Managing & Coordinating Nursing Care 4th Edition By J.K Test Bank

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Managing & Coordinating Nursing Care 4th Edition By J.K Test Bank





Managing & Coordinating Nursing Care 4th Edition By  J.K Test Bank


Sample  Questions 


1. The form of leadership in which the leader motivates followers to perform at their full potential by influencing changes in perceptions and by providing a sense of direction to the group is known as:
  A) Situational leadership
  B) Transformational leadership
  C) Great Man leadership
  D) Servant leadership



2. You are in charge of a group of 14 people (10 [2 are ill] nursing assistants and 4 RNs) caring for 88 nursing home residents. Todays care must be completed by 1:30 PM because of a special event involving most of the employees. Which management style will probably work best in this situation?
  A) Authoritarian
  B) Coercive
  C) Democratic
  D) Laissez-faire



3. Which of the following will help you as you work at developing a leadership style and is a practical step to take?
  A) Identify a role model.
  B) Complete some personal inventory tests such as the Myers-Briggs.
  C) Wait for input from others, especially your immediate supervisor.
  D) Discuss a number of different styles with friends to see which they believe would work best for you.



4. You are a nurse on a busy day-surgery unit. You will have a new unit manager beginning Monday. What behavior on your part would best demonstrate that you intend to be an effective follower?
  A) Never overstep your role by making suggestions.
  B) Keep quiet about your personal preferences and simply follow the new manager.
  C) Set personal goals that fit into your unit goals.
  D) Do not bother the new manager with questions but take them to a trusted coworker.



5. Michael Schott, RN, serves as the chair of the Nursing Practice Committee for the hospital. The meetings do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. His leadership style could be termed _______________.



6. Your clinical supervisor empowers others to act by delegating authority for decision making. Which form of leadership involves such behaviors?
  A) Transformational leadership
  B) Servant leadership
  C) Laissez-faire leadership
  D) Autocratic leadership



7. How might one define leadership?
  A) Leadership is the process of planning, organizing, directing, and controlling activities.
  B) Leadership is the process of guiding, teaching, motivating, and directing others.
  C) Leadership is the process by which the leader shares power with others.
  D) Leadership is the process of interviewing, hiring, and firing personnel.



8. What is a synonym for power?
  A) Coercion
  B) Potency
  C) Predilection
  D) Inclination



9. When assessing your own effectiveness as a leader, what is it important to look at?
  A) How much education you have had
  B) How you set your personal goals
  C) How well the rest of the staff likes you
  D) How you interact with others



10. Your new unit manager states that his management style is multicratic. What behavior would you expect him to exhibit?
  A) Uses several forms of democratic management techniques and tools
  B) Adjusts his or her management style to the situation at hand
  C) Develops the role of the follower to enhance his or her own role
  D) Chooses a management style and sticks to it



11. When we attempt to get others to act in a particular manner by creating obligations, through pressure tactics or other coercive behaviors, it may be termed ______________.



12. An important characteristic of both leadership behaviors and management skills is that they can both be _________.



13. How does leadership differ from management?
  A) Leadership involves having the ability to influence others.
  B) Leadership involves coordination and integration of resources.
  C) Management does not involve guiding, teaching, and motivating behaviors.
  D) Leadership is usually an appointed position.



14. A new staff nurse has been on the unit for 2 weeks. The manager states that this nurse is an effective follower. What characteristic of the staff nurse would the manager base that statement on? (Select all that apply.)
  A) The staff nurse is intelligent.
  B) The staff nurse is enthusiastic.
  C) The staff nurse participates in pursuit of organizational goals.
  D) The staff nurse gets along well with other staff members.
  E) The staff nurse never calls in sick.



15. You are the charge nurse on a unit that empowers its staff members. What action could you take to empower a nursing assistant with whom you work?
  A) Encourage the nursing assistant to have input into decisions regarding a patients care.
  B) Give the nursing assistant explicit instructions on how to care for her patients.
  C) Let the nursing assistant bring you a list of what care needs to be given to the patients.
  D) Accompany the nursing assistant every time she gives care to a patient.



