Nursing Leadership & Management Final
Exam
What's driving the nursing shortage? - ANS -Nationwide downsizing of hospitals in the
1990s
Aging of the nursing workforce
Accelerating demand for professional nurses
Inadequate enrollment in nursing programs of study
Aging of nursing faculty
As of late...resignations from profession during the COVID pandemic
Phases of Employee Indoctrination: Induction - ANS -includes all activities that educate
the new employee about the organization and employment and personnel policies and
procedures
Phases of Employee Indoctrination: Orientation - ANS -teaches activities that are more
specific to the position
Career stage: promise - ANS -Generally reflects the first 10 years of employment;
making wise career choices is important
Milestones: socialization to the nursing role; building knowledge, skills, abilities,
credentials, and an education base; gaining exposure to a variety of experiences;
identifying strengths and building confidence; and positioning for the future
What are some reasons to do career development? - ANS -Reduces employee attrition
Provides equal employment opportunity
Improves the use of personnel
Improves the quality of work life
Improves competitiveness of the organization
Avoids obsolescence and builds new skills
Promotes evidence-based practice
Career stage: momentum - ANS -Is the middle career phase and typically reflects the
nurse with 11 to 29 years of experience
Milestones: further building confidence in one's competence; developing experience,
gaining mastery, and establishing a professional track record; and finding a voice
through aligning strengths with passion
Career stage; harvest - ANS -Commences in late career
,Milestones: elevating mastery to sage practice for advancing the profession and
positioning as a professional statesperson and establishing a legacy
Phases of Employee Indoctrination: Individual orientation - ANS -to each department:
Specific departments are responsible for developing their own orientation program.
Illegal interview inquiries - ANS -Age
Marital status
Children
Race
Sexual preference
Financial or credit status
National origin
Religion
What two aspects carry the most weight in hiring? - ANS -The requirements of the job
(regardless of how friendly or likeable the applicant is)
Personal bias
Ways to overcome interview subjectivity - ANS -Use a team approach.
Develop a structured interview format for each job classification.
Use scenarios to determine decision-making ability.
Conduct multiple interviews with the applicant.
Provide training in effective interviewing techniques.
Negative v Positive information in the interview process - ANS -Negative information
about the applicantis weighed more heavily than positive information, and the earlier in
the interview, the greater the negative effect
Interview reliability - ANS -Intrarater reliability high
Interrater reliability low in unstructured interviews
Interrater reliability is better if interview is structured and same interview format is used
by all interviewers.
What's the key to adequate staffing in the long term? - ANS -Retention, not
recruitment!!
Is turnover good or bad? - ANS -Some turnover is normal and in fact desirable.
It infuses the organization with fresh ideas and reduces the probability of groupthink.
, However, excessive or unnecessary turnover reduces the ability of the organization to
produce its end-product and is expensive.
What are some factors that affect recruitment? - ANS -Financial resources
Adequate nursing pool
Competitive salaries
The organization's reputation
The location's desirability
The status of the national and local economy
Nursing Care Hours Per Patient Day - ANS -
What are Patient Classification Systems based on? - ANS -The critical indicator PCS
uses broad indicators such as bathing, diet, intravenous fluids, medications, and
positioning to categorize patient care activities.
What do Workload Measurement Systems capture? - ANS -census data, care hours,
patient acuity, and patient activities
Silent generation - ANS -1925 to 1942
Baby Boomer - ANS -1943 to early 1960s
Generation X - ANS -Early 1960s to 1980
Generation Y - ANS -1980 to mid-1990s
Generation Z - ANS -1996 to 2015
Needed staffing policies - ANS -Sick leave
Vacations
Holidays
Call offs for low census
On-call pay
Tardiness and absenteeism
Shift work
Reason nurses join unions - ANS -Increase the power of the individual
Increase input into organizational decision making
Eliminate discrimination and favoritism
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