Leadership M5A1 Module 5 Quiz (Ch 18 - 22) | Questions and Answers

Leadership M5A1 Module 5 Quiz (Ch 18 - 22) | Questions and Answers Which reward is an example of intrinsic motivation? A staff member is eager to obtain an advanced practice credential and is working toward this end. According to Maslow, what statement best describes motivation? Unsatisfied needs trigger behavior. Which is the basic factor involving staff engagement and motivation, and its relationship with the achievement of unit-oriented goals? The relationship staff has with their management Which factor is most likely to provide intrinsic motivation to an employee? The employee's ambitious career aspirations What did motivational theorist Victor Vroom state? Employees' expectations about their work environment or an event will affect their behavior. A nurse-manager is applying Herzberg's motivation-hygiene theory. What strategy would the manager most likely use to motivate employees? Praising an employee's exceptional achievement Which statement made by the director of nursing demonstrates the value of internal promotion of nursing staff? "This facility values the efforts made by its nursing staff to perform at their highest levels of knowledge and practice." When attempting to create a work environment that includes appropriate and effective monetary incentives, the nurse-manager will initially address which issue? Whether the staff views monetary incentives as having the greatest value Which of the following statements best describes an aspect of intrinsic motivation? It can be influenced by others. The nurse-manager can apply Skinner's theory of motivation by performing what action? Distributing rewards and punishments to influence behavior A nurse-manager is orienting a new graduate nurse to the unit and has found this individual's charting regarding assessment to be inadequate. What is the most appropriate statement to initiate a discussion with the new RN? "I'm concerned that your assessment charting seems to be unclear. Can I help you with this?" An RN is a team leader for a small module of clients. While listening to a recorded report on a client, one of the team members remarks, "My mother lives near him, and she says his home life is in chaos." How should the RN best respond? Ask the team member how this information relates to the client's care The nurse is caring for a postoperative client whose pain is not being relieved by the current analgesia regimen. When using the SBAR model for communicating with the client's health-care provider, how should the nurse best address the "A" component of the model? "The client's pain control might be inadequate because she's been rating it at 9 out of 10 for the past hour." A nurse sits at the foot of a patient's bed during an admission interview. This positioning supports the proxemics concept of which psychological comfort zone? Social exchange A nurse-manager is having a difficult conversation with a subordinate whose performance has long been inadequate. The emotional component of the manager's message will be most clearly conveyed by: facial expressions, body movements, and gestures. The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease and who is experiencing a new onset of dyspnea. When contacting the client's care provider, the nurse should state the client's admitting diagnosis in what stage of the SBAR tool? B The nurse-manager has consulted the hospital information system to address a clinical issue. What characteristic is the hospital information system most likely to have? It is probably not freely available from the Internet. The nurse-manager has been approached by an angry employee whose vacation request was denied. What should the manager do when communicating with this employee? Select all that apply. Allow the employee sufficient opportunity to express what she wants from the manager. State, "I understand that you are angry that your vacation request wasn't approved." What is the best example of downward communication by a nurse-manager? The manager reviews the results of a nurse's performance appraisal with the nurse. The nurse-manager is using the GRRRR model of listening when interacting with a colleague who exhibits challenging behaviors. What is the final action that the manager should implement when using this model? Thank the colleague for the collaborative conversation A health-care organization has laid off several RNs and hired numerous NAPs in their place. What effect is this change most likely to have on the remaining RNs? The RNs' level of liability will increase. Periodically during the day, the RN checks with the team members to determine whether they are having difficulty completing their assigned tasks. This describes which manager role? Effective delegation Which task would the director of a home health agency not delegate another staff RN? Meeting with the agency's administration regarding budget cuts A nurse-manager delegates many tasks in the course of a day. Which practice should the manager reconsider or discontinue? The manager provides employees with exact instructions for each step of completing the task. An RN needs to confirm the specific delegation parameters for RNs. The RN should