16. You are teaching a class on nursing theory and you know it is important to be able to tie nursing theory to nursing situations. What would you tell your class about the research into behaviorist theories when it is applied to nursing situations?
  A) Research demonstrates the relationship between the work environment and positive patient outcomes.
  B) Research has demonstrated that staff nurses are less likely to participate in organizational goals.
  C) Research has demonstrated that patient outcomes are less positive as the work environment becomes more conducive to teamwork.
  D) Research has demonstrated that turnover of staff increases as staff satisfaction decreases.



17. A nurse manager also serves as a leader in delivering patient care. This same nurse also has an important responsibility as a __________.



18. On an empowered unit, what is a factor when assigning tasks to staff?
  A) Autonomy/support
  B) Independence/role modeling
  C) Motivation/personal goals
  D) Cooperation/delegation



19. What is a required skill in a good manager?
  A) Ability to give independence to staff
  B) Ability to make staffing plans
  C) Ability to empower others
  D) Ability to balance budget



20. What factors do organizations use to gauge your ability to provide direction to others or to bring about change? (Select all that apply.)
  A) Reputation
  B) Power
  C) Influence
  D) Seniority
  E) Influence tactics




1. Which of the following is a good reason to have a meeting?
  A) To coordinate action or exchange information
  B) To ensure that everyone is at work
  C) To assert your role as leader
  D) Because people expect frequent meetings



2. You are the nurse manager. Which of the following should be your priority?
  A) A nursing assistant wanting to discuss his vacation time
  B) A physician asking that you call him regarding the results of an ordered hematocrit
  C) The patient in room 205 who just fell
  D) The patient complaining about his lunch and wanting your attention



3. You are the charge nurse. Which of the following tasks should you delegate to the LPN (LVN)?
  A) Giving the epidural pain medication
  B) Leading the patient care conference
  C) Counting the linen for inventory
  D) Passing the noon oral medications



4. In which part of the budget would one find major renovations?
  A) Operating budget
  B) Capital budget
  C) Administrative budget
  D) Equipment budget



5. Because of a new contract, you must budget for an increase in nurses salaries. Under which budget category would you apply for this increase?
  A) Capital budget
  B) Operating budget
  C) Supply budget
  D) Construction budget



6. Of the following, which is the best way in which a staff nurse might become involved in the budget process?
  A) Providing timely budget requests
  B) Reporting to the supervisor extended lunch breaks taken by fellow workers
  C) Looking for ways to reuse supplies
  D) Seeking shortcuts to charting



7. The nurse working in the emergency department knows that the policy of the hospital states that no individuals without insurance will be treated. Uninsured individuals will be directed to go to the county hospital emergency department. A woman in labor enters and the nurse determines that this woman is very near delivery and would not make it to the other hospital before delivering. Is it ethical for the nurse to send the woman to the other emergency department to conform to the hospital policy? Why or why not?
  A) No, because the hospital should not be allowed to set such policies.
  B) No, because the nurse has an independent duty to avoid harm to those seeking care.
  C) Yes, because as an employee the nurses duty is to the hospital.
  D) Yes, because the nurse may or may not be correct in her assessment.



8. The nurse is discharging a patient based on a critical pathway. The patient suddenly shows signs of a beginning complication. The unit manager states, There is nothing that can be done, the allotted days of hospital stay are over, and the cost controls will not allow the patient to stay. In this case, would the limit on length of stay, imposed by the health plan, protect the health care institution and its employees from a successful malpractice action? Why or why not?
  A) Yes, because they have no control over the health plan decisions.
  B) Yes, because they are discharging a patient according to a predetermined critical pathway.
  C) No, because anyone can sue for anything, anytime.
  D) No, because health care professionals are always accountable for their own decisions about patient care.



