
d. managing of care for outpatient clients only. - Answer-ANS: B
The key to effective case management is proactive coordination of care from the point
of admission to accomplish appropriate and effective outcomes. Case management
involves components such as case selection, multidisciplinary assessment, collective
planning, coordination of events, negotiation, and evaluation and documentation of the
outcomes of patient status in measures of cost. Case management is employed in a
variety of settings.
8. In planning a new wing, the nurse manager complies with the workplace safety
requirements of the Occupational Safety & Health Administration (OSHA). Which of the
following groups is considered to be at high risk for violence in the workplace?
a. Pediatric staff
b. Postsurgical unit staff
c. Emergency Department staff
d. Medical oncology unit staff - Answer-ANS: C
Nurse managers have responsibility for both patient and staff safety. High-risk areas,
such as the Emergency Department, require special attention.
9. Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital.
Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills
required is too time consuming. They question its value in patient care. The manager
responds that:
a. the use of technology is inevitable in our technologically oriented society.
b. the hospital is no longer able to find the space to accommodate paper
record-keeping.
c. the initiative is being driven by decision makers higher up in the hierarchy and
there is no choice.
d. EHRs will increase effectiveness of care by enhancing coordination and improving
patient outcomes. - Answer-ANS: D
As technology improves, informatics must be integrated with budget and personnel as a
critical resource element. Basing practice on evidence-based care can assist in making
solid decisions about resources and in leading and encouraging staff toward positive
changes in patient outcomes. EHRs, for example, are expected to enhance coordination
of care, improve health outcomes, and increase accuracy of diagnoses.
10. Nurses in the CCU are unhappy and frustrated with their nurse manager. They
complain that
"nothing is ever good enough for him." These statements suggest that the nurse
manager's goals may be:
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