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978-0132814546 Chapter 01 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 1 Question 1 Type: MCSA A nurse manager is participating in the health care organization’s strategic planning committee. Which factor is the primary driving force and controlling factor in new initiatives this committee […]
978-0132814546 Chapter 01 Part 2
4. “Women still outnumber men in nursing.” Correct Answer: 2 Rationale 1: The average age of the registered nurse is 46 years, and while the number of RNs under age 30 is increasing, more RNs are retiring than are entering […]
978-0132814546 Chapter 01 Part 3
Question 23 Type: MCMA The administrators of a small hospital are revising its disaster plan. What should be the primary focus of this plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. […]
978-0132814546 Chapter 02 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 2 Question 1 Type: MCSA Using the classical organizational theory model, what would be the most appropriate method for the nurse to voice concern over unfair client workload assignments? 1. Circulate a petition […]
978-0132814546 Chapter 02 Part 2
3. The nurse-to-client ratio is 4 to 1. 4. The primary nursing model is used for care. Correct Answer: 2 Rationale 1: Organizational climate is based on physical attributes and policy and procedure. Private rooms are an example of organizational […]
978-0132814546 Chapter 02 Part 3
A health care organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts. Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices […]
978-0132814546 Chapter 03 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 3 Question 1 Type: MCSA The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect? 1. One nurse has responsibility for all the […]
978-0132814546 Chapter 03 Part 2
2. The nurse provides the client with the URL for a new website dedicated to self-management of a chronic respiratory disease. 3. The nurse advocates for the client who has decided to forego further dialysis. 4. Client information is entered […]
978-0132814546 Chapter 03 Part 3
Question 23 Type: MCMA A hospital is considering implementing the use of critical pathways and case management. Which statements by a nurse would indicate to the nurse manager that more education should be provided? Note: Credit will be given only […]
978-0132814546 Chapter 04 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 4 Question 1 Type: MCSA A nurse is working in a unit with several less-experienced nurses. Which attribute displayed by the senior nurse would make her leadership of the less-experienced nurses most effective? […]
978-0132814546 Chapter 04 Part 2
Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 4-6: Describe what makes a leader successful. Question 13 Type: MCSA An accreditation visitor observes the following situations in a health care organization. Which situation would this visitor interpret and document as evidence […]
978-0132814546 Chapter 04 Part 3
As a result of retirements, resignations, and reorganization, a nurse became nurse manager of a high-acuity unit 3 months after being licensed. The manager struggles with the responsibilities of the position and is often unable to make decisions. Which component […]
978-0132814546 Chapter 05 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 5 Question 1 Type: MCSA The new chairperson of the nursing department has determined that the faculty’s teaching is stagnant and outmoded. The chairperson would like to encourage the faculty to adopt more […]
978-0132814546 Chapter 05 Part 2
The CEO of the hospital approaches the chief nurse with a request that the nurse act as the primary change agent in the implementation of a new hospital-wide policy. Why would the nurse be a good choice for this assignment? […]
978-0132814546 Chapter 05 Part 3
Question 24 Type: MCSA The nurse manager is facilitating change to a new documentation system in the unit. If the manager wants to use the most common method to overcome resistance to the change, which strategy would be chosen? 1. […]
978-0132814546 Chapter 06 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 6 Question 1 Type: MCSA Which situation is an example of the overall goal of quality management in today’s health care activities? 1. The nurse manager realizes a policy was ineffective in reducing […]
978-0132814546 Chapter 06 Part 2
4. The “dashboard” is a screen on the electronic medical record that can be accessed for quality improvement information. Correct Answer: 2 Rationale 1: The “dashboards” in this scenario are not associated with automobiles. Rationale 2: Dashboards are electronic tools […]
978-0132814546 Chapter 06 Part 3
Question 23 Type: MCMA The leader of a continuous quality improvement (CQI) team has asked that an information packet be distributed to members of the resource group. The secretary would prepare packets for which people? Note: Credit will be given […]
978-0132814546 Chapter 07 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 7 Question 1 Type: MCSA Which statement reflects the most important use of power in nursing? 1. The nurse manager uses power when evaluating staff. 2. The nurse can use power to impact […]