9. Which of the following provides the greatest opportunity for cost containment in a nursing departments expenses?
  A) Equipment
  B) Supplies
  C) Environmental assessment
  D) Salaries



10. A coworker says to a fellow nurse, An ordinary nurse cant have any effect on the cost of health care. I dont know why you worry about it. The nurses most accurate reply is:
  A) There are many costs associated with complications that nurses can prevent.
  B) You are probably right, but it makes me feel better if I try something.
  C) Well, by not using sterile supplies, I know that I am really cutting costs.
  D) If I talk about costs, maybe those who really can affect costs, like doctors, will begin to pay attention.



11. Which of the following is the area on the patients bill where the cost of nursing care has appeared?
  A) Special nursing services
  B) Patient care maintenance
  C) An integral part of the daily room rate
  D) Itemized expenses



12. In a capitated health plan, which entity is at greatest financial risk?
  A) Provider
  B) Health plan
  C) Individual
  D) Government



13. John Thomsen, age 76, is admitted to the hospital for a hip replacement. Which of the following sources would you expect to pay a good share of his hospital bill?
  A) His employer
  B) Medicare
  C) His son
  D) A state insurance plan



14. What are the factors affecting rising health care costs? (Mark all that apply.)
  A) Fear of litigation
  B) Aging population
  C) Administrative costs
  D) Judicious use of staff
  E) Overuse of resources



15. Cost ____________ includes all efforts directed toward preventing the steep rise in costs of health care.



16. What are the factors influencing a patients access to health care? (Mark all that apply.)
  A) Do they have the time?
  B) Can a relative or friend go with them?
  C) Can they afford it?
  D) Is it available near their home?
  E) Is it viewed as culturally sensitive?



17. Because of increased litigation, physicians have begun practicing defensive medicine. What does this mean?
  A) Care was ordered for legal protection
  B) Needed diagnostic tests were not ordered
  C) Care was only given to those with insurance
  D) Specialists were called in when not needed



18. As a staff nurse, where can you impact the system by making suggestions to reduce redundant paperwork or streamline processes?
  A) At the mid-management level
  B) At the informal organizational level
  C) At the grassroots level
  D) At the administrative level



19. The future of cost containment hinges on balancing what? (Mark all that apply.)
  A) Patient satisfaction
  B) Length of stay
  C) Age of patients
  D) Quality of care given
  E) Cost of care provided



20. Restructuring of health care organizations in an effort to contain costs might include what?
  A) Opening trauma units
  B) Continuing to provide community emergency care
  C) Hiring unlicensed assistive personnel
  D) Decreasing the number of physicians on the payroll

1. If the staff member does not seem to be aware of a need to learn, which approach might most effectively help that person identify a personal learning need?
  A) Tell the person that he needs to learn this particular information or his job may be in jeopardy.
  B) Initiate a conversation about the problem that the staff person is encountering that the learning could help to solve.
  C) Explain why this information is important because then he will want to learn it.
  D) Arrange for the person to attend an appropriate class and then tell him when the class will be held.



2. You will be evaluating the ability of the staff to program the new tube-feeding pump. What would be the best method of evaluating their performance?
  A) Providing a written test of the procedure
  B) Discussing the process with each staff member
  C) Observing each staff member program the pump
  D) Asking them to evaluate one another



3. You want the staff on the unit to develop a more sensitive approach to persons from different cultures. With which type of learning will you be involved?
  A) Affective
  B) Behavior modification
  C) Cognitive
  D) Psychomotor



4. Margaret must present a new plan to a group of employees. Which of the following should she remember with regard to group communications?
  A) Group communications are less complex because the number of participants increases.
  B) The delivery style makes little difference when addressing a group.
  C) Group communications are enhanced when the leader has a good understanding of group dynamics.
  D) When addressing a group, it is critical that you always have your comments written out beforehand so that you can be certain that the message you deliver is clear.



5. Your colleague, who is an RN, says, I need to do some shopping at lunchtime. Would you cover for me if I am late getting back? The unit is full and you have several high-acuity patients and dont feel that you have the time. The best response is:
  A) Im really busy. Could you hurry back as quickly as possible?
  B) Im sorry, but my assignment doesnt allow me the time to be able to do that.
  C) It really isnt fair for you to ask me that when we are so busy. That is really inconsiderate.
  D) No, you really need to learn to do your own work.



