Exam (elaborations)

CNML & NE-BC questions with complete solutions Latest Updated 2024/2025

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Written in 2024/2025
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what is the purpose of a job description
why should you avoid starting new staff before the
what is the best way to give feedback to an employ

Institution CNML & NE-BC
Course CNML & NE-BC

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CNML & NE-BC questions with complete solutions
Latest Updated 2024/2025
What is the purpose of a job description? - Correct Answer A job description outlines the job duties
to a potential or new employee, explains the boundaries of the scope of practice, and provides
direction for the new employee about what performance measures will be assessed at evaluation
time.

Why should you avoid starting new staff before they attend general orientation? - Correct Answer
Expediting an employee orientation is not a good idea because general orientation provides an
opportunity to connect the employee with the mission, vision, and values of the larger organization.
General orientation also provides safety topics and opportunities to make connections which can
help them in the future.

What is the best way to give feedback to an employee who tends to be defensive and
confrontational? - Correct Answer When giving feedback to an employee who tends to be defensive
and confrontational it is best to review the employee performance guidelines, have the meeting in a
safe location, perhaps include a witness, and focus specifically on the employee's performance
issues.

What are the challenges of communication in the workplace? - Correct Answer The challenges of
workplace communication are that people tend to look for differences rather than similarities.
People tend to judge others based on what they assume is their intent, and people tend to avoid
engaging in potentially tense interactions.

Why is communication in the workplace so important? - Correct Answer Good communication is
important because 80% of patient errors are related to communication breakdowns (Institute of
Medicine, 2004). People often know there is a problem but do not know how to communicate it to
others who can resolve the situation.

What is disruptive innovation? - Correct Answer Disruptive innovation (Christensen, Bohmer, &
Kenagy, 2000) is any action that disrupts an existing way of doing something. The term can be used
to describe a problem but do not know how to communicate it to others who can resolve the
situation.

Why is it important how a candidate dresses for an interview? - Correct Answer First impressions
influence the interviewer when conducting an interview. Unprofessional and inappropriate attire
may be an indication of poor judgement by the candidate however; there may be a reason, which
you will not know unless you ask the candidate. You should try not to be distracted by the nurses
attire an focus on her resume, experience, skills, and answers. Ask the candidate behavioral
interviewing questions including how she dresses for different settings.

,How important are the words in communication. - Correct Answer Mehrabian (1981) suggested that
in volatile situations people only hear 7% of the words that are being said. The other 55% of
communication is body language and 38% the tone.

Why is face-to-face communication important to certain types of communication? - Correct Answer
Studies have shown that body language (55%) and tone (38%) have a huge impact on communication
in volatile situations (Mehrabian, 1981). Based on that data, as a leader you should consider that
your tone and body language might have a great impact on your employees than what you actually
say, word-wise.

Why are rumors and gossip dangerous? - Correct Answer Rumors and gossip are dangerous in
organizations because of their effect on teamwork and morale. Gossip is generally assumed to have
some piece of factual basis, however in order to be believed the parties must suspend disbelief and
recognition of any contradictory information that exists in order to perpetuate the story. Rumors and
gossip can be harmful when they translate into inaccurate information and innuendo, which can
lower trust, morale, undermine productivity, discourage support for institutional initiatives, and
block good news.

Why do people engage in spreading rumors and gossip? - Correct Answer Rumors tend to increase
when members of a group have limited control over events, where there is a poor organizational
climate, mistrust of formal communication, lines, uncertainty about change, and high levels of
competition (Michelson & Mouly, 2002). Rumors help the participants to reduce chaos and
uncertainty in their own mind by defining and explaining the situation. Rumor spreading may
actually be a manifestation of deeper feelings of guilt, ambivalence, and the desire for dominance
and power over others through the control of valuable information.

What are the best ways to reduce rumors and gossip? - Correct Answer The best ways to reduce
rumors and gossip is to have a staff meeting with all the staff, discuss the issue, then develop a task
force to come up with some solutions including a no-tolerance policy for spreading rumors and
gossip. The leader should recognize the harmful effects of rumors and gossip; that is probably is a
violation of the organization's rules of employee conduct, which may need to be addressed with
disciplinary action depending on the severity of the infraction.

How do highly effective people communicate? - Correct Answer Highly effective people (Covey, 1990)
seek first to understand the other person, before they try to explain their position on the issue.

Whats is the best way to address employee disputes, as a manager? - Correct Answer The best
approach to employee disputes is to listen to both sides of the story, ask the employees to think of
an acceptable solution where they both could win (Covey, 1990). Then ask them for suggested
creative solutions where they both could be satisfied with the outcome.

, What are the dynamics that impact on physician-nurse relationships? - Correct Answer Physician-
nurse relationships are impacted by a variety of factors including: Gender differences, patterns in the
organizational culture of how people relate too each other, and perceptions of hierarchy such as
physicians should be in charge.

What are ways of increasing dialogue in crucial communication situations? - Correct Answer Crucial
Conversations is a model for communication based upon the concept of increasing dialogue on a
team (Patterson, et al, 2002) Dialogue is increased by creating a safe environment for
communication; working toward mutual purpose and respect; and increasing the pool of shared
meaning about the situation.

What is the purpose of rounding for outcomes? - Correct Answer Rounding for outcomes involves
having staff go in the patient room at regular intervals and asking specific questions. It helps to
provide a safe environment for patients and families by allowing them to provide feedback on their
care experience.

What is SBAR? - Correct Answer SBAR is s communications tool primarily used to improve nurse-
physician communication. The initials stand for:

Situation: Who else is involved? What's going on?

Background: Briefly explain everything leading up to the situation.

Assessment: What do you think is going on?

Recommendation: What do you think should be done and by when?

What is the best way to address a nurse who refuses to float to another unit because she says she
has no experience caring for that patient population and does not want to risk losing her license? -
Correct Answer The best response by the charge nurse to a nurse who refuses to float to another
unit would be to talk to the nurse about her concerns. Then ask the other unit what types of support
they will provide the nurse. Make sure the nurse will be working safely is she goes to the other unit.

What would you do first if one of your nurses was uncooperative when she floated to another unit? -
Correct Answer The first thing for the manager to do if a nurse was uncooperative when floating to
another unit would be to talk to the nurse and ask her version of what happened.

What would be the first thing for a charge nurse to do if a nursing assistant was accused of sleeping
on the night shift? - Correct Answer If the charge nurse was told a nursing assistant was sleeping
when she was suppose to be doing a 1:1 observation she or he should remove the employee from
the situation. The place them on administrative leave pending an investigation as to what happened.

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