978-0132814546 Chapter 07 Part 2
Type: MCSA Which would be the most effective way for nursing to improve the power of its image? 1. All nurses becoming politically active 2. Dressing, speaking, and acting in a professional manner 3. Motivating others to become nurses 4. […]
978-0132814546 Chapter 07 Part 3
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Contact officials only when necessary to avoid becoming a bother. 2. Avoid social media contact with officials. […]
978-0132814546 Chapter 08 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 8 Question 1 Type: MCSA The nurse manager is challenged to find an innovative way to adequately staff the unit and provide quality nursing care. Which ability would be most useful to the […]
978-0132814546 Chapter 08 Part 2
3. “Can you help me understand your perspective a little better?” 4. “I don’t think that your concern is necessarily pertinent to this issue.” 5. “I don’t think I can make that decision until I have more information.” Correct Answer: […]
978-0132814546 Chapter 08 Part 3
Rationale 1: Exposure to new ideas and a fresh environment outside the facility increases creativity. Rationale 2: Freedom is necessary to support the creative process. Rationale 3: Filling in a spreadsheet is a bureaucratic, regimented strategy that will not foster […]
978-0132814546 Chapter 09 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 9 Question 1 Type: MCSA The nurse manager is concerned about a family member’s complaint regarding the professional behavior of a nurse on the unit. Which is the most effective method to address […]
978-0132814546 Chapter 09 Part 2
Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 9-5: Improve your collaborative communication skills. Question 14 Type: MCSA When the nurse manager orders supplies […]
978-0132814546 Chapter 09 Part 3
Question 23 Type: MCMA The nurse is always intimidated when asking a physician to clarify orders. Which statements should the nurse use to help counteract this feeling? Note: Credit will be given only if all correct choices and no incorrect […]
978-0132814546 Chapter 10 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 10 Question 1 Type: MCSA The nurse manager needs to delegate specific tasks to the charge nurse of the unit. Which action is an appropriate use of delegation? 1. Instructing the charge nurse […]
978-0132814546 Chapter 10 Part 2
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 10-2: Describe how effective delegation benefits the delegator, the delegate, the unit, and the organization. Question 14 Type: MCSA The nurse […]
978-0132814546 Chapter 10 Part 3
Rationale 2: If delegation is done effectively, unit efficiency is increased. Rationale 3: If the manager can get more done because delegation is effective there is a greater chance for career advancement. Rationale 4: There is no evidence that this […]
978-0132814546 Chapter 11 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 11 Question 1 Type: MCSA A newly hired nurse is asked to join a group working on unit protocols. This nurse is verbal and dominates the conversation of the group. The group leader […]
978-0132814546 Chapter 11 Part 2
Question 14 Type: MCSA The nurse manager has been asked to assemble several groups to work on tasks to improve the unit’s performance and client satisfaction scores. This manager would put the fewest people in a group working on which […]
978-0132814546 Chapter 11 Part 3
Rationale 2: Task groups are generally limited to a specific service area. Rationale 3: A task group is charged with accomplishing a specific time-limited assignment. Rationale 4: Task groups are not competing groups. Global Rationale: Cognitive Level: Applying Client Need: […]
978-0132814546 Chapter 12 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 12 Question 1 Type: MCMA The nurse manager is facilitating the work of a collaborative team whose mission is to negotiate employment contracts with physicians. The nurse manager does not want to compromise […]
978-0132814546 Chapter 12 Part 2
Rationale 3: Smoothing includes statements or actions such as complementing one’s opponent, downplaying differences, and focusing on minor areas of agreement. Agreeing about the length of lunch break is one such minor area. Rationale 4: The statement the “we can […]
978-0132814546 Chapter 12 Part 3
Rationale 2: Avoidance is a covert behavior. Rationale 3: Refusal is an overt act of conflict. Rationale 4: Not being as careful is a covert action. Rationale 5: Apathy is a covert conflict behavior. Global Rationale: Cognitive Level: Analyzing Client […]
978-0132814546 Chapter 13 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 13 Question 1 Type: MCMA Which strategies would decrease the amount of time the nurse manager spends with “drop-in” visitors to the manager’s office? Note: Credit will be given only if all correct […]
978-0132814546 Chapter 13 Part 2
Rationale 4: Getting a job and moving on with life are not goals. A short-term goal statement would be, “I want to work and save $5,000 in the next year.” Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care […]
978-0132814546 Chapter 13 Part 3
Rationale 4: People work on the basis of consequences to the group. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 13-1: Identify time wasters. […]