6. Which of the following will be most helpful in verifying that the message you sent has been correctly perceived?
  A) Ask, Do you understand what I mean?
  B) Ask, Can you tell me what I have just asked you to do?
  C) State, If you have questions, let me know.
  D) Wait and see what actions are taken and correct them if necessary.



7. Learning the appropriate outcomes for a new care pathway is _________ learning.



8. Jacob has just been promoted to charge nurse. He is eager to build a responsive team. What behavior represents one of the best ways to encourage people?
  A) Assertiveness
  B) Setting goals for the unit
  C) Authoritarianism
  D) Rewarding positive behaviors



9. Being ____________is a behavior that will assist you in motivating, coaching, and team building.



10. It is very important to Alice that she is promoted to charge nurse within 2 years of completing her nursing education and that she is successful in this role. Which of McClellands motivators is she demonstrating? (Mark all that apply.)
  A) Achievement
  B) Power
  C) Assertiveness
  D) Goal setting
  E) Affiliation



11. John is seeking a nursing position and is very interested in the organizational policies, work conditions, interpersonal relationships, salaries, and job security of prospective employment agencies. What aspect of Herzbergs theory is he considering?
  A) Satisfiers
  B) The environmental factors
  C) Motivators
  D) The hygiene factors



12. When communicating via e-mail what guidelines should you observe? (Mark all that apply.)
  A) Be specific, positive and reasonable.
  B) Be sincere, courteous, and tactful.
  C) Consider whether the message should be formal, informal, or conversational
  D) Complete sentences written in active voice communicate most clearly.
  E) Avoid the use of all small case letters.



13. You have planned a short in-service class to assist members of your staff in completing the new discharge forms correctly. When is the best time to hold this class?
  A) At the beginning of the shift when people are fresh
  B) At the end of the shift when people have most of their work done
  C) After lunch because that is the calmest time on day shift
  D) When the staff believes that it will work best for them



14. You will be planning a way to assist the nurses in their ability to identify alternatives when faced with patient care problems. Which would be the best way to help them achieve this goal?
  A) Have them read articles about problem solving
  B) Tell them about successful problem solving you have done
  C) Provide them with problem situations and have them work in small groups to identify solutions
  D) Provide videos of how to carry out care for specific patient problems



15. You have a new nursing assistant on your long-term care unit. She is 18 years old, and this is her first full-time position since high-school graduation. She just finished her nursing assistant training program. What factor will be most prominent in this persons approach to learning?
  A) Whether she perceives the learning as meaningful
  B) Whether she has resolved her adolescent parental conflicts
  C) How successful she was in high school
  D) What her major interests are



16. Mary wants to build a strong team among the group of individuals for whom she is the evening charge nurse. What is one important action she should take to realize this goal?
  A) Bring cookies to their team meeting sessions.
  B) Identify individuals she thinks will not be good team members and ask to have them transferred to another unit.
  C) Begin support classes with the weaker members of the team.
  D) Actively listen to them.



17. George is a night charge nurse in a busy emergency department. He knows that one aspect of his position is to coach the staff he supervises. How would George coach his staff?
  A) Push them to decrease productivity
  B) Assume a laissez-faire management approach
  C) Provide opportunities for the staff to learn
  D) Discourage social interactions outside of work



18. The new manager of the outpatient surgery department is interested in creating a climate for learning on her unit. How would she do this?
  A) Make assignments that foster independent work
  B) Set unit goals without staff input
  C) Make positive comments about staff work in private.
  D) Encourage staff to work together as a team



19. One of the assumptions that every manager must know about adult learning is that learning is_________________.



20. When planning an educational event for the staff on a med-surg unit, the manager provided the staff with a list of goals and objectives for the event. Which of the following objectives includes a standard by which to measure the outcome?
  A) The nursing assistant transfers patients correctly.
  B) The licensed practical nurse uses the medication administration record correctly.
  C) The staff nurse writes appropriate care plans on all residents.
  D) The nursing assistant reports all abnormal vital signs within 30 minutes of obtaining them.


