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2024 LEADERSHIP AND MANAGEMENT EXAM 3 WITH 100% CORRECT ANSWERS
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2024 LEADERSHIP AND MANAGEMENT EXAM 3 WITH 100% CORRECT ANSWERS
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20242024 LEA DERSHIP AND
MANAGEMENT EXAM 3 WITH
100% CORRECT ANSWERS
An RN is a supervisor in an organization that has total quality management (TQM) as the basis for its organizational goals and objectives
for quality control. How should the RN practice TQM on the unit?
a. Encourage colleagues to create vision and mission statements.
b. Develop a quota system for number of clients cared for.
c. Explain to the staff that "if it's not broke, don't fix it."
d. Promote teamwork rather than individual accomplishments. - CORRECT ANSWERS-d
A nurse-manager is focusing on management controlling functions that are associated with quality control. What task best addresses this goal?
a. Periodically evaluating the unit mission and philosophy
b. Creating the daily client care assignments to distribute workload evenly
c. Contributing to the development of the annual budget
d. Distributing staffing policies related to the choice of vacation time - CORRECT ANSWERS-a
What task will best allow a health-care organization to benchmark its performance?
a. Comparing its performance on key indicators to its performance the previous year
b. Setting ambitious but realistic goals for the coming year
c. Comparing the organization's performance with that of best performing
institutions
d. Seeking input from clients and families about the organization's performance - CORRECT ANSWERS-c
Thirty-eight percent of the people who attended a smoking cessation clinic
were not smoking 1 year after completing treatment. What type of audit provided this type of data? a. Structure
b. Process
c. Outcome
d. Concurrent - CORRECT ANSWERS-c
High-achieving nursing students were found to have studied in small groups, attended class 100% of the time, took frequent rest breaks during 2024
study sessions, and ate a balanced diet for 1 week before the examination. What type of audit provided data about the students' preparation?
a. Structure b. Process
c. Outcome d. Concurrent - CORRECT ANSWERS-b
A nurse-manager is overseeing an organization that uses the Nursing Minimum Data Set (NMDS). What will the use of the NMDS achieve?
a. Comparing the quality of nursing care and medical care with reference to
standardized data
b. Identifying minimal levels of quality necessary for nurses to maintain licensure
c. Standardizing the collection of nursing data for use by multiple users
d. Identify only "nursing-sensitive" client outcome measures - CORRECT ANSWERS-c
What role has The Joint Commission assumed in ensuring quality at the organizational level?
a. Establishing clinical practice guidelines
b. Reducing diagnosis-related group reimbursement levels
c. Standardizing clinical outcome data collection
d. Assessing monetary fines for organizations that fail to meet standards - CORRECT ANSWERS-c
Which of the following would be considered sentinel events that should be
reported to The Joint Commission? Select all that apply.
a. A client with ischemic heart disease dies of a myocardial infarction.
b. A client with dementia falls and suffers a hip fracture while trying to walk to the
bathroom.
c. A client files a formal complaint about the inattention of staff while he was in the
hospital.
d. A client experiences nephrotoxicity and requires dialysis because of a medication
error.
e. A client experiences a transfusion reaction after receiving the wrong type of
packed red blood cells. - CORRECT ANSWERS-b,d,e
Which is a true statement regarding TQM?
a. It is based on the premise that the organization knows what is best for the
consumer.
b. Its guiding purpose is to save the organization money. 2024
c. It recognizes that the customer is the focal element on which production and
service depend.
d. It assumes that inspection and removal of errors lead to the delivery of quality
services. - CORRECT ANSWERS-c
What action should the nurse-manager and other leaders in the health-
care organization perform in order to ensure that a quality control program will be effective?
a. Set a goal of meeting federal and state standards.
b. Set quality control standards at minimum acceptable levels so the organization will
score well on self-assessment audits.
c. Integrate quality control through all levels of the organizational hierarchy.
d. Focus quality improvement efforts on reacting to problems that have been
identified. - CORRECT ANSWERS-c
What is the greatest limitation of the Health Plan Employer Data Information Set (HEDIS)?
a. The Joint Commission has not updated the HEDIS since 2009.
b. Managed care organizations are not required to collect HEDIS data.
c. Performance indicators are exclusively process focused rather than outcome
focused.
d. HEDIS performance measures focus on medical interventions and do not address
nursing actions. - CORRECT ANSWERS-b
As part of the quality control, managers have set standards for performance and assessed whether these standards are being met. It has been determined that several standards are not being met. What is the priority response to this finding?
a. Release the findings to the public to ensure transparency.
b. Compare the organization's results to benchmarks.
c. Determine whether similar organizations in the region are experiencing similar results.
d. Perform interventions that will correct the deficiencies. - CORRECT ANSWERS-d
What is the best course of action to stimulate broad participation of employees in quality control efforts?
a. Encourage regular meetings between middle management and upper management.
b. Educate staff about the relationship between the organization's accreditation and
their own licensure. 2024
c. Engage closely with the frontline staff who provide client care.
d. Educate staff about the correct way to document and report sentinel events. - CORRECT ANSWERS-c
A nurse-manager is participating in a hospital's quality control efforts and is collating data sources. What data source should the manager identify as
a qualitative source?
a. The hospital's rate of nosocomial infections
b. The hospital's readmission rate
c. Results of interviews with discharged clients
d. The previous year's budget for continuing education initiatives - CORRECT ANSWERS-c
A nurse-manager oversees approximately 12 employees. What strategy should the manager prioritize when trying to motivate the employees?
a. Offer praise for exceptional performance.
b. Advocate for an increase in pay.
c. Apply motivational strategies that are personally meaningful to each employee.
d. Apply punishments objectively and fairly. - CORRECT ANSWERS-c
What did motivational theorist Victor Vroom state?
a. Personal motivators could be separated from job satisfiers.
b. People are motivated by three basic needs: aachievement, affiliation, and power.
c. A manager's assumptions about workers directly affect the intrinsic motivation of
the workers.
d. Employees' expectations about their work environment or an event will affect their
behavior. - CORRECT ANSWERS-d
A nurse-manager is applying Herzberg's motivation-hygiene theory. What strategy would the manager most likely use to motivate employees?
a. Advocating for an increase in salary
b. Approving vacation requests
c. Protecting employee's job security
d. Praising an employee's exceptional achievement - CORRECT ANSWERS-
d
Which factor is most likely to provide intrinsic motivation to an employee?
a. The employee's ambitious career aspirations
b. The employee's need to elicit approval from the immediate supervisor
c. The employee's need to avoid punishment for unsafe practice
d. The employee's fear of being passed up for a promotion - CORRECT ANSWERS-a
According to McClelland, what motivates an achievement-oriented employee?
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