refer to guidelines from what organization? The state board of nursing An RN is leading a care team on a busy hospital unit. What tasks is the RN justified in delegating to NAP? Select all that apply. Transporting a client to a diagnostic test Feeding a client who has unilateral weakness Repositioning an immobile client every 2 hours Weighing a client who has chronic heart failure The nurse-manager has asked an NAP for an update on delegated tasks and the NAP has said, "I'm swamped right now." What is the manager's best response? "I can give you a few solutions to help manage this heavy workload." What principle should guide the nurse's delegation of tasks to unlicensed nursing assistive personnel (NAP)? No federal or community standards have been established for training the broad classification of NAP. An experienced RN has seen a significant increase in the need for delegation skills over the past several years. This change is most likely attributable to: increases in the use of NAP. A performance appraisal states that the manager often underdelegates. What is potential cause of this delegation error? A need for perfectionism Several RNs on the unit want to address the possibility of initiating flextime on the unit because they state that the current scheduling system is unfair. What is the manager's best initial response? Arranging for the RNs to air their views at the next staff meeting A nurse is in a conflict with a colleague, but both nurses are committed to collaboration. To promote collaboration, the nurses should identify a common goal that is important to both of them. The nurse-manager is preparing for negotiations. When negotiating, what is the manager's most appropriate action? Begin with a high but realistic expectations Which is a true statement about destructive negotiation tactics? Negotiation tactics can sometimes be manipulative; thus, managers must be cognizant of the other party's motives. A nurse-manager is participating in negotiations around the allocation of resources in the organization. During the negotiations, the manager should: use open-ended questions rather than yes-no questions. The nurse-manager is negotiating for the funds necessary to purchase several new isolettes for the facility's newborn nursery. The chief financial officer (CFO) states, "I've always been curious about that piece of equipment; how does it actually work?" What negotiation action has the CFO engaged in? A diversionary tactic An employee who is involved in a dispute has sought the assistance of the organization's ombudsperson. What role will the ombudsperson play in resolving the employee's conflict? Investigating the employee's grievance against the other party An employee has come to the manager with a long list of complaints about a coworker, all of which are attributable to personality factors rather than unsafe practice. What is the manager's best initial action? Encourage the employee to speak directly with the coworker A nurse-manager will be participating in negotiations around the skills mix in the organization. Before these negotiations begin, the manager should perform what action first? Learn as much as possible about the issue A hospital unit is in a major transition from a nursing model that was exclusively RNs to one that involves a mix of RNs, LPNs, and NAPs. The transition has resulted in several conflicts between staff. What conflict resolution strategy will the manager most likely need to use? Responsibility charting A nurse executive wants to decrease the chances of unionization of the nursing service department. To accomplish this goal, where should financial and energy resources best be directed? Implementing a shared decision-making model in the department Which management function (in contrast to leadership role) related to collective bargaining and unionization should the nurse-manager perform Understand and appropriately implement union contracts The manager of a hospital unit has heard rumors about a unionization drive for several weeks and has just learned that the employees on the unit are planning to launch a formal drive. What is the manager's best action? Collaborate with upper management and the personnel department to best address the workers' concerns Which action by the manager is most likely to reduce the incidence of sexual harassment in the workplace? Actively pursue an investigation of all complaints A nurse-manager works in a nonunionized medical unit that employs numerous RNs. The manager can best prevent conditions that would promote a union drive by: demonstrating genuine concern for the well-being of the nurses. A nurse filed a grievance against the employer and the matter has proceeded to arbitration. What is true about this employee's grievance? A neutral third party will impose a solution to the grievance. The managers of a clinic have been accused of creating an unpleasant work schedule and increased workload for a nurse who helped lead an unsuccessful union drive. How should the managers' actions be best interpreted? These actions are violations of labor relations law. How did the Civil Rights Act of 1964 affect employees? It prohibited job discrimination based on factors unrelated to job qualifications.