1. Which of the following questions or statements will help ensure that nursing assistants understand what you expect of them?
  A) Are you ready to begin work now?
  B) Let me know if I can be of help to you.
  C) Now, repeat for me what I have just asked you to do.
  D) Is it clear what I expect you to do?



2. You are working with a nursing assistant and a licensed practical nurse. Who would be given the responsibility for a sterile dressing change?
  A) The nursing assistant
  B) The licensed practical nurse
  C) Do it yourself
  D) It can be done by whoever gets done first



3. Which of the following is true with regard to ethical decision making?
  A) Ethical decisions are the responsibility of the physician..
  B) Ethical decisions must always involve an ethics committee.
  C) There are few ethical situations in which nursing is involved.
  D) Ethical decision making cannot be avoided in nursing.



4. As the charge nurse, if you wanted to involve the staff in helping to plan for dinner rotations, you might consider using which one of the following?
  A) The Delphi method
  B) A task force
  C) Majority rule
  D) A department memo



5. How does a task force differ from a quality circle?
  A) A task force is composed of top management people only.
  B) A task force is randomly selected.
  C) A task force works in anonymity.
  D) A task force adjourns after completion of the task.



6. Which of the following is a reason todays health care environments more frequently involve groups in the decision-making process?
  A) Group decision making is always more effective.
  B) Many agencies are using some form of shared governance.
  C) Management always provides greater support to decisions made by a group.
  D) Group decision making is less expensive.



7. Which of the following is required if the nurse is to make effective decisions consistently?
  A) A current knowledge base must be maintained.
  B) The team must be composed of persons who are good friends.
  C) There must be uniformity in thinking.
  D) The nurse must have a baccalaureate degree.



8. What is the first requirement for a group to participate effectively in decision making?
  A) The group knows how to work together well.
  B) The group has adequate knowledge of the subject or situation.
  C) The group has time to make the decision.
  D) The group has management support.



9. What resource would be used to make a decision about the appropriate response to a patient leaving without a medical discharge?
  A) Safety manual
  B) Textbook
  C) The literature
  D) Policy manual



10. You are the charge nurse on a medical-surgical floor and you are mentoring a new graduate. What examples of situations in nursing that require the ability to make sound decisions can you give to the new grad? (Mark all that apply.)
  A) Identifying when you need to call a prescriber
  B) Knowing what normal vital signs are
  C) Planning discharge teaching
  D) Knowing when to call the pharmacy
  E) Assessing your patient at the beginning of the shift



11. The means by which an individual is able to accomplish needed tasks through directing the work of others is called ___________________.



12. You are the night charge nurse on an ICU unit. A staff nurse comes to you to tell you that the family of one of her patients is debating over the withdrawal of life support. The nurse shares that she is uncomfortable being a part of this decision. What can you do to help the family with this ethical decision? (Mark all that apply.)
  A) Refer the family to the hospital chaplain.
  B) Let the house supervisor know of the situation.
  C) Facilitate the acquisition of information.
  D) Strive to know the patient better.
  E) Guide patients and families to work toward and through the decisions they must make.



13. What is something an institution does to provide support for successful delegation by its staff?
  A) Provides time for unit meetings where staff can get to know each other better
  B) Recruits staff that have generalized training to fill vacancies in a rehab hospital
  C) Makes job descriptions broad and general to fit the needs of all areas of the hospital
  D) Effectively trains staff



14. What is a major reason nurses fail to release control of activities that they have delegated?
  A) They are worried about their own license.
  B) They have not had adequate experience delegating.
  C) They are concerned that the care will not be given properly.
  D) They do not trust the nursing assistant.