978-0132814546 Chapter 14 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 14 Question 1 Type: MCSA The nurse manager tells the staff that this year’s budget numbers will not change, even if census drops over the rest of the year. How should the staff […]
978-0132814546 Chapter 14 Part 2
Standard Text: Correct Answer: 0.12 Rationale : To arrive at this figure, add the number of days off, multiply by 8 hours per shift, and divide by 2080 (number of hours worked yearly by one FTE). 0.12 of an FTE […]
978-0132814546 Chapter 14 Part 3
1. The equipment is jointly owned by all units that use it. 2. If clients on the manager’s unit require the use of this equipment, a portion of the cost will be charged to the unit. 3. The equipment will […]
978-0132814546 Chapter 15 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 15 Question 1 Type: MCSA Which step should be taken first when recruiting and selecting nursing staff? 1. Develop a structured interview guide. 2. Become familiar with the position description for the jobs […]
978-0132814546 Chapter 15 Part 2
2. Negotiation skills 3. Initiative 4. Decision-making skills Correct Answer: 4 Rationale 1: Adaptability focuses on how an experience has affected the nurse and how the nurse handled the situation. Rationale 2: Negotiation skills provide information as to how the […]
978-0132814546 Chapter 15 Part 3
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The facts of the history should be presented while maintaining the confidentiality of those involved. 2. The […]
978-0132814546 Chapter 16 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 16 Question 1 Type: MCSA A unit requires a great deal of staffing flexibility. To fill this need, the manager should use which strategy? 1. Maximizing the availability of nursing staff 2. Good […]
978-0132814546 Chapter 16 Part 2
1. There is no overlap of staff. 2. There are not enough nurses working during a 24 hour period of time. 3. This would create discord and confusion with other health care departments. 4. This staffing pattern would not be […]
978-0132814546 Chapter 16 Part 3
1. Demand management 2. Block scheduling 3. Organizational related 4. Patient classification Correct Answer: 4 Rationale 1: Demand management predicts needs over the next few days, not the next shift. Rationale 2: In block scheduling, a set amount of nurses […]
978-0132814546 Chapter 17 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 17 Question 1 Type: MCSA The nurse manager is concerned about the apparent lack of staff motivation to improve client care on a unit. How should this manager use motivational theories to help […]
978-0132814546 Chapter 17 Part 2
Learning Outcome: 17-4: Describe the benefits of nurse residency programs, career advancement strategies, and leadership development on motivation. Question 14 Type: MCSA The nurse manager tells a newly licensed nurse that having a mentor is a benefit to career development. […]
978-0132814546 Chapter 17 Part 3
Standard Text: Select all that apply. 1. Employees with a long history at the facility are easier to control. 2. This method of developing leaders has proved to be cost-effective. 3. The leadership development can be varied according to the […]
978-0132814546 Chapter 18 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 18 Question 1 Type: MCMA The nurse manager is completing employee evaluations. Which practices should the manager use when doing these appraisals? Note: Credit will be given only if all correct choices and […]
978-0132814546 Chapter 18 Part 2
Correct Answer: 1,2,4,5 Rationale 1: Taking notes does save time for the manager when evaluations are written or if other issues come up on the unit. Rationale 2: On a busy unit, the manager must rely on written notes as […]
978-0132814546 Chapter 18 Part 3
Rationale 3: The members of the peer review committee submit a written evaluation to the manager. Rationale 4: The manager also completes an evaluation. Rationale 5: Peer review is often used in self-governance models. Global Rationale: Cognitive Level: Applying Client […]
978-0132814546 Chapter 19 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 19 Question 1 Type: MCMA The nurse manager is coaching an employee who has been late for work three mornings this week. What statements and questions should the manager include in this coaching […]
978-0132814546 Chapter 19 Part 2
Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 19-1: Describe how to coach an employee. Question 14 Type: MCSA The staff has complained that a nurse receives frequent personal phone calls, which is a violation of policy. In what manner should […]
978-0132814546 Chapter 19 Part 3
A nurse has complained to the human resources (HR) director regarding unfair treatment by the nurse’s manager. The nurse describes receiving a written warning, unlike other nursing staff who exhibit similar behaviors but are not reprimanded. Which concerns would the […]
978-0132814546 Chapter 20 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 20 Question 1 Type: MCSA The nurse executive and the human resources manager of a hospital meet to discuss the recent increase in nursing turnover. Which statement reflects the best source of information […]
