Chapter 4 Leading and managing in nursing FINAL (test 1) questions and answers well illustrated.

Chapter 4 Leading and managing in nursing FINAL (test 1) questions and answers well illustrated. Role theory has its underpinnings in management theory. Management theories influence managers leadership styles. Which of the following theories would a nurse manager be most likely to follow when redesigning the staffing schedule? - correct answers.d. Quantum A nurse manager has worked rapidly to bring the staff to accept changes in the units mission, so that downsizing can be avoided. This nurse manager is using quantum leadership by: - correct answers.c. Determining accurately the direction of change in the institution. The nurse manager, as the leader of the units 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: - correct answers.b. Shared leadership. 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: - correct answers.c. Focus all energies of staff members on a best possible strategy. nurse managers responsibility for financial management involves making budgetary decisions. Budgets that allow the nurse manager to allocate resources at the unit level allow: - correct answers.d. Budgetary decision making at the point-of-service (POS). 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: - correct answers.a. Grounded in business theory. 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: - correct answers.b. Coordination of resources for effective outcomes. 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? - correct answers.c. Emergency Department staff 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: - correct answers.d. EHRs will increase effectiveness of care by enhancing coordination and improving patient outcomes. 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 managers goals may be: - correct answers.b. Unrealistic. While interviewing for a nurse manager position, Ann is asked to give an example of a situation in which she demonstrated leadership. Which of the following examples exemplifies leadership? - correct answers.a. Through research and investigation of best practice and practice-based evidence, she proposed a change in the management of incontinence in elderly patients Budgeting and protection of revenues is a function of: - correct answers.b. Management. Which of the following is not important in a positive work environment, as defined by the AONE? - correct answers.d. Challenge and striving for excellence As a nurse manager on a urology unit, you note that there has been a marked increase in medication errors on the unit. Which of the following actions would be consistent with the National Database of Nursing Quality Indicators (NDNQI) measures? - correct answers.d. Recent changes in staffing mixes are examined to determine if the timing of changes coincides with the increase in errors. A nurse manager in a hospital is deeply concerned that senior administration makes decisions about budgetary directions that affect staffing and other resources without sharing the rationale for changes or demonstrating concern as to how these changes may affect patients or staff. She says she does not feel respected and is emotionally tired as a result. This situation represents: - correct answers.d. Quantum leadership.