15. How does the National Council of State Board of Nursing define unlicensed assistive personnel?
  A) Any unlicensed personnel, regardless of title, to whom nursing tasks are delegated
  B) Nursing assistants who have completed a 12-week program of study
  C) Only individuals hired by the hospital to serve in that capacity
  D) Nursing students who are working for pay while attending nursing school



16. What is a decision-making tool commonly used in emergency departments?
  A) Procedure manual
  B) Patient surveys
  C) Algorithms
  D) Delphi questionnaire



17. You are the facilitator of a hospital group asked to look at the time it takes to give the first dose of IV antibiotics to patients who are admitted to your facility. You have chosen to use the six thinking hats method of problem solving within your group. This method of problem solving is a form of _________________ thinking.



18. Your nursing administrator has asked you to do a self-evaluation before your annual review. One of the items in the self-evaluation is to show an instance where you applied the standards of critical thinking to a problem on your unit. What would you have to show to complete this part of your self-evaluation? (Mark all that apply.)
  A) You would have to show clarity in your thinking.
  B) You would have to show understanding in your thinking.
  C) You would have to show relevance in your thinking.
  D) You would have to show that you considered all possible answers in your thinking.
  E) You would have to show breadth in your thinking.



19. Your VP of Nursing has asked you to take over a problem unit as the manager. She tells you that she needs someone in the position who thinks analytically. What does being analytical in your thinking mean?
  A) You are able to break down issues into their component parts and see the relationships.
  B) You are open to different viewpoints.
  C) You consider all the different aspects that are important.
  D) You are willing to give up long-held positions when evidence demonstrates them to be wrong.



1. You have received a performance appraisal in which you were criticized for your interactions with patients. You do not believe that this is a fair or accurate appraisal of your performance. What might your first response to your manager be?
  A) Im a little overwhelmed by the comments you have made. Could I have a little time to think about them before I respondsay, about 2 weeks?
  B) I do not agree with what you have said. I need time to gather some examples that show a different picture of me.
  C) This is really not fair because you havent spent that much time observing me.
  D) Tell me which patients complained about my care.



2. Which of the following is the most appropriate reply when you are complimented for a job well done?
  A) There was nothing to it.
  B) Thank you. I appreciate your comment.
  C) I always try to do my best.
  D) Ah, gee.



3. As a peer providing evaluation for others, your major focus should be:
  A) Making sure your evaluation will be used by the manager
  B) Specific behavioral observations of performance
  C) Ensuring that all staff receive positive feedback
  D) How you will manage the performance appraisal interview



4. You must speak to an employee for repeatedly using a patronizing form of address for residents, such as Honey, Dearie, or Granny. Where is the best place to talk with this employee?
  A) Wherever she is the next time you hear her address a resident in that way
  B) At the nurses station
  C) In a private office
  D) In the employee lounge



5. What is the most essential attribute of the place an interview is conducted?
  A) It should be away from the workplace entirely.
  B) It must have a desk and a place for both to write.
  C) It must be private.
  D) It must be comfortable.



6. The medical unit at the university hospital has trained a small group of raters, and each person rates the employees being evaluated. The ratings are then combined. Why might they be using this approach to evaluation?
  A) To delegate work usually done by the supervisor
  B) To incorporate another aspect of shared governance
  C) To acquaint employees with the evaluation process
  D) To avoid rater bias in the evaluation process



7. You receive reports that one of the nursing assistants on your unit is taking supplies to her home. Before speaking with her, what would you want to do?
  A) Attempt to observe the behavior
  B) Collect anecdotal notes from other employees
  C) Report it to your supervisor
  D) Search her locker



8. After talking with an employee about your concerns for the way she addresses elderly patients, which of the following would be the best concluding statement?
  A) I am sure Ill never hear you address patients that way again.
  B) Make sure I never hear you say that again.
  C) Now that you know what I want from you, do you think you can do that?
  D) Please work on changing this behavior and next week I will talk with you about how it is going.



9. An employee is consistently late for work. You have documented her lateness over a reasonable period of time. What would you do next?
  A) Ask personnel to deduct the cost of time missed from her paycheck.
  B) Ignore the lateness because everyone has emergencies.
  C) Notify the employee that you wish to t

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