978-0132814546 Chapter 20 Part 2
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. “I think we should define excessive absenteeism by total time lost instead of absence frequency.” 2. “Let’s […]
978-0132814546 Chapter 20 Part 3
The director of two nursing units is off on medical leave. The morale on these units has decreased over the past year. During the director’s absence the chief nurse officer (CNO) notices a marked increase in the staff’s morale. This […]
978-0132814546 Chapter 21 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 21 Question 1 Type: MCSA A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new nursing employees. Which situation is most likely to […]
978-0132814546 Chapter 21 Part 2
Rationale 2: This behavior is unprofessional, but this term is not the most specific one provided. Rationale 3: This behavior is unacceptable, but this term is not the most specific one provided. Rationale 4: This behavior likely does warrant a […]
978-0132814546 Chapter 21 Part 3
Rationale 3: The manager must remain professional at all times. In this case, when the manager was not professional, an apology is in order. Rationale 4: The manager has made a tactical error and should not send this employee back […]
978-0132814546 Chapter 22 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 22 Question 1 Type: MCSA A nurse manager is working on a task force to develop policy for man-made disasters. There is some discussion in the committee about whether fire should be included […]
978-0132814546 Chapter 22 Part 2
Type: MCMA An emergency department has been notified that hundreds of injuries have occurred following the collapse of bleachers at a football game. The emergency department nurses should prepare to make which types of assessments? Note: Credit will be given […]
978-0132814546 Chapter 22 Part 3
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. To assure staff members of their personal safety 2. To evaluate the performance of those involved 3. […]
978-0132814546 Chapter 23 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 23 Question 1 Type: MCSA A nurse manager is investigating a report made by a staff nurse. The nurses states that a visitor backed the nurse up against a wall and was verbally […]
978-0132814546 Chapter 23 Part 2
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 23-4: Discuss how to respond to a violent incident. Question 14 Type: MCSA The nurse has just been notified that a […]
978-0132814546 Chapter 23 Part 3
1. Keep a safe distance from the visitor. 2. Yell for another nurse to assist with the visitor. 3. Leave the room. 4. Threaten the visitor with assault charges. Correct Answer: 1 Rationale 1: The nurse should recognize threatening behavior […]
978-0132814546 Chapter 24 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 24 Question 1 Type: MCSA The nurse manager is educating staff about the collective bargaining process. Who should this nurse say controls collective bargaining in health care? 1. The judicial system 2. Individual […]
978-0132814546 Chapter 24 Part 2
Type: MCSA A grievance has been filed against a hospital whose nursing staff has just established a union. What is the nurse executive’s first step? 1. Call the union representative for a meeting to discuss the grievance. 2. Call managers […]
978-0132814546 Chapter 24 Part 3
Correct Answer: 2,4,5 Rationale 1: Both staff nurses and supervisory nurses make clinical judgments about client care. Rationale 2: If the nurse makes assignments to a nurse assistant, the nurse has supervisory capacity. Rationale 3: Both staff nurses and supervisors […]
978-0132814546 Chapter 25 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 25 Question 1 Type: MCSA An ICU nurse manager noticed a competent nurse has become forgetful and has made medication errors in the past few months. This type of behavior is unusual for […]
978-0132814546 Chapter 25 Part 2
Rationale 4: Compassion fatigue has much more serious symptoms than anxiety. Rationale 5: There is no evidence of post-traumatic stress disorder. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: […]
978-0132814546 Chapter 25 Part 3
4. The manger is inquiring about other leadership styles the nurse has encountered. Correct Answer: 1 Rationale 1: This nurse manager is in a stressful situation. Assessing whether his or her management or leadership style is helpful or appropriate allows […]
978-0132814546 Chapter 26 Part 1
Sullivan, Effective Leadership and Management, 8/e Chapter 26 Question 1 Type: MCSA A student who is about to graduate is discussing the future with a nursing instructor. The instructor asks the student, “What schedule are you interested in working? What […]
978-0132814546 Chapter 26 Part 2
Rationale 4: No one is certain they can complete a degree program. The point is to start. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning […]
978-0132814546 Chapter 26 Part 3
Rationale 3: The work experience is the most important of these potential entries. Rationale 4: Educational experiences such as graduating with honors should be included in the résumé, but they are not the most important of these potential entries. Global […]